By Peter S. Waldstein, M.D., F.A.A.P and Julia A. White, M.D., F.A.A.P
You may have heard about the recent epidemic of whooping cough in the news, and like most parents probably have many questions. Pertussis (also know as “whooping cough”) is a respiratory illness that is characterized by paroxysms of cough. Vaccinations greatly decrease the incidence of the disease, although we do see some cyclical peaks in activity. Now, pertussis has made a come back with this year being on track to have the most cases in almost 50 years. Infants and young children are the most severely affected, and it can be fatal especially in young infants. All of the fatalities from pertussis this year in California have been in children under the age of 3 months.
Whooping cough is a bacterial infection caused by the bacterium Bordatella pertussis. It may also be caused by Bordatella parapertussis, but less commonly. It is spread by contact with respiratory secretions or droplets of an infected person, and is most infectious during the initial catarrhal phase of the illness. A normal incubation period for the illness is about 7 to 10 days, but may be shorter or longer. After this, the symptoms start to appear.
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