Oddly enough, I took my littlest one to the ER last Thursday with a NASTY cough, so bad he couldn't catch his breath and was turning blue. They NEVER asked me if my kids were up to date or vaxed at all, even when I told them that all of my kids had the cough. They said it was just a cold. I knew it wasn't and took them to the chidren's hospital in Orlando and come to find out, they all had pertussis.
By the time we got home from there (5 days later), the HD had already contacted the other hospital and had everyone that came in contact with my son on antibiotics.
The people at the children's hospital gave me some flack for it, though and seem to think that now that they have pertussis , I am going to rush out and get them caught up. I have to admit, I had a lot of mama guilt at that point and considered it but once I talked to the lady at the HD, she informed that kids with the vac are getting too, I felt so much better.
Of course, everyone in my family thinks I am nuts are mad at me for not having them vaxed but I can deal with that as it comes.