The highest rates are seen in school-aged children aged 5 to 16 years.
Whooping cough starts like a cold with a blocked or runny nose, sneezing, a mild fever and an occasional cough. Coughing bouts can worsen and be followed by vomiting, choking or taking a big gasping breath which causes a “whooping” sound. The cough can last for many weeks and can be worse at night.
Children and adults may just have a mild cough that doesn't go away. In adults the cough commonly lasts 5–7 weeks, sometimes longer.
Adolescents are offered a free pertussis vaccine through the Year 7 school vaccination program, as immunity decreases following their early childhood vaccines. GPs can administer free catch-up vaccination to children and adolescents for those who have missed doses. Pharmacists can also administer these free for children aged 5-19 years. The best protection against pertussis infection is vaccination.