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Ristić M, Medić S, Vuković V, Rajčević S, Koprivica M, Banjac J, Ljubičić S, Petrović V. Pertussis Epidemiology in the Autonomous Province of Vojvodina, Serbia, 1948-2023. Vaccines (Basel) 2024; 12:525. [PMID: 38793776 PMCID: PMC11126017 DOI: 10.3390/vaccines12050525] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2024] [Revised: 05/02/2024] [Accepted: 05/09/2024] [Indexed: 05/26/2024] Open
Abstract
Pertussis continues to be a significant public health concern. We aimed to examine the epidemiological characteristics of pertussis in Vojvodina, which accounts for almost a third of Serbia's population. Our aim was to determine the overall and age-specific incidence and mortality rates of pertussis in Vojvodina from 1948 to 2023, as well as the coverage of immunization against pertussis from 1960 to 2023. In the period 1948-2023, 42,259 cases of pertussis were reported. Following the introduction of the DTwP vaccine (1960) in Serbia, the reported incidence of pertussis began to decline. In 2001, for the first time since introduction of pertussis surveillance in Vojvodina, no pertussis cases were reported. Since 2012, the reported incidence of pertussis has once again increased, and peaked (41.1/100,000) in 2023, approaching the incidence rates recorded shortly after the introduction of DTwP vaccine. A shift in the age profile of pertussis from children aged 0-6 years to school-aged children (7-14 years) occurred between 2012 and 2023, when 48.3% of pertussis cases occurred in this age group. Although the incidence rates of pertussis among individuals aged 20 years and older were significantly lower than among younger age groups, there is evidence of an increasing trend in pertussis cases, particularly among those aged 40-49 years, since 2012. Based on the findings of this study, it is imperative to introduce additional booster doses of the aP vaccine for individuals aged 14 years, along with implementing maternal immunization strategies targeting women of childbearing age.
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Affiliation(s)
- Mioljub Ristić
- Department of Epidemiology, Faculty of Medicine, University of Novi Sad, 21000 Novi Sad, Serbia (V.P.)
- Institute of Public Health of Vojvodina, 21000 Novi Sad, Serbia
| | - Snežana Medić
- Department of Epidemiology, Faculty of Medicine, University of Novi Sad, 21000 Novi Sad, Serbia (V.P.)
- Institute of Public Health of Vojvodina, 21000 Novi Sad, Serbia
| | - Vladimir Vuković
- Department of Epidemiology, Faculty of Medicine, University of Novi Sad, 21000 Novi Sad, Serbia (V.P.)
- Institute of Public Health of Vojvodina, 21000 Novi Sad, Serbia
| | - Smiljana Rajčević
- Department of Epidemiology, Faculty of Medicine, University of Novi Sad, 21000 Novi Sad, Serbia (V.P.)
- Institute of Public Health of Vojvodina, 21000 Novi Sad, Serbia
| | - Marko Koprivica
- Institute of Public Health of Vojvodina, 21000 Novi Sad, Serbia
| | - Jelena Banjac
- Public Health Institute Subotica, 24000 Subotica, Serbia
| | - Stefan Ljubičić
- Institute of Public Health of Vojvodina, 21000 Novi Sad, Serbia
| | - Vladimir Petrović
- Department of Epidemiology, Faculty of Medicine, University of Novi Sad, 21000 Novi Sad, Serbia (V.P.)
- Institute of Public Health of Vojvodina, 21000 Novi Sad, Serbia
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Seppälä E, Bråthen Kristoffersen A, Bøås H, Frimann Vestrheim D, Greve-Isdahl M, Freiesleben De Blasio B, Steens A. Pertussis epidemiology including direct and indirect effects of the childhood pertussis booster vaccinations, Norway, 1998–2019. Vaccine 2022; 40:3142-3149. [DOI: 10.1016/j.vaccine.2022.04.038] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2022] [Revised: 04/04/2022] [Accepted: 04/11/2022] [Indexed: 11/16/2022]
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