Afraid of Getting Pertussis? TDap Vaccine Recommended to Pregnant Mothers

A recent wave of pertussis, known better as whooping cough, has raised concerns in Malaysia, causing the Health Ministry to emphasize the urgency of addressing this highly infectious disease. To answer this, maternal immunization emerges as a vital strategy advocated by experts like Professor Dr Jamiyah Hassan.

Pertussis Outbreak

As of August, the Health Ministry reported 343 pertussis cases with 24 deaths, primarily affecting infants under five years old. Pertussis, also known as whooping cough, is highly infectious and can lead to severe complications including pneumonia, brain damage, and death.

Maternal Immunization 

Professor Dr Jamiyah Hassan suggests maternal immunization as an effective strategy to protect infants from pertussis. She recommends the three-in-one Tetanus-diphtheria-pertussis (Tdap) vaccine for expectant mothers. Tdap vaccine will be provided free for all pregnant women, including non-citizens, at healthcare facilities starting in 2024.

Government Initiative

Health Minister Dr Zaliha Mustafa announced the implementation of Tdap vaccination for pregnant women during the second or third trimester, expected to start in 2024. This initiative aims at safeguarding expectant mothers and unborn children, especially in areas experiencing pertussis outbreaks.

Maternal Immunization Benefits

Maternal immunization provides dual protection by boosting maternal immunity and transferring antibodies to the unborn child. It shields newborns during the vulnerable period before they receive their own vaccinations. Obstetrician Dr Milton Lum recommends Tdap vaccination for every pregnancy, highlighting its safety and effectiveness.

Challenges and Solutions

Many Malaysian women miss maternal vaccinations due to low awareness, vaccine hesitancy, safety concerns, and financial constraints. There is a global resurgence of pertussis due to waning immunity and vaccine refusal or delay. Advocates like Dr Jamiyah support the government's initiative to offer free Tdap vaccination for expectant mothers as a crucial step in reducing vaccine-preventable diseases in newborns and promoting child health.

Source: New Straits Times