{"id":45087,"date":"2014-07-16T08:34:02","date_gmt":"2014-07-16T08:34:02","guid":{"rendered":"http:\/\/mostafa.openonline.co.uk\/?guid=a2d4c493829b568ff399434b8c42f7bf"},"modified":"2014-07-16T08:34:02","modified_gmt":"2014-07-16T08:34:02","slug":"press-release-continuation-of-whooping-cough-vaccination-programme-in-pregnancy-advised","status":"publish","type":"post","link":"https:\/\/mostafa.openonline.co.uk\/?p=45087","title":{"rendered":"Press release: Continuation of whooping cough vaccination programme in pregnancy advised"},"content":{"rendered":"<div class=\"govspeak\">\n<p>Public Health England (<abbr title=\"Public Health England\">PHE<\/abbr>) welcomes today\u2019s (16 July 2014) announcement from the Joint Committee on Vaccination and Immunisation (<abbr title=\"Joint Committee on Vaccination and Immunisation\">JCVI<\/abbr>) advising the Department of Health (<abbr title=\"Department of Health\">DH<\/abbr>) that the whooping cough (pertussis) vaccination programme for pregnant women should continue for a further 5 years. The advice reflects new data on vaccine effectiveness and safety published by <abbr title=\"Public Health England\">PHE<\/abbr> and the Medicines and Healthcare Products Regulatory Agency (<abbr title=\"Medicines and Healthcare Products Regulatory Agency\">MHRA<\/abbr>).<\/p>\n<p>The <abbr title=\"Department of Health\">DH<\/abbr> announced the temporary vaccination programme for pregnant women in October 2012, in response to a national whooping cough outbreak that led to several infant deaths. Vaccinating women against whooping cough in pregnancy (between 28 and 38 weeks) means that the mother passes immunity on to her unborn child, protecting the baby until they receive their first whooping cough vaccination at 2 months old.<\/p>\n<p>Deputy Chief Medical Officer, Professor John Watson said: <\/p>\n<blockquote>\n<p class=\"last-child\">Babies too young to start their vaccinations are at greatest risk from whooping cough. It\u2019s an extremely distressing illness that can lead to young babies being admitted to hospital and can potentially be fatal. The <abbr title=\"Joint Committee on Vaccination and Immunisation\">JCVI<\/abbr>\u2019s advice will be welcomed by families and we will work with NHS England to ensure the programme continues to be offered to mums-to-be.<\/p>\n<\/blockquote>\n<p>New <abbr title=\"Public Health England\">PHE<\/abbr> research published today in The Lancet Infectious Diseases shows that vaccinating pregnant women against whooping cough has been highly effective in protecting young infants from this potentially fatal disease. Babies born to women vaccinated at least a week before delivery had a 91% reduced risk of becoming ill with whooping cough in their first weeks of life, compared to babies whose mothers had not been vaccinated.<\/p>\n<p>These findings are supplemented by the first large study of the whooping cough vaccine safety in pregnancy, published by the <abbr title=\"Medicines and Healthcare Products Regulatory Agency\">MHRA<\/abbr> in the British Medical Journal. Reviewing data from around 18,000 vaccinated women from the Clinical Practice Research Datalink (<abbr title=\"Clinical Practice Research Datalink\">CPRD<\/abbr>), the research found no evidence of risk from the vaccine to pregnancy or the developing baby, and rates of normal, healthy births were similar to those seen in unvaccinated women.<\/p>\n<p>Dr Katherine Donegan, lead author of the <abbr title=\"Medicines and Healthcare Products Regulatory Agency\">MHRA<\/abbr> study, said: <\/p>\n<blockquote>\n<p class=\"last-child\">Coupled with the new evidence from Public Health England on the effectiveness of the vaccine, our research should provide further reassurance on the safety and benefits of the vaccine for expectant mothers and healthcare professionals who offer the vaccine.<\/p>\n<\/blockquote>\n<p>Out today, the latest <abbr title=\"Public Health England\">PHE<\/abbr> data also show an overall decline in whooping cough cases since the pregnancy programme started in October 2012. The greatest decrease in disease seen has been in infants under 6 months old, who are targeted by the maternal vaccination programme, which provides good evidence it is working.<\/p>\n<p>There were 14 deaths in infants diagnosed with whooping cough in 2012 and born before the vaccination in pregnancy programme started. Eight deaths have been reported in infants diagnosed with whooping cough in 2013 and so far this year. The mothers of 7 of these 8 babies were not vaccinated in pregnancy.