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Pertussis.

Maas, N.A.T. van der, Kemmeren, J.M., Lugner, A.K., Suijkerbuijk, A.W.M., Donker, G.A., Buisman, A., Berbers, G.A.M., Els, C.A.C.M. van, Melker, H.E. de, Mooi, F.R. Pertussis. In: T.M. Schurink-van 't Klooster; H.E. de Melker. The National Immunisation Programme in the Netherlands: developments in 2013. Bilthoven: RIVM, 2013. p. 36-43.
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In 2012, a large pertussis epidemic occurred with the highest number of notified cases since the introduction of notifications in 1976. Data on GP consultations and hospitalisations from 2012 also showed an increase. In the first six months of 2013 the incidence of pertussis notifications was found to be low. B. pertussis continues to change in ways that suggest adaptation to vaccination. The most recent change involves the emergence of strains which do not produce one or more components of pertussis vaccines. The Dutch Health Council will recommend possible additional preventive measures. The main focus of pertussis vaccination is to prevent severe pertussis in young, not yet fully vaccinated, infants. Pertussis outbreaks continue to be reported throughout the world. Maternal immunisation is recommended in several countries to better protect young, not yet fully vaccinated, infants. (aut.ref.)
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