Interventions for Whooping Cough

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Age Cohort: Pregnancy and newborn

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Strengthen mothers, families and community-based awareness on whooping cough including transmission and prevention measures Create knowledge among family members and communities on importance of vaccination and the vaccination schedule Knowledge on the importance of timely uptake of vaccine dose Strengthen community health workers knowledge on whooping cough	Good hygiene Practices including hand hygiene Cough and sneezing etiquette Avoiding close contact with people with whooping cough Community Reporting systems on whopping cough		Recognition of features of whooping cough which include features of common cold:(i.e Runny nose, Nasal congestion, Red, watery eyes, Fever) uncontrollable coughing Vomiting high-pitched "whoop" sound during breathing Home remedies when immediate referral is not possible Hydration for the mother resting practicing proper hand hygiene Advice on meals/eating frequent small meals to avoid vomiting advise on avoiding coughing triggers, such as smoke, strong chemicals, and allergens Relieve fever Immediate referral for mothers and new-borns to hospitals
Primary Care
Strengthen mothers, families and community-based awareness on whooping cough including transmission and prevention measures Create knowledge among mothers, family members and communities on importance of vaccination and the vaccination schedule Knowledge on the importance of timely uptake of vaccine dose Awareness on good hygiene practices Strengthen maternal knowledge on good nutrition Strengthen health workers knowledge on whooping cough	Vaccination of pregnant women/One Tdap vaccine during the third trimester of every pregnancy		Phyisical and Clinical examination Emergency care for pregnant women - stabilize and refer Immediate referral to hospital Supportive management if immediate referral is not feasible
Referral Facility: General
Awareness to mothers on whopping cough and prevention measures Guidance on hygiene practices Guidance on Good nutrition for the mothers Health workers education on whooping cough and its management	Vaccination of pregnant women to prevent transmission to child		Physical and Clinical examination Supportive management Administration of antibiotics Inpatient services Referral to specialised hospital for severely ill eg for ICU services for severely ill		Psycho social support Counseling for mothers/families
Referral Facility: Specialist
Awareness to mothers on whopping cough and prevention measures Guidance on Good nutrition for the mothers Guidance on hygiene practices Health workers education on whooping cough and its management	Vaccination of pregnant women to prevent transmission to child		Physical and Clinical examination Supportive management eg relieve pain and fever Administration of antibiotics Inpatient services ICU services for severely ill Follow up		Psycho social support Counseling for mothers/families

Age Cohort: < 5 years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Community-based awareness on prevention and control of VPDs Community education on proper nutrition for young children	Good hygiene practices including hand hygiene Stay at home if any symptoms of whooping cough Avoiding close contact with patient Pertussis-containing vaccination	Recognition of whooping cough signs and symptoms	Antipyretics Hydration Feeding Immediate transfer to a higher-level health care facility		Psychosocial support counselling for parents and families spiritual support
Primary Care
Health education and information to parents, families on immunization including vaccination schedule	Pertussis-containing vaccination Chemoprophylaxis to contacts Vitamin A supplementation	History Physical examination	Antipyretics Hydration Nutritional support Vitamin A Immediate transfer of unresponsive or sever cases to a higher-level health care facility		Psychosocial support counselling for parents and families spiritual support
Referral Facility: General
Isolate hospitalized patients Chemoprophylaxis to contacts (family and health workers)	Post exposure prophylaxis for close contacts	History Physical examination Serologic assays	Antibiotics Antipyretics Hydration Nutritional support Vitamin A		Psychosocial support counselling for parents and families spiritual support
Referral Facility: Specialist
Health education and information to parents, families on immunization including vaccination schedule	Isolate hospitalized patients Chemoprophylaxis to contacts (family and health workers)	History Physical examination Bacterial culture PCR Serologic assays	Physical and Clinical examination Hospitalisation of infants Administration of antibiotics Monitoring /special attention to infants to prevent and manage any complications e.g apnea and pneumonia ICU services for severely ill Laboratory tests,B pertussis,culture, polymerase chain reaction (PCR), serologic testing, and direct fluorescent antibody (DFA) testing follow up		Psychosocial support counselling for parents and families spiritual support

Age Cohort: 5 - 11 years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Community-based awareness on prevention and control of VPDs Community education on proper nutrition for young children	Pertussis-containing vaccination Good hygiene practices including hand hygiene Stay at home if any symptoms of whooping cough Avoiding close contact with patient	Recognition of whooping cough signs and symptoms	Antipyretics Hydration Feeding Immediate transfer to a higher-level health care facility
Primary Care
Health education and information to parents, families on immunization including vaccination schedule	Pertussis-containing vaccination Chemoprophylaxis to contacts Vitamin A supplementation	History Physical examination	Antipyretics Hydration Nutritional support Vitamin A Immediate transfer of unresponsive or sever cases to a higher-level health care facility
Referral Facility: General
Health education and information to parents, families on immunization including vaccination schedule	Post exposure prophylaxis for close contacts	History Physical examination Serologic assays	Antibiotics if indicated Antipyretics Hydration Nutritional support Vitamin A	Rehabilitation services depending on complications Physical rehabilitation
Referral Facility: Specialist
Health education and information to parents, families on immunization including vaccination schedule	Post exposure prophylaxis for close contacts	History Physical examination Bacterial culture PCR Serologic assays	Antibiotics if indicated Oral Vitamin A IV fluid for rehydration ICU services for severely ill	Physical rehabilitation Rehabilitation services depending on complications

