Pertussis, or whooping cough, is a highly contagious respiratory disease caused by the bacterium Bordetella pertussis. It is characterized by severe coughing fits that can end in a "whooping" sound when breathing in. The disease occurs in three stages - catarrhal, paroxysmal, and convalescent. It is most common and severe in infants under 6 months old. Treatment involves antibiotics and isolation. The disease is controlled through active immunization programs using DPT or DTaP vaccines, as well as prophylactic antibiotics for contacts of cases.
Measles is a highly contagious viral infection.
It is exanthematous disease with fewer, cough, coryza (rhinitis) and conjunctivitis.
Before the widespread use of measles vaccines, it was estimated that measles caused between 5 million and 8 million deaths worldwide each year.
Pertussis : Highly contagious respiratory infection caused by Bordetella pertussis
Outbreaks first described in 16th century
Bordetella pertussis isolated in 1906
Estimated >300,000 deaths annually worldwide
Before the availability of pertussis vaccine in the 1940s, public health experts reported more than 200,000 cases of pertussis annually.
Since widespread use of the vaccine began, incidence has decreased more than 75% compared with the pre-vaccine era.
In 2012, the last peak year, CDC reported 48,277 cases of pertussis.
Extremely contagious-attack rate 100%
Immunity is never complete
Protection begins to wane in 3-5 yrs after vaccination
Measles is a highly contagious viral infection.
It is exanthematous disease with fewer, cough, coryza (rhinitis) and conjunctivitis.
Before the widespread use of measles vaccines, it was estimated that measles caused between 5 million and 8 million deaths worldwide each year.
Pertussis : Highly contagious respiratory infection caused by Bordetella pertussis
Outbreaks first described in 16th century
Bordetella pertussis isolated in 1906
Estimated >300,000 deaths annually worldwide
Before the availability of pertussis vaccine in the 1940s, public health experts reported more than 200,000 cases of pertussis annually.
Since widespread use of the vaccine began, incidence has decreased more than 75% compared with the pre-vaccine era.
In 2012, the last peak year, CDC reported 48,277 cases of pertussis.
Extremely contagious-attack rate 100%
Immunity is never complete
Protection begins to wane in 3-5 yrs after vaccination
This ppt contains all the information about the epidemiology of Pertussis ( Whooping Cough). It is useful for students of the medical field learning Preventive and social medicine, Swasthavritta (Ayurved), and everyone who is interested in knowing about it
India is the highest TB burden country in the world & accounts for nearly 1/5th (20 per cent) of global burden of tuberculosis, 2/3rd of cases in SEAR. Every year approximately 1.8 million persons develop tuberculosis, of which about 0.8 million are new smear positive highly'- infectious cases.Annual risk of becoming infected with TB is 1.5 % and once infected there is 10 % life-time risk of developing TB disease
ONE OF THE VACCINE PREVENTABLE DISEASE OF CHILDREN,again showing upward trend . it is high on the agenda of surveillance against vpd. carries a high mortality in the neonatal period and one of the important cause of sids.
An infectious disease due to a bacteria (Chlamydia psittaci) contracted from psittacine birds, especially caged birds like parrots, parakeets, and lovebirds and also in turkey processing plants called psittacosis.1879 - The first outbreak of psittacosis linked the disease to pet parrots and finches
In the past few years, multiple disease that were once under control are beginning to re-emerge.Pertussis, or whooping cough, is one of these re-emerging diseases. In 2010, California experienced nearly 10,000 reported whooping cough cases, the highest number it had seen 70 years. In 2014, the national level of whooping cough cases reached more than 48,000, which was higher than any count for the previous 6 decades. Project Tycho is a collaborative project at the University of Pittsburgh that consists of a large dataset containing all weekly surveillance reports of nationally notifiable diseases for all US cities and states published since 1888. Thus, our system employed visualizations and user interactions to introduce and explore the re-emergence of Whooping Cough.
