References: 1. Pertussis. Centers for Disease Control and Prevention website. http://www.cdc.gov/vaccines/pubs/pinkbook/pert.html. Updated September 29, 2015. Accessed February 23, 2017. 2. Skoff TH, Kenyon C, Cocoros N, et al. Sources of infant pertussis infection in the United States. Pediatrics. 2015;136(4):635-641. 3. Whooping Cough Is Deadly for Babies. Centers for Disease Control and Prevention website. http://www.cdc.gov/pertussis/pregnant/mom/deadly-disease-for-baby.html. Updated January 27, 2015. Accessed February 23, 2017. 4. Williams WW, Lu P, O’Halloran A, et al. Surveillance of vaccination coverage among adult populations — United States, 2014. MMWR. 2016;65(SS-1):1-36.

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WHAT EVERYONE NEEDS TO KNOW: Whooping Cough

What is it?1

• Whooping cough, or pertussis, is a potentially serious, highly contagious respiratory disease that can last up to 12 weeks

• Whooping cough is a disease caused by a bacteria

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• According to a recent study, approximately 85% of infants with whooping cough got it from a member of their immediate or extended family, when a source of the infection could beidentified2

• Infants under 6 months old may not have the strength to make the whoop sound, but they stillhavecoughingfits1

• Inthefirst6monthsoflife,infantsareathighrisk for complications from whooping cough because their immune systems are still developing3

• Complications in infants can include hospitalization, pneumonia, seizures, brain disorders, and, in very rare cases, death1

Infants and whooping cough:

Be Sure to Get Vaccinated! For persons 10 years of age and older, Tdap vaccination is the best preventive measure against whooping cough, but vaccination rates remain low. According to a recent National Health Interview Survey, only 20.1% of adults remember receiving the Tdap vaccine.4,* Remind your patients to get vaccinated to help protect themselves against whooping cough.

What are the symptoms?1 Theclinicalcourseofwhoopingcoughisdividedintothreestages.Atfirst,symptomsresemblethe common cold. Over time, the cough increases in severity.

First Stage (1-2 weeks):• runny nose• low-grade fever• mild, occasional cough

Second Stage (1-6 weeks):• fitsofmanyrapidcoughsfollowedbya

long intake of breath often accompanied by a high-pitched “whoop”

• vomitingduringoraftercoughingfits• exhaustionaftercoughingfits

Third Stage (weeks to months):• gradual recovery often

marked by reoccurring coughingfitswithsubsequentrespiratory infections

How is it spread?1

• It is spread from person to person, usually by coughing or sneezing while in close contact with others

• Persons, including adults, may not realize they’re infected, and can transmit the disease to other susceptible people, including unimmunized or incompletely immunized infants

*Survey of 22,867 adults, 19 years of age and older. Participants were asked if they remembered receiving a Tdap vaccine at any time from 2005 through 2014.