Age Cohort: 12 - 24 years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Strengthen families and community-based awareness on whooping cough including prevention measures Create knowledge among family members and communities on importance of vaccination and the vaccination schedule Knowledge on the importance of timely uptake of vaccine dose Strengthen community health workers knowledge on whooping cough	Vaccination One dose of Tdap for adults who have never received the vaccine. Good hygiene practices including hand hygiene Avoiding close contact with people with whooping cough Cough and sneezing etiquette Community Reporting systems on whopping cough Referrals to health facilities		Recognition of features of whooping cough - which include: features of common cold:(i.e Runny nose Nasal congestion, Red watery eyes, Fever) uncontrollable coughing Vomiting A high-pitched "whoop" sound during breathing Home remedies staying hydrated resting using a mist vaporizer practicing proper hand hygiene eating frequent small meals to avoid vomiting avoiding coughing triggers, such as smoke, strong chemicals,allergens Monitoring for any worsening of the patient condition Referrals to health facilities
Primary Care
Strengthen, adolescents, families and community-based awareness on whooping cough including prevention measures Create knowledge among family members and communities on importance of vaccination and the vaccination schedule Knowledge on the importance of timely uptake of vaccine dose Guidance on hygiene for adolescents and adults Information on good nutrition Strengthen workers knowledge on whooping cough	Vaccination-One dose of Tdap for adults who have never received the vaccine Post exposure prophylaxis for close contacts Good hygiene practices including hand hygiene Avoiding close contact with people with whooping cough Cough and sneezing etiquette Community Reporting systems on whopping cough		Physical and Clinical examination Outpatient care Administration of antibiotics Supportive management Monitor for any complications Emergency care with an aim of stabilising before referral Referral to hospital for Management of any complications e.g rib fracture, syncope, abdominal hernia
Referral Facility: General
Awareness to Adolescents and Adults on whopping cough and prevention measures Guidance on hygiene practices Guidance on Good nutrition Health workers education on whooping cough and its management	Post exposure prophylaxis for close contacts		Physical and Clinical examination Outpatient services Anti-microbial therapy Supportive management Management of any complications e.g rib fracture, syncope, abdominal hernia or other complications from the severe, chronic cough Hospitalization for patients at risk of severe pertussis/and complication Rweferral to specialised hospitals for further managemnet eg ICU services for severe illness Laboratory tests,B pertussis, culture, polymerase chain reaction (PCR), serologic testing and direct fluorescent antibody (DFA) testing. Follow up	Rehabilitation services depending on complications physical rehabilitation	Counseling for adolescents with complications due to whooping cough Psychosocial support
Referral Facility: Specialist
Awareness to Adolescents and Adults on whopping cough and prevention measures Guidance on Good nutrition Guidance on hygiene practices Health workers education on whooping cough and its management	Post exposure prophylaxis for close contacts		Physical and clinical examination Outapttient services Anti-microbial therapy Supportive management eg relieve of pain and /or fever Hospitalization for patients at risk of severe pertussis/and complications Laboratory tests,B pertussis, culture, polymerase chain reaction (PCR), serologic testing and direct fluorescent antibody (DFA) testing. Management of any complications e.g rib fracture, syncope, abdominal hernia or other complications from the severe, chronic cough ICU services for severe illness follow up	Rehabilitation services depending on complications physical rehabilitation	Counseling for adolescents with complications due to whooping cough Psychosocial support