This ppt contains all the information about the epidemiology of Pertussis ( Whooping Cough). It is useful for students of the medical field learning Preventive and social medicine, Swasthavritta (Ayurved), and everyone who is interested in knowing about it
India is the highest TB burden country in the world & accounts for nearly 1/5th (20 per cent) of global burden of tuberculosis, 2/3rd of cases in SEAR. Every year approximately 1.8 million persons develop tuberculosis, of which about 0.8 million are new smear positive highly'- infectious cases.Annual risk of becoming infected with TB is 1.5 % and once infected there is 10 % life-time risk of developing TB disease
ONE OF THE VACCINE PREVENTABLE DISEASE OF CHILDREN,again showing upward trend . it is high on the agenda of surveillance against vpd. carries a high mortality in the neonatal period and one of the important cause of sids.
An infectious disease due to a bacteria (Chlamydia psittaci) contracted from psittacine birds, especially caged birds like parrots, parakeets, and lovebirds and also in turkey processing plants called psittacosis.1879 - The first outbreak of psittacosis linked the disease to pet parrots and finches
In the past few years, multiple disease that were once under control are beginning to re-emerge.Pertussis, or whooping cough, is one of these re-emerging diseases. In 2010, California experienced nearly 10,000 reported whooping cough cases, the highest number it had seen 70 years. In 2014, the national level of whooping cough cases reached more than 48,000, which was higher than any count for the previous 6 decades. Project Tycho is a collaborative project at the University of Pittsburgh that consists of a large dataset containing all weekly surveillance reports of nationally notifiable diseases for all US cities and states published since 1888. Thus, our system employed visualizations and user interactions to introduce and explore the re-emergence of Whooping Cough.
http://www.fridayschildmontessori.com/blog/727/ Whooping cough or pertussis is a very infectious disease that is characterised by prolonged coughing fits, often with a “whoop” sound during attempts to inhale, and frequently followed by vomiting. It can develop into complications such as pneumonia and even brain damage, and it is particularly serious in babies. Vaccination is a key part of prevention, which includes ensuring that four-year-olds have had booster shots. See your doctor if you or your child has a cough that doesn’t go away, and stay away from infants and women in late pregnancy.
Pertussis is an infection of the respiratory system caused by the bacterium Bordetella pertussis (or B. Pertussis).
Severe coughing spells are characterized by end in a "whooping" sound when the person breathes in.
Mainly affects infants younger than 6 months old before they're adequately protected by immunizations, and kids 11 to 18 years old whose immunity has started to fade.
Whooping cough | pertussis ( medical information ) - a detailed studymartinshaji
Whooping cough (pertussis) is a highly contagious respiratory tract infection. In many people, it's marked by a severe hacking cough followed by a high-pitched intake of breath that sounds like "whoop." Before the vaccine was developed, whooping cough was considered a childhood disease.
this chart comprises all the major aspects of whooping cough / pertussis
please comment
thank u
Whooping cough is a highly contagious disease caused by pertussis bacteria and may lead to death, particularly in infants less than 12 months of age. Whooping cough is preventable but Although it can be prevented by routine vaccination, it still affects many people, it can have serious complications including death. Management is only supportive. The majority need to be vaccinated to help protect those too young to be vaccinated.
Epidemiology & Control Measures of Measles.pptxAB Rajar
It is an acute highly infectious disease of childhood caused by a specific virus of the group myxovirus.
One of the top five causes of vaccine-preventable deaths in the world
Easy to prevent – the vaccine costs less than US$1 and gives life-long immunity
Found in every part of the world – measles outbreaks have taken place on every continent and in all climates
One of the most contagious diseases – 90% of those exposed to the measles virus will catch it if they do not have immunity
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
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Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
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Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
3. INTRODUCTION
Pertussis is also called as Whooping cough is a
highly contagious disease mainly of children
caused by Bordetella pertussis.
It is characterized by severe uncontrollable
coughing spells which can sometimes end in a
“whoop” sound when person breathes in.
Also called as “100 day cough” by Chinese.
4. In 2012, 2.49 cases were reported by WHO
globally when the DPT immunization was 83%.
In India after launch of immunization programme
in 1987, the reported cases dropped from 1.63
lakh to only 36,661 cases in 2013 ( 77% decline)
Underlying malnutrition and other respiratory
infections in children make then prone to this
disease.
