(Re)infection of the previously immune increase the force of infection
Even assuming marked reductions in infectiousness of individuals with prior pertussis, their large number and relative connectedness means these ‘partially immune’ individuals contribute significantly to force of infection.
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Reasons for persistence of Pertusis? »Reasons for persistence of Pertusis?
Immunity to Pertussis wanes in adolescents and adults »Immunity to Pertussis wanes in adolescents and adults
(Re)infection of the previously immune increase the force of infection
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