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Pertactin-Negative Variants of Bordetella pertussis in the United States

In 12 B. pertussis isolates from children in Philadelphia, 11 were negative for the pertactin antigen that is a component of the acellular vaccine. Such variants may reflect selection pressure from the vaccine and may reduce its effectiveness for preventing whooping cough.

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Anne Marie Queenan, Ph.D.
Janssen Research and Development, Raritan, NJ

Pamela K. Cassiday, M.S.
Centers for Disease Control and Prevention, Atlanta, GA

Alan Evangelista, Ph.D.
St. Christopher's Hospital for Children, Philadelphia, PA

Funding and Disclosures

Disclosure forms provided by the authors are available with the full text of this letter at NEJM.org.

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