Six Tips To Support 2026 Health And Well-being Goals - 12/31/25

December 31, 2025

Media Contact: Erica Heartquist, PHD.Communications@oha.oregon.gov

Six tips to support 2026 health and well-being goals

PORTLAND, Ore. - Making New Year’s resolutions or setting goals for 2026? Oregon Health Authority is here to help with six quick ideas.   Whether choosing to get vaccinated against respiratory diseases or quitting tobacco, the decisions you make about your health affect not only longevity and quality of life, but the health of the entire state. When it comes to health, we’re all connected.

Here are six ways to prioritize your health and well-being in 2026:

1. Quit tobacco

Nearly seven in 10 Oregonians who smoke want to quit. If you or someone you know is ready to quit tobacco, free help is available. Contact the Oregon Quit Line at 1-800-QUIT-NOW or at https://quitnow.net/oregon or in Spanish at 1-855-DÉJELO-YA or online at https://quitnow.net/oregonsp.

2. Get vaccinated for respiratory syncytial virus (RSV) and pertussis

Respiratory syncytial virus (RSV) is a common respiratory virus that typically causes mild, cold-like symptoms. However, it can be dangerous, particularly for infants, older adults, pregnant people and individuals with chronic medical conditions. Each year, RSV leads to significant numbers of hospitalizations nationwide and Oregon health care systems routinely experience increased strain during RSV season. 

The vaccine for pertussis, also known as whooping cough, is called DTaP, and it’s a combination of vaccines for tetanus, diphtheria and pertussis. For pertussis, talk to your health care provider about vaccination, which is required in Oregon for children and adolescents and recommended for adults.

3. Get vaccinated for influenza and COVID-19

It’s still important to take precautions against influenza and COVID-19 — common respiratory viruses that can cause mild to severe illness. The seasonal flu vaccine is recommended for everyone age 6 months and older, while the seasonal COVID-19 vaccine is recommended for children under 2 years, adults over 64 years, and anyone 2-64 years at increased risk for severe illness such as people with underlying medical conditions and those who live in congregate facilities. Both vaccines are widely available through pharmacies and health providers.

4. Eat better

Shared and family meals not only improve nutrition but also build stronger family bonds and emotional health. CDC offers ideas for having healthier meals and snacks, and tips for healthy eating to maintain a healthy weight.

5. Rethink the drink

Raising awareness of the effects of excessive alcohol use across Oregon and giving people tools to start conversations about alcohol’s role in their lives - including during the holiday are goals of OHA’s Rethink the Drink initiative. RTD resources can help people cut back on their drinking or reduce the impact that excessive drinking has in their communities.

6. Reach out for help when you need it

In Oregon, the 988 Suicide & Crisis Lifeline is available 24 hours a day, seven days a week. The easy-to-remember 988 number is available for people experiencing any type of mental health challenge, substance use crisis or thoughts of suicide or self-harm.  Anyone who needs support can call, text or chat in English and Spanish (interpretation services and American Sign Language are also available) and connect with trained crisis counselors. The 988 Lifeline is also a resource for friends and families concerned about a loved one.

Online resources from Sources on Strength - Sources of Strength has two online resource packets. The first is Resources for Practicing Strength at Home, and the second is a shorter version that also offers a wellness plan. Any resource in these packets can be used in classrooms, staff meetings, in individual or group counseling, or to practice strength wherever you are.

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Oregon To Receive $197.3M Federal Investment In Rural Healthcare - 12/29/25

December 29, 2025

Media contact: Franny White, franny.l.white@oha.oregon.gov, 971-349-3539 

Oregon to receive $197.3M federal investment in rural healthcare

Funding will help improve healthcare access, boost disease management and prevention, support workforce, expand data and technology use

PORTLAND, Ore. – Oregon will receive $197.3 million in 2026 to improve rural healthcare and could receive more in the following four years, the U.S. Centers for Medicare and Medicaid Services has announced.

