In Chile, an increased number of notifications of cases of whooping cough was detected at the beginning of October 2010, and maintained through 2012. Accumulated cases during 2011 were 2,581 (15.0 per 100,000), which is greater than the number of cases registered during the period 2008-2010 (2,460 cases). On the other hand, the local sanitary authority introduced a modification of pertussis vaccination schedule (starting 2012), which consists in the replacement of the second booster of pertussis vaccine (DTwP, administered to 4-year-old children) as well as diphtheria-tetanus toxoid (dT, administered to second grade scholars) for an acellular pertussis vaccine with reduced antigenic content (dTpa), which will be administrated to first grade scholars. The Consultive Committee of Immunizations considers that the modification is adequate, since it extends the age of protection, reducing at least in theory the infection in older scholars and adolescents -who are significant sources of transmission of Bordetella pertussis to infants-using an adequate vaccine formulation (acellular pertussis vaccine). The available evidence regarding vaccination in special groups (adolescents and adults, health-care workers and pregnant women) and cocooning strategy are commented.

Artículo de publicación ISIParietaria pollen has never been considered as a significant cause of pollinosis in Chile; therefore, the sensitization to Parietaria study has never been included in the study of patients with clinical suspicion of pollinosis in this region. The objective of this study was to describe the clinical characteristics of pollinosis caused by Parietaria in the Valparaı´so region, related to air concentrations of this kind of pollen. A cross-sectional studywas performedin the city of Valparaı´so. It consisted of two stages: In the first, pollen grains were counted between 1999 and 2001. In the second, a sensitization profile on a patient population diagnosed with ARC (allergic rhinoconjunctivitis) was evaluated. Parietaria judaica (P. judiaca) presented pollination all year long, with aggravation in the spring and summer, and with values reaching 80 grains/m3 (weekly average). These findings determined the transience of the symptoms in this population, which is mainly perennial with seasonal aggravations. A total of 72 atopic subjects were obtained during the whole sample recollection period. P. judaica was the second most frequent cause of sensitization (60 %) after Dermatophagoides in the sample overall. Also, in monosensitized subjects, it was the first cause of pollen sensitization. P. judaica represents the second cause of allergy in Valparaı´so and the first cause of pollinosis. These findings suggest the importance of quantifying Parietaria in Valparaı´so and near cities, plus investigating the presence of sensitization and symptoms to allergies in a significant proportion of patients in this region