Asheville, NC – Just as families across the county were preparing to gather for Thanksgiving, an important health alert emerged from the Buncombe County health department regarding a multi-school outbreak of whooping cough, also known as Bordetella pertussis or the 100-day cough. This situation was announced on Thanksgiving Eve, as families began their holiday traditions and shelters braced for those in need during the chilly winter nights.
Health officials pointed out that the outbreak is predominantly affecting school-age children from various areas within the county. A week prior to the alert, local health authorities had confirmed 18 cases of this highly contagious disease, a significant jump from the six cases reported the month before. By November 27, reports indicated that 45 cases might have been confirmed, although this number couldn’t be independently verified at press time due to government offices being closed during the holidays.
So, what’s the fuss about whooping cough? This illness is particularly dangerous, especially for infants and young children. It spreads easily from an infected person who coughs or sneezes, releasing the bacteria into the air, where it can be inhaled by another person. Once the bacteria find their way into the lungs, it triggers an inflammatory response that makes breathing difficult, resulting in a profound cough. The cough can be so severe that it causes a signature “whoop” sound when the person gasps for breath.
Now, here’s the tricky part: the early signs of whooping cough can easily be mistaken for the common cold. These symptoms can appear anytime between 5 to 20 days after exposure and can include a runny nose, mild fever, and a persistent cough. Unfortunately, after a week or so, the situation can escalate into more severe symptoms like thick mucus build-up that may lead to vomiting, extreme fatigue, trouble sleeping, and, in some cases, a red or blue-colored face. As scary as it sounds, complications from this relentless coughing can result in cracked ribs, abdominal hernias, and more.
Infants and teenagers are the primary targets of whooping cough, particularly those who have not completed their full vaccination series and those whose immunity may be waning. Infants, in particular, are vulnerable because their lungs are often not developed enough to manage the intense coughing fits that accompany the infection. Unfortunately, this can lead to serious health complications, including life-threatening pneumonia, severe dehydration, and even brain damage. Statistics indicate that roughly one-third of infants diagnosed with pertussis end up in the hospital, and 1% may not survive.
Health officials stress the importance of vigilance in preventing the spread of whooping cough. Adults can carry the bacteria even if they are only experiencing mild symptoms, thus putting infants, teens, and those with weakened immune systems at risk of catching severe cases.
To safeguard at-risk populations, public health agencies emphasize the need for vaccinations. Pregnant women, individuals who will be around newborns, and those planning to care for infants are encouraged to get vaccinated. Moreover, health experts recommend booster shots for adults every ten years to maintain immunity against this dangerous disease.
“To protect infants, the most vulnerable members of our community, we encourage everyone to be vigilant in containing the spread of this bacterium,” stated a county health department release. If you experience any symptoms associated with whooping cough, seeking medical attention promptly is crucial to minimize the severity and duration of the illness.
While vaccines are most effective before the disease is contracted, antibiotics may be prescribed after exposure. However, health professionals are wary of overprescribing medications due to concerns about developing resistance to antibiotics.
Statewide, as of November 23, there were 576 confirmed cases of whooping cough reported this year, marking a staggering increase of 640% compared to the same time last year. Nationally, confirmed cases have quintupled, with actual counts likely to be ten times higher due to underreporting.
Epidemiologists believe the rise in cases, particularly among adolescents, may be attributed to “vaccine hesitancy” and “vaccine fatigue,” largely stemming from the politicization surrounding COVID-19 vaccines. While no vaccine is foolproof, the whooping cough vaccine is considered highly effective at preventing the disease or at least mitigating symptoms.
As Asheville navigates this public health challenge, residents are encouraged to proactively schedule their vaccinations by contacting their primary care providers or reaching out to the county health department at 828-250-5000. Together, we can keep our community safe and healthy during this holiday season.
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