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Risk factors

By Mayo Clinic staff

Whooping cough is thought to be on the rise for two main reasons. The whooping cough vaccine you receive as a child eventually wears off. This leaves most teenagers and adults susceptible to the infection during an outbreak — and there continue to be regular outbreaks. In addition, children aren't fully immune to whooping cough until they've received at least three shots, leaving those 6 months and younger at greatest risk of contracting the infection.

References
  1. Pertussis (whooping cough): What you need to know. Centers for Disease Control and Prevention. http://www.cdc.gov/Features/Pertussis. Accessed Dec. 6, 2011.
  2. Hewlett EL. Whooping cough and other bordetella infections. In: Goldman L, et al. Cecil Medicine. 24th ed. Philadelphia, Pa.: Saunders Elsevier; 2011. http://www.mdconsult.com/das/book/body/191371208-2/0/1492/0.html#. Accessed Dec. 6, 2011.
  3. Long SS. Pertussis. In: Kliegman RM, et al. Nelson Textbook of Pediatrics. 19th ed. Philadelphia, Pa.: Saunders Elsevier; 2011. http://www.mdconsult.com/das/book/body/208746819-6/0/1608/0.html. Accessed Dec. 6, 2011.
  4. Centers for Disease Control and Prevention. Updated recommendations for use of tetanus toxoid, reduced diphtheria toxoid and acellular pertussis vaccine (Tdap) in pregnant women and persons who have or anticipate having close contact with an infant <12 months. 2011;60:1424. http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6041a4.htm?s_cid=mm6041a4_e%0d%0a. Accessed Dec. 6, 2011.
  5. Yeh S, et al. Clinical features and diagnosis of Bordetella pertussis infection in infants and children. http://www.uptodate.com/home/index.html. Accessed Dec. 6, 2011.
  6. Byrd EM, et al. Clinical features and diagnosis of Bordetella pertussis infection in adolescents and adults. http://www.uptodate.com/home/index.html. Accessed Dec. 6, 2011.
  7. Yeh S. Treatment and prevention of Bordetella pertussis infection in infants and children. http://www.uptodate.com/home/index.html. Accessed Dec. 6, 2011.
  8. Byrd EM, et al. Treatment and prevention of Bordetella pertussis infection in adolescents and adults. http://www.uptodate.com/home/index.html. Accessed Dec. 6, 2011.
  9. Recommended immunization schedule for adults aged 19 years and older — United States, 2013. Centers for Disease Control and Prevention http://www.cdc.gov/vaccines/schedules/hcp/child-adolescent.html. Accessed Feb. 19, 2013.
  10. Recommended immunization schedule for persons aged 0 through 18 years — United States, 2013. Centers for Disease Control and Prevention http://www.cdc.gov/vaccines/schedules/hcp/child-adolescent.html. Accessed Feb. 19, 2013.
DS00445 March 19, 2013

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