PDF file - Department of Health and Ageing
PDF file - Department of Health and Ageing
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