A state-wide information campaign during a pertussis epidemic in New South Wales, 2010.
Pertussis notifications increased dramatically in New South Wales in 2008, exceeding the rates in previous epidemic years. A state-wide, multi-faceted campaign was launched in March 2009 to provide information about pertussis prevention. A population-based survey was conducted using a Computer Assisted Telephone Interviewing facility to assess the effectiveness of sending letters to households with young infants. A representative sample of 1,200 adults across all 8 area health services was interviewed between July 2009 and September 2010, with responses weighted against the state population. Many respondents (39.7%) reported receiving the letter, while fewer (29.6%) reported receiving an adult pertussis booster in the last year, mostly in response to General Practitioner advice (40.4%). Letter receipt was associated with the uptake of an adult pertussis booster in the past 12 months by respondents (OR 5.8; 95%CI 4.1, 8.2) and other adults in the household (OR 5.1; 95%CI 3.5, 7.5), as well as knowledge about pertussis prevention. Health providers remain crucial for vaccination decision making; however letters may have contributed to an increased uptake of pertussis booster vaccination and knowledge. Health authorities may consider mailing households in future pertussis epidemics as a component of a wider communication strategy.
Manager, Surveillance, Communicable Diseases Branch, Health Protection, NSW Ministry of Health, North Sydney, New South Wales.
Paula J
PJ
Spokes
Epidemiologist, vaccine-preventable diseases, Communicable Diseases Branch, Health Protection, NSW Ministry of Health, North Sydney, New South Wales.
Alexander E
AE
Rosewell
Trainee biostatistician, NSW Biostatistical Officers Training Program, NSW Ministry of Health, Sydney, New South Wales.
Alex S
AS
Stephens
Director, Communicable Diseases Branch, Health Protection, NSW Ministry of Health, North Sydney, New South Wales.
Jeremy M
JM
McAnulty
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D018563:Disease Notification; D005260:Female; D049674:History, 21st Century; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D009517:New South Wales / Q000453:epidemiology; D016017:Odds Ratio; D011159:Population Surveillance; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D014611:Vaccination; D014917:Whooping Cough / Q000453:epidemiology* / Q000266:history / Q000517:prevention & control*; D055815:Young Adult