Epidemiological evidence for herd immunity induced by acellular pertussis vaccines
In a series of elegant experiments on baboons, Warfel et al. conclude that acellular pertussis vaccines (aP) prevent disease but fail to protect against transmissible infection. The authors speculate that this fact may explain the resurgence of pertussis in some countries. Although the animal model of Warfel et al. is a true breakthrough, we question the soundness of their extrapolation to transmission in human populations. Indeed, much available epidemiological evidence argues against it.