Whooping Cough Outbreak: What You Need to Know and How to Protect Yourself (2026)

A Growing Concern: Whooping Cough Cases in West Virginia Reach Record Highs

In a concerning development, West Virginia is currently facing an unprecedented surge in whooping cough cases, with numbers reaching an all-time high. This alarming trend has prompted a local physician to urge residents to take proactive measures to protect themselves and their communities.

As of this week, the state has reported a staggering 199 cases of whooping cough, or pertussis, marking the highest count since 2010. This sharp increase has raised eyebrows among health officials and experts alike. Last year, West Virginia witnessed only 46 cases, highlighting the severity of the current outbreak.

Gailyn Markham, the director of communication for the state Office of Shared Administration, attributes this surge to a combination of factors. These include potential mutations of the bacteria responsible for pertussis and a natural three- to five-year peak in cases. Nationally, the situation is even more dire, with six times as many cases reported in 2024 compared to the previous year.

"We're working tirelessly with local health departments and community partners to identify and contain these cases swiftly," Markham emphasized. "Our goal is to ensure appropriate treatment and control measures to curb the spread of this highly contagious disease."

But here's where it gets controversial: Kentucky has reported the tragic deaths of three unvaccinated infants due to this illness in the same year. This highlights the potential severity of the disease, especially for vulnerable populations.

Dr. Lisa Costello, a pediatrician and associate professor at WVU School of Medicine, has witnessed this surge firsthand. She shared, "Whooping cough was not a common occurrence during my career, but with the recent rise in cases, I've treated children with this illness for the first time."

"Infants are particularly at risk due to their small airways and developing immune systems. The intense coughing fits associated with pertussis can even cause them to stop breathing," she explained. "This is why early detection and vaccination are crucial."

The symptoms of pertussis often mimic a common cold, with a runny nose and cough. However, with whooping cough, the cough persists and can lead to the characteristic 'whoop' sound, especially in children, as they struggle to catch their breath. Children may also vomit after a severe coughing fit.

"If you're experiencing a persistent cough, it's essential to get checked and tested. Immunization is our best defense against pertussis," Costello advised.

Antibiotics are available for those who test positive, and preventative antibiotics are recommended for close contacts. The key, according to Costello, is early intervention. Infants and children who contract pertussis are at a higher risk of complications, including pneumonia, seizures, brain inflammation, dehydration, and low oxygen levels, which can be life-threatening.

"Adults may experience milder symptoms if they contract whooping cough, but they can still spread the disease to others who may be more severely impacted, such as infants, pregnant individuals, and those with compromised immune systems," she added.

In West Virginia, diphtheria, pertussis, and tetanus vaccinations, along with boosters, are mandatory for students beginning in kindergarten. While this has helped maintain higher immunization rates among school-aged children, preschool vaccination rates have historically been lower, Costello noted.

"When it comes to whooping cough, infants under one year of age are at the highest risk. This means that before starting school or even childcare, it's crucial for adults, especially those in close contact with vulnerable individuals, to stay up-to-date with their vaccines."

Costello shared her personal experience, saying, "My daughter is turning four in the New Year, and before anyone visited her, I ensured they had an updated Tdap vaccine. I also got vaccinated during my third trimester to protect her."

Pregnant women who receive a booster can provide protection to their babies until they're old enough to start their vaccination series, she explained.

"It's essential for people of all ages to discuss their immunization needs with a healthcare provider. Staying informed and up-to-date with vaccinations is crucial to protecting ourselves and our communities," Costello concluded.

As we navigate this public health challenge, it's important to stay informed and take proactive steps to safeguard our health and the health of those around us.

Whooping Cough Outbreak: What You Need to Know and How to Protect Yourself (2026)

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