Pennsylvania
Whooping cough cases skyrocketing in Pennsylvania, which has more than any other state
Pennsylvania has seen more cases of whooping cough than any other state this year, with 2,165 cases of the serious bacterial infection reported as of late September.
At this time in 2023, the state had reported 205 cases to the Centers for Disease Control and Prevention. This year’s cases represent a 956% increase from the year before.
The continued outbreak prompted a statewide alert from health officials in early September, and the Children’s Hospital of Philadelphia re-instituted staff masking policies this summer to better protect employees and patients.
Whooping cough, or pertussis, is caused by a bacterial infection and can result in a severe cough that lasts for months. It’s particularly dangerous for infants, especially those too young to be vaccinated against the disease.
Preventative measures for whooping cough at CHOP
In August, seeing a rise in cases at its offices in Philadelphia’s collar counties, CHOP began requiring staff to mask in waiting rooms and while seeing patients in Montgomery, Chester, Bucks, and Delaware Counties in Pennsylvania and Burlington County in New Jersey.
At the end of September, with cases also rising in Philadelphia, CHOP staff began masking at their city facilities as well, said Erika Hayes, CHOP’s senior medical director of infection prevention.
“During the COVID-19 pandemic, we all got very, very good about not going out when we were sick and wearing our masks,” she said. “Mid-2020 to about late 2021, the number of pertussis cases were vanishingly rare, and it was because of these good practices.”
The health system is hoping that requiring staff to mask now can help slow the flow of cases.
In a statement, the state Department of Health said areas with high population density like Philadelphia and Pittsburgh are seeing the highest increases. Still, pertussis cases in Philadelphia have not been evenly spread among health providers: St. Christopher’s Hospital for Children in Kensington has seen only a handful this year. CHOP has seen 609 across its facilities in the region.
Hayes said she hoped cases might decrease soon. “But honestly, especially with the kids back in school, I am very worried that we may continue to rise,” she said.
Most of the pertussis outbreaks reported this year took place at middle schools, high schools, and colleges, state officials said. Montgomery County’s Plymouth Whitemarsh High School reported a pertussis outbreak among six students in April.
New Jersey also saw higher-than-usual whooping cough cases this summer, prompting an alert from the state health department, although the cases reported so far this year are now lower than year-to-date case counts from 2023. And the state is seeing far fewer cases than neighboring Pennsylvania, with just 128 cases reported this year.
What’s driving the rise in pertussis cases?
At Virtua Health in South Jersey, infection prevention officer Martin Topiel said the health system is seeing more whooping cough cases in its ERs and urgent care centers than usual.
But it’s unclear what exactly is behind the rise. Topiel said that better detection methods could contribute to an increase in reported cases.
Some patients also put off vaccinations during the COVID pandemic, Hayes noted, adding that the standard childhood Tdap vaccine, which protects against tetanus, diphtheria, and pertussis, wears off as you age. That might have put more patients at risk.
“People can become susceptible again to pertussis, and pertussis in adults and grown-ups looks like a little bit of a cold and then a cough that won’t go away for a long time,” she said. “A lot of people don’t get diagnosed. But it’s extremely contagious.”
Newborns are at the highest risk of infection and, in rare cases, death from pertussis. In very young babies, the symptoms of whooping cough might be more difficult to spot, since producing the distinctive “whoop” requires muscle tone not yet developed. Instead, they may struggle to breathe or stop breathing.
Preventing serious illness
That’s why it’s especially important for adults and older children to stay up-to-date on Tdap boosters—to protect babies under two months, who are too young to be vaccinated, Hayes said. It’s also important for pregnant people to receive a Tdap shot between 27 and 36 weeks gestation of each pregnancy, state officials said, in order to give newborns some added protection.
State officials said 94.6% of Pennsylvania’s kindergartners are vaccinated for pertussis. And 92.4% of 7th graders and 97.1% of 12th graders have gotten a Tdap vaccine.
Patients can still get ill from pertussis if they’re vaccinated, but the vaccine can prevent more serious outcomes, said Topiel.
“Pertussis can last a very long time and it can be quite disabling and uncomfortable once someone catches it,” he said. “I don’t want people to go through that.”
‘Vaccines are our best defense’
Earlier this summer, Emmani Osborne-Morrison came down with a cold. Emmani has a severe form of epilepsy, and her mother Juliette Osborne, a nurse practitioner from Lumberton, N.J., closely monitors her health.
“She was fatigued, not herself, not eating—I couldn’t make out what it was. I thought it might be chronic sinusitis. But then one night she started coughing,” Osborne said.
Emmani coughed for four hours straight, and Osborne got in touch with her primary care physician and was told to take her daughter immediately to the emergency room. There, she tested positive for whooping cough.
The family quarantined and took preventative antibiotics to prevent the infection from spreading through the household. Emmani was over the worst of it in about two weeks, her mother said, likely because she had been vaccinated.
