Abstract
Dr Emerson suggested that the report ignored the distinction between infection and illness when we suggested that adult booster doses would reduce transmission of Bordetella pertussis in adults and could help in the eradication of pertussis in our population. In supporting his suggestion, Dr Emerson has underestimated the number of pertussis cases presently occurring in adults in the United States, has used an unimpressive reference to indicate that adult doses of tetanus and diphtheria toxoids are unnecessary, and has inappropriately questioned the herd immunity concept (the immunization of children at school entry and of adults) in the protection of young children from pertussis.
- Copyright © 1989 by the American Academy of Pediatrics
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