January 10, 2003
(CDC) -- Pertussis is a highly infectious cough illness that has been
increasing in the adult population since the 1980s.
On September 16, 2002, a local county health department reported to the
Illinois Department of Public Health (IDPH) four cases of cough illness
among workers at an oil refinery. Following an investigation by IDPH, 17
individuals from the oil refinery were diagnosed with pertussis from
August 1-October 9, 2002. Additionally, 7 patients with pertussis were
identified in the local community from August 30-October 11, 2002. All 24
patients received treatment with antibiotics and there were no deaths.
Among recommended childhood immunizations, pertussis is the only
vaccine preventable disease with increased number of cases in the United
States during the last 20 years. The number of pertussis cases in adults
has risen substantially since the 1980s.
Pertussis should be considered in adults with a cough illness lasting >
2 weeks with paroxysms of coughing, inspiratory "whoop," or post-tussive
vomiting.