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In light of ongoing pertussis outbreaks in several countries around the world and the introduction of the pertussis vaccination programme for pregnant women, Health Protection Scotland has updated the advice for Grandparents planning to visit new babies abroad.
The updated advice takes the form of a Frequently Asked Question (FAQ) and is available on the Pertussis page, FAQs.
Until recently in some countries, a 'cocooning' approach was taken. This involves vaccinating all those in close contact with the baby – for example partners, spouses, immediate family and grandparents. This approach was favoured by USA and Australian governments but has been stopped recently as there is no clear evidence of benefit and vaccination of pregnant women has been shown to be more effective. The JCVI (Green Book) does not recommend 'cocooning' for neonates or infants in the UK but advises that pregnant women should be vaccinated against pertussis in late pregnancy.
We do not therefore recommend vaccination of adults against pertussis for the specific purpose of protecting neonates. Relatives visiting pregnant women who will be in contact with neonates and infants should check that the pregnant woman has been or will be vaccinated against pertussis in late pregnancy. If they still wish to have a pertussis vaccine, they can be given Repevax, which is licensed for use in adults but they should expect to pay for the vaccine as it is not offered free by the NHS in this situation.
