{
  "release_id": "c7fb95f1d15a7d13",
  "id": "maternal:infant-pertussis",
  "owner": "maternal",
  "kind": "condition",
  "slug": "infant-pertussis",
  "name": "Whooping cough (pertussis) in young infants",
  "aliases": [
    "Whooping cough",
    "Pertussis"
  ],
  "atlases": [
    "maternal"
  ],
  "summary_plain": "Whooping cough is a very contagious infection that causes coughing fits. It can be especially serious in babies who have not had the vaccine. In babies the early signs can be different: they may cough only a little or not at all, and may stop breathing for a short time. Vaccines are the best way to prevent it.",
  "summary_technical": "MedlinePlus descriptions (public domain). The page records that about half of babies under age one who get whooping cough need care in the hospital, without a source for the figure. Maternal Tdap in pregnancy is the intervention with evidence on this atlas (a US case-control evaluation in infants younger than 2 months).",
  "editorial_state": "draft",
  "last_substantive_edit": "2026-10-15",
  "last_evidence_check": "2026-10-15",
  "next_review_due": null,
  "identifiers": [],
  "navigation": {
    "maternal": {
      "life-stage": [
        "newborn",
        "infant-follow-up"
      ],
      "care-area": [
        "infant-health"
      ]
    }
  },
  "payload": {
    "recognition": "Early symptoms in babies can differ from older people: they may cough only a little, may not cough at all, and may have apnea (MedlinePlus).",
    "assessment": "MedlinePlus lists a medical history, a physical exam, a lab test of mucus from the back of the throat, a blood test and a chest x-ray.",
    "burden_claims": [
      "maternal:claim-medlineplus-pertussis-babies"
    ]
  },
  "content_digest": "5355fed519fda5df6d96e87ecdd488bddf4bdd824fb724c71a056b325cadd5ba",
  "review": {
    "content_digest": "5355fed519fda5df6d96e87ecdd488bddf4bdd824fb724c71a056b325cadd5ba",
    "current": [],
    "conflicting": [],
    "stale": [],
    "inactive": []
  },
  "claims": [
    {
      "release_id": "c7fb95f1d15a7d13",
      "id": "maternal:claim-medlineplus-pertussis-babies",
      "owner": "maternal",
      "subject_entity_id": "maternal:infant-pertussis",
      "category": "burden",
      "statement": "MedlinePlus says whooping cough is very contagious and can be especially serious in babies who have not yet had the vaccine, and that about half of babies under age one who get whooping cough need care in the hospital. It says the early symptoms in babies can be different: they may only cough a little or not at all, and may have apnea, a pause in breathing. Vaccines are the best way to prevent whooping cough; the two vaccines named for the United States are DTaP and Tdap.",
      "context": {
        "id": "maternal:ctx-medlineplus-babies-whooping-cough",
        "label": "Babies at risk of whooping cough (MedlinePlus summary)",
        "recipient": "child",
        "population": "Babies who have not yet had the whooping cough vaccine, and babies under one year of age who get whooping cough, as the MedlinePlus topic words them.",
        "care_setting": "Home and hospital care; the page mentions hospital care for about half of babies under one year who get whooping cough.",
        "geography": "Not stated (US government health information site)",
        "life_stage_note": "Babies under one year of age",
        "life_stage_terms": {
          "maternal": [
            "newborn",
            "infant-follow-up"
          ]
        },
        "gestational_age_min_days": null,
        "gestational_age_max_days": null,
        "gestational_age_basis": null,
        "postnatal_age_min_days": null,
        "postnatal_age_max_days": null,
        "gestational_age_status": null,
        "postnatal_age_status": null,
        "followup_description": "Not applicable (health topic summary)",
        "eligibility": {
          "inclusion": [
            "Babies, especially those who have not had the vaccine"
          ],
          "exclusion": [
            "Not stated in the source that was read"
          ]
        }
      },
      "evidence_stage": "not_applicable",
      "certainty": "not_assessed",
      "certainty_method": null,
      "limitations": "A plain-language summary. The page gives no source for the hospital figure and no vaccine schedule. Tdap in pregnancy is on its own page.",
      "editorial_state": "draft",
      "checked_at": "2026-10-15",
      "next_review_due": null,
      "valid_from": null,
      "valid_to": null,
      "citations": [
        {
          "evidence_role": "supports",
          "locator": "Summary, What is whooping cough?, paragraph 2, sentences 1 and 2",
          "applicability_note": "MedlinePlus health topic summary.",
          "snapshot": {
            "id": "maternal:medlineplus-whooping-cough-2026-10-15",
            "retrieved_at": "2026-10-15T13:49:54Z",
            "content_hash": "4e9f8b121a43b498fb61420c5e8e1e4cab021753a1474a43d2c0999f8e1cc84f",
            "source_effective_date": null,
            "public_archive_url": null,