Recently the disease shows increase incidence in
older children, adolescents and adults.(21%
adults had pertussis after serological studies of
adults with cough for more than 2 weeks)
5. Epidemiological Determinants
AGENT FACTORS-
Agent -Causative agent is Bordetella pertussis.
Also caused by B.parapertussis,
Viruses(parainfluenzae, adenovirus)
6. Source of infection- Only man is the known
source of infection.
Pervious case of pertussis which may be mild,
missed and unrecognised case is usually the
source of infection.
No chronic carrier state exist
Infective material –Nasopharyngeal and bronchial
secretion.
Fomites contaminated by such discharge are
also infective.
7. Infective period- Catarrhal stage most infective.
Extends from week after exposure to about 3
weeks after onset of paroxysmal stage.
Secondary attack rate- Average 90% in
unimmunized people.
8. HOST FACTORS
Age- Infants and pre-school (<5 years)
- Developing countries (20-30 months)
and developed countries (50 months)
-Highest mortality below 6 months.
Sex- More common among females.
Immunity-Immunity develops after a case or
immunization.
No cross immunity.
Secondary attack occur in declining
immune
person.
9. ENVIRONMENT
More cases occur during winter and spring.
Lower socio-economic group more prone than
well to do
groups due to overcrowding.
11. CLINICAL COURSE
Causes local infection by multiplying in the
surface epithelium of respiratory mucosa.
Leads to inflammation and necrosis of mucosa.
Occurs in 3 stages-
1. Catarrhal stage
2. Paroxysmal stage
3. Convalescent stage
12. 1. Catarrhal stage-
- Lasts for 10 days.
- Characterized by:
Insidious onset
Lacrimation
Sneezing
Coryza
Anorexia
Malaise
Hacking night cough that becomes
diurnal
13. 2. Paroxysmal stage
-Lasts for 2-4 weeks
-Characterized by burst of rapid,
consecutive
coughs followed by a deep, deep
pitched
inspiration (whoop)
- Followed by vomiting
In infants- Causes cyanosis and apnoea
In adults and adolescents-
Uncharacteristic,persistent cough
14. 3. Convalescent stage-
Lasts for 1-2 weeks
Decrease in paroxysms of coughing both in
freq and severity
Cessation of Vomiting
15. Complications
Occurs in 5-6% cases
Frequent in infants aged less than 6 months
Mainly- Bronchitis
- Bronchopneumonia (5.2%)
-Bronchiectasis
-Subconjuctival hemorrhage
-Epistaxis
-Heomptysis
-Punctate cerebral hemorrhage
-Coma and convulsions
16. Control of whooping cough
Cases and contacts-
1. Cases- Early diagnosis by
bacteriological exam. of nose and throat
secretions (60% chances within 10-14 days from
onset)
- Isolation of case
- Treatment of case- Erythromycin
30-50 mg/kg for 10 days
Septran , Ampicillin and
Tetracycline can also be used.
Given during incubation or
in early catarrhal stage to
prevent or moderate
clinical pertussis.
During paroxysmal stage
only eliminate bacteria
from nasopharynx
eliminating transmission
18. Active immunization
- Covered under National Immunization Programme
-Combined as DPT, DTWP or DTaP vaccine.
-Administered as 3 dose ( each dose 0.5 ml) IM at
1 month interval starting at 6 weeks.
-Booster dose at 18-24 months
-Acellular vaccine for older children and adults
19. Efficacy 85%
Duration of protection 6-12 years following complete
dose+ booster
HIV positive individuals should also be immunized
Adverse reactions- Early vaccine caused screaming
and
collapse.
-Give rise to local reactions at
site of
injection, mild fever and
irritability
-Rare vaccine reaction are-
Inconsolable
screaming, seizures, hypotonic
hypo-
responsive episode,
20. Contraindications- Anaphylactic reactions,
encephalopathy, history of epilepsy, convulsions
or similar CNS disorders , any febrile episode and
reaction to previous triple vaccine
• Passive immunization-
Hyperimmune globulin is given but efficacy no
established yet.