PUBLIC HEALTH“Not Just Measles”: Whooping Cough Cases Are Soaring as Vaccine Rates Decline
Declining vaccination rates have caused the Texas measles outbreak, and vaccination rates for other childhood diseases have fallen as well. Deep cuts to public health jobs and funding, and HHS’s ambivalent messaging about vaccines, make it harder for agencies to fight outbreaks and prevent disease with vaccines.
In the past six months, two babies in Louisiana have died of pertussis, the disease commonly known as whooping cough.
Washington state recently announced its first confirmed death from pertussis in more than a decade.
Idaho and South Dakota each reported a death this year, and Oregon last year reported two as well as its highest number of cases since 1950.
While much of the country is focused on the spiraling measles outbreak concentrated in the small, dusty towns of West Texas, cases of pertussis have skyrocketed by more than 1,500% nationwide since hitting a recent low in 2021 amid the COVID-19 pandemic. Deaths tied to the disease are also up, hitting 10 last year, compared with about two to four in previous years. Cases are on track to exceed that total this year.
Doctors, researchers and public health experts warn that the measles outbreak, which has grown to more than 600 cases, may just be the beginning. They say outbreaks of preventable diseases could get much worse with falling vaccination rates and the Trump administration slashing spending on the country’s public health infrastructure.
National rates for four major vaccines, which had held relatively steady in the years before the COVID-19 pandemic, have fallen significantly since, according to a ProPublica analysis of the most recent federal kindergarten vaccination data. Not only have vaccination rates for measles, mumps and rubella fallen, but federal data shows that so have those for pertussis, diphtheria, tetanus, hepatitis B and polio.
In addition, public health experts say that growing pockets of unvaccinated populations across the country place babies and young children in danger should there be a resurgence of these diseases.
Many medical authorities view measles, which is especially contagious, as the canary in the coal mine, but pertussis cases may also be a warning, albeit one that has attracted far less attention.
“This is not just measles,” said Dr. Adam Ratner, a pediatric infectious diseases doctor in New York City and author of the book “Booster Shots: The Urgent Lessons of Measles and the Uncertain Future of Children’s Health.” “It’s a bright-red warning light.”
