Whooping cough was an epidemic in the early twentieth century which caused several fatalities. However, the advent of a vaccine helped policy makers to curb the problem in an efficient and effective manner. Whooping cough has reemerged as a major problem in the state of Washington.

The exact causes are unknown but it has impacted hundreds of infants in the state. There is the need to focus on vaccination as the means of achieving efficiency and effectiveness.

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