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Show Pertussis (ICD-9=033, ICD-10=A37) Compiled by Lars Peterson 2000 Utah Pertussis Cases: 47 Pertussis, commonly known as whooping cough, was one of the most common childhood diseases and a major cause of childhood mortality in the United States prior to widespread use of the vaccine. For the data presented here, the incidence rates fluctuate annually with Utah's rate ranging from half to five times that of the nation. Pertussis primarily affects children under the age of one, and the large proportion of infants in our population could, in part, explain this annual variation. Utah experienced a statewide outbreak of pertussis cases in 1998 with 297 but the rate has since come back down to normal levels. This outbreak occurred primarily among unvaccinated populations, highlighting the need to maintain vigilance in vaccination efforts. Table 25. Incidence of Pertussis8, Utah and U.S. 1980-1999. Incidence (per ioo.ooo) Year Utah U.S. Utah:U.S. 1980 0.7 0.8 0.88 1981 0.5 0.5 LOO 1982 0.3 0.8 0.38 1983 1.9 1.1 L73 1984 0.4 1.0 0.40 1985 3.7 1.5 2.47 1986 2.6 1.7 153 1987 0.9 1.2 0.75 1988 2.6 1.4 1.86 1989 1.5 1.7 0.90 1990 2.3 1.8 125 1991 0.8 1.1 0.74 1992 2.5 1.6 1.56 1993 2.4 2.6 0.94 1994 1.9 1.8 107 1995 0.5 2.0 0.25 1996 1.3 2.9 0.44 1997 1.4 2.5 0.57 1998 14.1 2.7 5.15 1999 2.7 2.7 1.01 aAge-adjusted to 1940 standard population. ---------<1 1-4 •5-19 1983 1988 year Figure 16. Number of Pertussis Cases by Age (years), Utah and US, 1983-2000. Sources: Utah 1980-2000: Utah Department of Health, Bureau of Epidemiology. Annual Communicable Disease Reports. [Online] http://www.health.state.ut.us/ els/epidemiology/anrpt/. Retrieved 3/21/02. U.S. 1980-1999: U.S. Department of Health and Human Services. Public Health Service, Centers for Disease Control and Prevention. Summary of Notifiable Diseases. United States, Morbidity and Mortality Weekly Report. [Online] http://www.cdc.gov/mmwr/summary.html/. Retrieved 3/21/02. 1. Utah Department of Health, Center for Health Data. Indicator-Based Information System for Public Health. [Online] http://ibisph.state.ut.us/. Retrieved 3/21/02. 70 Utah's Health: An Annual Review Volume VIII |