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- Douglas Jenkinson, retired general practitioner
- Gotham, Nottingham, UK
- dougjenkinson{at}btinternet.com
It is difficult to share Smout and colleagues’ optimism that increasing primary immunisation above 92.9% might control whooping cough, given that it is a relatively poor vaccine and that whooping cough is most infectious before the characteristic cough can be recognised.1 Pertussis is here to stay.
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The epidemiology of pertussis in the vaccine era is not well understood. Neither natural infection nor whole cell vaccine approaches lifelong protection, and the various …
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