Stages of Whooping Cough:
After a ❌ day incubation -
• Stage 1 - (❌ week) malaise, low grade ❌, sneezing, runny ❌,
dry ❌. The ❌ infectious stage. Antibiotic treatment at this stage
can ❌ severity of stage 2. Contacts should also be ❌.
• Stage 2 - (❌ weeks) short burst of extreme paroxysmal coughing
(accumulation of ❌), vomiting, feeling of ❌, “whooping”
between coughing fits. Still infectious, and ❌ symptoms between
paroxysms. Treatment here will not effect the disease but reduces ❌.
• Stage 3 - (❌ weeks - months) recovery, cough less often.
Prevention:
- Vaccine available since 1945, on NZ immunisation schedule since 1960, i.m. injection
- Moved from a cell-based vaccine to an ❌ pertussis vaccine in
the 1990s – less ❌ but less effective. Boosters are required & funded.
- It is recommended, but not funded that contacts & carers of ❌ get boosters.
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transmission
transmission