<\/p>\n<p><abbr title=\"Public Health England\">PHE<\/abbr>\u2019s head of immunisation, Dr Mary Ramsay, said: <\/p>\n<blockquote>\n<p>We welcome <abbr title=\"Joint Committee on Vaccination and Immunisation\">JCVI<\/abbr>\u2019s advice that the vaccination programme for pregnant women is continued, particularly while whooping cough continues to circulate at elevated levels. It has been highly effective at preventing disease, and deaths in young babies.<\/p>\n<p>The latest figures show that around 60% of pregnant women have received the whooping cough vaccination, which is a testament to the health professionals implementing this programme. However, these infant deaths reminds us how important it is that every pregnant woman is informed about the benefits of the vaccine, and given the opportunity to receive it at the right time so their babies are protected from birth.<\/p>\n<p>Although we have also seen a decline in cases in older children and adults from the peak in 2012 the numbers still remain considerably higher than those in 2011, suggesting the infection has not fallen to background levels.<\/p>\n<p class=\"last-child\">Today, we urge pregnant women to ensure they are vaccinated between 28 and 32 weeks of their pregnancy wherever possible, although vaccination may be given up to 38 weeks. We are also working with <abbr title=\"General practitioners (family doctors)\">GPs<\/abbr>, midwives and other health professionals to ensure they have the facts at hand, including the latest evidence from the <abbr title=\"Public Health England\">PHE<\/abbr> and <abbr title=\"Medicines and Healthcare Products Regulatory Agency\">MHRA<\/abbr> studies, to help women take up this highly effective and safe vaccine.<\/p>\n<\/blockquote>\n<p>Whooping cough affects all ages and is highly infectious. Young infants are at highest risk of severe complications and death from whooping cough as babies do not complete vaccination until they are 4 months old. In older children and adults whooping cough can be an unpleasant illness but it does not usually lead to serious complications. <\/p>\n<p>Dr Ramsay, continues:<\/p>\n<blockquote>\n<p>Parents should also be alert to the signs and symptoms of whooping cough \u2013 which include severe coughing fits which may be accompanied by difficulty breathing (or pauses in breathing in young infants) or vomiting after coughing and the characteristic \u2018whoop\u2019 sound in young children. In older children or adults it may present simply as a prolonged cough.<\/p>\n<p class=\"last-child\">Parents must also ensure their children are vaccinated against whooping cough on time, even babies of women who\u2019ve had the vaccine in pregnancy \u2013 this is to provide continued protection through childhood.<\/p>\n<\/blockquote>\n<h2 id=\"notes-to-editors\">Notes to editors<\/h2>\n<ul>\n<li>Read the <a href=\"https:\/\/www.gov.uk\/government\/groups\/joint-committee-on-vaccination-and-immunisation#minutes\">Joint Committee on Vaccination and Immunisation minutes, July 2014<\/a>\n<\/li>\n<li>The <abbr title=\"Public Health England\">PHE<\/abbr> effectiveness paper, Lancet Infection Diseases is available from the <a rel=\"external\" href=\"http:\/\/www.thelancet.com\/journals\/lancet\/article\/PIIS0140-6736(14)60686-3\/abstract\">Lancet website<\/a> <\/li>\n<li>The <abbr title=\"Medicines and Healthcare Products Regulatory Agency\">MHRA<\/abbr> safety paper, BMJ 2014;349:g4219 is available from the <a rel=\"external\" href=\"http:\/\/www.bmj.com\/content\/349\/bmj.g4219\">BMJ website<\/a> <\/li>\n<li>Read the <a rel=\"external\" href=\"http:\/\/www.hpa.org.uk\/hpr\/archives\/2014\/hpr2814_AA_prtsss.pdf\"><abbr title=\"Public Health England\">PHE<\/abbr> whooping cough data, end of May 2014 (Health Protection Report)<\/a> <\/li>\n<li>Read the <a rel=\"external\" href=\"http:\/\/www.hpa.org.uk\/Topics\/InfectiousDiseases\/InfectionsAZ\/WhoopingCough\/\"><abbr title=\"Public Health England\">PHE<\/abbr> whooping cough 2013 data<\/a> (regional, age and sex breakdown) <\/li>\n<li>\n<abbr title=\"Public Health England\">PHE<\/abbr> exists to protect and improve the nation\u2019s health and wellbeing, and reduce health inequalities. It does this through advocacy, partnerships, world-class science, knowledge and intelligence, and the delivery of specialist public health services. <abbr title=\"Public Health England\">PHE<\/abbr> is an operationally autonomous executive agency of the Department of Health <a href=\"https:\/\/www.gov.uk\/government\/organisations\/public-health-england\">www.gov.uk\/phe<\/a> Follow us on Twitter @PHE_uk<\/li>\n<li>The <abbr title=\"Medicines and Healthcare Products Regulatory Agency\">MHRA<\/abbr> is responsible for regulating all medicines and medical devices