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Supplemental case report forms are submitted by state health departments on a portion of cases reported to the MMWR. The forms contain information on age,sex, vaccine status, date of onset of symptoms, complications, and laboratory confirmation.
During 1984 and 1985, the Multicenter Pertussis Surveillance Project (MCPSP) conducted active case surveillance in and around Denver, Colorado; Milwaukee, Wisconsin; Baltimore, Maryland; and Oklahoma County, Oklahoma. Elsewhere within the United States, routine passive surveillance was the only means of identifying pertussis cases. To preserve comparability with previous reporting trends, MCPSP areas were excluded from the analysis reported here.