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CDC Panel: All Pregnant Women Should Get Whooping Cough Shot
Date:10/25/2012

By Steven Reinberg
HealthDay Reporter

WEDNESDAY, Oct. 24 (HealthDay News) -- All pregnant women should be vaccinated against whooping cough, preferably in their last trimester, a panel of U.S. advisers recommended Wednesday.

Getting vaccinated during pregnancy means a mother can pass immunity to whooping cough to her baby, the U.S. government panel explained. Whooping cough, also known as pertussis, is a highly contagious bacterial disease that attacks the respiratory system.

The recommendation comes at a time when the United States is on track to record the highest number of whooping cough cases since 1959, according to the U.S. Centers for Disease Control and Prevention. So far, more than 32,000 cases have been reported and 16 people have died, most of them infants.

Of the infants who get pertussis, 30 percent to 40 percent get it from their mothers, and more than half need to be hospitalized. Of those hospitalized, one in five gets pneumonia and one in 100 dies, according to the CDC.

"This is a very good idea," said Dr. Marc Siegel, an associate professor of medicine at NYU Langone Medical Center in New York City, said of the recommendation. "This vaccine is safe during pregnancy," Siegel noted, with an annual flu shot being the only other vaccination approved for pregnant women.

The pertussis vaccine's protection only lasts 10 years, which may be one reason why there's an epidemic of this respiratory disease, Siegel said.

Since infants can only start getting the pertussis vaccine at 2 months of age, they must rely on the immunity passed to them by their mothers, he said.

"The best way to protect the infant is to protect the mother," Siegel said. "If you give vaccine to a pregnant woman you are going to get some degree of protection [for the infant]."

Siegel said that immunity is also passed to the infant through breast milk, a process called passive immunity.

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