Abstract

Despite being a vaccine-preventable disease for decades, pertussis control is still a public health challenge. A pertussis outbreak emerged in Jerusalem (n=257 cases, January to June 2023). Most cases were young children (median age 1.5years), and 100 were infants under 1year. The hospitalisation rate of infants was 24%, which was considerably higher than that of cases aged 1year and above (3.8%). There was one fatality in an unvaccinated, 10-week-old infant whose mother had not received pertussis vaccination during pregnancy. Most children were unvaccinated and resided in Jewish ultra-orthodox neighbourhoods in Jerusalem district. An intervention programme and vaccination campaign are ongoing.

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