Age Cohort: 25 - 59 years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Strengthen families and community-based awareness on whooping cough including prevention measures Create knowledge among family members and communities on importance of vaccination and the vaccination schedule. Knowledge on the importance of timely uptake of vaccine dose Strengthen community health workers knowledge on whooping cough	Vaccination One dose of Tdap for adults who have never received the vaccine Good hygiene practices including hand hygiene Cough and sneezing etiquette Community Reporting systems on whopping cough Avoiding close contact with people with whooping cough		Recognition of features of whooping cough - which include: features of common cold:( i.e. Runny nose, Nasal congestion, Red, watery eyes, Fever), uncontrollable coughing) Vomiting A high-pitched "whoop" sound during breathing Home remedies staying hydrated resting using a mist vaporizer practicing proper hand hygiene eating frequent small meals to avoid vomiting avoiding coughing triggers, such as smoke, strong chemicals,allergens Monitoring for any worsening of the patient condition Referrals to health facilities
Primary Care
Strengthen families and community-based awareness on whooping cough including prevention measures Strengthen health workers knowledge on whooping cough Knowledge on the importance of timely uptake of vaccine dose Guidance on hygiene for adults Guidance on good nutrition Create knowledge among family members and communities on importance of vaccination and the vaccination schedule	Vaccination One dose of Tdap for adults who have never received the vaccine Post exposure prophylaxis for close contacts Practicing proper hygiene including hand hygiene Avoiding close contact with people with whooping cough Cough and sneezing etiquette Community Reporting systems on whopping cough		Clinical examination Administration of antibiotics Supportive management Monitor for any complications Referral to hospital for Management of any complications e.g rib fracture, syncope, abdominal hernia
Referral Facility: General
Awareness to Adults on whopping cough and prevention measures Guidance on hygiene practices Guidance on Good nutrition Health workers education on whooping cough and its management	Post exposure prophylaxis for close contacts		Physical and Clinical examination Outpatient services Anti-microbial therapy Supportive management Management of any complications e.g rib fracture, syncope, abdominal hernia or other complications from the severe, chronic cough Hospitalization for patients at risk of severe pertussis/and complication Rweferral to specialised hospitals for further managemnet eg ICU services for severe illness Laboratory tests,B pertussis, culture, polymerase chain reaction (PCR), serologic testing and direct fluorescent antibody (DFA) testing. Follow up	Rehabilitation services depending on complications. Physical rehabilitation	Psychosocial support Counseling for adults with complications due to whooping cough
Referral Facility: Specialist
Awareness to Adults on whopping cough and prevention measures Guidance on Good nutrition Guidance on hygiene practices Health workers education on whooping cough and its management	Post exposure prophylaxis for close contacts		Physical and clinical examination Outapttient services Anti-microbial therapy Supportive management eg relieve of pain and /or fever Hospitalization for patients at risk of severe pertussis/and complications Laboratory tests,B pertussis, culture, polymerase chain reaction (PCR), serologic testing and direct fluorescent antibody (DFA) testing. Management of any complications e.g rib fracture, syncope, abdominal hernia or other complications from the severe, chronic cough ICU services for severe illness follow up	Physical rehabilitation Rehabilitation services depending on complications.	Counseling for adults with complications due to whooping cough Psychosocial support

Age Cohort: 60+ years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Strengthen community-based awareness on whooping cough including prevention measures Create knowledge among family members and communities on importance of vaccination and the vaccination schedule Knowledge on the importance of timely uptake of vaccine dose Strengthen community health workers knowledge on whooping cough	Booster vaccine Good hygiene practices including hand hygiene Avoiding close contact with people with whooping cough Cough and sneezing etiquette Community Reporting systems on whopping cough		Recognition of features of whooping cough- which include: features of common cold: (i.e. Runny nose, Nasal congestion, Red, watery eyes, Fever,uncontrollable coughing Vomiting A high-pitched "whoop" sound during breathing Good nutrition eating frequent small meals to avoid vomiting avoiding coughing triggers, such as smoke, strong chemicals,allergens Home remedies staying hydrated resting using a mist vaporizer practicing proper hand hygiene Monitoring for any worsening of the patient condition Referrals to health facilities.
Primary Care
Strengthen families and community-based awareness on whooping cough including prevention measures Create knowledge among family members and communities on importance of vaccination and the vaccination schedule Knowledge on the importance of timely uptake of vaccine dose Guidance on hygiene for the elderly Strengthen health workers knowledge on whooping cough	Vaccination Tdap Post exposure prophylaxis for close contacts		Clinical examination Administration of antibiotics Supportive management Monitor for any complications Physical & Clinical examination Referral to hospital for Management of any complications e.g Rib fracture, syncope, abdominal hernia
Referral Facility: General
Awareness to elderly on whopping cough and prevention measures Guidance on hygiene practices Guidance on Good nutrition Health workers education on whooping cough management	Post exposure prophylaxis for close contacts		Physical and Clinical examination Outpatient services Anti-microbial therapy Supportive management Management of any complications e.g rib fracture, syncope, abdominal hernia or other complications from the severe, chronic cough Hospitalization for patients at risk of severe pertussis/and complication Rweferral to specialised hospitals for further managemnet eg ICU services for severe illness Laboratory tests,B pertussis, culture, polymerase chain reaction (PCR), serologic testing and direct fluorescent antibody (DFA) testing. Follow up	Rehabilitation services depending on complications Physical rehabilitation	Psychosocial support Counseling for elderly patients with complications due to whooping cough
Referral Facility: Specialist
Awareness to elderly on whopping cough and prevention measures Guidance on Good nutrition Guidance on hygiene practices Health workers education on whooping cough management	Post exposure prophylaxis for close contacts		Physical and clinical examination Outapttient services Anti-microbial therapy Supportive management eg relieve of pain and /or fever Hospitalization for patients at risk of severe pertussis/and complications Laboratory tests,B pertussis, culture, polymerase chain reaction (PCR), serologic testing and direct fluorescent antibody (DFA) testing. Management of any complications e.g rib fracture, syncope, abdominal hernia or other complications from the severe, chronic cough ICU services for severe illness follow up	Physical rehabilitation Rehabilitation services depending on complications	Counseling for elderly patients with complications due to whooping cough Psychosocial support