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01.27.12

Pertussis at Jefferson High School


The Jefferson County Health Department was notified Wednesday January 11th at 2:30 P.M. that a student at JHS has pertussis, this is also known as whooping cough. Most children are imuunized to prevent this illness. We often see cases in adolescence as childrens’ immunity begins to decrease. As a result these are the measures we a must take to prevent spread of this infection.


Administrative Rules of Montana 37.114.563 state, “... an individual indentified by the local health officer as a close contact, must be referred by the officer to a physician for chemoprophylaxis." In addition, the rules require close contacts with symptoms to be evaluated for pertussis.


Close contacts with Pertussis symptoms, should be tested for pertussis.

The following symptoms are consistent with first 1-2 weeks of pertussis (catarrhal stage):

• Runny nose and/or intermittent cough and often no fever.


The following symptoms are consistent with pertussis in later weeks (Paroxysmal stage):

  • Cough illness lasting 2 weeks with paroxysms of coughing
  • Inspiratory whoop
  • Vomiting after coughing

  • Low grade fever

  • Elevated WBC along with the cough symptoms


Close contacts with Pertussis symptoms:must avoid contact with anyone outside his/her immediate family until the 5th day of medication below is completed or they test negative for pertussis.

Close contacts without pertussis symptoms: need to complete prophylactic treatment but DO NOT need to avoid contact with general public (work, school, and daycare).

Age


Azithromycin


Erithromycin


Clarithromycin

Trimethoprim-

sulfamethoxazole


Adolescent/

Adult

500 mg as single dose day 1, then 250 mg/day for days 2–5  

2 g/d in 4 divided doses for 14 days

1 g/day in 2 divided
doses x 7 days

TMP 200mg/day; SMX 16oomg/day in 2 divided doses x 14 days


If you have any questions, please call the public health nurse at: (406) 225-4007

The Health Department appreciates everyones cooperation and patience during this outbreak so we can protect the health of our students and community.