A systematic search was undertaken to identify information on pertussis epidemiology and mortality in school-aged children, adolescents and adults in Europe.

There were 69 epidemiological studies and 19 mortality studies identified for review.

Over the past decade, the reported incidence of notified pertussis cases varied widely between European countries, However, several studies show that pertussis is circulating among adolescents and adults in Europe, and although pertussis-related morbidity and mortality are highest in infants, there is evidence that adults aged > 50 years are at increased risk.

Very few European countries currently include pertussis boosters for adults in the national immunisation strategy. In addition to increasing pertussis vaccination coverage in adolescents and adults, mitigation strategies in European countries should include improved diagnosis and treatment in these populations.