The graphs present annual whooping cough notifications in England and Wales from 1940 to 1990 and childhood vaccination coverage over a shorter period. The latter covers England and Wales until 1977, followed by England alone.
Overall, notifications fell substantially across the five decades, although the trend was interrupted by several outbreaks. Vaccination coverage declined during the 1970s before recovering in the later years shown.
Notifications rose from 53,607 in 1940 to the period's highest figure, 173,330, in 1941. Another substantial peak of 169,347 occurred in 1951. Although the annual total generally declined thereafter, it climbed to 65,956 in 1978 and 65,815 in 1982. By 1990, notifications stood at 15,286, well below the early peaks.
Among children in England and Wales, completed vaccination coverage was 81% in 1969. It remained close to this level through 1974, then fell to 59% in 1975 and 38% in 1976, before edging up to 39% in 1977. The England-only series starts at 31% in 1978 and rises to 65% in both 1984 and 1985. The geographical change means the two coverage series should be compared cautiously.