Skip to content
Search AI Powered

Latest Stories

Whooping Cough Cases Hit Highest Levels in 10 Years—These Are the Warning Signs of Pertussis

There are six times the number of whooping cough cases compared to this time last year.

sick woman in bed coughing while holding a mug of tea

This winter has already seen high levels of the flu and RSV, and we still haven't felt the effects of all our holiday gatherings. But whooping cough infections have been surging for months. According to data from the U.S. Centers for Disease Control and Prevention (CDC) analyzed by CNN, there were more than 32,000 reported cases of whooping cough by Dec. 14, six times more than the same last year and the highest levels since 2014.

RELATED: Flu Levels Are "Very High" and "High" in These 14 States.


What is whooping cough?

Pertussis, more commonly known as whooping cough, "is a highly contagious respiratory tract infection," according to Mayo Clinic. "In many people, it's marked by a severe hacking cough followed by a high-pitched intake of breath that sounds like 'whoop.'" The coughing can last for weeks or even months.

Since infants are too young to have been vaccinated against the bacterial infection, it's especially dangerous for them. However, teenagers and adults are susceptible, too, since the effectiveness of the vaccine and its boosters fade over time.

Why is whooping cough so bad this year?

As Best Life reported in October, medical experts say one reason for the whooping cough surge could be that "Bordetella pertussis, the bacteria that causes whooping cough, has undergone genetic changes that could be making it more resistant to vaccination."

However, many experts also point to declining vaccination rates. For background, two types of vaccines protect against whooping cough and other infections, according to the CDC:

  1. DTaP: Diphtheria, tetanus, and whooping cough (recommended for young children between the ages of two months and six years)
  2. Tdap: Tetanus, diphtheria, and whooping cough (recommended for preteens, pregnant women, and adults who haven't been previously vaccinated)
A CDC report published in September shows that 81.8 percent of children born during 2018–2019 had received at least four doses of the DTap vaccine by their second birthday (the recommended amount), while only 79.3 of those born during 2020-2021 had received them. For a three-dose minimum (considered the primary vaccine series), 94.3 percent and 92.5 percent received the doses, respectively.
In 2023, 2,115 children between the ages of six months and six years were hospitalized for pertussis, but only 41.3 percent of them had received at least three doses of the DTap vaccine, the CDC notes. Only 28.9 percent of children between the ages of six and 11 months had received their three doses.
"Waning immunity is part of the picture, but we’re seeing a rise in cases because the vaccine is less effective because it’s evolving to outsmart bacteria," Anita Patel, MD, a pediatric critical care physician at Children’s National Hospital in Washington, D.C., recently told The Washington Post.

Is whooping cough bad everywhere?

According to the CDC's most recent data for the week ending Dec. 14, Pennsylvania has reported the most cases, 2,808. The Midwest is seeing the largest regional surge, with the following states reporting high case numbers:
  • Wisconsin: 2,474
  • Illinois: 2,137
  • Ohio: 1,602
  • Michigan: 1,534
Other states with high case numbers are:
  • California: 1,706
  • New York (excluding New York City): 1,664
  • Texas: 1,092

These are the warning signs of whooping cough:

Outside of vaccination, the best way to stay safe against whooping cough is early detection and treatment with antibiotics.
Symptoms usually present themselves within five to 10 days after infection. They're typically mild at first and resemble the common cold, including runny nose, nasal congestion, low-grade fever, and a mild cough, notes the CDC.

However, after one or two weeks, symptoms may worsen when thick mucus accumulates in the airways. This is when coughing fits known as paroxysms usually develop, along with the "whooping" sound when someone gasps for air after such an episode.

Infants may not cough at all, instead struggling to breathe. "Sometimes, a persistent hacking cough is the only sign that an adolescent or adult has whooping cough," Mayo Clinic adds.

Coughing fits can lead to vomiting, extreme fatigue and trouble sleeping, shortness of breath, and even rib fractures. "Those who get these coughing fits say it's the worst cough of their lives," says the CDC.

In speaking with The Washington Post, Zachary Rubin, MD, a pediatric immunologist in Illinois, said, "The cough is not just affecting your respiratory system. It affects your whole body, your mood and your sleep, and it can create more anxiety if you’re missing school or work."

If you begin to develop symptoms or have been in contact with someone who has whooping cough, contact your healthcare provider immediately.

We offer the most up-to-date information from top experts, new research, and health agencies, but our content is not meant to be a substitute for professional guidance. When it comes to the medication you're taking or any other health questions you have, always consult your healthcare provider directly.

TAGS:
Sources referenced in this article

Mayo Clinic: Whooping cough

CDC: Whooping Cough Vaccination

CDC: Decline in Vaccination Coverage by Age 24 Months and Vaccination Inequities Among Children Born in 2020 and 2021 — National Immunization Survey-Child, United States, 2021–2023

CDC: 2023 Provisional Pertussis Surveillance Report

CDC: Nationally Notifiable Infectious Diseases and Conditions, United States: Weekly Tables

CDC: Symptoms of Whooping Cough