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An estimate 50% of the population (2010 census=37,128 people) in LaGrange County, Northern Indiana are members of the Amish community, social group known for maintaining old fashion way of living, and some degree of separation from the non-Amish world (“English”). Amish typically operate their own one-room school system, and discontinue formal education at grade eight. Health is considered by the Amish as a gift from God rather than a result from human efforts. Reports from 2008 to 2011 by the LaGrange County Health Department shows an increasing number of pertussis (whooping cough) cases per year to levels more than ten and fifteen points higher than the State of Indiana and nationwide, respectively. This pattern could be related to a potential “gap” between CDC immunizations goals for pertussis versus immunization complies for pertussis in the Amish community. The vaccination rates could be too low to prevent pertussis or to confer herd immunity. According to research data more than 50% of babies less than 1 year old who becomes infected with Bortedella pertussis need to be hospitalized and usually 90% of pertussis-associated deaths occur among babies under four months of age. The major aim of this project was to focusing in some interventions to improve the current system structure which it should result in a long lasting impact to reducing the local high number of pertussis cases to expected nationwide goals. A systems thinking approach was used to identify gaps and to evaluate possible interventions and to develop a community strategic plan which involves local partnerships efforts to enhance the current positive beliefs of the Amish community regarding vaccines. Note: These documents have not been revised or edited to conform to agency standards. The findings and conclusions in these reports are those of the author(s) and do not necessarily represent the views of the Centers for Disease Control and Prevention.