Recreational Use Advisory Lifted For Upper Klamath Lake - 12/23/25

December 23, 2025

Media contact: Jonathan Modie, PHD.Communications@oha.oregon.gov

Recreational use advisory lifted for Upper Klamath Lake

Continue to keep pets away as levels detected remain above educational guideline values for animals

PORTLAND, Ore.—Oregon Health Authority (OHA) has lifted the recreational use health advisory issued for Upper Klamath Lake in Klamath County.

OHA issued the advisory July 24.

Water monitoring has confirmed the level of cyanotoxins in Upper Klamath Lake are below recreational guideline values for people. However, levels detected are still above OHA’s educational guideline values for dogs, and owners should keep their pets away from these areas.

OHA advises recreational visitors to continually be alert to signs of cyanobacteria blooms. This is because blooms can develop and disappear on any water body at any time when bloom conditions are favorable. Only a fraction of water bodies in Oregon are monitored for blooms and toxins, so it’s important for people to become familiar with signs of a bloom, exposures and symptoms by visiting OHA’s Cyanobacteria (Harmful Algae) Blooms website at http://www.healthoregon.org/hab.

When recreating, people, and especially small children, and pets should avoid areas where the water is foamy, scummy, thick like paint, pea-green or blue-green, or if thick brownish-red mats are visible or bright green clumps are suspended in the water. If you see these signs, avoid activities that cause you to swallow water or inhale droplets, such as swimming or high-speed water activities, and keep pets out of the area.

Cyanotoxins can still exist in clear water. When a bloom dies, toxins released may reach into clear water around the bloom. Blooms can be pushed into other areas, leaving toxins behind. There also are species of cyanobacteria that anchor themselves at the bottom of a water body, live in the sediment, or can grow on aquatic plants and release toxins into clear water.

For health information or to report an illness, contact OHA at 971-673-0482, or visit OHA’s Cyanobacteria (Harmful Algae) Blooms website.

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Recreational Use Advisory Lifted For Prineville Reservoir - 12/23/25

December 23, 2025

Media contact: Erica Heartquist, PHD.Communications@oha.oregon.gov

Recreational use advisory lifted for Prineville Reservoir

PORTLAND, Ore. - Oregon Health Authority (OHA) has lifted the recreational use health advisory issued for Prineville Reservoir in Crook County.

OHA issued the advisory Oct 13.

Water monitoring has confirmed that the level of cyanotoxins in Prineville Reservoir are below recreational guideline values for people and below safety values for dogs.

OHA advises recreational visitors to continually be alert to signs of cyanobacteria blooms. This is because blooms can develop and disappear on any water body at any time when bloom conditions are favorable. Only a fraction of water bodies in Oregon are monitored for blooms and toxins, so it’s important for people to become familiar with signs of a bloom, exposures and symptoms by visiting OHA’s Cyanobacteria (Harmful Algae) Blooms website at http://www.healthoregon.org/hab.

When recreating, people, and especially small children, and pets should avoid areas where the water is foamy, scummy, thick like paint, pea-green or blue-green, or if thick brownish-red mats are visible or bright green clumps are suspended in the water. If you see these signs, avoid activities that cause you to swallow water or inhale droplets, such as swimming or high-speed water activities, and keep pets out of the area.

Cyanotoxins can still exist in clear water. When a bloom dies, toxins released may reach into clear water around the bloom. Blooms can be pushed into other areas, leaving toxins behind. There also are species of cyanobacteria that anchor themselves at the bottom of a water body, live in the sediment, or can grow on aquatic plants and release toxins into clear water.

For health information or to report an illness, contact OHA at 971-673-0482, or visit OHA’s Cyanobacteria (Harmful Algae) Blooms website.

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Recreational Use Advisory Lifted For Thief Valley Reservoir - 12/23/25

December 23, 2025

Media contact: Timothy Heider, PHD.Communications@oha.oregon.gov

Recreational use advisory lifted for Thief Valley Reservoir

Continue to keep pets away as levels detected remain above educational guideline values for animals

PORTLAND, Ore.—Oregon Health Authority (OHA) has lifted the recreational use health advisory issued for Thief Valley Reservoir in Baker and Union Counties.

OHA issued the advisory on Aug 20.

