{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,11]],"date-time":"2025-12-11T13:24:41Z","timestamp":1765459481405,"version":"3.46.0"},"reference-count":7,"publisher":"BMJ","issue":"6252","license":[{"start":{"date-parts":[[1980,11,22]],"date-time":"1980-11-22T00:00:00Z","timestamp":343699200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.bmj.com\/company\/legal-information\/terms-conditions\/legal-information\/tdm-licencepolicy"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br Med J"],"published-print":{"date-parts":[[1980,11,22]]},"abstract":"<jats:p>Review of all 126 children admitted to the communicable diseases unit with whooping cough during the epidemic in 1978 showed that two had received two doses of triple vaccine and only one had had full primary immunisation against the disease. None of these three children suffered complications of the disease. Of the 123 children who had not been immunised against pertussis, however, 66 had had one or more complications. In Birmingham the dramatic decline in immunisation against pertussis has been accompanied by a fall in acceptance rates for diphtheria and tetanus immunization. Nevertheless, of the 62 children aged over 1 year in this series, 41 had been so immunised. These findings suggest that the apparently positive decision by parents to omit pertussis immunisation was misplaced, since immunisation does protect against the more serious complications of the disease. Furthermore, there is no firm evidence that pertussis immunisation of children without specific contraindications is associated with serious adverse reactions.<\/jats:p>","DOI":"10.1136\/bmj.281.6252.1390","type":"journal-article","created":{"date-parts":[[2009,4,2]],"date-time":"2009-04-02T18:32:30Z","timestamp":1238697150000},"page":"1390-1391","source":"Crossref","is-referenced-by-count":10,"title":["Protection against pertussis by immunisation."],"prefix":"10.1136","volume":"281","author":[{"given":"M W","family":"McKendrick","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P R","family":"Gully","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A M","family":"Geddes","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[1980,11,22]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"188","DOI":"10.1016\/S0140-6736(79)91447-8","article-title":"Evidence of whooping cough vaccine efficacy from the 1978 whooping cough epidemic in Hertfordshire","volume":"ii:","author":"Church, M.A.","year":"1979","unstructured":"Church MA. Evidence of whooping cough vaccine efficacy from the 1978 whooping cough epidemic in Hertfordshire. Lancet 1979;ii:188-90.","journal-title":"Lancet"},{"key":"ref_2","first-page":"577","article-title":"Outbreak of whooping cough in general practice. Br MedJ7","volume":"ii:","author":"Jenkinson, D.","year":"1978","unstructured":"Jenkinson D. Outbreak of whooping cough in general practice. Br MedJ7 1978;ii:577-8."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"1180","DOI":"10.1016\/S0140-6736(80)91632-3","article-title":"Relation between vaccination and notification rates for whooping cough in England and Wales","volume":"i:","author":"Pollard, R.","year":"1980","unstructured":"Pollard R. Relation between vaccination and notification rates for whooping cough in England and Wales. Lancet 1980;i:1180-2.","journal-title":"Lancet"},{"key":"ref_4","first-page":"117","article-title":"Severity of notified whooping cough","volume":"i:","author":"Miller, C.L.; Fletcher, W.R.","year":"1976","unstructured":"Miller CL, Fletcher WR. Severity of notified whooping cough. Br MedJ7 1976;i:117-9."},{"key":"ref_5","first-page":"1601","article-title":"Whooping cough after stopping pertussis immunisation","volume":"i:","author":"Ditchburn, R.K.","year":"1979","unstructured":"Ditchburn RK. Whooping cough after stopping pertussis immunisation. Br MedJ7 1979;i:1601-3."},{"key":"ref_6","first-page":"970","article-title":"National Childhood Encephalopathy Study-a preliminary report","volume":"54","author":"Bellman, M.H.; Miller, D.L.; Poore, P.D.; Ross, E.M.","year":"1979","unstructured":"Bellman MH, Miller DL, Poore PD, Ross EM. National Childhood Encephalopathy Study-a preliminary report. Arch Dis Child 1979;54: 970.","journal-title":"Arch Dis Child"},{"article-title":"Accepted","year":"1980","key":"ref_7","unstructured":"(Accepted 13 October 1980)"}],"container-title":["BMJ"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/data.bmj.org\/tdm\/10.1136\/bmj.281.6252.1390","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmj.281.6252.1390","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,11]],"date-time":"2025-12-11T13:21:48Z","timestamp":1765459308000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.bmj.com\/lookup\/doi\/10.1136\/bmj.281.6252.1390"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1980,11,22]]},"references-count":7,"journal-issue":{"issue":"6252","published-online":{"date-parts":[[1980,11,22]]},"published-print":{"date-parts":[[1980,11,22]]}},"alternative-id":["10.1136\/bmj.281.6252.1390"],"URL":"https:\/\/doi.org\/10.1136\/bmj.281.6252.1390","relation":{},"ISSN":["0007-1447","1468-5833"],"issn-type":[{"type":"print","value":"0007-1447"},{"type":"electronic","value":"1468-5833"}],"subject":[],"published":{"date-parts":[[1980,11,22]]}}}