in the UK by ensuring they work and are acceptably safe. Underpinning all our work lies robust and fact-based judgements to ensure that the benefits justify any risks. The <abbr title=\"Medicines and Healthcare Products Regulatory Agency\">MHRA<\/abbr> is a centre of the Medicines and Healthcare Products Regulatory Agency which also includes the National Institute for Biological Standards and Control (<abbr title=\"National Institute for Biological Standards and Control\">NIBSC<\/abbr>) and the Clinical Practice Research Datalink (<abbr title=\"Clinical Practice Research Datalink\">CPRD<\/abbr>). The <a rel=\"external\" href=\"http:\/\/www.mhra.gov.uk\/\"><abbr title=\"Medicines and Healthcare Products Regulatory Agency\">MHRA<\/abbr><\/a> is an executive agency of the Department of Health. <\/li>\n<li>The Clinical Practice Research Datalink (<abbr title=\"Clinical Practice Research Datalink\">CPRD<\/abbr>) is the English NHS observational data and interventional research service, jointly funded by the NHS National Institute for Health Research (<abbr title=\"National Institute for Health Research\">NIHR<\/abbr>) and the Medicines and Healthcare products Regulatory Agency (<abbr title=\"Medicines and Healthcare Products Regulatory Agency\">MHRA<\/abbr>). <abbr title=\"Clinical Practice Research Datalink\">CPRD<\/abbr> services are designed to maximise the way anonymised NHS clinical data can be linked to enable many types of observational research and deliver research outputs that are beneficial to improving and safeguarding public health. <\/li>\n<li>\n<abbr title=\"Clinical Practice Research Datalink\">CPRD<\/abbr> is considered by many as the gold standard and its usage has resulted in over 890 clinical reviews and papers. The team at <abbr title=\"Clinical Practice Research Datalink\">CPRD<\/abbr> provides value-added services to the General Practitioners who contribute to the database and to the researchers who want to make use of this unique public health research tool. <\/li>\n<\/ul>\n<div class=\"contact postal-address\" id=\"contact_1107\">\n<div class=\"content\">\n<h3>Infections press office<\/h3>\n<div class=\"vcard contact-inner\">\n<p class=\"adr\">\n<span class=\"fn\"><abbr title=\"Public Health England\">PHE<\/abbr> press office &#8211; infections<\/span><br \/><span class=\"street-address\">61 Colindale Avenue<\/span><br \/><span class=\"locality\">London<\/span><br \/><span class=\"postal-code\">NW9 5EQ<\/span>\n<\/p>\n<div class=\"email-url-number\">\n<p class=\"email\">\n              <span class=\"type\">Email<\/span><br \/>\n              <a class=\"email\" href=\"mailto:infections-pressoffice@phe.gov.uk\">infections-pressoffice@phe.gov.uk<\/a>\n            <\/p>\n<p class=\"tel\">\n              <span class=\"type\">Phone<\/span><br \/>\n              020 8327 7901\n            <\/p>\n<p class=\"tel\">\n              <span class=\"type\">Out of hours<\/span><br \/>\n              020 8200 4400\n            <\/p>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/div>\n<h3 id=\"mhra-press-office\">\n<abbr title=\"Medicines and Healthcare Products Regulatory Agency\">MHRA<\/abbr> press office<\/h3>\n<p>Telephone: 020 3080 7651 Out of hours telephone: 07770 446 189 Email: <a href=\"mailto:infections-pressoffice@phe.gov.uk\">infections-pressoffice@phe.gov.uk<\/a>  <\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>New evidence on vaccine effectiveness and safety published alongside latest data on whooping cough cases.<\/p>\n","protected":false},"author":8,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[13],"tags":[],"_links":{"self":[{"href":"https:\/\/mostafa.openonline.co.uk\/index.php?rest_route=\/wp\/v2\/posts\/45087"}],"collection":[{"href":"https:\/\/mostafa.openonline.co.uk\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/mostafa.openonline.co.uk\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/mostafa.openonline.co.uk\/index.php?rest_route=\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/mostafa.openonline.co.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=45087"}],"version-history":[{"count":0,"href":"https:\/\/mostafa.openonline.co.uk\/index.php?rest_route=\/wp\/v2\/posts\/45087\/revisions"}],"wp:attachment":[{"href":"https:\/\/mostafa.openonline.co.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=45087"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/mostafa.openonline.co.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=45087"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/mostafa.openonline.co.uk\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=45087"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}