Water monitoring has confirmed that the level of cyanotoxins in Thief Valley Reservoir are below recreational guideline values for people.

However, levels detected are still above OHA’s educational guideline values for dogs, and owners should keep their pets away from these areas.

OHA advises recreational visitors to continually be alert to signs of cyanobacteria blooms. This is because blooms can develop and disappear on any water body at any time when bloom conditions are favorable.

Only a fraction of water bodies in Oregon are monitored for blooms and toxins, so it’s important for people to become familiar with signs of a bloom. Learn more about potential exposures and symptoms here.

When recreating on, or in the water, people, and especially small children, and pets should avoid areas where the water is foamy, scummy, thick like paint, pea-green or blue-green, or if thick brownish-red mats are visible or bright green clumps are suspended in the water.

If you see these signs, avoid activities that cause you to swallow water or inhale droplets, such as swimming or high-speed water activities, and keep pets out of the area.

Cyanotoxins can still exist in clear water. When a bloom dies, toxins released may reach into clear water around the bloom. Blooms can be pushed into other areas, leaving toxins behind. There also are species of cyanobacteria that anchor themselves at the bottom of a water body, live in the sediment, or can grow on aquatic plants and release toxins into clear water.

For health information or to report an illness, contact OHA at 971-673-0482, or visit OHA’s Cyanobacteria (Harmful Algae) Blooms website.

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Safety Tips For Coastal Beach Visitors During Rainy Season - 12/23/25

Safety tips for coastal beach visitors during rainy season

Coverage, Savings, Peace Of Mind: Oregon Encourages Health Plan Enrollment For 2026 - 12/22/25

Coverage, savings, peace of mind: Oregon encourages health plan enrollment for 2026

Tips For A Safer Holiday Season - 12/18/25

December 18, 2025

Media Contact: Kim Lippert, kimberly.l.lippert@oha.oregon.gov, 971-323-3831 

Tips for a safer holiday season

PORTLAND, Ore. - The holidays can be a challenging time for people with substance use disorders. Here are some tips to make the season safer and brighter:

• Plan ahead: Prepare for potential triggers. Schedule healthy activities and avoid social situations that may lead to substance use.  
• Set boundaries: Practice declining substances with a trusted friend. Plan to be around safe and sober friends to avoid unwanted offers of substances.
• Stay connected: Maintain connections with support groups or support people during the holiday season.
• Engage in self-care: Prioritize mental health and well-being. Plan activities that promote relaxation and stress relief.
• Be prepared: Be familiar with your recovery plan and have a backup plan to handle any challenging situations that may arise.

Remember you are not alone - help is available.

Reach out for support:

• 988 Oregon: Call or text 988 or chat online at 988lifeline.org
• Veterans Crisis Line: Dial 988 (press 1) or text 838255: Call 800-923-4357
• Alcohol and Drug Helpline: Call 800-923-4357
• SAMHSA’s National Helpline: 1-800-662-HELP (4357)
• FindSupport.gov
• FindTreatment.gov

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Recreational Use Advisory Lifted For Brownlee Reservoir - 12/18/25

December 18, 2025

Media contact: Timothy Heider, PHD.Communications@oha.oregon.gov

Recreational use advisory lifted for Brownlee Reservoir

Pet owners should continue to keep their pets away from areas that appear to have a bloom

PORTLAND, Ore.—Oregon Health Authority (OHA) has lifted the recreational use health advisory issued for Brownlee Reservoir in Baker County.

OHA issued the advisory Aug 8.

Water monitoring has confirmed that the level of cyanotoxins in Brownlee Reservoir are below recreational guideline values for people. However, levels detected may still above OHA’s educational guideline values for dogs. Pet owners should therefore keep their pets away from areas that have the appearance of a cyanobacteria bloom.

OHA advises recreational visitors to continually be alert to signs of cyanobacteria blooms. This is because blooms can develop and disappear on any water body at any time when bloom conditions are favorable.

Only a fraction of water bodies in Oregon are monitored for blooms and toxins, so it’s important for people to become familiar with signs of a bloom, exposures and symptoms by visiting OHA’s Cyanobacteria (Harmful Algae) Blooms website at http://www.healthoregon.org/hab.

