Dive Brief:
- Preliminary case numbers for pertussis, or whooping cough, in the U.S. remain elevated in 2025, compared to immediately before the pandemic, when more than 10,000 cases were typically reported each year, according to recent figures from the U.S. Centers for Disease Control and Prevention.
- The uptick in cases of the contagious respiratory illness comes as support for school vaccine mandates has decreased nationwide. During the 2024-25 school year, vaccination coverage among kindergartners in the U.S. decreased year over year for all reported vaccines, according to the CDC.
- Meanwhile, KFF reported this year that exemptions from school vaccination requirements — and particularly non-medical exemptions — have increased. In addition, the New York Academy of Sciences reported in May that disinformation across social media, politicization of vaccines and public figures promoting skepticism, “have all contributed to declining coverage, fueling the resurgence of pertussis.”
Dive Insight:
The Texas Department of State Health Services reported on Nov. 3 that it was tracking a significant increase in pertussis cases in 2025. According to provisional data, the agency said, “Texas has had more than 3,500 reported pertussis cases through October this year, roughly four times the number reported for the same period last year.”
The number of cases is also reportedly the highest for the state in 11 years.
Texas schools, among other entities like hospitals, are required to report individuals who are suspected of having pertussis within one work day, according to the state health agency.
This is the second consecutive year that Texas has experienced high year-over-year increases in reported pertussis cases, and it’s also the second consecutive year the state’s Department of State Health Services has issued a health alert, according to a news release.
The CDC said reported cases of pertussis are currently trending down in 2025 since a peak in November 2024, when more than six times as many cases were reported, compared to 2023. The agency added that case counts will likely change as it finalizes the data.
In September, Colorado-based healthcare system UCHealth reported that cases of whooping cough “are on track to be even worse this year than in 2024,” adding that health officials in parts of the state have warned of “a noticeable jump” in pertussis cases as kids have returned to school.
In many states across the U.S. — including Florida, Oregon and Washington — cases of pertussis as of Sept. 20 were already outpacing total year-to-date cases reported by the CDC in 2025. UCHealth’s September report noted that the worst U.S. pertussis outbreaks so far in 2025 were on the West Coast, with high numbers also reported in Ohio, Michigan, Illinois, Minnesota, North Carolina and Arizona.
Other childhood diseases are also on the rise as a result of shifting attitudes toward vaccines and vaccine mandates. According to the CDC, the best defense against pertussis is a vaccination.
In March, measles infections spread across several U.S. states, a quarter-century after the potentially fatal disease had been declared eradicated in the U.S. in 2000.
In addition to the impact on student health, an uptick in acute and chronic illnesses can also increase chronic absenteeism issues for schools and school districts. A CDC study published last year found that in 2022, 5.8% of children experienced chronic school absenteeism for health-related reasons.
