Country 2010 2011 2012 2013 2014 Cases Rate National data Report type

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Table 1. Reported pertussis cases: number and rate per 100 000 population, EU/EEA, 2010–2014 Country 2010 2011 2012 2013 2014 Cases Rate National data Report type Reported cases Confirmed cases ASR Austria 435 5.2 288 3.4 571 6.8 580 6.9 Y C 370 4.3 4.4 286 Belgium 100 0.9 233 2.1 500 4.5 799 7.2 1395 12.5 12.4 Bulgaria 54 0.7 46 0.6 102 1.4 89 1.2 A 52 0.8 48 Croatia 45 1.0 . 0.0 109 2.6 131 3.1 3.3 92 Cyprus 2 0.2 16 1.9 9 7 - 5 Czech Republic 661 6.3 324 737 7.0 1233 11.7 2521 24.0 25.7 2303 Denmark 372 6.7 373 980 17.6 484 8.6 762 13.5 Estonia 1295 97.1 478 35.9 149 11.2 55 4.2 43 Finland 343 6.4 555 10.3 541 10.0 192 3.5 206 3.8 France*** 49 196 166 N 83 Germany 12339 15.3 16.0 11969 Greece 64 3 56 0.5 40 0.4 15 0.1 13 Hungary 25 20 Iceland 36 11.3 31 9.6 Ireland 114 2.5 229 5.0 458 174 73 1.6 63 Italy 463 516 489 466 172 0.3 Latvia 10 257 12.6 201 9.9 81 4.0 65 Liechtenstein Lithuania 19 30 154 5.1 2.2 143 4.9 Luxembourg 4 11 29 5.4 6 1.1 Malta 4.8 1 Netherlands 3733 22.5 5447 32.7 12853 76.8 2982 17.8 8067 47.9 47.6 Norway 3560 73.3 4405 89.5 4247 85.2 2608 51.6 3032 59.4 58.0 Poland 1266 1669 4684 12.3 2182 5.7 2100 5.5 731 Portugal 14 32 237 106 74 Romania 86 57 87 80 Slovakia 1378 25.6 936 17.4 950 907 16.8 1123 20.7 1112 Slovenia 611 29.8 284 13.9 178 8.7 169 8.2 399 19.4 22.3 216 Spain 714 1.5 2325 1804 3.9 1678 3.6 2679 5.8 6.0 2379 Sweden 263 2.8 177 289 3.0 703 7.3 698 United Kingdom 517 1256 2.0 11986 18.9 6077 9.5 4043 EU/EEA 16133 19829 42572 11.6 21748 5.9 40727 9.1 9.3 38044 Source: Country reports. Legend: Y = yes, N = no, C = case based, · = no report, ASR: age-standardised rate Suggested citation: European Centre for Disease Prevention and Control. Annual epidemiological report 2015. Pertussis. Stockholm: ECDC; 2016. © European Centre for Disease Prevention and Control, 2016. Reproduction is authorised, provided the source is acknowledged

Figure 1. Number of reported pertussis cases, EU/EEA, 2014 Source: Country reports from Austria, Belgium, Bulgaria, Croatia, Cyprus, the Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, the Netherlands, Norway, Poland, Portugal, Romania, Slovakia, Slovenia, Spain, Sweden, the United Kingdom. Suggested citation: European Centre for Disease Prevention and Control. Annual epidemiological report 2015. Pertussis. Stockholm: ECDC; 2016. © European Centre for Disease Prevention and Control, 2016. Reproduction is authorised, provided the source is acknowledged

Figure 2. Number of reported pertussis cases per 100 000 population, EU/EEA, 2014 Source: Country reports from Austria, Belgium, Bulgaria, Croatia, Cyprus, the Czech Republic, Denmark, Estonia, Finland, France, Greece, Germany, Hungary, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, the Netherlands, Norway, Poland, Portugal, Romania, Slovakia, Slovenia, Spain, Sweden, the United Kingdom. Suggested citation: European Centre for Disease Prevention and Control. Annual epidemiological report 2015. Pertussis. Stockholm: ECDC; 2016. © European Centre for Disease Prevention and Control, 2016. Reproduction is authorised, provided the source is acknowledged