When recreating, people, and especially small children, and pets should avoid areas where the water is foamy, scummy, thick like paint, pea-green or blue-green, or if thick brownish-red mats are visible or bright green clumps are suspended in the water. If you see these signs, avoid activities that cause you to swallow water or inhale droplets, such as swimming or high-speed water activities, and keep pets out of the area.

Cyanotoxins can still exist in clear water. When a bloom dies, toxins released may reach into clear water around the bloom. Blooms can be pushed into other areas, leaving toxins behind. There also are species of cyanobacteria that anchor themselves at the bottom of a water body, live in the sediment, or can grow on aquatic plants and release toxins into clear water.

For health information or to report an illness, contact OHA at 971-673-0482, or visit OHA’s Cyanobacteria (Harmful Algae) Blooms website.

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Oregon Health Authority Responds To Measure 110 Audit From The Oregon Secretary Of State - 12/17/25

December 17, 2025

Media contact: Kim Lippert, Kimberly.l.lippert@oha.oregon.gov, 971-323-3831

Oregon Health Authority responds to Measure 110 audit from the Oregon Secretary of State

PORTLAND, Ore. — Historically, Oregon’s behavioral health system has gone underfunded and overburdened. Today, with renewed focus and broad alignment, the Oregon Health Authority (OHA), is working to change that, reimagining what treatment can look like across the state when accountability meets action. An audit released by the Secretary of State shows that the agency has taken significant steps to strengthen program oversight and ensure responsible, effective use of Measure 110 dollars.

This important work is underway and producing meaningful results. As of today, there are 234 Behavioral Health Resource Network (BHRN) grantees across the state, with one in each county. These services include culturally and regionally specific care that connects or re-connects patients with the communities they call home. With each step taken to improve Oregon’s behavioral health system, lives are saved, bonds are rebuilt, and barriers to care are lowered for those who need it most.

“OHA appreciates the results of this audit and is acting with urgency on the findings,” said OHA’s Behavioral Health Division Director Ebony Clarke. “We are committed to ongoing work to strengthen oversight, responsible stewardship of Measure 110 dollars, and ensuring that every person in Oregon has access to the behavioral health services they need.”

OHA acknowledges initial implementation of Measure 110 was challenged by tight timelines and insufficient staffing. However, in the last year OHA has significantly grown and stabilized the Measure 110 program through improved leadership, management, and staffing.

As noted by the SOS Audits Division, regular legislative changes since 2020 have impacted OHA's ability to establish and stabilize BHRN programming and oversight.

OHA acknowledges past Measure 110 data limitations and has invested in Measure 110 data improvements. The data collected by the 234 grantees and submitted to OHA has increased dramatically. Through implementation of the Strategic Data Plan, OHA is already charting a forward-looking evaluative approach that emphasizes ongoing performance measures and BHRN provider-reported indicators. This method better captures program outcomes through programmatic and client-level metrics collected quarterly. These metrics will be publicly available via the BHRN program quarterly dashboard, which will provide aggregate data on program activities and service level metrics.

History of What Was Audited

Measure 110 was a ballot measure passed by Oregonians in 2020 to expand addiction services and social supports through redirected marijuana tax revenue and law enforcement savings.

As noted by the Secretary of State’s Audits Division, several legislative changes since 2020 have impacted OHA’s ability to establish and stabilize the Behavioral Health Resource Network’s (BHRN) programming and oversight. During its first years, these changes altered timelines, expectations and funding formulas. Most notably, HB 4002 (2024) shifted one of the foundational tenants of the original legal framework by recriminalizing drug possession and changed how people access BHRN services. Declining cannabis tax revenue and criminal justice cost savings have also reduced available funds.

Despite these shifts, OHA remains focused on maintaining statewide access to treatment, harm reduction and recovery services. Even with funding instability for Measure 110’s BHRNs, OHA has ensured available funds are used efficiently and effectively to support essential behavioral health services statewide.

