The states with the highest rates of pertussis include Vermont, Wisconsin, Alaska and Maine. Pertussis is more commonly known as whooping cough. It is a respiratory disease that causes uncontrollable coughing. Whooping cough is highly contagious, but deaths are rare.
Pertussis vaccination
There are two vaccines in the U.S. that help to prevent pertussis. These are the DTaP, for children under 7 years, and the Tdap, for older children, teens and adults. These vaccines are highly recommended, and a majority of children and teens receive them. In 2017, around 83 percent of children aged 19 to 35 months had received the DTaP vaccine.
Pertussis cases
The number of cases of pertussis in the United States have decreased significantly since the introduction of vaccines that prevent the disease. In 1950, there were around 120,700 new cases of pertussis in the U.S., compared to just under 18,000 new cases in 2016. In that year, there were around 5.56 new cases of pertussis per 100,000 population.
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Pertussis rate in the United States as of 2018, by state
(new cases per 100,000 population)
Characteristic
New cases per 100,000 population
Mississippi
0.2
Nevada
1.2
Louisiana
1.4
West Virginia
1.4
Florida
1.6
District of Columbia
1.6
South Dakota
1.6
Delaware
1.6
Georgia
1.8
Montana
2
Tennessee
2.1
Maryland
2.2
Arkansas
2.3
Created with Highcharts 7.2.2New cases per 100,000 population0.20.21.21.21.41.41.41.41.61.61.61.61.61.61.61.61.81.8222.12.12.22.22.32.32.72.72.72.72.72.72.72.72.92.9333.63.63.63.63.83.83.83.84.24.24.24.24.54.54.64.64.74.74.74.74.94.94.94.95.15.15.55.55.65.65.85.85.95.96.36.37.77.7888.18.18.58.58.68.68.68.68.78.710.410.412.412.412.912.918.418.419.519.521.321.3252546.546.5MississippiNevadaLouisianaWest VirginiaFloridaDistrict of ColumbiaSouth DakotaDelawareGeorgiaMontanaTennesseeMarylandArkansasVirginiaConnecticutSouth CarolinaIndianaNorth CarolinaMassachusettsAlabamaWyomingHawaiiCaliforniaMichiganArizonaNew HampshireTexasOregonOklahomaNew YorkIdahoIowaKansasUnited StatesNorth DakotaMissouriNew JerseyNew MexicoNebraskaIllinoisWashingtonRhode IslandOhioUtahKentuckyPennsylvaniaColoradoMinnesotaMaineAlaskaWisconsinVermont
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The 2017 ranks are based on 2015 data from the Mortality and Morbidity Weekly Report: Summary of Notifiable Infectious Diseases, Centers for Disease Control and Prevention.
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United Health Foundation. (December 13, 2018). Pertussis rate in the United States as of 2018, by state (new cases per 100,000 population) [Graph]. In Statista. Retrieved July 11, 2025, from https://www.statista.com/statistics/379019/us-pertussis-rate-by-state/
United Health Foundation. "Pertussis rate in the United States as of 2018, by state (new cases per 100,000 population)." Chart. December 13, 2018. Statista. Accessed July 11, 2025. https://www.statista.com/statistics/379019/us-pertussis-rate-by-state/
United Health Foundation. (2018). Pertussis rate in the United States as of 2018, by state (new cases per 100,000 population). Statista. Statista Inc.. Accessed: July 11, 2025. https://www.statista.com/statistics/379019/us-pertussis-rate-by-state/
United Health Foundation. "Pertussis Rate in The United States as of 2018, by State (New Cases per 100,000 Population)." Statista, Statista Inc., 13 Dec 2018, https://www.statista.com/statistics/379019/us-pertussis-rate-by-state/
United Health Foundation, Pertussis rate in the United States as of 2018, by state (new cases per 100,000 population) Statista, https://www.statista.com/statistics/379019/us-pertussis-rate-by-state/ (last visited July 11, 2025)
Pertussis rate in the United States as of 2018, by state (new cases per 100,000 population) [Graph], United Health Foundation, December 13, 2018. [Online]. Available: https://www.statista.com/statistics/379019/us-pertussis-rate-by-state/
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