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Health Care Professionals

Pertussis Cases in San Diego

The high levels of confirmed Pertussis cases continue in San Diego. There were more than 2000 pertussis cases reported in San Diego County in 2014.

School Requirement for Tdap - 7th grade
California law requires all students entering 7th grade to receive one dose of Tdap. This law applies to all public and private schools.  All students are required to have proof of immunization to enter school.
CDPH Expanded Recommendations & Legal "Off-Label" Uses of Tdap:

Click here: CDPH Tdap Policy Recommendations

  • Tdap for children 7-9 years who did not receive a full DTaP series as a child
  • Tdap for adults over 64 years of age, especially those in contact with children
  • Tdap for pregnant women during pregnancy
  • No minimum interval between Td and Tdap administration

CDPH High-Priority Groups:

  • Women of childbearing age before and immediately after pregnancy
  • Healthcare Personnel; especially those who have direct contact with infants & pregnant women
  • Household contacts and caregivers of infants

ACIP Recommendations:  The Tdap immunization recommendations include:

  • Pregnant women (optimally at 27-36 weeks)
  • Tdap for children 7-9 years who did not receive a full series of DTaP
  • Tdap for adults > 65 years who are in contact with children
  • No minimum interval between Td and Tdap administration

For more information, please see the following:

Updated Recommendations for Use of Tetanus Toxoid, Reduced Diphtheria Toxoid and Acellular Pertussis (Tdap) Vaccine from the Advisory Committee on Immunization Practices, 2010

Guidelines for Vaccinating Pregnant Women

ACIP Standard DTaP & Tdap Recommendations:

  • Children 2, 4, 6, 15-18 months & 4-6 years with DTaP
  • Adolescents 11-17 years with 1 dose of Tdap
  • Adults 18-64 years of age with 1 dose of Tdap

If you have submitted your patients’ immunization records to San Diego Immunization Registry your patients can request their record from SDIR.