The Hawai‘i Department of Health has confirmed five cases of pertussis (whooping cough) among members of a single household, including a child who was hospitalized. The family had traveled from the United States mainland and stayed at a hotel accommodation on O‘ahu, according to department reports.
Until recently, the trend had been going the other way, with four states California, New York, Connecticut, and Maine removing religious exemption policies over the past decade.