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In 2012 there was an increase in the incidence of pertussis in the Americas. The Pan American Health Organization (PAHO) made a number of recommendations to strengthen surveillance, investigate outbreaks, to measure adequacy and timeliness of immunizations within the population and monitor policies related to high risk individuals such as health care workers and pregnant women.

A Survey of Pertussis Surveillance and Immunization Practices in Canada, 2012