North Carolina is seeing a significant increase in reported cases of whooping cough, also known as pertussis, following several years of relatively low activity during the COVID-19 pandemic.
Health officials reported 105 cases statewide in 2023, followed by a sharp jump to 757 in 2024. In the first quarter of 2025 alone, more than 100 new cases have already been recorded, signaling an ongoing trend that public health officials are monitoring closely.
Recent infections have been reported in multiple counties, including confirmed cases among school-aged children. These incidents have prompted precautionary notifications to families after confirmed exposure at several schools.
The rise in whooping cough is being attributed to several contributing factors. Immunity from childhood vaccinations tends to wane over time, leaving adolescents and adults more vulnerable to infection. In addition, lower vaccination rates and the return to regular in-person activities have likely played a role in increased transmission.
Whooping cough is a highly contagious respiratory illness caused by the bacterium Bordetella pertussis. It often begins with cold-like symptoms, including a runny nose and mild cough, but can progress to intense, prolonged coughing fits. These episodes may cause difficulty breathing, vomiting, or the characteristic “whooping” sound when inhaling. Infants, pregnant women, and individuals with weakened immune systems are at higher risk for severe complications.
Public health officials continue to stress the importance of vaccination. The DTaP vaccine is recommended for infants and young children, while older children and adults should receive the Tdap booster. A Tdap dose is also advised during each pregnancy to help protect newborns.
In addition to vaccination, residents are encouraged to stay home when sick, practice good hygiene, and seek medical care if symptoms of whooping cough develop.
Health authorities will continue monitoring the situation and providing updates as necessary.
