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February 6, 2012
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Whooping Cough

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Whooping Cough Symptoms

The course of whooping cough is divided into three stages.

  • The first stage of whooping cough is the catarrhal stage. This phase typically lasts for one to two weeks. Symptoms during this phase resemble that of an upper respiratory illness: runny nose, nasal congestion, sneezing, and occasional cough. A low-grade fever may be present in some cases.


  • The second stage of whooping cough is the paroxysmal stage. The duration of this phase is highly variable, lasting between one to six weeks, or up to 10 weeks. It is characterized by intense and drawn out bouts of coughing. The attacks tend to be more frequent at night, with an average of 15 attacks in a 24-hour period. Often a "whoop" can be heard caused by the gasping person inhaling between coughs. Infants, in particular, may appear to stop breathing and perhaps turn blue during the coughing spasms. Vomiting is also common during this stage as well.

Learn more about whooping cough symptoms »

Whooping Cough Overview

Whooping cough is an infectious bacterial illness that affects the respiratory passages. First described in the 1640s, whooping cough is so named because spasms of coughing are punctuated by a characteristic "whoop" sound when the person inhales after a coughing spell.

  • Whooping cough is the most common vaccine-preventable disease among children younger than 5 years of age in the United States. It is also known as pertussis -- the "P" in the familiar DTaP combination inoculation routinely given to children and the "p" in Tdap given to adolescents and adults.


  • Despite the widespread use of vaccines, whooping cough has made a comeback in recent years. According to the U.S. Centers for Disease Control and Prevention (CDC), prior to the introduction of the pertussis vaccine, there were an average of 175,000 cases of whooping cough each year. This dropped off to fewer than 3,000 cases per year in the 1980s; however, in the U.S. alone, a total of 17,000 cases of pertussis were reported in 2009.


  • The World Health Organization estimates there were 195,000 deaths from whooping cough worldwide in 2008, making this easy-to-prevent disease one of the leading causes of illness and death. However, the CDC estimates 300,000 deaths per year are caused by pertussis.


  • In June 2010, the State of California declared a whooping cough epidemic. In September 2010, the California Department of Health reported 4,017 cases of confirmed, suspected, and probable whopping cough, the largest number of cases since 1955.
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Whooping Cough

Topic Overview

What is whooping cough?

Whooping cough is a disease that causes very severe coughing that may last for months. You can cough so hard that you hurt a rib.

Whooping cough is also called pertussis.

Whooping cough is contagious. This means it spreads easily from one person to another. You can prevent whooping cough by getting shots, called vaccines, that protect you from the disease.

Whooping cough can lead to other problems, such as pneumonia. These problems can be very serious in adults ages 60 and older and in young children, especially babies who are born early or have not had shots to prevent whooping cough.

With good care, most people recover from whooping cough with no problems.

Anyone can get whooping cough. Before the vaccine was available, whooping cough was most common in infants and young children. Because most infants now get the vaccine, people ages 11 and older are now more likely to get it....

Read the Whooping Cough (Pertussis) article »


Read What Your Physician is Reading on Medscape

Pertussis »

Pertussis, commonly known as whooping cough, is a respiratory tract infection characterized by a paroxysmal cough.

Read More on Medscape Reference »

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