Skip to main content

Revising State Policy to Help Reduce High Rates of Pertussis

Pertussisbystate122018
Pertussis by State 2018

Pertussis is a highly contagious respiratory disease that can have very serious effects on babies and young children. Over the past five years, Maine children have been exposed to higher rates of pertussis (also known as whooping cough) compared to their peers across the country. In 2012, there were 737 cases across the state1, and in 2016, there were 243 cases.2

Even though the number of cases went down between 2012 and 2016, Maine had the fourth highest rate of pertussis in the country in 2016.3 Within the state, rates of pertussis vary across counties. Cumberland and Waldo Counties had rates of 53 and 46 out of 100,000, respectively, while eight counties had rates less than 14 out of 100,000.4

In 2017, Maine took action to combat Pertussis by requiring a Tdap booster vaccination for all students entering 7th grade. Tdap is the vaccine that prevents Pertussis (as well as tetanus and diphtheria). The Maine Immunization Coalition, of which MaineHealth is a member, monitored and provided public comment in support of the rulemaking process to add these requirements through joint Department of Health and Human Services and Department of Education rules. According to public health experts, improving vaccination coverage helps to reduce the number of cases because adolescents are common transmitters of the infection to babies and young children.5

This policy was enacted in time for the start of the 2017-2018 school year; public health officials and clinical leaders will be closely following the number of cases of pertussis and vaccination rates over the course of the next several years to estimate the impact of this rule change. Maine was the 48th state in the nation to require the booster shot for middle school entry.

Tracking Progress

Pertussisbystate122018

Since 2011, the rate of pertussis in Maine has been above that of the U.S. That trend continued into 2017 with Maine having the highest rate in the U.S. In 2017, Maine took action to combat Pertussis by requiring a Tdap booster for all students entering seventh grade.

1 U.S. Centers for Disease Control and Prevention. "2012 Final Pertussis Surveillance Report." https://www.cdc.gov/pertussis/surv-reporting.html  (December 2017)

2,3 U.S. Centers for Disease Control and Prevention. "2016 Provisional Pertussis Surveillance Report." https://www.cdc.gov/pertussis/surv-reporting.html  (December 2017)

4 Maine Department of Health and Human Services, Maine Center for Disease Control and Prevention. "Maine Monthly Pertussis Surveillance Report October 2017." http://www.maine.gov/dhhs/mecdc/infectious-disease/epi/vaccine/pertussis.shtml  (December 2017)    

5 Adolescents are common transmitters of the infection to infants and other young children. The protection from whooping cough vaccination wears off by the teen years so it is so important for adolescents to receive this vaccine as they are at risk for infection and then transmission. http://www.nfid.org/pertussis/

HealthIndexImmunizationsAdolescents

Immunizing Adolescents to Prevent Cancers

MaineHealth practices have substantially increased their up-to-date rates for HPV vaccine.
Doctor working with a young boy with his family nearby

Childhood Immunizations

See the progress being made to increase childhood immunizations.
Health Index Tobacco FCO

MaineHealth Health Index

View data on our seven priorities and progress on MaineHealth targets. 

Latest News

View All
Poulin Family Nursing Education Fund Received $150,000 Gift
MaineHealth Care at Home (MHCAH) is pleased to receive a $150,000 gift toward the Poulin Family Nursing Education Fund by Paul Poulin.
Memorial COVID-19 Vaccine Clinic Passes 10,000 Doses
The Memorial Hospital vaccine clinic administered its 10,000th dose of COVID-19 vaccine yesterday (April 8, 2021).
SMHC Welcomes Matthew Fasolino, DO, Family Medicine
Southern Maine Health Care (SMHC) is pleased to welcome Matthew Fasolino, DO, who has joined SMHC’s Primary Care practice in Kennebunk.
High Scores for Merriman House in Recent State Survey
The residents and staff at Merriman House at Memorial Hospital are celebrating a deficiency free survey from the New Hampshire Department of Health and Human Services (DHHS).