OHA Implementation and Program Improvements

Following two previous audits, OHA continues to take clear action – responding to past findings and addressing key issues raised in the most recent review. From 2022-2025, programs receiving Measure 110 funding reported 3 million encounters with people in need of addiction and social support services. , More than 80% of the funded BHRN providers performed outreach at least once per week and approximately 40% of these providers performed outreach five or more times weekly, resulting in thousands of new clients accessing critical BHRN services.

This work is made possible in part by OHA’s substantial process improvements, including:

Leadership and Structure

• Hiring a dedicated Measure 110 Executive Director (October 2024), program manager (February 2025) and additional leadership staff (2025).
• Expanding the M110 program team from three to 18 full-time positions, providing stability and expertise.
• Embedding project management, grant administration and cross-division coordination into daily operations.

Governance and Oversight

• Reorganizing the program to ensure alignment with the OHA Director, Behavioral Health Division Director and Governor’s Office priorities and strategies.
• Successfully completing the 2025 grant process and incorporating lessons learned for the upcoming funding cycle.
• Preparing for the shift of grant-making authority from the Oversight and Accountability Council (OAC) to OHA in 2026 under Senate Bill 610 (2025).

Data and Accountability

• Launching enhanced Behavioral Health Resource Network (BHRN) grant reporting in 2025, including client-level reporting.
• Implementing standardized expenditure and staffing reporting to ensure the responsible use of every Measure 110 dollar.
• Utilizing a public facing dashboard to ensure robust data is collected and shared, including plans for additional data reporting for the current grant cycle.

Additionally, while the Audits Division recommends OHA conduct a baseline study to determine the impact of Measure 110 funded services, data limitations and the availability of appropriate data comparisons significantly hinder OHA’s ability to conduct such a study, possibly to the point of rendering it impossible. However, OHA has invested in many data improvements that will allow the agency to report out on BHRN program impact and client outcomes by 2027.

Work to Improve Access to Behavioral Health Services Continues

“We have built a responsive high performing team overseeing M110 implementation to help build a system that is coordinated, evidence-based and responsive,” Clarke said. “OHA is committed to collaborating with partners to ensure we are leading with stability, collaboration and compassion.”

OHA continues to advance the equity goals at the heart of Measure 110 by improving culturally specific services, strengthening funding processes and ensuring that communities disproportionately harmed by past drug policies have access to care.

Substance use disorder is a long-term public health challenge. OHA will continue strengthening Measure 110 implementation and ensuring that public funds are used effectively to support treatment and recovery to reduce harm and save lives across Oregon.

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Oregon Health Authority Urges Caution To Prevent Carbon Monoxide Poisoning During Winter Months - 12/16/25

For video of woodstoves in use and battery-backed -up carbon monoxide alarms, click here.

December 16, 2025

Media contact: Erica Heartquist,  PHD.Communications@oha.oregon.gov

Oregon Health Authority urges caution to prevent carbon monoxide poisoning during winter months

Oregon Reduces Barriers To Birth Control For Medicaid Members - 12/16/25

December 16, 2025

Media Inquiries: Amy Bacher, amy.bacher2@oha.oregon.gov  

Oregon reduces barriers to birth control for Medicaid members

Oregon Health Plan members will be able to obtain birth control and emergency contraception without a prescription and at no cost starting Dec. 16

SALEM, Ore. – Starting today, Oregon Health Plan (OHP / Medicaid) members will be able to get over-the-counter birth control pills, including Opill, and emergency contraception at no cost at pharmacies in the state. Oregon Health Authority (OHA), in collaboration with the Oregon Board of Pharmacy, made this possible through a standing order, which allows pharmacists to provide these medications to OHP members and bill OHP.

“Access to reproductive health care should not depend on how much money you make or what kind of insurance you have,” Governor Tina Kotek said. “This step ensures that Oregon Health Plan families can get timely, affordable birth control. I will keep working to make sure every Oregonian can access the care they need to make the decisions that are right for them.”

