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Washington state reported 25 times as many whooping cough cases last year as the year before, according to new data that serve as a reminder of the disease's continued surge here and nationwide.

Whooping cough symptoms usually start five to 21 days after exposure, DOH said. The infection is generally treated with antibiotics.

The state Department of Health calls the rise "staggering," and notes that it coincides with a drop in whooping cough vaccination rates among young children.