Under-diagnosis in adolescents and adults

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Controlling Infectious Diseases
Diseases
Pertussis
Reasons for persistence of Pertusis?
Under-diagnosis in adolescents and adults
Pertussis presents differently in adults
Under-diagnosis increases significantly with age
Vaccine controversies
Immunity to Pertussis wanes in adolescents and adults
Aging of under vaccinated cohort
Decrease in vaccine effectiveness
Test sensitivity / testing patterns
Graph of this discussion
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