ArticleInfectious diseases of poverty2025
Global, regional, and national burdens of pertussis among adults: a systematic analysis of age-specific trends using Global Burden of Diseases 2021 data.
Article in Infectious diseases of poverty, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
9 citing papers in PubMed.
- Article
- Epidemiological Features and Temporal Trends of Five Common Sexually Transmitted Infections Excluding HIV, 1990-2021: Findings From the Global Burden of Disease Study.Journal of medical virology · 2026Article
- Severe Pertussis During Early Infancy from a High-Altitude Region: Two Clinical Cases and Literature Review.Journal of clinical medicine · 2026Article
- Current and projected trends in rheumatoid arthritis among postmenopausal women in the U.S.: a population-based analysis of the Global Burden of Disease Study 2021, with projections to 2035.Immunologic research · 2026Article
- The Impact of Population Aging on Ergonomic-Related Low Back Pain Across Regions with Different Development Levels.Journal of pain research · 2026Article
- Letter to the Editor: "Global statistics and risk factors of neoplasms in the elderly, and the impact of aging on neoplasms from 1990-2021".International journal of surgery (London, England) · 2026Article
- Global burden and cross-country inequalities in rabies from 1990 to 2021: a systemic analysis of the global burden of disease study 2021.BMC infectious diseases · 2025Article
- Global disease burden and trends of pertussis in individuals under 20 years old: 1990-2021-insights from the global burden of disease study 2021.Translational pediatrics · 2025Article
- From data to action: addressing geographic inequalities in rabies burden through targeted policies.Frontiers in public health · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors.
Funding
Abstract
backgroundDespite the high coverage of childhood vaccination, pertussis remains a significant global health challenge, with increasing adult cases attributed to waning immunity and enhanced diagnostic capability. This study quantified the global burden of pertussis in adults from 1990 to 2021 and evaluated the impact of the COVID-19 pandemic on disease trends.
methodsUsing data from the Global Burden of Disease Study 2021, we assessed pertussis incidence and disability-adjusted life years (DALYs) in adults, stratified by age, sex, sociodemographic factors, and geographic regions. Temporal trends were analysed using joinpoint regression to detect significant changes and calculate the average annual percentage change (AAPC). An exponential smoothing state-space model with hierarchical forecast reconciliation was used to estimate the impact of the COVID-19 pandemic on pertussis burden.
resultsGlobally, the incidence rate of adult pertussis declined from 17.44 per 100,000 population in 1990 to 9.00 per 100,000 in 2019, and fell sharply to 2.70 per 100,000 by 2021. DALYs rates followed a similar trend. The burden was consistently highest in low Socio-demographic Index (SDI) countries, where the 2019 incidence rate was over four times that of high SDI countries (18.59 vs. 3.96 per 100,000). Between 1990 and 2019, incidence numbers increased in low SDI countries [AAPC: 0.63%; 95% confidence interval: 0.36%, 0.91%] and in older adults (AAPC > 0), despite falling incidence rates. From 2009 to 2019, incidence rates increased in 84 countries. During the COVID-19 pandemic, estimates based on the model indicated a 58.41% reduction in incidence and a 50.34% decrease in DALYs.
conclusionsAlthough the global incidence of adult pertussis has declined over the past three decades, a resurgence from 2009 to 2019, particularly in low-income regions and specific age groups, underscores the persistent challenges. The sharp decline during the COVID-19 pandemic highlights the importance of public health and social measures. These findings emphasise the need for targeted vaccination strategies and sustained surveillance to address regional disparities and prevent the resurgence of the disease.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.