Two unvaccinated babies die of whooping cough in KY as disease rise is predicted to continue
Two unvaccinated babies have died from pertussis, better known as whooping cough, in Kentucky in the last six months, the Kentucky Department for Public Health announced Friday.
These two deaths in infants, whose mothers were also not vaccinated against pertussis, are the first whooping cough deaths in Kentucky since 2018, the department said.
Whooping cough is a highly contagious respiratory illness that can be life threatening. It is most dangerous for babies, according to the Centers for Disease Control and Prevention. It can, however, affect people of any age.
Kentucky health officials emphasized the importance of maternal immunization during pregnancy and for all infants beginning promptly at 2 months of age.
'Anyone can get whooping cough, but infants are at greatest risk for life-threatening illness,' Dr. Steven Stack, the state's public health commissioner, said in a statement. 'Fortunately, when vaccinations are administered to pregnant women, it provides protection to both the mother and the baby.'
The state's public health department says there have been 247 cases of whooping cough so far in 2025. In 2024, there were 543 cases, the most since 2012.
'Health officials anticipate that whooping cough will continue to increase during the summer and fall, based on historic trends,' the department said.
Vaccines are available to children as young as 2 months old and can help prevent it, the CDC says. The recommended vaccines are DTaP for children and Tdap for preteens. Concerned parents can call their primary care providers to ask about vaccines.
Symptoms of whooping cough include, according to the Kentucky Department of Public Health:
Runny or stuffy nose
Uncontrollable coughing
Vomiting from coughing
Fever below 100.4 Fahrenheit
Apnea (life-threatening pauses in breathing) and cyanosis (turning blue or purple) in infants and young children
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The Hill
2 days ago
- The Hill
Out of sight, out of mind: Without federal support, brain injury survivors will be left behind
Unlike a broken bone, a brain injury is often invisible. We can't see the cognitive struggles, the lost memories or the chronic pain. But for millions of Americans with brain injury, the impact is lifelong and profound. Every day is an exercise in rebuilding your life, your relationships and future. Federal programs have made the journey of life with brain injury a bit more manageable. But now, that support is under serious threat. Budget proposals and the Office of Management and Budget's leaked passback document outline catastrophic cuts to health programs across the board. Among them: the elimination of nearly every federal initiative supporting people with brain injuries. Decades of investment in prevention and treatment could vanish with the stroke of a pen. These programs aren't wasteful spending. They are an important investment for people living with brain injury — now and in the future. These proposed cuts would dismantle the Centers for Disease Control and Prevention's HEADS UP program, which trains coaches, parents and athletes to recognize concussions before they cause permanent damage. They would collapse the Traumatic Brain Injury Model Systems, the nation's gold standard for providing care and advancing recovery for survivors with moderate to severe brain injuries. We would also lose the National Concussion Surveillance System and end the collection of critical data showing where injuries are happening and how many lives are at risk. Funding cuts for these programs put all of us at risk. Funding cuts mean a teenage football player sustains a preventable second concussion because his school had no access to proper return-to-play guidelines. A veteran with a blast injury loses access to a rehabilitation specialist trained to address cognitive impairments. Families already stretched thin by caregiving responsibilities lose the tiny but crucial grants that kept their loved ones living independently at home. Brain injury does not just happen to 'other people.' More than 64 million Americans have sustained at least one traumatic brain injury (TBI) in their lifetime and millions have suffered from non-traumatic brain injuries like stroke, aneurysm or a lack of oxygen. Federal investment in brain injury research and care is modest. In 2024, TBI research funding was an estimated $194 million, which is just $3.03 per person living with a TBI — barely the cost of a cup of coffee. That figure pales in comparison to the estimated $76.5 billion annual cost of TBI in the United States for emergency care, hospitalization, lost productivity, disability and social services. Cutting these programs isn't fiscal responsibility. It's public health malpractice. Eliminating programs like HEADS UP, the National Concussion Surveillance System and the Core State Injury Prevention Program will roll back decades of progress. These cuts will create a world where more people are suffering from the effects of brain injury, and we will have a lessened ability to identify and help those in need. It is not realistic to assume that states will be able to pick up the cost of these programs, so many will likely go away with no backup plan for continuity. This should not be a political issue. For decades, programs that support brain injury prevention, research and treatment have received bipartisan support because the need for them is undeniable. Brain injuries don't discriminate by party, race, income or geography. Brain injury can strike suddenly — a slip on the ice, a collision on the field, a car crash, a roadside bomb in combat — and alter lives forever. Brain injury should be thought of as a chronic health condition. Many survivors struggle with persistent effects such as memory loss, depression, behavioral changes and physical disabilities, which can quietly erode their ability to work, study or maintain relationships. Worse, brain injury dramatically increases the risk of developing devastating conditions later in life, including Parkinson's, Alzheimer's and stroke. Without continued research, education and community-based supports, many survivors will simply fall through the cracks. Eliminating federal brain injury programs would worsen these public health crises while stripping hope from those who need it most. The Brain Injury Association of America calls on Health and Human Services Secretary Robert F. Kennedy Jr. to reverse course. We urge Congress to reject these devastating cuts to brain injury programs. Investing in brain injury services and research saves lives, saves money and upholds America's promise to care for its most vulnerable citizens. America made that promise decades ago, when it began building the vital network of programs that exist today. That promise must not be broken now. Not when so many lives and futures depend on it. Rick Willis is president and CEO of the Brain Injury Association of America.


Chicago Tribune
2 days ago
- Chicago Tribune
Northwestern Medicine launches program for patients with obesity concerns who are planning a pregnancy
Northwestern Medicine has launched a program to help patients who have concerns related to obesity and are planning a pregnancy. Women with higher levels of body fat sometimes struggle to conceive and can face greater health risks during pregnancy. The PEARL program, which stands for Preconception and Early Assessment Care Rooted in Lifestyle Management, aims to help these patients have safe and healthy pregnancies. Dr. Christina Boots, a reproductive endocrinology and infertility specialist and one of the clinicians in the program, estimates that about one-third of her infertility patients struggle with obesity. 'There's many more beyond that, who maybe don't meet the criteria for obesity, but are struggling with overweight or insulin resistance and prediabetes or any other metabolic health dysfunction that could be optimized before we go forward,' she said. The PEARL program is designed to help patients with weight-driven concerns about any stage of pregnancy, from infertility to potential complications during delivery. It's open to patients with a BMI, or body mass index, above 27. BMI is calculated from a person's height-to-weight ratio that can give a quick estimate of total body fat. The Centers for Disease Control and Prevention reports the average American woman's height to be 5 feet, 3.5 inches; at this height, a patient would have to weigh 157 pounds or more to qualify for the PEARL clinic. 'There's so much weight bias and stigma that goes into weight, and there's a lot of stigma and bias and blame that goes into infertility as well,' Boots said. 'We just thought we could do a better job than what we were in terms of counseling women.' Boots said she and other physicians in the program have been unofficially working with patients on obesity concerns related to pregnancy for a few years. By making it an official program within Northwestern Medicine, clinicians are able to dedicate time to see these patients alongside their usual caseloads. 'We're just making sure that we're blocking out time so that there's always an opportunity for women to get in.' The program currently has four clinicians. Boots addresses how a higher BMI may affect fertility. Dr. Veronica Johnson, an internal medicine practitioner with a specialty in obesity medicine, primarily focuses on preconception weight loss. Drs. Jacqueline Hairston and Michelle Kominiarek, as the two maternal-fetal medicine specialists, address patients who are close to becoming or are already pregnant. Some patients are aiming to lower their BMIs in order to increase their fertility; others are aiming to manage BMI-related issues such as cholesterol, blood pressure and blood glucose to decrease risk before, during, or after pregnancy. 'The whole purpose of this is to address their concerns, and not to say, 'Hey, you need to lose a bunch of weight,'' Boots said. 'All the women in the program believe that there can be health at every size, and none of us believe that you must lose weight in order to get pregnant or to have a healthy pregnancy at all.' One of Johnson's patients, who declined to share her name because of the personal nature of her treatment, came to the clinic through an internal referral from her Northwestern OB-GYN. 'I knew that, even more than having a child, I wanted to be healthy, and I knew that I was at a weight that was completely unhealthy,' she said. 'I was at my largest weight that I had ever been in my life, and I knew I needed to do something about it.' Johnson's patient knew that she would likely have to go through in vitro fertilization because of her family history. IVF programs often have a maximum BMI limit around 40 or 50 — that's between 230 and 290 pounds at 5 feet 3.5 inches. When the patient first met with Johnson, her BMI was 58; with PEARL's help, she's reduced her BMI to 48 in less than a year. She began IVF in October, and is about to start her fourth cycle. 'It's mainly from an anesthesia perspective that that BMI threshold is there. It's not anything other than that, which is unfortunate, because we're trying to stay away from BMI, but then we're telling patients that you can't proceed with this procedure because your BMI is too high,' Johnson said. Egg retrieval for IVF is often done under 'twilight' anesthesia, where patients are not completely under. Alongside requiring higher dosages of anesthesia, Hairston explained that patients with higher BMIs may already have breathing issues, and in the event of an emergency, the clinic team may not be able to secure their airway. 'I have a couple patients who had a BMI at 55-60, and I've gotten them, over the last year and some change, to lose 70-80 pounds, where their BMI is now less than 50. And they're really excited, and now they're in the place where they're going to proceed with IVF,' Johnson said. While the PEARL program tries to emphasize lifestyle management before pharmaceutical intervention, sometimes using weight loss medication is the right choice. 'A lot of times, when patients come to see me, they're like, 'Well, I know how to eat, I know I should be exercising, and I've tried all those things, and it's really hard for me.' And that's when we need to think about other tools to kind of help them get to a healthier weight,' Johnson said. At the same time, the effects of weight loss medications on pregnancies are still unknown. These medications are expected to be used continuously, Hairston said, but since there is not enough knowledge of how these medications affect a fetus, patients are advised to stop using them at least two months before attempting to get pregnant, and to stop using them immediately if they test positive while on the medication. 'Typically for patients with obesity, the recommended weight gain in pregnancy is 11 to 20 pounds. But you can imagine, some of our patients may have lost more than that as a result of these medications,' Hairston said. When patients stop using many of these medications, there is often rebound weight gain; Hairston said that doctors are still discovering how this factors into pregnancy weight gain. Another concern the program hopes to address is the conflict between weight loss goals and the expected weight gain of pregnancy. Regardless of BMI, some weight gain is important for a safe pregnancy. That number is lower for patients with higher BMIs, but weight loss during pregnancy, especially in the third trimester, can adversely affect the baby. Even for a patient who became pregnant with a BMI between 18.5 and 25, which is considered healthy, expected pregnancy weight gain is likely to push them into the overweight category. 'I really think the goal of this program is to be more inclusive in the care of patients with a higher BMI, so that they don't feel like they are being excluded from the pregnancy conversation. And we're excited to meet anyone who wants to meet with us,' Hairston said.


Newsweek
3 days ago
- Newsweek
Map Shows States Closing Beaches Over Fecal Bacteria on 4th of July
Based on facts, either observed and verified firsthand by the reporter, or reported and verified from knowledgeable sources. Newsweek AI is in beta. Translations may contain inaccuracies—please refer to the original content. Beaches in at least seven states have been closed or issued health advisories due to elevated bacteria levels ahead of the Independence Day holiday weekend. States impacted by the warnings include California, New York, Massachusetts, Washington, Illinois, Michigan, and New Hampshire, according to notices from local health authorities. Why It Matters The Centers for Disease Control and Prevention (CDC) warns that swallowing water contaminated with bacteria can make you ill, including causing gastrointestinal illnesses such as diarrhea. It can also cause infections if you enter the water with an open wound or cut, especially from a piercing or surgery. According to a recent poll by YouGov, 14 percent of Americans plan to celebrate the 4th of July weekend by going to a beach or park. What To Know As of Thursday, beach area warnings were in place for eight locations in Los Angeles County, California, including: Ramirez Creek at Paradise Cove The Bel Air Bay Club at Will Rogers State Beach Mothers Beach in Marina Del Rey Castlerock Storm Drain at Topanga County Beach Santa Monica Pier in Santa Monica Inner Cabrillo Beach in San Pedro Avalon Beach at Catalina Island, 50 feet west of the pier Avalon Beach at Catalina Island, east of the Casino Arch (Steps Beach) The Los Angeles County Department of Public Health said in a statement: "These warnings have been issued due to bacterial levels exceeding health standards when last tested." Visitors were cautioned to avoid swimming, surfing, and playing in the water. File image. A dead fish lies in algae-filled water in Lake Erie in Ohio in 2017. File image. A dead fish lies in algae-filled water in Lake Erie in Ohio in 2017. Andy Morrison/The Blade/AP In New York, at least four beaches were closed to swimming across Nassau and Suffolk counties, including Biltmore Beach, Broadway Beach, Crescent Beach, and Ronkonkoma beach. In Massachusetts, more than a dozen beach closures were in effect due to "bacterial exceedance," according to the Massachusetts Department of Public Health. In Washington's King County, visitors at Houghton, Meydenbauer Bay, and Pritchard Island beaches were advised to stay out of the water due to high bacteria levels. At least eight advisories were issued in Illinois in recent weeks, NBC News reported. High bacteria levels also prompted closures at three Michigan beaches at Camp Ohiyesa, Eagle Lake Road, and Orchard Lake Country Club. Meanwhile in New Hampshire, fecal bacteria advisories were issued on Tuesday for Sandbornton Town Beach and FB Argue Recreation Area Beach. While the above locations were closed due to bacterial contamination, not all specified they were caused by fecal bacteria. What People Are Saying The Environmental Protection Agency says on its website: "Swimming, diving, or wading in water contaminated with fecal bacteria can result in gastrointestinal illness (such as diarrhea or vomiting), respiratory illness, and other health problems. "Skin, ear, eye, sinus, and wound infections can also be caused by contact with contaminated water." What Happens Next Regional health authorities provide regular updates regarding water quality at local beaches.