Adults working or living with young children should be immunised against
whooping cough to stop them passing on the disease, researchers have
suggested.
The disease can be fatal for children, and the researchers suggest
parents and healthcare staff could be vaccinated as a precautionary
measure.
The incidence of whooping cough, or pertussis, increases in adults as
the protection from childhood vaccination diminishes.
But many people do not realise adolescents and adults can have whooping
cough, and the researchers want to highlight the risks.
Pre-school booster
The main symptom of the disease is prolonged coughing.

One of the things that could be done is vaccinating young mothers in
order to protect the infants

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Dr Wirsing von König, Researcher
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A suitable vaccine is available.
Children in the UK are given the DTP vaccine, which immunises them
against whooping cough as well as diphtheria and tetanus, at two, three
and four months of age.
From last year, they are also given a pre-school booster around the age
of four.
So far this year, there have been 332 laboratory reports of whooping
cough received by the Public Health Laboratory Service (PHLS), which
covers England and Wales.
Just over 100 of those were in babies under three-months-old.
Protecting children
An international team of researchers, led by Dr Carl Heinz Wirsing von
König of the Institut für Hygiene und Laboratoriumsmedizin, in Krefeld,
Germany, carried out the study.
He said selectively immunising adults could be the answer to preventing
adults passing on the disease to vulnerable children.

We know that adults in the UK sometimes infect babies and we are
concerned about it

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Dr Natasha Crowcroft, Public Health Laboratory Service
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Dr Wirsing von König told BBC News Online: "One of the things that
could be done is to think about vaccinating young mothers in order to
protect the infants.
"The second thing, which is now being implemented in Germany, is to
immunise people in healthcare and childcare."
Vaccination of adolescents is recommended n France, Germany, and parts
of Canada.
Dr Natasha Crowcroft, a consultant epidemiologist at the PHLS, said:
"We know that adults in the UK get whooping cough.
"We know that adults in the UK sometimes infect babies and we are
concerned about it."
But she said experts wanted to have time to evaluate the impact of the
pre-school booster on the number of whooping cough cases before they
considered extending vaccination to teenagers or adults.
"There seems to be quite a lot of infections going on in primary school
age children.
"We haven't really had long enough [of the pre-school booster] to see
if that's going to be affected."
But she said public health experts would consider changing the
vaccination regime if the evidence supported that.
Hospitalisation
In the 1970s, the UK, Germany and Sweden saw increases in the number of
cases whooping cough after immunisation campaigns were stopped after a
scare over the safety of the vaccine.
There were 100,000 cases of whooping cough in the UK between 1977 and
1979, including a number of deaths.