In Oregon, these medications are already covered without a prescription for people with private insurance. Federal law, however, requires that all medications for Medicaid enrollees be prescribed by a licensed practitioner who is enrolled in the state’s Medicaid program. Oregon’s new standing order means that OHP members will no longer have to get a prescription to access these contraceptives at no cost.

“This change removes a real and unnecessary barrier to care,” said OHA Director, Dr. Sejal Hathi. “By allowing Oregon Health Plan members to get safe, effective contraception directly from pharmacies – without a prescription and at no cost to themselves – we are closing a longstanding gap between private insurance and Medicaid and ensuring all people in Oregon have greater control over their own reproductive health.”

Over-the-counter emergency contraception has been widely available for several years, and the FDA approved Opill as the first birth control pill for over-the-counter use in 2023. Previously, however, OHP members were required to pay out of pocket or else seek out a doctor’s appointment for a prescription to get these medicines covered.

Oregon’s Reproductive Health Equity Act (RHEA) requires that many health plans offered in Oregon, including all plans offered through the Marketplace, cover over-the-counter contraceptives at no cost. Some private insurance plans that are not subject to Oregon insurance laws may not include this coverage, so people with private insurance should contact their insurance company for more information about their coverage. Additional information can be found on the Department of Consumer and Business Services (DCBS) web page.  

How OHP members can get access:

• OHP members can go to their approved pharmacy and request emergency contraception or Opill, and for it to be covered by OHP.
• Most OHP members get their benefits through a local Coordinated Care Organization (CCO); OHP members can call their CCO and ask which pharmacy to go to.
• OHP members not in a CCO (known as OHP Open Card), or who do not know which CCO they’re in, can call OHP Client Services for help at 800-273-0557. 
• OHP members will need to provide their OHP ID number, which is on their OHP ID card or CCO ID card, or by providing personal information that enables the pharmacy staff to search for and confirm enrollment in OHP. 

Additional information is available on the OHP member webpage.

OHA Seeks Applicants For The Oversight And Accountability Council - 12/10/25

December 10, 2025

Media Contact: Kim Lippert, Kimberly.l.lippert@oha.oregon.gov, 971-323-3831

OHA seeks applicants for the Oversight and Accountability Council

SALEM, Ore. - Oregon Health Authority is seeking applicants to serve on the Oversight and Accountability Council (OAC), a Council established by Ballot Measure 110 in 2020. The OAC is a public body of the state of Oregon that advises the Oregon Health Authority on the grant program described in ORS 430.389

Members of the OAC serve four-year terms. Members may be eligible for a stipend to compensate them for their time engaged official duties of the OAC. OHA is seeking new members in the categories described below:

• (a)(G) An academic researcher specializing in drug use or drug policy

To apply, submit an application here by 11:59 p.m., Jan. 16, 2025.

A team at OHA will review applications and inform applicants of appointments by Feb. 1, 2026.

For questions or more information, email OHA.Measure110@oha.oregon.gov ,or contact Karli Moon at Karli.moon@oha.oregon.gov or 971-240-8690.

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Health Officials Urge Pertussis Vaccination, Safety Measures To Protect Babies; Case Count Surpasses 75-year Record - 12/10/25

December 10, 2025  

OHA releases new data showing Oregon's maternal pertussis vaccination rate too low, especially in rural counties

• What you need to know: 
  • Pertussis, also known as whooping cough, is a bacterial infection that spreads easily through droplets when someone coughs or sneezes.
  • Pertussis can cause severe disease in people of all ages, but babies are most at risk of serious illness, hospitalization and death from infection.
  • Vaccination is important for people of all ages, and it's the best way to prevent severe disease and hospitalization. 

PORTLAND, Ore - Pertussis cases in Oregon have reached an all-time high, prompting state officials to urge people to make sure they and their families are up to date on vaccinations—especially those who are pregnant or spend time with babies—and take steps to reduce spread. 

In 2025, as of today—Dec. 10—Oregon Health Authority has received a record-high 1,475 reported cases of pertussis, also known as whooping cough, breaking the state's all-time annual record of 1,420, set in 1950. The current outbreak began in spring 2024, when Oregon recorded 1,252 pertussis cases by year's end. Other U.S. states have reported similar caseload spikes.

