State health department says 381 cases of whooping cough puts disease at epidemic levels

The state Department of Public Health says whooping cough is now at epidemic levels. Department officials told Amanda Stephenson of WTVQ-TV in Lexington that 381 cases of the virus have been confirmed so far in 2012.  The Lexington-Fayette County Health Department is reporting 50 cases so far this year. That's double the 26 cases they'd seen in the previous five years. Estill County health officials have seen a quadrupling of cases since July. (Read more)

Mary Meehan of the Lexington Herald-Leader reports that Three Rivers District Health Department in Owenton, which serves Owen, Carroll, Gallatin and Pendleton counties, will offer shots at fall festivals in the district to stave off the spread of the disease. After 86 cases were confirmed in the area, the Northern Kentucky Health Department, which serves Boone, Campbell, Grant and Kenton counties, is offering vaccines for $4.

The Fayette County department isn't planning special clinics at this time, so people who are worried about the illness should contact their family physicians. Some pharmacies, such as Walgreens, are offering the shots in their stores. There is an adequate supply of vaccine for children and adults, said Beth Fisher, a spokesperson for the state Cabinet for Health and Family Services.

For more information on pertussis, and its symptoms, go to the CDC website.

Back at school and already got the sniffles or other ailment? Here's a pediatrician's advice to battle back-to-school bugs

With school back in session, it probably won't be long before children are coming home with sniffles and sore throats. The average child gets six or more infections each year, reports Dr. Jacqueline Kaari, chair of the Department of Pediatrics at the University of Medicine and Dentistry of New Jersey-School of Osteopathic Medicine, who also offers advice.

"Every parent has experienced it — the hectic morning maneuvering of getting the household fed, dressed and out the door is suddenly interrupted by an inconsolable child who has a sore throat, upset stomach, sniffles or something worse," she said. "When that happens, parents need to be able to quickly assess their child and determine if he or she is well enough to go to school or needs to stay home, or if it's time to call the pediatrician. Sometimes, parents will guess wrong, but if there's one rule of thumb, it should be to always err on the side of caution."

Kaari recommends the following guidelines for what do when it comes to:

Colds: Use child-strength, over-the-counter medicines and a cool mist humidifier to treat symptoms. Because they are caused by viruses, do not treat colds with antibiotics. Children can go to school if the symptoms won't impede them from participating in school activities.

Conjunctivitis (pinkeye): Go to the doctor for treatment, which is generally antibiotic eye drops. Children can usually go to school 24 to 48 hours after treatment starts.

Fever: Give acetaminophen (Tylenol) or ibuprofen (Advil) for low-grade fevers. Have the child drink lots of fluids and avoid fatty or fried foods, since fevers decrease stomach activity and make digestion more difficult. Keep children at home if the fever is above 100.4 degrees Fahrenheit. Call the doctor if a high fever lasts more than 24 hours or does not respond to medicine.

Flu: Have the child vaccinated. If he or she has not been vaccinated, keep the child home for several days and make sure he or she gets lots of rest and drinks lots of fluids.

Head lice: Kill with over-the-counter or prescription lotions and shampoos. Keep the child at home until all lice have been killed.

Ringworm: Look for small patches of skin that are scaly and red. They can also blister and ooze. Apply anti-fungal ointments or powders. Call the doctor if the infection is severe or does not go away.

Sore throat: If parents suspect strep throat, they should call the doctor. If drinking water relieves symptoms somewhat, the child likely has a viral infection that should go away in a few days.

Stomach ache: Children who have been vomiting should stay home from school. An hour after the child vomits, parents should start introducing small drinks of water. Clear liquids and bland food should be introduced throughout the day. If vomiting lasts more than 24 hours or if the child vomits blood or green or yellow bile, call the doctor.

Whooping cough (pertussis): Have the child vaccinated. If parents suspect whooping cough, characterized by a "whooping" sound when the child tries to breathe, call the doctor. (Read more)

Whooping cough on the rise in Kentucky and nationwide

A resurgence of whooping cough in Kentucky and the nation has officials urging the public to get vaccinated. The state has already had 171 reported cases this year, making it "on track to beat our record from just two years ago," said Dr. Kraig Humbaugh, state epidemiologist with the Cabinet for Health and Family Services.

The Centers for Disease Control and Prevention announced recently there have been 18,000 cases nationwide so far in 2012, double the number of confirmed cases at the same time last year. "At that pace, the number for the entire year will be the highest since 1959, when 40,000 illnesses were reported," Mary Meehan reports for the Lexington Herald-Leader.

Washington and Oregon have been hit hardest. In Kentucky, Madison County has 24 cases. Estill County has 20, while the Northern Kentucky Health Department, which serves Boone, Campbell, Grant and Kenton counties, has reported 61 cases. In Lexington, there have been 15.

Whooping cough is spread by respiratory droplets transmitted person to person through close contact. It is sometimes characterized by a cough that ends with a high-pitched "whoop" sound during the next intake of breath. Immunization against the disease is required for school-age children, but many adults may not have gotten the vaccine or might need to get a booster shot. Officials urge them to do so. (Read more)

Health officials to immunize child-care workers for whooping cough, which is making a comeback

Amid a rash of whooping-cough cases, Northern Kentucky health officials will immunize child-care workers against the disease. The effort is to help stop the infection, also known as pertussis, from spreading, Peggy O'Farrell of The Kentucky Enquirer reports.

Northern Kentucky had 127 recorded cases of pertussis in 2010, way up from 38 in 2009, said Joyce Rice, an epidemiologist with the Northern Kentucky Health Department. Statewide in 2007, there were 47 cases; last year, there were 250.

About three-fourths of children nationwide are immunized against the disease, which requires receiving four shots between the ages of 8 weeks and 15 to 18 months. Kentucky does not require a whooping cough booster, but it does require one against tetanus and diphtheria for 11- and 12-year-olds. Health-care providers often use a vaccine that includes whooping cough. Though pertussis is often associated with children, health officials say adults likely need a whooping-cough booster as well.

Pertussis is characterized by violent, distinctive coughing that can lead to vomiting or a short loss of consciousness. (Read more)