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February 1992, Vol 146, No. 2 >
Article | February 1992

Pertussis Outbreaks in Groups Claiming Religious Exemptions to Vaccinations FREE

Paul Etkind, MPH; Susan M. Lett, MD, MPH; Patricia D. Macdonald, MPH; Ellen Silva; Joseph Peppe
[+] Author Affiliations

Accepted for publication October 14, 1991.

Reprint requests to Bureau of Communicable Disease Control, Massachusetts Department of Public Health, 305 South St, Jamaica Plain, MA 02130-3597 (Mr Etkind).


Am J Dis Child. 1992;146(2):173-176. doi:10.1001/archpedi.1992.02160140039017.
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References
Comments

• Four recent outbreaks of pertussis in Massachusetts illustrate some features that contribute to the increased incidence of the disease. The outbreaks involved unimmunized groups of children with philosophical or religious exemptions from school or day-care immunization requirements and children and adults who were reluctant to undergo antibiotic prophylaxis or therapy. Parents and physicians should be aware that failure to immunize and to cooperate in follow-up preventive measures can have public health and potential medicolegal repercussions.

(AJDC. 1992;146:173-176)

REFERENCES

1 +
Centers for Disease Control.  Pertussis surveillance—United States, 1984-1985 . MMWR . 1987;;36:168-171.
2 +
Centers for Disease Control.  Pertussis surveillance—United States, 1986-1988 . MMWR . 1990;;39:57-66.
3 +
Patriarca PA, Biellik RJ, Sanden G, et al.  Sensitivity and specificity of clinical case definitions for pertussis . Am J Public Health . 1988;;78:833-836.
4 +
Robinson RJ.  The whooping cough immunization controversy . Arch Dis Child . 1981;;56:577-580.
5 +
Gonzalez ER.  TV report of DTP galvanized U.S. pediatricians . JAMA . 1982;;248:12-14, 20-22.
6 +
Hinman AR.  DTP vaccine litigation . AJDC . 1986;;140:528-530.
7 +
Nicoll A.  Contraindications to whooping cough immunization: myths or realities? Lancet . 1985;;2:679-681.
8 +
Cherry JD.  The pertussis epidemic in Oklahoma: a warning for the future . AJDC . 1986;;140:417-418.
9 +
Centers for Disease Control.  Measles—Los Angeles County, California, 1988 . MMWR . 1989;;38:49-52, 57.
10 +
Centers for Disease Control.  Update: measles outbreak—Chicago, 1989 . MMWR . 1990;;39:317-319, 325-326.
11 +
Centers for Disease Control.  Increase in rubella and congenital rubella syndrome—United States, 1988-1990 . MMWR . 1991;;40:93-99.
12 +
Centers for Disease Control.  Measles outbreak—New York City, 1990-1991 . MMWR . 1991;;40:305-306.
13 +
Bass JW.  Pertussis: current status of prevention and treatment . Pediatr Infect Dis J . 1985;;4:614-619.
14 +
Torre D, Maggiolo F, Quadrelli C, Sampietro C.  Erythromycin estolate for treatment of pertussis . Pediatr Infect Dis J . 1986;;5:719-720.
15 +
Biellik RJ, Patriarca PA, Mullen JR, et al.  Risk factors for community- and household-acquired pertussis during a large scale outbreak in central Wisconsin . J Infect Dis . 1988;;6:1134-1141.
16 +
Anderson EL, Belshe RB, Bartram J, et al.  Clinical and serologic responses to acellular pertussis vaccine in infants and young children . AJDC . 1987;;141:949-953.
17 +
Romanus V, Jonsell R, Bergquist S-O.  Pertussis in Sweden after the cessation of general immunization in 1979 . Pediatr Infect Dis J . 1987;;6:364-371.
18 +
Centers for Disease Control.  Pertussis—England and Wales . MMWR . 1982;;31:629-632.

Figures

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

1 +
Centers for Disease Control.  Pertussis surveillance—United States, 1984-1985 . MMWR . 1987;;36:168-171.
2 +
Centers for Disease Control.  Pertussis surveillance—United States, 1986-1988 . MMWR . 1990;;39:57-66.
3 +
Patriarca PA, Biellik RJ, Sanden G, et al.  Sensitivity and specificity of clinical case definitions for pertussis . Am J Public Health . 1988;;78:833-836.
4 +
Robinson RJ.  The whooping cough immunization controversy . Arch Dis Child . 1981;;56:577-580.
5 +
Gonzalez ER.  TV report of DTP galvanized U.S. pediatricians . JAMA . 1982;;248:12-14, 20-22.
6 +
Hinman AR.  DTP vaccine litigation . AJDC . 1986;;140:528-530.
7 +
Nicoll A.  Contraindications to whooping cough immunization: myths or realities? Lancet . 1985;;2:679-681.
8 +
Cherry JD.  The pertussis epidemic in Oklahoma: a warning for the future . AJDC . 1986;;140:417-418.
9 +
Centers for Disease Control.  Measles—Los Angeles County, California, 1988 . MMWR . 1989;;38:49-52, 57.
10 +
Centers for Disease Control.  Update: measles outbreak—Chicago, 1989 . MMWR . 1990;;39:317-319, 325-326.
11 +
Centers for Disease Control.  Increase in rubella and congenital rubella syndrome—United States, 1988-1990 . MMWR . 1991;;40:93-99.
12 +
Centers for Disease Control.  Measles outbreak—New York City, 1990-1991 . MMWR . 1991;;40:305-306.
13 +
Bass JW.  Pertussis: current status of prevention and treatment . Pediatr Infect Dis J . 1985;;4:614-619.
14 +
Torre D, Maggiolo F, Quadrelli C, Sampietro C.  Erythromycin estolate for treatment of pertussis . Pediatr Infect Dis J . 1986;;5:719-720.
15 +
Biellik RJ, Patriarca PA, Mullen JR, et al.  Risk factors for community- and household-acquired pertussis during a large scale outbreak in central Wisconsin . J Infect Dis . 1988;;6:1134-1141.
16 +
Anderson EL, Belshe RB, Bartram J, et al.  Clinical and serologic responses to acellular pertussis vaccine in infants and young children . AJDC . 1987;;141:949-953.
17 +
Romanus V, Jonsell R, Bergquist S-O.  Pertussis in Sweden after the cessation of general immunization in 1979 . Pediatr Infect Dis J . 1987;;6:364-371.
18 +
Centers for Disease Control.  Pertussis—England and Wales . MMWR . 1982;;31:629-632.

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