Osborne advised parents to make sure their kids are vaccinated, too—and to watch out for unusual cold symptoms they might otherwise miss.
“It was very crazy hearing that she had whooping cough when she had already been vaccinated,” Osborne said. But, she said, “vaccinations are our best defense. I believe Emmani’s vaccine helped reduce or shorten her symptoms.”
2024 The Philadelphia Inquirer, LLC. Distributed by Tribune Content Agency, LLC.
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Pennsylvania
Iran vows revenge after the killing of its top leader
Pennsylvania
The 10 Friendliest Little Towns In Pennsylvania
Some Pennsylvania towns make it easy to feel included within a day of arriving. In Lititz, summer concerts at Lititz Springs Park turn into informal reunions, with families setting up lawn chairs side by side and local shop owners joining once they lock their doors for the evening. In Boiling Springs, the path around Children’s Lake doubles as a daily check-in point where walkers greet each other by name before drifting into the cafés along Front Street. And in Ligonier, the Diamond and its bandstand pull residents downtown for markets and community events that rely on volunteers rather than outside organizers. The same pattern carries through the rest of the towns on our list.
Lititz
Lititz is in Lancaster County, about 6 miles north of the city of Lancaster. Founded in 1756, the town was named after a castle in Bohemia and initially served as a Moravian congregation settlement. Lititz is home to the Julius Sturgis Pretzel Bakery, established in 1861 as the first commercial pretzel bakery in the United States.
Lititz Springs Park, a historic community hub since 1756, hosts various yearly events, notably the well-known Lititz Fourth of July Celebration. For dining, the Appalachian Brewing Company provides locally brewed beers and a distinctive menu showcasing regional dishes. The Wilbur Chocolate Factory, a landmark since the late 1800s, includes a museum and shop where visitors can explore chocolate-making processes and buy unique confections.
Boiling Springs
Boiling Springs, in Cumberland County, owes its name to the natural artesian springs that maintain a constant temperature and were crucial to early ironworks in the area. Established in the 18th century, it is also part of the Appalachian Trail community, underscoring its long-standing connection to nature and history. The town’s historic district includes the Iron Furnace, dating to 1760 and a testament to Boiling Springs’ early industrial role.
The town features a variety of attractions for visitors and residents. Allenberry Resort and Playhouse, a historic venue since the mid-20th century, provides entertainment, dining, and lodging options. The Boiling Springs Tavern, founded in 1832, offers classic American cuisine in a historic environment. For outdoor enjoyment, Children’s Lake is perfect for fishing and relaxing walks, and the Appalachian Trail runs through the center of the community, offering great hiking opportunities.
Jim Thorpe
Jim Thorpe sits in the Lehigh Gorge in eastern Pennsylvania, and was originally known as Mauch Chunk and played a pivotal role in the coal and railroad industries. Renamed in 1954 to honor the legendary athlete Jim Thorpe, the town retains a Victorian era charm, with much of its architecture preserved and celebrated. This heritage is evident in attractions such as the Asa Packer Mansion, built in 1861 by a philanthropist and railroad magnate, which now serves as a museum.
Visitors to Jim Thorpe can choose from various recreation and dining options. The Lehigh Gorge Scenic Railway provides a scenic ride through the mountains, perfect for enjoying the area’s natural beauty. Dining choices include Moya, famous for its upscale American dishes, and Stone Row Pub & Eatery, offering a relaxed atmosphere with local ingredients. Outdoor lovers can enjoy boating and hiking at Mauch Chunk Lake Park, making the town an attractive destination.
Ligonier
Ligonier was established in the 1760s and features a rich colonial history highlighted by Fort Ligonier, a British fortification from the French and Indian War. The town square, known as the Diamond, is circled by original structures and a bandstand from the 19th century, reinforcing its historical ambiance.
Fort Ligonier functions as both a museum showcasing 18th-century artifacts and a venue for reenactments and educational activities. The Southern Alleghenies Museum of Art enriches visitors with American art exhibitions. Dining options in Ligonier include the historic Ligonier Tavern, known for its local cuisine, and The Wicked Googly, famous for its vibrant atmosphere and live music. For outdoor leisure, Ligonier Beach offers a distinctive swimming experience with a historic pool from 1925.
Wellsboro
Wellsboro, located in Tioga County, was established in 1806 and acts as the gateway to the Pennsylvania Grand Canyon, also known as Pine Creek Gorge. The town exudes nostalgic charm with its gas-lit streets and historic Victorian buildings, offering a window into its storied history. A prime example of this history is the Penn Wells Hotel, which has been serving visitors since the early 1900s.
