World Health Organization pertussis burden estimates use methods developed in 2000/1, but these are limited by significant uncertainty about key parameters that also hampers the development of new methods. Knowledge about the impact of pertussis in resource poor settings has hardly increased in the past decade. While agencies continue to use burden for priority setting, the priority of pertussis does not match its estimated impact; in 2008 twice as many deaths in children under 5 years were attributed to pertussis than either measles or tetanus. In the “Decade of Vaccines” we need more effective methods of translating knowledge into action.
Dr. Natasha S. Crowcroft
Dr. Crowcroft is the Director of the Surveillance and Epidemiology program at Public Health Ontario. A public health physician with a background in clinical medicine, microbiology and field epidemiology, she has worked internationally in several European programs and as an advisor to the World Health Organization, Geneva. She moved to Canada in 2007. Her main area of scientific interest is in vaccine preventable diseases, and she is a member of the Canadian National Advisory Committee on Immunization.
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