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Brookline urges pertussis shots after 15 cases of whooping cough diagnosed in local public-school students

The Brookline Department of Public Health today urged parents to ensure their kids have been vaccinated against pertussis - and adults to get a shot if it's been more than ten years since their last one - after 15 cases of the illness, also known as whooping cough, were diagnosed this month, mainly in students at Brookline High School but also in one student at the Runkle School.

The department says pregnant people in their first trimester in particular should get a Tdap shot because the bacteria is particularly harmful to babies.

The department reports:

On June 5, Brookline High School notified the Department of Public Health and Human Services of a positive case of whooping cough at the high school. At that time, the Public Schools of Brookline, in coordination with the Department of Public Health and Human Services, notified all families and provided guidance to Brookline High School and the Runkle School, where one additional case was identified.

At this time, 15 total cases have been identified in the Town of Brookline.

The department adds:

Pertussis is a bacterial infection that affects the lungs and a person’s breathing. It is easily spread from person to person and, while usually mild in older children and adults, can often cause serious illness in very young children and infants. Pertussis can be spread by droplets from the nose, mouth and throat and can be sprayed into the air when a person coughs, sneezes or talks. The first symptoms appear about 7-10 days after a person is exposed.

At this time, we feel that the public health risk is low, however with the school year ending, we feel it is important to update the community about the situation and steps our residents can take to avoid exposure to Pertussis and other illnesses

The department adds somebody can become infected even if properly vaccinated - it says 99% of seniors at Brookline High were, in fact, vaccinated.

Pertussis progresses in three phases, starting with cold-like symptoms like runny nose, sneezing, and cough that last for one to two weeks and slowly worsen, followed by strong, uncontrolled coughing spells that can be accompanied by a "whooping" noise during inhalation. Severe coughing spells may impede breathing, causing a person to become blue in the face due to lack of oxygen (hypoxia).

Once somebody comes down with whooping cough:

Antibiotic treatment is generally recommended. People with pertussis are infectious one week before until three weeks after the cough starts or until completion of five days of antibiotic treatment.

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Comments

ought to be imprisoned for child abuse. DTP vaccines are readily available.

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"it says 99% of seniors at Brookline High were, in fact, vaccinated."

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We read it.

99% of parents aren't irresponsible antisocial failures.

1% are. Jail them.

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Almost certainly some of the people who got infected had been vaccinated. Possibly even most of them. As the article says, the vaccine is not perfect.

In fact, the pertussis part of the vaccine wears off in 3-6 years. There used to be a more potent vaccine, but it was retired in favor of the acellular version due to unacceptable rates of side effects.

Also, it's pretty easy for someone to miss a childhood vaccine if their parents moved around a lot, or immigrated, etc. That plays havoc with pediatric vaccine scheduling. People may not *know* they've missed one.

Some people also can't receive certain vaccines. So, jail for that too?

And finally, the number of people *intentionally* avoiding these vaccines is really quite small. If you really want those numbers to go up, spend your effort on better public health campaigns, free vaccines (no insurance required), etc. -- not chasing around a tiny fraction of the population and trying to imprison them (at public expense).

EDIT: By the way, when did you last get your booster? If it was more than 10 years ago, please present yourself to the nearest police station.

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Its a law to have your kids vaccinated.

It is not a law to vaccinate your adult self.

Stop playing word games, you're not talented.

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By the way, when did you last get your booster?

It isn't offered. Do you think that PCPs are asking people when their last pertussis booster was? Do you think they're even checking? Come on.

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My PCP keeps track of all my boosters? It's in my system. There's been cases when the intern checking me in noticed something wasn't there, they asked when I got it, I said I didn't remember / probably a while ago, and we just did it again for kicks.

Giving people the ability to keep track easier, better reminders, and more flexibility about potentially over-vaccinating would help.

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I got my last booster at CVS. On my own, without being prompted by a doctor.* Because I'm a freaking adult.

*Okay, not 100% true; my cousins the doctors had just had a baby and I wanted to make sure I was fully vaccinated before meeting her. On the plus side; it's easy to remember when to get a booster based on the kid's age! But no, my doctor didn't have to remind me. Because I'm a freaking adult.

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Okay, not 100% true; my cousins the doctors had just had a baby

Not exactly a typical scenario then is it?

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But almost everyone has younger relatives at some point in their lives, and it's a good idea to make sure you are up to date on your vaccinations to protect them.

(The point of the story wasn't that my cousins are doctors, but that they were new parents at the time.)

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My PCP checks my records. And makes all sorts of vaccine related suggestions: tetanus, flu, pertussis (which they lately include in either the flu or pneumonia vaccine. I think the latter). I guess I'm lucky in this respect. ¯\_(ツ)_/¯

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I guess I'm lucky in this respect.

You are. I don't think this is at all typical for adults.

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dan was saying that people should be imprisoned for not vaccinating their kids, so I was suggesting that he should be imprisoned for not keeping up with the nominal vaccine recommendations himself.

(In fact, most people don't *really* need a pertussis booster unless they're working with kids—although the tetanus booster is really quite important for their own safety, so getting the whole bundle every 10 years just makes sense.)

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My PCP always looks at the vax records to see what might need updating. I'm sorry to hear that your's is not doing that. You should definitely ask the next time you go in for an exam.

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You can access your vaccinations that took place in Massachusetts here: https://myvaxrecords.mass.gov/pages/Registration

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It says right here in the UHub summary that "The department adds somebody can become infected even if properly infected - it says 99% of seniors at Brookline High were, in fact, vaccinated."

The problem is that the current acellular whooping cough vaccine and booster don't last ten years. But a lot of people don't think about those boosters until/unless they are worrying about tetanus, or their doctor notices that their tetanus vaccine was more than ten years ago. So, you.

You do realize that you're saying people should be imprisoned for things that they're not guilty of, that there's no reason to suspect them of, and for which they can provide positive evidence of their innocence?

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It’s possible for breakthrough cases of pertussis in vaccinated people. Anecdotally, one of my sisters got it about 20 years ago and my parents kept all of us current with our vaccines.

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The department adds somebody can become infected even if properly infected

I assume you mean even if properly vaccinated?

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