Whooping cough has become a major epidemic in the state of Washington. The exact causes have been unknown. The resurgence of the epidemic suggests that many parents have opted not to use the vaccine which had been previously very effective against whooping cough.

The community has responded by vigorous attempts to tackle the problem. This is done through the emphasis on vaccination. Public health officials need to use instruments which can collect information about the exact causes of whooping cough. This will play a major role in the development of effective strategies against the epidemic.

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