To the Editor The research article published by Skoff et al reported that, following maternal diphtheria toxoid and acellular pertussis vaccine introduction, a sustained decrease in pertussis incidence was observed in infants younger than 2 months. A slope of −14.53 per 100 000 infants per year from before to after implementation during pregnancy has been calculated. Modern approaches in prenatal communication may be relevant to this study.
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Clinical Practice Guidelines