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Reader Remarks on:

Vaccine Refusal Increases Risk for Pertussis in Unvaccinated Children

morbidity of Pertussis

Sheldon S Ball, Veterans Administration, 3 Jul 2009 1:00 AM EST

Competing interests: None declared

What was the fate of those infected with Pertussis? How many deaths? How many hosptializations? How many endotracheal intubations?

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Herd immunity is not a myth!

Louis M. Katz, Scott Co. Health Dept. (Iowa), 16 Jul 2009 9:09 AM EST

Competing interests: None declared

The conclusion of the study includes the following: "(H)erd immunity does not seem to completely protect unvaccinated children from pertussis." The study does not address what would have been the rates in refusers children with lower rates of immunization in the "herd" but would likely have been even higher.

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