Figure 3. Reported pertussis cases, by age and gender, EU/EEA, 2014 Source: Country reports from Austria, Belgium, Bulgaria, Croatia, Cyprus, the Czech Republic, Denmark, Estonia, Finland, France, Greece, Hungary, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, the Netherlands, Norway, Poland, Portugal, Romania, Slovakia, Slovenia, Spain, Sweden, the United Kingdom. Suggested citation: European Centre for Disease Prevention and Control. Annual epidemiological report 2015. Pertussis. Stockholm: ECDC; 2016. © European Centre for Disease Prevention and Control, 2016. Reproduction is authorised, provided the source is acknowledged

Figure 4. Seasonal distribution of reported pertussis cases, EU/EEA, 2014 compared with 2010−2013 (minimum–maximum) Source: Country reports from Austria, Cyprus, the Czech Republic, Denmark, Estonia, Finland, France, Greece, Hungary, Ireland, Italy, Latvia, Lithuania, Malta, Netherlands, Norway, Poland, Portugal, Romania, Slovakia, Slovenia, Spain, Sweden, United Kingdom. Suggested citation: European Centre for Disease Prevention and Control. Annual epidemiological report 2015. Pertussis. Stockholm: ECDC; 2016. © European Centre for Disease Prevention and Control, 2016. Reproduction is authorised, provided the source is acknowledged

Figure 5. Trend and number of reported pertussis cases, EU/EEA, 2010−2014 Source: Country reports from Austria, Cyprus, the Czech Republic, Denmark, Estonia, Finland, France, Greece, Hungary, Ireland, Italy, Latvia, Lithuania, Malta, the Netherlands, Norway, Poland, Portugal, Romania, Slovakia, Slovenia, Spain, Sweden, the United Kingdom. Suggested citation: European Centre for Disease Prevention and Control. Annual epidemiological report 2015. Pertussis. Stockholm: ECDC; 2016. © European Centre for Disease Prevention and Control, 2016. Reproduction is authorised, provided the source is acknowledged

Table. Pertussis, surveillance systems overview, 2014 Surveillance Data reported by Case definition used characteristics Country Data source L P H O Austria AT-Epidemiegesetz Cp Co C Y EU-2008 Belgium BE-REFLAB V Se A N Not specified/unknown Bulgaria BG-NATIONAL_SURVEILLANCE Croatia HR-CNIPH EU-2012 Cyprus CY-NOTIFIED_DISEASES Czech Republic CZ-EPIDAT Denmark DK-LAB Estonia EE-NAKIS Finland FI-NIDR France FR-RENACOQ Greece EL-NOTIFIABLE_DISEASES Hungary HU-EFRIR Ireland IE-CIDR Italy IT-NRS Other Latvia LV-BSN Lithuania LT-COMMUNICABLE_DISEASES Luxembourg LU-SYSTEM1 EU-2002 Malta MT-DISEASE_SURVEILLANCE Netherlands NL-OSIRIS Norway NO-MSIS_A Poland PL-NATIONAL_SURVEILLANCE Portugal PT-PERTUSSIS Romania RO-RNSSy Slovakia SK-EPIS Slovenia SI-SURVIVAL Spain ES-STATUTORY_DISEASES Sweden SE-SMINET United Kingdom UK-PERTUSSIS Surveillance characteristics: compulsory (Cp), comprehensive (co), voluntary (V), other (O), active (A), passive (P), case-based (C), aggregated (A) Data reported by: laboratories (L), physicians (P), hospitals (H), other (O) Suggested citation: European Centre for Disease Prevention and Control. Annual epidemiological report 2016. Pertussis. Stockholm: ECDC; 2016. © European Centre for Disease Prevention and Control, 2016. Reproduction is authorised, provided the source is acknowledged