Pertussis, has proven itself to be an enigma to sustain protection against this acute respiratory infection in the world of epidemiology and remains endemic to the United States. There has been a vaccine for pertussis in widespread use for over sixty-five years. However, the incidence of pertussis remains high with teens to adults and proves itself deadly to infants under 8 weeks of age when intractable pulmonary hypertension leads to cardiac failure (Carrico, C, 2013). The lowest report in the United States of the disease for one year was 1,010 in 1976. Pertussis, is a highly communicable disease caused by the aerobic gram-negative Bordetella pertussis bacteria which is spread with contact of respiratory droplets released during coughing
