Washington Whooping Cough Cases Up: Vaccination Rates Down

by Grace Chen

Credit: CC0 Public Domain

SEATTLE, June 16, 2025 – Whooping cough cases have dramatically surged in Washington state, painting a stark picture of the need for vaccination.

Whooping cough cases in Washington state have exploded, coinciding with a drop in vaccination rates. The highly contagious disease has hit the U.S., resulting in deaths, including a child in Spokane.

  • Whooping cough cases in Washington state have increased dramatically.
  • Vaccination rates among young children have decreased.
  • the disease poses a significant threat, especially to infants.

washington state saw a staggering 25-fold increase in whooping cough cases last year, a clear indication of the disease’s continued spread, linked to a drop in vaccination rates.

A staggering Rise

The state Department of Health announced a significant increase in whooping cough cases, also known as pertussis. This rise coincides with a decline in childhood vaccination rates. The highly contagious disease has also surged in other parts of the U.S., leading to at least 10 deaths last year, including a child in Spokane.

In 2024, Washington reported 2,261 confirmed and probable cases of whooping cough, a sharp increase from the 87 cases recorded in 2023. As of the end of May, the state had already documented 1,314 cases this year, compared to 317 during the same period last year. Approximately 90 of the cases this year involved infants under one year old.

Did you know? Whooping cough is also known as the “100-day cough” as the coughing fits can last for weeks or even months!

Local and state health officials have consistently warned about the ongoing spread of whooping cough, urging people to get vaccinated, especially young children. Data from the DOH reveals that whooping cough vaccination rates dropped from 73% in 2019 to 65% last year among children aged 1.5 to 3 years.

Critical Vaccinations

“The surge in pertussis cases is a stark reminder of how critical vaccinations are in protecting our most vulnerable, especially infants, for whom it can be life-threatening,” Dr. Tao Sheng Kwan-Gett, the state’s health officer and a pediatrician, stated in November.

Reader question: What are your biggest concerns about the drop in vaccination rates in your community? Share your thoughts in the comments below.

Whooping cough, a bacterial illness, often starts with cold-like symptoms and evolves into severe coughing spells. Serious complications can include apnea, pneumonia, convulsions, collapsed lungs, rib fractures, and brain damage.

The disease is most perilous for infants under one,who may struggle to breathe.

Pro tip: If you’re unsure about your or your child’s vaccination status, contact your healthcare provider to review your records and schedule any needed vaccinations.

Symptoms typically appear five to 21 days after exposure,and the infection is usually treated with antibiotics.

Health officials emphasize the importance of staying up-to-date with whooping cough vaccinations, which offer the best defense against the disease.

Vaccination is especially critically important for those at higher risk of serious illness or those who are in close contact with them, including infants, pregnant people, those with weakened immune systems or chronic respiratory illnesses, and older adults, especially those more susceptible to pneumonia.

Understanding the Threat: Beyond the Numbers

The dramatic rise in whooping cough cases in Washington state isn’t just about statistics; it’s a stark reminder of the real-world impact of vaccine hesitancy and the importance of preventative healthcare. As we’ve seen,the increase is significant,with a 25-fold jump in cases last year [[3]]. The situation underscores the contagious nature of whooping cough, also known as pertussis, and the urgent need for widespread vaccination to protect vulnerable populations.

Whooping cough, a highly contagious respiratory illness, often starts like a common cold [[2]]. However, it quickly escalates into severe coughing fits, often followed by a characteristic “whoop” sound when the person gasps for air. While the 2,261 confirmed cases in 2024 are alarming, the 1,314 cases already documented through the end of May this year emphasize the disease’s continued spread.

what exactly makes this illness so dangerous? the coughing fits can be so violent that they can lead to broken ribs, apnea (temporary cessation of breathing), and even brain damage, notably in infants [[2]]. Early treatment with antibiotics can definately help lessen the severity of the infection, but prevention through vaccination is the most effective tool [[3]].

Who is Most at Risk?

The most significant threat of whooping cough is on infants under one year old. They might not “whoop” as the airways are to small to fully work, but this makes it harder for them to breathe. This can quickly turn into a life-threatening situation.

  • Infants: As of their age, young babies are the most likely to suffer from pneumonia, seizures, and brain damage from whooping cough.
  • Pregnant People: Whooping cough affects pregnant people and can cause complications during pregnancy. Vaccination during pregnancy is crucial for protecting the baby.
  • Individuals with Chronic Respiratory Conditions or Weakened Immune Systems: People within this group are highly likely to develop severe symptoms due to the existing health complications.

The Vaccination Advantage

vaccination, specifically with the DTaP vaccine for children and the Tdap vaccine for adolescents and adults, is the single most effective way to prevent whooping cough [[3]]. These vaccines help your body create antibodies, which can fight the infection if you’re exposed, or reduce the severity of the illness.

Is the whooping cough vaccine safe? Absolutely. The vaccine is very safe and can prevent complications like pneumonia and seizures. The CDC and other health organizations rigorously monitor the safety of all vaccines, and these measures work to maintain the public’s safety.

Practical steps You Can Take

  • Check Your Vaccination Status and Those of Your Children: Make sure you and your family are up-to-date with all recommended vaccinations. Contact your healthcare provider to review records and schedule any needed boosters.
  • Vaccinate During Pregnancy: Pregnant people should get the Tdap vaccine during the third trimester of each pregnancy to protect their baby.
  • Practice Good Hygiene: Cover your mouth and nose when you cough or sneeze, and wash your hands frequently.
  • Seek Early Treatment: If you suspect you or your child has whooping cough, see a doctor immediately. Early treatment with antibiotics can lessen the severity of the illness [[3]].

Frequently Asked Questions

Here are some answers to help you better understand whooping cough and how to protect yourself and your family.

What are the early signs of whooping cough?

Whooping cough often starts like a common cold, with a runny nose, mild cough, and sometimes a fever. The coughing becomes increasingly severe over time, often producing a “whooping” sound as the person gasps for air.

How long does whooping cough last?

The coughing fits associated with whooping cough can last for weeks or even months, which is how it got the nickname “100-day cough.” Even after treatment, the cough may linger for several weeks.

When should I seek medical care for whooping cough?

See a doctor immediately if you suspect you or your child has whooping cough. Early diagnosis and treatment are crucial, especially for infants and young children. If breathing difficulties are present, seek emergency medical attention immediately.

Why are vaccination rates dropping in some regions?

Vaccine hesitancy, misinformation, and complacency contribute to lowered vaccination rates. It is essential to rely on reputable sources, like the CDC, to prevent the spread of misinformation.

By staying informed and taking these proactive measures, you can protect yourself, your family, and your community from the spread of this dangerous illness. The health of our society relies on our collective commitment to public health measures, including vaccination.

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