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MT: Whooping cough

Shiloh

Editor, Senior Moderator
Source: http://www.bozemandailychronicle.com/articles/2009/06/20/news/50whoop.txt

Infant diagnosed with whooping cough (Boseman area)

published on Friday, June 19, 2009 10:14 PM MDT

By JESSICA MAYRER Chronicle Staff Writer

A 4-month-old Three Forks infant is recovering after being diagnosed with pertussis, also known as ?whooping cough.?


This the first reported whooping cough case in the area this year, said Shanda Smith, Gallatin County?s communicable disease program manager. The diagnosis was made June 1, but was not made public until Friday.

The disease is treatable with antibiotics. And the child?s close contacts are receiving preventative care, according to health officials.

Gallatin County has tested 70 people who could have been exposed and, so far, they?ve all tested negative for pertussis, Smith said.

Whooping cough is easily spread from person to person through coughs and sneezes. It usually begins as a mild upper-respiratory infection within five to 21 days of exposure with cold-like symptoms, including coughing, sneezing, runny nose, low fever and mild cough.

It?s usually milder in older children or adults.

?A lot of times, especially with adults, it?s a cough that just won?t go away,? Smith said.

Within two weeks, though, the cough becomes more severe with episodes of rapid coughing, which can be followed by a crowing or a high-pitched whoop and/or vomiting.

Those not fully vaccinated against pertussis, such as the very young, are at highest risk for severe illness or complications, including brain damage, pneumonia and death, according to the Gallatin City County Health Department. Vaccinations are generally administered at two-month intervals until 6 months of age, again at 17 months and at 5 years old.

?That?s the population we worry about, is the little ones,? Smith said.

The effects of childhood immunization, however, can wear off by adulthood, Smith said. A booster shot, called Tdap, which also protects against tetanus, is available for adults.

Gallatin County had one reported case of whooping cough last year in the fall, Smith said.

People should use common-sense precautions such as hand-washing, covering their mouths when coughing and staying home if they feel ill, Smith said.

Jessica Mayrer can be reached at jmayrer@dailychronicle.com or 582-2635.
 
Re: MT: Whooping cough

Source: http://billingsgazette.com/news/local/article_ba1127de-aeef-11de-abf5-001cc4c002e0.html

Yellowstone county experiences whooping cough outbreak

DIANE COCHRAN Of The Gazette Staff | Posted: Thursday, October 1, 2009 7:00 pm |



Public health officials are working to halt a pertussis outbreak in Yellowstone County before it grows beyond a smattering of cases.

Pertussis, also known as whooping cough, is a contagious bacterial infection that can lead to seizures, brain damage and, rarely, death in children. Infection can be prevented with regular immunizations.

Fewer than 20 cases of the sickness have been reported locally this fall, and health officials hope to avoid a repeat of the 2004-05 winter season when almost 100 cases surfaced.

"We went many, many years without having any cases of pertussis," said Lil Anderson, Yellowstone County Health Officer and CEO of RiverStone Health. "Over the last three years, we've begun to see an increase in pertussis cases in Yellowstone County, the state of Montana and across the country."

Part of the disease's resurgence is probably due to waning immunity among people who received pertussis vaccines as infants.

Recommendations call for pertussis booster shots for 11and 12-year-olds, but some parents don't know about or don't get the boosters for their children. Adults can also receive the booster shots.

The gradual increase in cases could also be due to a modification of the pertussis bacterium.

Among this year's sick are children with up-to-date immunizations, officials said.

"Bacteria mutate," Anderson said. "We come up with something to protect or treat, and they change."

Pertussis can be treated with antibiotics, so health officials recommend seeking medical attention for a severe cough.

But it is easy to mistake a cough caused by a cold or influenza, which do not respond to antibiotics, for a case of pertussis, said Bonnie Barnard, a state communicable disease surveillance specialist.

"The clinicians are stuck with, 'What should I test people for if they're coughing?'" Barnard said.

Pertussis is characterized by severe coughing that lasts 10 to 14 days. People can cough so hard that they lose their breath or vomit. A pertussis cough has a distinctive "whoop" sound to it.

The 2004-05 outbreak coincided with a national pertussis epidemic. Federal health officials say the country experi-ences pertussis epidemics every three to five years.

The first local pertussis case of the 2004-05 season was reported Oct. 30, more than a month later than this season's first case.

Contact Diane Cochran at dcochran@billingsgazette.com or 657-1287.
 
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