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Effects of Pertussis

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Whooping cough, also known as pertussis, is a serious infection that spreads easily from person to person. The infection causes coughing spells so severe that it can be hard to breathe, eat, or sleep. Pertussis can lead to pneumonia or hospitalization. Although whooping cough can make adults very sick, another big concern is that adults are the most common source of infection in babies, who are at the highest risk of dying from it.

A. Mentally and emotionally:
• Pertussis can cause considerable amount of distress to both child and adult.
• Adults fear they are the sole cause of their child being sick with pertussis.
• Pertussis can cause regression and loss of developmental milestones, leading to negative changes in mental and emotional health.
• Parents have a fear for the life and health of their child with sever pertussis due to its ability to cause death.
Speaker Notes--Untreated, adults can act as a reservoir for pertussis disease and infect younger children—where the disease can be fatal, especially in infants younger than 1 year old. Adults 65 and older who anticipate having close contact with an infant (e.g., grandparents, child-care providers, and health-care practitioners) should receive a single dose of T-dap to protect against pertussis and reduce the likelihood of transmission (CDC, 2011).

B. Physically
• One of the major symptoms of Pertussis is Uncontrollable cough.
• Pertussis can cause thick mucus to develop in the lungs and clog air passages, triggering violent episodes of coughing, choking and vomiting up of mucus.
• It can interfere with sleep, work, and eating. Sometimes people cough so much that they faint or even break a rib."
Speaker Notes--Pertussis is similar to the common cold, or an allergy attack with stuffy or runny nose, dry cough, fatigue, and sometimes a low fever. After several weeks, the disease usually progresses to bursts of spasmodic coughing (paroxysms) with large amounts of mucous, gagging and vomiting with or without a whoop that becomes worse at night.

C. Sexually
Couples should abstain from sex to prevent cross contamination.
• Because whooping cough (pertussis) is a highly contagious bacterial infection. It can be spread from person to person.
• Pertussis is spread through close contact with oral secretions or respiratory droplets.
• Anyone that might have whooping cough should stay away from other people until the illness is treated.

Speaker Note--Symptoms of pertussis usually develop within 5 to 10 days after being exposed, but sometimes not for as long as 3 weeks.

D. In the United States, the economy shapes the complex interactions among employment, health coverage, and costs, as well as financial access to care and health outcomes.
• The economic effects of pertussis have been demonstrated to be significant to individuals and communities, both locally and globally.
• Costs associated with pertussis often include diagnostic testing, hospitalization, emergency and/or medical office visits, antibiotic and symptomatic treatment, lost work days, and other reductions in productivity.
• The economic burden of pertussis is substantial and encourages broader use of vaccination to prevent disease.

Speaker Notes- The choice our nation faces is not simply one of deciding whether to pay for adult immunization. It is whether to pay more for the costs of treating cases of preventable disease, or less for preventing these diseases from occurring in the first place.

References
Academyhealth.org. (2009, August). Impact of the Economy on Health Care. Changes in Health Care Financing & Organization. Retrieved from www.academyhealth.org/files/HCFO/findings0809.pdf
Adultvaccination.org. (2012, January). Facts about Whooping Cough for Adults. National Foundation for Infectious Diseases. Retrieved from http://www.adultvaccination.org/vpd/pertussis/facts.html
Center for DiseaseControl and Prevention. (2015, September 8). Signs and Symptoms. Pertussis (Whooping Cough). Retrieved from http://www.cdc.gov/pertussis/about/signs-symptoms.html
HHS.gov. (n.d.). The National Vaccine Advisory Committee. U.S. Department of Health & Human Services. Retrieved from http://www.hhs.gov/nvpo/nvac/adult4.html
National Center for Biotechnology Information. (2005, June 24). Clinical and Economic Effects of Pertussis Outbreaks. Us National Library of Medicine. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/15931138

NVIC.org. (2010, July 08). Pertussis (Whooping Cough) & Pertussis Vaccine. National Vaccine Information Center. Retrieved from http://www.nvic.org/Vaccines-and-Diseases/Whooping-Cough.aspx
WebMD. (2010, July 19). Whooping Cough: What You Need to Know. Children's Health. Retrieved from http://www.webmd.com/children/features/whooping-cough-what-you-need-to-know?page=1

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