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PDF file - Department of Health and Ageing

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Annual report National Notifiable Diseases Surveillance System, 2004<br />

Pertussis<br />

Pertussis continues to be the most common vaccine<br />

preventable illness in Australia, with periodic<br />

epidemics occurring at intervals <strong>of</strong> 3 to 5 years on<br />

a background <strong>of</strong> endemic circulation (Figure 44).<br />

In 2004, there were 8,557 cases (42.5 cases per<br />

100,000 population) notifi ed to NNDSS. Of these,<br />

7,638 were confi rmed <strong>and</strong> 649 were probable<br />

cases, while the status <strong>of</strong> the remaining 270 cases<br />

was unknown.<br />

Figure 44. Notifications <strong>of</strong> pertussis, Australia,<br />

1996 to 2004, by month <strong>of</strong> onset<br />

Notifications<br />

Case defi nition – Pertussis<br />

Both confirmed cases <strong>and</strong> probable cases<br />

are notifi ed.<br />

Confirmed case: Requires isolation <strong>of</strong><br />

Bordetella pertussis or detection <strong>of</strong> B. pertussis<br />

by nucleic acid testing OR seroconversion or<br />

significant increase in antibody level or fourfold<br />

or greater rise in titre (in the absence <strong>of</strong><br />

pertussis vaccination) or a single high-titre IgA<br />

to whole cells or detection <strong>of</strong> B. pertussis by<br />

immun<strong>of</strong>l uorescence AND clinical evidence<br />

(a coughing illness lasting 2 weeks or more or<br />

paroxysms <strong>of</strong> coughing or inspiratory whoop or<br />

post-tussive vomiting) OR clinical evidence<br />

AND epidemiological link to a confi rmed case.<br />

Probable case: Requires clinically compatible<br />

illness.<br />

1,800<br />

1,600<br />

1,400<br />

1,200<br />

1,000<br />

800<br />

600<br />

400<br />

200<br />

The highest notification rates were among children<br />

aged

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