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Incidence and Transmission Dynamics of Bordetella pertussis Infection in Rural and Urban Communities, South Africa, 2016‒2018

by Kleynhans, Jackie , Tempia, Stefano , Wolter, Nicole , Martinson, Neil A. , Wafawanaka, Floidy , Moosa, Fahima , Treurnicht, Florette K. , Cohen, Cheryl , Mkhencele, Thulisa , von Gottberg, Anne , McMorrow, Meredith , Helferscee, Orienka , Kahn, Kathleen , Mathunjwa, Azwifarwi , Moyes, Jocelyn , du Plessis, Mignon , Lebina, Limakatso , Carrim, Maimuna

in Age / bacteria / Bordetella pertussis / Child / Cohort analysis / Disease transmission / Enrollments / Epidemiology / Health aspects / Households / Humans / Incidence / incidence and transmission dynamics / Incidence and Transmission Dynamics of / infection / Infection in Rural and Urban Communities, South Africa, 2016‒2018 / Infections / Laboratories / Male / Prospective Studies / Research ethics / respiratory infections / Risk factors / rural and urban communities / Rural areas / Rural population / South Africa - epidemiology / Statistics / Urban areas / Urban population / Vaccines / Vomiting / Whooping cough / Whooping Cough - epidemiology

2023

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Incidence and Transmission Dynamics of Bordetella pertussis Infection in Rural and Urban Communities, South Africa, 2016‒2018

2023

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Incidence and Transmission Dynamics of Bordetella pertussis Infection in Rural and Urban Communities, South Africa, 2016‒2018

2023

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Journal Article

Incidence and Transmission Dynamics of Bordetella pertussis Infection in Rural and Urban Communities, South Africa, 2016‒2018

Kleynhans, Jackie,

Tempia, Stefano,

Wolter, Nicole,

Martinson, Neil A.,

Wafawanaka, Floidy,

Moosa, Fahima,

Treurnicht, Florette K.,

Cohen, Cheryl,

Mkhencele, Thulisa,

von Gottberg, Anne,

McMorrow, Meredith,

Helferscee, Orienka,

Kahn, Kathleen,

Mathunjwa, Azwifarwi,

Moyes, Jocelyn,

du Plessis, Mignon,

Lebina, Limakatso,

Carrim, Maimuna

2023

Overview

We conducted 3 prospective cohort studies (2016-2018), enrolling persons from 2 communities in South Africa. Nasopharyngeal swab specimens were collected twice a week from participants. Factors associated with Bordetella pertussis incidence, episode duration, and household transmission were determined by using Poisson regression, Weibull accelerated time-failure, and logistic regression hierarchical models, respectively. Among 1,684 participants, 118 episodes of infection were detected in 107 participants (incidence 0.21, 95% CI 0.17-0.25 infections/100 person-weeks). Children <5 years of age who had incomplete vaccination were more likely to have pertussis infection. Episode duration was longer for participants who had higher bacterial loads. Transmission was more likely to occur from male index case-patients and persons who had >7 days infection duration. In both communities, there was high incidence of B. pertussis infection and most cases were colonized.

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Publisher

U.S. National Center for Infectious Diseases,Centers for Disease Control and Prevention

Subject

Age

/ bacteria

/ Bordetella pertussis

/ Child

/ Cohort analysis

/ Disease transmission

/ Enrollments