SciELO - Scientific Electronic Library Online

vol.91Prediction of Severe Course in Infants with RSV Bronchiolitis under 6 Months. SpainSex Differences of Perceived Health before and During the Economic Crisis (2007 and 2011). Spain author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand




Related links

  • On index processCited by Google
  • Have no similar articlesSimilars in SciELO
  • On index processSimilars in Google


Revista Española de Salud Pública

On-line version ISSN 2173-9110Print version ISSN 1135-5727


PORRAS-POVEDANO, Miguel; ROLDAN-GARRIDO, Ana  and  SANTACRUZ-HAMER, Virginia. Outbreak of Whooping cough in 2016. Écija, Seville, Spain. Rev. Esp. Salud Publica [online]. 2017, vol.91, 201701008.  Epub Jan 18, 2017. ISSN 2173-9110.


Whooping cough is a global public health problem, is a highly contagious disease, and despite universal vaccination increased incidence is observed. The aim of this study was to describe the investigation of a population outbreak.


A descriptive study of a population outbreak of whooping cough between February and June 2016 in Ecija (Seville). Case and outbreak definitions was taken of Whooping Cough Monitoring Protocol. Information was collected from Health History, Epidemiological Monitoring System and Laboratory. For statistical analysis used the free software R, for measuring quantitative variables were presented, median, standard deviation, minimum and maximum values and percentiles for qualitative variables frequency distribution.


91 suspected cases were identified, ruling 33. Of the remaining 58, 42 cases were confirmed and 16 probable cases. The cases have presented an average age of 10,24 years. 62,1% of cases occurred in women. The incidence during the duration of the outbreak was 148,51 cases/100.000 people globally, and 851,06 cases/100.000 people in under 14 years. All children under 18 years were successfully vaccinated in primary vaccination and only 2 children lacked the fifth dose. The average time between onset of symptoms and diagnosis was 24,86 days.


The establishment of monitoring and control measures have managed to limit and resolve the outbreak. It is recommended to enhance the information and coordination between the various levels of care (Primary care/Specialist) and professionals (Clinical/Epidemiology).

Keywords : Whooping cough; Disease outbreaks; Incidence; Epidemiological monitoring; Prevention and control; Spain.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )