HealthPop
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Michelle Castillo /

CBS News/ July 19, 2012, 2:17 PM

CDC: US Whooping cough cases rising at epidemic rate

Victor Zamora, right, gets his Tdap shot from pediatric nurse practitioner Jenny Lu, right, in Tustin, Calif., in this photo taken on Aug. 18, 2011.

/ AP/Jae C. Hong
(CBS News) Current whooping cough rates in the U.S. are at the highest number they've been in five years and are on the way to being the worst rates in five decades, the Centers of Disease Control and Prevention said Thursday.

Calling the increase in the number of infected across age groups "substantial," Dr. Anne Schuchat, director of the National Center for Immunization and Respiratory Diseases, said on a conference call that many states are seeing higher than normal cases of the illness. To date, 18,000 cases have been reported to the CDC in 2012, more than twice as many as the same time last year. Nine infants have already died.

"When we have these waves occurring we look at trends and try to understand how we can best reduce impact of disease," she explained.

The numbers are on a fast track to beat out recent high rates in 2010, when 27,000 cases were reported, resulting in 27 deaths. Twenty-five of those were infants. The rates may also surpass all previous annual estimates the CDC has reported on since 1959. Worldwide whooping cough rates are also increasing, with many cases being reported in Canada. And Australia is reporting higher rates of incidence than the U.S.

The sickness is medically known as pertussis, a highly contagious disease caused by a bacteria that causes uncontrollable, violent coughing, according to the National Institutes of Health. Because it can be difficult to breathe, those with the disease make a "whooping" sound when they inhale, leading to the illness' commonly known name. The infection usually lasts six weeks and can affect people of any age. Infants are especially affected by the disease and need to be monitored in case they stop breathing. Schuchat added that more than half of babies need to be cared for in the hospital.

Washington state has the largest amount of reported cases, with more than 3,000 by the end of last week. Though rates have slowed down, in July 2011 there were only 200 cases reported in the state.

"We are using every tool we have to fight this," Mary Selecky, secretary of the Washington State Department of Health, said on the call.

The state has bought and distributed 27,000 doses of TDAP, a booster shot, and distributed them in communities with high rates of uninsured adults. The governor has donated money from the emergency fund and a media campaign featuring real families affected by pertussis is urging people to get vaccinated.

"People are clearly getting the message and taking steps to protect babies and families in our state, but we need more help," Selecky said.

There are two ways to get vaccinated for pertussis. DTAP is a five dose series recommended for infants or young children at 2,4 or 6 months; 15 through 18 months and 4 though 6 years. TDAP is a booster dose given to people 11 to 12 years old, pregnant women and any adult that has not previously had a pertussis vaccine. In 2010, about 84 percent of toddlers 18 to 35 months had at least four doses of DTAP and the three dose rate was at 95 percent, the CDC reported on the call. However, attempts to get the booster are much lower. In 13- to 17-ear-olds, the rate of vaccinations with the booster shot is about 69 percent and in adults 19 to 64, it is a meager 8 percent.

The CDC is investigating whether or not the increased numbers are due to the vaccine wearing off earlier. While whooping cough may be a cyclical disease, certain aspects of this latest outbreak have become concerning to officials, Schuchat said. In particular, across the United States, rates of infected individuals are rising in 10-year-olds, decreasing in 11- and 12-year-olds and increasing again in 13- to 14-year-olds.

"There were unusual epidemiological features that prompted us to launch an investigation in Washington state," Schuchat explained.

The organization, along with state officials, urged pregnant women and people in close contact to children to get vaccinated to prevent further spread. In 1997, the U.S. switched from a wholesale pertussis vaccine to an acellular version. Current records show that the acellular version is fairly effective in protecting young children with 95 percent prevention rates, but five years later it dwindles down to 70 percent. Part of the reason for the different epidemiological features may be due to the switch, seeing that the current pre-teen age groups were among the first to receive the acellular version.

"We think there are many things going on," Schuchat saud. "Pertusis is a cyclical disease and the vaccination is not perfect."

© 2012 CBS Interactive Inc. All Rights Reserved.
11 Comments Add a Comment
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B_Forrest says:
The elephant in the room is illegal immigration. It's too bad that we can't have an honest discussion about this problem and make the public aware of the dangers they face just because of political correctness.

The media has no problem informing us of the dangers of eating a Big Mac or drinking a Coke, but god forbid someone mentions that illegal immigrants are bringing a host of highly dangerous, and even deadly, pests and diseases into this country.
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Kathy AP says:
I am still getting over whooping cough. I got it Feb 26. It is the worst illness I have ever had. I blame the Drs. I went for a physical every year. I had mamograms, pap tests, and everything else a person of my age. Everything but immunizations. I still cough.
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Patrick_Thomas says:
Speaking of Alamance County - ALL were previously vaccinated. The unvaccinated cannot be blamed for these outbreaks:

(North Carolinians confused as to why all 103 cases fully vaxed and no unvaccinated kids got it):

(Excerpt): ... (the) outbreak...has grown to include more than 103 cases.....SHAPLEY-QUINN SAID there's no instance of a child who had not been vaccinated getting pertussis....

(SHOT DOWN !!!) Board member Tony Rose had asked for information about the number of students who don't get vaccinations because of religious or other reasons. "I think it's 15 kids in your entire system (who) have an exemption for medical or religious reasons," Shapley-Quinn said. None of the pertussis cases involved those students, she said.

Bass said the system has a "really good vaccination rate," which "raises questions about the vaccine itself" and its effectiveness in preventing the disease.

http://www.thetimesnews.com/news/school-53424-department-health.html
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Patrick_Thomas says:
Here's a collection of mainstream news stories and studies which prove the vaccine is causing the bacteria to mutate - AND - that the overwhelming majority who contract WC are fully vaccinated:

http://www.facebook.com/WhoopingCoughVaccineIsMakingMattersWorse

Or

http://www.dailypaul.com/167931/a-collection-of-mainstream-news-reports-and-studies-exploding-the-whooping-cough-vaccine-myth
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Patrick_Thomas says:
Why do these articles only mention vaccinations as THE solution to our immune systems being able to defend against various bacteria and viruses? It's a huge disservice to mankind to keep perpetuating this religion. Our bodies are FAR more complicated than just VACCINES, VACCINES, VACCINES, VACCINES !!!!

Why don't these articles stress the basics before chemicals?

Why don't these articles stress the need for ingesting all 90-some-odd vitamins/minerals/amino acids?

Why don't these articles stress the need for breastfeeding?

Why don't these articles stress the need for avoiding toxic, processed, GMO, sugared foods?

Why don't these articles stress the need for exercise?

Why don't these articles stress the need for getting plenty of sleep?

The point being, ALL of the above-mentioned items are far more important than vaccines (if vaccines can even be considered important at all - at least in a positive way).

Stressing vaccines over the BASICS of our bodies speaks volumes regarding the true intentions of these "experts" who all have a vested interest in keeping everyone unhealthy so they can then provide endless "treatments" for the masses.
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Spanawaygal says:
As a 60-something adult in Washington State, I had this crap starting in February-March, and the coughing continued at a reduced pace well into May. At its worst, I seriously thought I might die. Most doctors have difficulty diagnosing pertussis early enough, so please, if you can possibly do it, GET a VACCINATION NOW!! Believe me, you do not want to go through what I did...
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wjss75606 says:
News flash folks. We have all the diseases that we had held in check for years show back up. Why? Twofold reason IMHO. One vaccinations are way down. Two the, elephant in the room people will not admit to, illegal immigrants. Look where most of the outbreaks are and you usually find a large population of undocumented voters everyone is scared to mention. Face facts people. There are things coming up from the jungles of central and South America that we had under control, but they were never vaccinated and they brought more than their desire to live here with them. Need to start vaccination programs or it will get a lot worse. You know there are some nasty bugs that live in those areas that will make their way accross our unprotected borders to our unprotected children at school and at your workplace.
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runningscal says:
hate to say it but in NC, Alamance county has had a huge outbreak and they also have a huge population of migrant workers. So, between the parents choosing to not vaccinate and the migrant population that are too poor to afford vaccines in their native countries, we're going to see alot come back.
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cntrygirl3 says:
cedibility 2 is probably right that a lot of this is due to kids not being vaccinated. It is why the incidence of measles is also way up. It is good though it happened in a state with democrats in charge that would help. Can you imagine if it happened in Texas, or South Carolina can you imagine those governors giving one penny to help the uninsured.
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Martha12345 says:
Washington State government is fundamentally inept, so don't expect too much.
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