Pertussis vaccine wholesale in the developing world at a cost of 15.41 USD per dose as of 2014. Acellular pertussis vaccine (aP) with three or more antigens prevents around 85% of typical whooping cough cases in children. It has higher or similar efficacy to the previously-used whole cell pertussis vaccine, however the efficacy of the acellular vaccine declines faster. Acellular vaccines also cause fewer side effects than whole cell vaccines. Despite widespread vaccination, pertussis has persisted in vaccinated populations and is one of the most common vaccine-preventable diseases. The recent resurgence in pertussis infections is attributed to a combination of waning immunity
White line disease wall resection or debridement. Sometimes, if the problem is severe enough, the horse may need to be specially shod with a heart-bar shoe. White line disease White line disease (also known as seedy toe) is a fungal infection of the horse's hoof. As the name suggests, it attacks the white line, which connects the sole to the hoof wall. It is sometimes mistaken for hoof wall separation disease, but is not to be confused because it is not genetic nor as severe. White line disease changes the typical light color of the white line to a black or dark gray