            "source_state": "current"
          },
          "source": {
            "id": "maternal:medlineplus-whooping-cough",
            "source_type": "webpage",
            "title": "Whooping Cough (MedlinePlus health topic)",
            "canonical_url": "https://medlineplus.gov/whoopingcough.html",
            "identifiers": [],
            "publication_date": null,
            "publisher": "MedlinePlus, National Library of Medicine",
            "edition": "The health topic page as shown on 2026-10-15. The page carries no edition date.",
            "reuse_basis": "MedlinePlus page Linking to and Using Content (fetched as ml-medlineplus-using-content.html, sha256 f70c0b8c67574e30377aab0c22b44038364a37e2e9f54a2ffa67597383b3de34) lists summaries on health topic pages as public-domain content. The page bytes are not committed. Short quotations with attribution.",
            "public_text": "quote"
          }
        },
        {
          "evidence_role": "supports",
          "locator": "Summary, What is whooping cough?, paragraph 2, sentence 3",
          "applicability_note": "MedlinePlus health topic summary.",
          "snapshot": {
            "id": "maternal:medlineplus-whooping-cough-2026-10-15",
            "retrieved_at": "2026-10-15T13:49:54Z",
            "content_hash": "4e9f8b121a43b498fb61420c5e8e1e4cab021753a1474a43d2c0999f8e1cc84f",
            "source_effective_date": null,
            "public_archive_url": null,
            "source_state": "current"
          },
          "source": {
            "id": "maternal:medlineplus-whooping-cough",
            "source_type": "webpage",
            "title": "Whooping Cough (MedlinePlus health topic)",
            "canonical_url": "https://medlineplus.gov/whoopingcough.html",
            "identifiers": [],
            "publication_date": null,
            "publisher": "MedlinePlus, National Library of Medicine",
            "edition": "The health topic page as shown on 2026-10-15. The page carries no edition date.",
            "reuse_basis": "MedlinePlus page Linking to and Using Content (fetched as ml-medlineplus-using-content.html, sha256 f70c0b8c67574e30377aab0c22b44038364a37e2e9f54a2ffa67597383b3de34) lists summaries on health topic pages as public-domain content. The page bytes are not committed. Short quotations with attribution.",
            "public_text": "quote"
          }
        },
        {
          "evidence_role": "supports",
          "locator": "Summary, What are the symptoms?, paragraph 3",
          "applicability_note": "MedlinePlus health topic summary.",
          "snapshot": {
            "id": "maternal:medlineplus-whooping-cough-2026-10-15",
            "retrieved_at": "2026-10-15T13:49:54Z",
            "content_hash": "4e9f8b121a43b498fb61420c5e8e1e4cab021753a1474a43d2c0999f8e1cc84f",
            "source_effective_date": null,
            "public_archive_url": null,
            "source_state": "current"
          },
          "source": {
            "id": "maternal:medlineplus-whooping-cough",
            "source_type": "webpage",
            "title": "Whooping Cough (MedlinePlus health topic)",
            "canonical_url": "https://medlineplus.gov/whoopingcough.html",
            "identifiers": [],
            "publication_date": null,
            "publisher": "MedlinePlus, National Library of Medicine",
            "edition": "The health topic page as shown on 2026-10-15. The page carries no edition date.",
            "reuse_basis": "MedlinePlus page Linking to and Using Content (fetched as ml-medlineplus-using-content.html, sha256 f70c0b8c67574e30377aab0c22b44038364a37e2e9f54a2ffa67597383b3de34) lists summaries on health topic pages as public-domain content. The page bytes are not committed. Short quotations with attribution.",
            "public_text": "quote"
          }
        },
        {
          "evidence_role": "supports",
          "locator": "Summary, What are the symptoms?, paragraph 3, sentence 3",
          "applicability_note": "MedlinePlus health topic summary.",
          "snapshot": {
            "id": "maternal:medlineplus-whooping-cough-2026-10-15",
            "retrieved_at": "2026-10-15T13:49:54Z",
            "content_hash": "4e9f8b121a43b498fb61420c5e8e1e4cab021753a1474a43d2c0999f8e1cc84f",
            "source_effective_date": null,
            "public_archive_url": null,
            "source_state": "current"
          },
          "source": {
            "id": "maternal:medlineplus-whooping-cough",
            "source_type": "webpage",
            "title": "Whooping Cough (MedlinePlus health topic)",
            "canonical_url": "https://medlineplus.gov/whoopingcough.html",
            "identifiers": [],
            "publication_date": null,
            "publisher": "MedlinePlus, National Library of Medicine",
            "edition": "The health topic page as shown on 2026-10-15. The page carries no edition date.",
