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Pregnant women in Tasmania are invited to get their whooping cough vaccine after a spike in bacterial disease that can kill newborns.
Since the beginning of August, 170 pertussis cases have been reported in the state, compared to 40 in 2017.
Cases are more common in the north of the state, including around Devonport, but they are also increasing in the south.
"Schools report the illness of students and staff with the most affected children under 14, especially those aged five to nine," said Public Health Director Mark Veitch on Monday.
Pertussis vaccines are free for pregnant women, the disease being potentially fatal for newborns.
The vaccine is also free for children aged six months, two years and four years.
The last outbreak of pertussis in Tasmania occurred in 2012 with more than 1,200 reported cases.
Initial symptoms are similar to colds, but can lead to severe cough, vomiting, fainting, and difficulty breathing.
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