This epidemiological survey was undertaken to estimate the annual burden of
hospitalizations for pertussis in Spain during a four-year period 1995-199
8. Data were obtained from the national surveillance system for hospital da
ta. All hospital discharges for pertussis (ICD-9- CM 033) were analyzed. Th
e annual incidence of hospitalization for pertussis was 1.7 per 100,000 pop
ulation. Eighty-nine percent of the cases were < 1 year of age (incidence o
f 78 per 100,000) and 95% were less than or equal to 5 years of age (incide
nce of 28 per 100,000). During the study period, 14 deaths were reported am
ong patients hospitalized by pertussis. Despite of the high immunization ra
tes, many pertussis cases occur each year, mostly of them among very young
children. (C) 2001 Elsevier Science Ltd. All rights reserved.