Whooping cough is an acute infectious disease, usually of young children caused by Bordetella pertusis. It is clinically characterized by an insidious onset with mid fever and an irritating cough, becoming paroxymal with the characteristic “whoop”. The spectrum of disease varies from severe illness without whoop. The Chinese call it ‘hundred day cough’.
It is transmmited through direct contact with the discharge of the respiratory mucous, airborn route, probably by droplets frequently from home by an oldersiblings and sometimes by a parent.
Incubation period is most commanly 7-14 days, but not more than 3 weeks.
Its clinical features are that the initial catarrhal stage has an insidious onset with an irritating cough that gradually becomes paroxymal like repeated violet cough might not intervene inhalation but may followed by vomiting, cough might be followed in high pitch in inspiratory pitch, respiratory infection in malnourished child, pneumonia, etc.
Prevention is done through educating the public particularly parents of infants, about the danger of whooping cough and advantages of initiating immunization at 6 weeks of age.
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