            "reuse_basis": "MedlinePlus page Linking to and Using Content (fetched as ml-medlineplus-using-content.html, sha256 f70c0b8c67574e30377aab0c22b44038364a37e2e9f54a2ffa67597383b3de34) lists summaries on health topic pages as public-domain content. The page bytes are not committed. Short quotations with attribution.",
            "public_text": "quote"
          }
        },
        {
          "evidence_role": "supports",
          "locator": "Summary, Can whooping cough be prevented?, paragraph 1, sentence 1",
          "applicability_note": "MedlinePlus health topic summary.",
          "snapshot": {
            "id": "maternal:medlineplus-whooping-cough-2026-10-15",
            "retrieved_at": "2026-10-15T13:49:54Z",
            "content_hash": "4e9f8b121a43b498fb61420c5e8e1e4cab021753a1474a43d2c0999f8e1cc84f",
            "source_effective_date": null,
            "public_archive_url": null,
            "source_state": "current"
          },
          "source": {
            "id": "maternal:medlineplus-whooping-cough",
            "source_type": "webpage",
            "title": "Whooping Cough (MedlinePlus health topic)",
            "canonical_url": "https://medlineplus.gov/whoopingcough.html",
            "identifiers": [],
            "publication_date": null,
            "publisher": "MedlinePlus, National Library of Medicine",
            "edition": "The health topic page as shown on 2026-10-15. The page carries no edition date.",
            "reuse_basis": "MedlinePlus page Linking to and Using Content (fetched as ml-medlineplus-using-content.html, sha256 f70c0b8c67574e30377aab0c22b44038364a37e2e9f54a2ffa67597383b3de34) lists summaries on health topic pages as public-domain content. The page bytes are not committed. Short quotations with attribution.",
            "public_text": "quote"
          }
        },
        {
          "evidence_role": "supports",
          "locator": "Summary, Can whooping cough be prevented?, paragraph 1, sentence 2",
          "applicability_note": "MedlinePlus health topic summary.",
          "snapshot": {
            "id": "maternal:medlineplus-whooping-cough-2026-10-15",
            "retrieved_at": "2026-10-15T13:49:54Z",
            "content_hash": "4e9f8b121a43b498fb61420c5e8e1e4cab021753a1474a43d2c0999f8e1cc84f",
            "source_effective_date": null,
            "public_archive_url": null,
            "source_state": "current"
          },
          "source": {
            "id": "maternal:medlineplus-whooping-cough",
            "source_type": "webpage",
            "title": "Whooping Cough (MedlinePlus health topic)",
            "canonical_url": "https://medlineplus.gov/whoopingcough.html",
            "identifiers": [],
            "publication_date": null,
            "publisher": "MedlinePlus, National Library of Medicine",
            "edition": "The health topic page as shown on 2026-10-15. The page carries no edition date.",
            "reuse_basis": "MedlinePlus page Linking to and Using Content (fetched as ml-medlineplus-using-content.html, sha256 f70c0b8c67574e30377aab0c22b44038364a37e2e9f54a2ffa67597383b3de34) lists summaries on health topic pages as public-domain content. The page bytes are not committed. Short quotations with attribution.",
            "public_text": "quote"
          }
        }
      ],
      "review": {
        "content_digest": "308d0968dad0d7ecf9e968c3b2d2f7a95588099e54047483a6bbf9b38ee2d0a5",
        "current": [],
        "conflicting": [],
        "stale": [],
        "inactive": []
      },
      "api_path": "api/v1/claims/maternal--claim-medlineplus-pertussis-babies.json"
    }
  ],
  "decisions": [],
  "milestones": [],
  "relationships": {
    "outgoing": [
      {
        "predicate": "related_to",
        "label": "Vaccine-preventable",
        "clinical_claim_not_fact": false,
        "family": "navigation",
        "other_entity_id": "maternal:infant-immunization",
        "other_entity_in_atlas": true,
        "claim_id": null,
        "evidence": null,
        "primary": false,
        "role": null,
        "valid_from": null,
        "valid_to": null
      },
      {
        "predicate": "part_of",
        "label": "Filed under this front",
        "clinical_claim_not_fact": false,
        "family": "navigation",
        "other_entity_id": "maternal:front-medicines-and-vaccines",
        "other_entity_in_atlas": true,
        "claim_id": null,
        "evidence": null,
        "primary": true,
        "role": null,
        "valid_from": null,
        "valid_to": null
      }
    ],
    "incoming": [
      {
        "predicate": "evaluated_for",
        "label": "Evaluated for this",
        "clinical_claim_not_fact": true,
        "family": "clinical",
        "other_entity_id": "maternal:maternal-tdap-vaccination",
        "other_entity_in_atlas": true,
        "claim_id": "maternal:claim-maternal-tdap-ve-infants-under-2-months",
        "evidence": null,
        "primary": false,
        "role": null,
        "valid_from": null,
        "valid_to": null
      }
    ]
  },
  "page_path": "conditions/infant-pertussis/",
  "context_path": "api/v1/context/maternal--infant-pertussis.md"
}