Abstract
In 1989, the prevalence of IgG antibodies to pertussis toxin (PT) in a sample of 367 unvaccinated apparently healthy children 5–14 years old was estimated by ELISA in Kumba City (Cameroon). Children were recruited using a systematic random sampling from six primary schools located in different districts of the city. The sample was representative of the various socio-economic classes.
The overall prevalence was 75%; it increased from 62% in 5 year old children to 81% in children 12–14 years old (P < 0.01). IgG antibody prevalence was positively related to the family size. Children belonging to households of nine or more members had a 2.2-fold risk (C.I. 95 per cent =1.1–4.6) of previous exposure to B. pertussis infection. No association was found with the father's occupation (O.R. = 1). These findings demonstrate a great impact of pertussis infection in Cameroon, with a nearly total exposure by late childhood.
Similar content being viewed by others
References
AbramsonJ.H. (1979): Survey methods in community medicine. - Churcill Livingstone, New York 58–65.
BwiboN.O. (1971): Whooping cough in Uganda. -Scand. J. Infect. Dis. 3: 41–43.
DeMagistrisM.T., RomanoN., NutiS., RappuoliR. and TagliabueA. (1988): Dissecting human T cell responses against Bordetella species. - J. Exp. Med. 168: 1351–1362.
GranstromM., LindbergA.A., AskelofP. and HederstedtB. (1982): Detection of antibodies in human serum against the fimbrial haemagglutinin of Bordetella pertussis by enzyme-linked immunosoorbent assay. - J. Med. Microbiol. 15: 85–96.
ManclarkC.R., MeadeB.D. and BurstynD.G. (1986): Serological response to Bordetella pertussis. In: Rose N.R., Friedman H. and Fahey J.L. (eds.). Manual of Clinical Laboratory Immunology, third edition. The American Society for Microbiology. - Washington D.C. pp. 388–394.
MullerA.S., LeeuwenburgJ. and PrattD.S. (1986): Pertussis: epidemiology and control. - Bull. W.H.O. 64: 321–331.
MullerA.S. (1984): Petussis in a rural area of Kenya: epidemiology and results of a vaccine trial. - Bull. W.H.O. 62: 899–908.
NagelJ. and Poot-ScholtensE.J. (1983): Serum IgA antibody to Bordetella pertussis as an indicator of infection. - J. Med. Microbiol. 16: 417–426.
PittmanM. (1984): The concept of pertussis as a toxin-mediated disease. - Ped. Infect. Dis. 3: 467–486.
StroffoliniT., GiammancoA., DeCrescenzoL.et al. (1989): Prevalence of pertussis IgG antibodies in children in Palermo, Italy. - Infection 17: 280–283.
ViljanenM.K., Runskanen0., GranbergC. and SalmiT.T. (1982): Serological diagnosis of pertussis IgM, IgA and IgG antibodies against Bordetella pertussis measured by enzyme-linked immunosorbent assay (ELISA). - Scand. J. Infect. Dis.14: 117–122.
VoorhoeveA.M. (1978): Agents affecting health of mother and child in a rural area of Kenia. IV Epidemiology of pertussis. - Trop. and geograph. Med.30: 125–139.
ZackrissonG., KrantzI., LagergardT.et al. (1988): Antibodies response to pertussis toxin in patients with clinical pertussis measured by enzyme-linked immunosorbent assays. - Eur. J. Clin. Microbiol. Infect. Dis. 7: 139–154
Author information
Authors and Affiliations
Additional information
Corresponding author.
Rights and permissions
About this article
Cite this article
Stroffolini, T., Giammanco, A., Chiarini, A. et al. Seroepidemiology of pertussis infection in an urban childhood population in Cameroon. Eur J Epidemiol 7, 64–67 (1991). https://doi.org/10.1007/BF00221343
Issue Date:
DOI: https://doi.org/10.1007/BF00221343