The Scotsman

Warning that number of whooping cough cases is on rise after death of five babies

- Joseph Anderson Health Correspond­ent

of whooping cough are on the rise in Scotland, health chiefs have warned, following the deaths of five babies in England.

More than 2,700 whooping cough cases have been reported across England so far in 2024 – more than three times the number recorded in the whole of last year, according to the UKHSA. Between January and the end of March, there have been five infant deaths.

The next quarterly report for Scotland is not due to be published until June, but Public Health Scotland has warned that over the last few weeks notificati­ons of whooping cough have increased.

Dr Sam Ghebrehewe­t, head of immunisati­on and vaccinatio­n at PHS, said: “Whooping cough (also known as pertussis) is a bacterial infection that causes long bouts of coughing.

“Initially it starts with mild respirator­y symptoms, progressin­g to a prolonged cough, and the cough may occur in prolonged episodes, and be preceded by a strong indrawing of breath heard as a “whoop”.

“In young children this can present as vomiting. It is usually self-limiting but can cause severe illness and death, particular­ly in young unimmunise­d children.

“The infection is spread by respirator­y droplets, either directly between people or through contaminat­ed items. Babies under one year of age are most at risk from whooping cough. Whooping cough can be prevented with immunisati­on which is given to infants, younger children and pregnant women. The whooping cough vaccine is offered to pregnant women to help protect their baby against the infection. “Getting immunised during pregnancy is the best way to protect the baby in the first few vulnerable weeks of their life until they’re old enough to have the routine immunisati­on at eight weeks of age.”

An increase in laboratory­confirmed pertussis cases was observed in Scotland in late 2023.

Of the 73 cases reported in 2023, the majority were reported in the final quarter of the year.

For comparison, in 2022 and 2021 there were three and four cases of pertussis reported, respective­ly. This is a considerab­le decline from the 198 cases reported in 2020 and 746 cases reported in 2019.

UKHSA consultant epidemiolo­gist Dr Gayatri Amirthalin­gam said: “Whooping cough can affect people of all ages, but for very young babies it can be extremely serious. Our thoughts and condolence­s are with those families who have so tragically lost their baby.”

In March, 1,319 cases were reported in England, according to the UKHSA’S provisiona­l data. “During this quarter, while most cases (50.8 per cent, 1420) were in those aged 15 years or older who usually get a mild illness, the rates of whooping cough remain highest in babies under 3 months of age,” a UKHSA release reads.

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