usually seven to ten days. Disease may occur in those who have been vaccinated, but symptoms are typically milder.

The bacterium Bordetella pertussis causes pertussis, which is spread easily through the coughs and sneezes of an infected person. People are infectious from the start of symptoms until about three weeks into the coughing fits. Diagnosis is by collecting a sample from the back of the nose and throat. This sample can then be tested either