For those wanting to explore Wellsboro, the restored 1920s movie theater, The Arcadia Theatre, regularly features films and performances, serving as a cultural center for locals and visitors. The Native Bagel offers a relaxed dining atmosphere with dishes made from locally sourced ingredients. Outdoor lovers can enjoy Leonard Harrison State Park, which offers stunning views of the Pennsylvania Grand Canyon, along with trails and picnic spots. Furthermore, the annual Pennsylvania State Laurel Festival attracts crowds with its parade, arts and crafts, and local food stalls, honoring the area’s cultural traditions.
Foxburg
Foxburg, situated along the Allegheny River in Clarion County, was founded in 1870. It is famous for being home to the oldest golf course still in operation in the United States, the Foxburg Country Club, established in 1887. This historical feature adds to its charming and distinctive character, blending small-town American charm with a deep golf tradition.
The Foxburg Wine Cellars offers tastings of locally produced wines, complemented by a scenic setting. For dining, the Allegheny Grille provides riverfront views alongside a menu featuring regional cuisine, emphasizing the town’s picturesque location. Culture enthusiasts can explore the American Golf Hall of Fame, located within the Foxburg Country Club, which houses a collection of golf memorabilia and artifacts. For outdoor activities, the nearby Allegheny River Trail offers miles of biking and walking paths, making Foxburg a destination with diverse appeal.
Honesdale
Honesdale serves as the county seat for Wayne County and was founded in 1826. It has historical significance as the terminus of the Delaware and Hudson Canal, pivotal in the transport of coal to major markets in the northeast. Notably, Honesdale is credited with being the site of the first commercial steam locomotive run on rails in the United States, the Stourbridge Lion, adding a rich layer to its industrial heritage.
The Wayne County Historical Society presents exhibits on canal and railroad history, shedding light on the town’s growth. For dining, visitors can choose the upscale Hotel Wayne, known for its fine dining and bistro bar, or the more relaxed Trackside Grill, offering views of the historic railroad. Outdoor lovers can visit Honesdale Park, which has walking paths and recreational facilities, serving as a popular venue for community events and gatherings.
Milford
Milford is situated at the crossroads of the Delaware River and the Pocono Mountains’ foothills. Established in 1796, it rapidly gained popularity as a resort in the 19th century, thanks to its scenic landscape and fresh mountain air. The town is also renowned for the Milford Historic District, which features a range of well-preserved buildings that reflect its prosperous history.
The Columns Museum houses the famous Lincoln Flag, believed to be stained with Abraham Lincoln’s blood from the night of his assassination, providing a profound historical experience. For dining, Bar Louis at the Hotel Fauchère offers a contemporary menu in a stylish setting, while the Waterwheel Café provides a rustic atmosphere with live music and local cuisine. Additionally, Grey Towers National Historic Site, the former home of Gifford Pinchot, founder of the U.S. Forest Service, offers guided tours and scenic grounds.
Mount Joy
Mount Joy was founded in 1759 and has a name derived from an old Irish ship, the “Mountjoy,” which played a pivotal role in breaking a siege during the Irish Confederate Wars. This town, nestled among the rich, rolling farmlands of the county, has historically been a hub for agriculture and today melds historic charm with modern vibrancy, evident in its revitalized downtown area.
Bube’s Brewery, an intact historic 19th-century brewery and museum, offers unique dining experiences in its catacombs and regularly hosts murder mystery dinners. The Country Table Restaurant is known for its comfort food and welcoming atmosphere, reflecting the town’s friendly spirit. For outdoor activities, Little Chiques Park provides scenic walking paths and picnic areas, perfect for family outings. Additionally, the annual “Mount Joy Winterfest” brings the community together with craft vendors, food, and entertainment, showcasing the town’s lively community spirit.
Lewisburg
Lewisburg is a vibrant town established in 1785. It is home to Bucknell University, established in 1846, which adds a youthful energy and cultural richness to the town. Lewisburg’s downtown is listed on the National Register of Historic Places, featuring well-preserved 19th-century architecture and a tree-lined main street that enhances its historic charm.
In terms of activities and dining, Lewisburg offers a variety of choices that cater to both residents and visitors. The Campus Theatre, one of the few remaining single-screen art deco movie theaters in the country, offers a unique cinematic experience. For dining, Elizabeth’s American Bistro provides a fine dining experience using local ingredients, while the Bull Run Tap House offers a more casual atmosphere with a comprehensive selection of craft beers. For outdoor enthusiasts, Hufnagle Park offers a green retreat in the heart of the town, complete with walking paths and garden areas, making it a popular gathering place for community events and casual recreation.
As we journey through Pennsylvania’s coziest corners, we discover that these small towns do more than just charm visitors with their picturesque settings and historical backdrops. They invite us into a world where community spirit thrives and every street and alley tells a story. These towns, from Lititz’s pretzel-perfumed air to Lewisburg’s university vibes, showcase the true heart of Pennsylvania through their unyielding warmth and hospitality. Whether you’re seeking a serene retreat or a peek into America’s storied past, these towns offer a refuge where friendliness is the native language.
Pennsylvania
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