The following information is from the Centers for Disease Control. The Link is below


“Tetanus, diphtheria and pertussis can be very serious diseases, even for adolescents and adults. Tdap vaccine can protect us from these diseases.
Because Pertussis has become more prevalent, it is now recommended that all adults get at least one booster containing Pertussis vaccine, called TDaP, EVEN IF they previously received a TD booster. We are routinely using this vaccine in our practice. The retail cost of the vaccine is approximately $60.
Protect yourself and your loved one by updating your TDaP status.
Most insurers will cover this vaccination. For Medicare patients, your part D prescription plan may cover the vaccination.
It is recommended thereafter to receive a regular TD booster every 10 years. In the event of a very dirty or complicated wound, it may be recommended to receive the booster earlier, at the time of the wound
TETANUS (Lockjaw) causes painful muscle tightening and stiffness, usually all over the body.
• It can lead to tightening of muscles in the head and neck so you can't open your mouth, swallow, or sometimes even breathe. Tetanus kills about 1 out of 5 people who are infected.
DIPHTHERIA can cause a thick coating to form in the back of the throat.
• It can lead to breathing problems, paralysis, heart failure, and death.
PERTUSSIS (Whooping Cough) causes severe coughing spells, which can cause difficulty breathing, vomiting and disturbed sleep.”
“These diseases are caused by bacteria. Diphtheria and pertussis are spread from person to person through coughing or sneezing. Tetanus enters the body through cuts, scratches, or wounds.
Before vaccines, the United States saw as many as 200,000 cases a year of diphtheria and pertussis, and hundreds of cases of tetanus. Since vaccination began, tetanus and diphtheria have dropped by about 99% and pertussis by about 80%”
Tetanus, also caused lockjaw, is a bacterial disease usually transmitted by wounds. You likely are familiar with the use of a “tetanus booster” after a puncture wound.
Diphtheria is a disease where a membrane grows over the throat and can results in smothering to death.
Thankfully, both of these diseases are now uncommon in the US thanks to widespread immunization
Pertussis, or whooping cough, however, has made a comeback, and we have seen cases in our practice.
The California Department of Health has declared that there is an EPIDEMIC of whooping cough, with over 9000 cases reported and 10 deaths in 2010. Their latest report for this year indicates that :
8,749 cases with onset in 2014 have been reported to CDPH for a state rate of 22.9 cases per 100,000 population (Table 1).
Pertussis activity is widespread throughout California (Figures 1-3).
312 cases have been hospitalized; 74 (24%) of these required intensive care. “