Pertussis can cause severe disease in people of all ages, but babies are most at risk of serious illness, hospitalization and death from infection. To reduce that risk, the American Academy of Pediatrics recommends every pregnant person receive a single dose of Tdap vaccine during their third trimester (weeks 27-36) to protect their newborn from pertussis. That's because babies' immune systems are too weak to protect against infection until they get vaccinated at 2 months old.

Spouses, partners, grandparents and any adult routinely in the baby's life should also consider receiving a Tdap dose at least two weeks before the baby is born.

However, vaccination is important for people of all ages, and it's the best way to prevent severe disease and hospitalization. In addition to pregnant people, pertussis vaccination is recommended for infants and children starting at 2 months through 4 to 6 years old, adolescents at age 11 or 12, and any adult who has not previously been vaccinated.

“I worry people may not fully appreciate the risk pertussis poses as case counts are rising, especially for babies and older adults," said Howard Chiou, M.D., Ph.D., medical director for communicable diseases and immunizations at OHA's Public Health Division. “One of the most important things someone can do to protect their newborn is to get the Tdap vaccine during pregnancy. Unfortunately, we've seen a statewide decline in maternal Tdap vaccination rates in Oregon, which is a dangerous trend."

VIDEO: Videos of Dr. Chiou discussing Oregon's historic pertussis spread and its impact are available at the top of OHA's Media Resources page.

The numbers

In 2025, 87 cases of infant pertussis (children younger than 12 months)--22 of whom were hospitalized—have been reported in Oregon so far. One infant died in Oregon earlier this year. It is the only death from pertussis reported in Oregon during 2025.

OHA's new Pregnancy Immunization Data dashboard shows only 69% of pregnant people received Tdap vaccination in 2024, down from 72% in 2020.

Maternal Tdap vaccination rates also vary widely from county to county, with rates as low as 17% and as high as 82%. The lowest rates are largely in rural counties, where it's often harder to find vaccinations, and where vaccine hesitancy rates are also higher.

Pertussis outbreaks occur regionally about every three to five years and do not necessarily follow seasonal patterns. Because of widespread masking and social distancing during the pandemic, Oregon saw only three reported cases of pertussis in 2021, followed by 17 in 2022 and 40 in 2023. Health officials attribute the skyrocketing cases since then to a return to pre-pandemic norms that coincides with waning immunity and decreased vaccination rates. 

Why the vaccine matters

Studies show Tdap vaccination during pregnancy is highly effective in preventing pertussis infection and hospitalization. Long-term protection from the pertussis vaccine wanes over time, however, which can create confusion about the vaccine.

“I hear the confusion in my community about pertussis vaccination," said Benton County Health Officer Carolina Amador, M.D., MPH. “When we use the word 'booster,' people may think the vaccine isn't very effective because protection fades, so they may not want to bother. At the same time, we strongly recommend it for certain people, such as children and pregnant people, because in the short term it does a great job protecting the most vulnerable among us."

The disease

The only way a baby will become infected with pertussis is if they are exposed to someone with pertussis, a bacterial infection that spreads easily through droplets when someone coughs or sneezes.

But pertussis often goes undiagnosed. The illness is tricky to diagnose because not everyone with pertussis will have the trademark “whooping" sound when coughing. For some, pertussis can be severe and result in a trip to the hospital, while others may experience mild symptoms and may not necessarily seek medical care while they still spread disease.

Jennifer Gibbons, N.D., is a naturopathic pediatrician in Portland whose practice attracts many parents who are vaccine hesitant.

“When parents of my little patients also happen to be pregnant, they often tell me their own OBGYN has recommended the Tdap vaccine, and they will ask me, 'But do you think it's right for me?' The answer is always yes," she said. 

“I can say, 'I've seen whooping cough, and it's truly awful for infants,'" Gibbons added. “Then I'll explain how the vaccine merely adds to the suite of protective antibodies that the mother is already providing the baby through the placenta. I'm always exploring ways to change my language with patients to see if I can get them to look at it differently."

Click here to learn more about pertussis in Oregon.

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