Skip to main content

Main menu

  • Home
  • Articles
    • Current
    • Published Ahead of Print
    • Archive
    • Supplemental Issues
    • Collections - French
    • Collections - English
  • Info for
    • Authors & Reviewers
    • Submit a Manuscript
    • Advertisers
    • Careers & Locums
    • Subscribers
    • Permissions
  • About CFP
    • About CFP
    • About the CFPC
    • Editorial Advisory Board
    • Terms of Use
    • Contact Us
  • Feedback
    • Feedback
    • Rapid Responses
    • Most Read
    • Most Cited
    • Email Alerts
  • Blogs
    • Latest Blogs
    • Blog Guidelines
    • Directives pour les blogues
  • Mainpro+ Credits
    • About Mainpro+
    • Member Login
    • Instructions
  • Other Publications
    • http://www.cfpc.ca/Canadianfamilyphysician/
    • https://www.cfpc.ca/Login/
    • Careers and Locums

User menu

  • My alerts

Search

  • Advanced search
The College of Family Physicians of Canada
  • Other Publications
    • http://www.cfpc.ca/Canadianfamilyphysician/
    • https://www.cfpc.ca/Login/
    • Careers and Locums
  • My alerts
The College of Family Physicians of Canada

Advanced Search

  • Home
  • Articles
    • Current
    • Published Ahead of Print
    • Archive
    • Supplemental Issues
    • Collections - French
    • Collections - English
  • Info for
    • Authors & Reviewers
    • Submit a Manuscript
    • Advertisers
    • Careers & Locums
    • Subscribers
    • Permissions
  • About CFP
    • About CFP
    • About the CFPC
    • Editorial Advisory Board
    • Terms of Use
    • Contact Us
  • Feedback
    • Feedback
    • Rapid Responses
    • Most Read
    • Most Cited
    • Email Alerts
  • Blogs
    • Latest Blogs
    • Blog Guidelines
    • Directives pour les blogues
  • Mainpro+ Credits
    • About Mainpro+
    • Member Login
    • Instructions
  • RSS feeds
  • Follow cfp Template on Twitter
LetterLetters

NACI update on pertussis vaccination in pregnancy

Bryna Warshawsky
Canadian Family Physician June 2014, 60 (6) 521;
Bryna Warshawsky
London, Ont
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • eLetters
  • Info & Metrics
  • PDF
Loading

I am writing on behalf of the National Advisory Committee on Immunization (NACI) in response to the Child Health Update by Drs Gilley and Goldman.1 The National Advisory Committee on Immunization has published a review of the literature, along with a review of Canadian pertussis epidemiology and recommendations for protecting infants from pertussis. The NACI statement containing this information can be found online.2 The review concluded that the pertussis vaccine has been shown to be safe and immunogenic in pregnant women. However, the effectiveness of maternal vaccination to prevent severe disease in newborns has not been established, and the potential of maternal vaccination to interfere with infants’ immune response to their infant pertussis vaccinations has not yet been defined. Therefore, NACI made the following recommendations.

  • Pregnancy is an opportunity to review immunization status and offer pertussis vaccination to pregnant women at 26 weeks of gestation or greater if it has not already been received in adulthood (NACI recommendation, grade A). Immunization should not be delayed until close to delivery, as this might not provide sufficient time for optimal transfer of antibodies to the infant or direct protection of the infant against pertussis.

  • Depending on regional epidemics, immunization with the tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis vaccine might be offered during pertussis outbreaks (as defined by each jurisdiction) to pregnant women at 26 weeks of gestation or greater irrespective of their immunization histories (NACI recommendation, grade B). Jurisdictions should have the capacity to monitor local epidemics to make a decision to routinely encourage vaccination for pregnant women (NACI recommendation, grade A). Coverage and safety should be monitored (NACI recommendation, grade A).

  • However, in view of the current pertussis epidemiology in Canada, NACI does not recommend immunization of all women against pertussis during pregnancy (NACI recommendation, grade E).

Footnotes

  • Competing interests

    Dr Warshawsky has been a member of the National Advisory Committee on Immunization since June 2004 and served as its Chair from June 2011 to June 2014.

  • Copyright© the College of Family Physicians of Canada

References

  1. 1.↵
    1. Gilley M,
    2. Goldman RD
    . Protecting infants from pertussis. Can Fam Physician 2014;60:138-40. (Eng), e101–3 (Fr).
    OpenUrlAbstract/FREE Full Text
  2. 2.↵
    National Advisory Committee on Immunization. Update on pertussis vaccination in pregnancy. Ottawa, ON: Public Health Agency of Canada; 2014. Available from: http://publications.gc.ca/collections/collection_2014/aspc-phac/HP40-93-2014-eng.pdf. Accessed 2014 Feb 18.
PreviousNext
Back to top

In this issue

Canadian Family Physician: 60 (6)
Canadian Family Physician
Vol. 60, Issue 6
1 Jun 2014
  • Table of Contents
  • About the Cover
  • Index by author
Print
Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in spreading the word on The College of Family Physicians of Canada.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
NACI update on pertussis vaccination in pregnancy
(Your Name) has sent you a message from The College of Family Physicians of Canada
(Your Name) thought you would like to see the The College of Family Physicians of Canada web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Citation Tools
NACI update on pertussis vaccination in pregnancy
Bryna Warshawsky
Canadian Family Physician Jun 2014, 60 (6) 521;

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Respond to this article
Share
NACI update on pertussis vaccination in pregnancy
Bryna Warshawsky
Canadian Family Physician Jun 2014, 60 (6) 521;
del.icio.us logo Digg logo Reddit logo Twitter logo CiteULike logo Facebook logo Google logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
    • Footnotes
    • References
  • Info & Metrics
  • eLetters
  • PDF

Related Articles

  • No related articles found.
  • PubMed
  • Google Scholar

Cited By...

  • No citing articles found.
  • Google Scholar

More in this TOC Section

  • Water for weight loss
  • Head-to-head IUS comparison needed
  • Clarifying MAID eligibility
Show more Letters

Similar Articles

Navigate

  • Home
  • Current Issue
  • Archive
  • Collections - English
  • Collections - Française

For Authors

  • Authors and Reviewers
  • Submit a Manuscript
  • Permissions
  • Terms of Use

General Information

  • About CFP
  • About the CFPC
  • Advertisers
  • Careers & Locums
  • Editorial Advisory Board
  • Subscribers

Journal Services

  • Email Alerts
  • Twitter
  • RSS Feeds

Copyright © 2023 by The College of Family Physicians of Canada

Powered by HighWire