Clinical focus: recognizing pertussis early, protecting infants and high-risk contacts, using droplet precautions, supporting airway and hydration, and reporting/escalating promptly. Pertussis is a highly contagious respiratory infection caused by Bordetella pertussis. It is nationally notifiable in Canada, spreads mainly through infectious respiratory particles, and is most dangerous for infants, especially those who are unimmunized or under-immunized. Canada describes the classic illness as three stages: catarrhal, paroxysmal, and convalescent. Infectiousness is greatest early, during the catarrhal stage, when symptoms may look like a mild cold.