Global, regional and national trends in incidence and mortality of pertussis from 1990 to 2021 and the comparison before and during COVID-19: A modelling analysis

Bibliographic Details
Title: Global, regional and national trends in incidence and mortality of pertussis from 1990 to 2021 and the comparison before and during COVID-19: A modelling analysis
Authors: Shimo Zhang, Sijia Wang, Jue Liu
Source: Journal of Infection and Public Health, Vol 18, Iss 4, Pp 102696- (2025)
Publisher Information: Elsevier, 2025.
Publication Year: 2025
Collection: LCC:Infectious and parasitic diseases
LCC:Public aspects of medicine
Subject Terms: Pertussis, GBD 2021, Burden, Trends, Infectious diseases, Infectious and parasitic diseases, RC109-216, Public aspects of medicine, RA1-1270
More Details: Background: Pertussis, a contagious respiratory disease, has seen a global decline in cases due to vaccination but has resurged because of waning immunity, with further impacts from the COVID-19 pandemic. This study aimed to assess the disease burden of pertussis worldwide from 1990 to 2021. Methods: Using the GBD 2021, we extracted age-standardized incidence rates (ASIR) and death rates (ASDR) of pertussis and analyzed the trends of them through calculating the estimated annual percentage change (EAPC) at global, regional and national levels from 1990 to 2021. Besides, we compared the EAPCs before and during the COVID-19 pandemic to explore the difference. Lastly, we investigated the association between age-standardized rates (ASR) and the socio-demographic index (SDI). Results: From 1990–2021, the global ASIR and ASDR of pertussis witnessed an annual decline of 2.57 % (95 %CI: 1.91–3.22 %) and 3.20 % (2.54–3.85 %) on average, respectively. During the COVID-19 pandemic, the ASR showed steep downward trends not only globally but also in diverse regions. Nevertheless, before the pandemic, Southern Sub-Sahara Africa witnessed upward trends in ASR, whose EAPCs were 0.85 % (0.67–1.02 %) for ASIR and 0.65 % (0.41–0.88 %) for ASDR. Additionally, a remarkable negative correlation was revealed between ASR and SDI (Regional level: r = -0.843; r = -0.885. National level: r = -0.621; r = -0.762. All P
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1876-0341
Relation: http://www.sciencedirect.com/science/article/pii/S1876034125000450; https://doaj.org/toc/1876-0341
DOI: 10.1016/j.jiph.2025.102696
Access URL: https://doaj.org/article/21a801df8f054908beaa7dd4702bd320
Accession Number: edsdoj.21a801df8f054908beaa7dd4702bd320
Database: Directory of Open Access Journals
More Details
ISSN:18760341
DOI:10.1016/j.jiph.2025.102696
Published in:Journal of Infection and Public Health
Language:English