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  1. A correspondent who acquired whooping cough (pertussis) while travelling and was not diagnosed for many months has reminded us that it is not widely known that the immunity to whooping cough induced by infant and pre-school vaccinations may not last into adolescent or adult life. Because pertussis is such a serious disease in infancy there has been strong emphasis on the importance of vaccination in infancy but currently in Australia over 60% of whooping cough notifications are in patients over 10 years of age. Furthermore a study of infants hospitalised with pertussis in 2001 indicated that parents were the presumptive source of infection in over 50% of cases. The characteristic whoop and vomit of the infant disease is not so evident in adults where pertussis manifests simply as a persistent cough that doesn't get better.
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  4. ON the whole, I enjoyed Scott Martelle's article "Desert Shares Its Atomic Secrets" June 26 , about his visit to the site where the first atomic bomb tests were conducted. But the article was marred by his comment that "arriving here means revisiting the irresolvable moral question of whether the certain deaths of tens of thousands of Japanese civilians were preferable to the probable deaths of thousands of American troops had the war in the Pacific sputtered on a travel nurse few more months." This statement was off base.

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