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Whooping cough cases spike in the U.S., after people missed vaccinations during pandemic
An infant receives a routine vaccination at First Georgia Physician Group Pediatrics in Fayetteville, Ga., in 2021. Infectious diseases experts say children didn’t stay up to date on their whooping cough vaccinations due to decreased in-person care during the pandemic.
Angie Wang/AP
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Angie Wang/AP
The number of whooping cough cases have more than quadrupled in the U.S. since last year, according to data reported by the Centers for Disease Control and Prevention on Friday.
Infectious diseases experts attribute the surge in cases of whooping cough — also known as pertussis — to a dip in vaccination rates that began during the pandemic.
“Children during COVID did not see their health care providers and they may have done some telemedicine, but we can’t vaccinate through the computer,” said Dr. William Schaffner, an infectious diseases specialist at the Vanderbilt University Medical Center. “And we haven’t gotten everyone caught up yet back to their routine vaccination levels.”
Whooping cough vaccines, called DTap and TDap and which also protect against diphtheria and tetanus, provide the most effective protection from the disease and its complications.
Previous research has fueled concerns about the short-lived effectiveness of whooping cough vaccines, with some experts voicing the need for new vaccines.
Reported cases of people with whooping cough are returning to pre-pandemic levels, when the U.S. typically saw more than 10,000 cases each year, the CDC said in July. The agency recorded 14,569 cases this year so far, an increase from the 3,475 total cases recorded last year.
Pennsylvania, New York and California lead all states in the number of cases, in that order. In Pennsylvania, 2,008 infections were recorded this year, almost double that of California.
Early symptoms of whooping cough can be mistaken for the common cold and other respiratory illnesses, which is why the disease often is not caught until it becomes severe.
That diagnostic challenge makes it easier to inadvertently spread, said Dawn Nolt, a professor of pediatric infectious diseases at Doernbecher Children’s Hospital in Portland, Ore.
“The first week or so of illness looks like any other respiratory disease,” she said, “when, in fact, it could be pertussis and you’re just infecting people around you.”
What sets whooping cough apart from other respiratory illness are the prolonged and fitful coughs, which last at least three weeks and can persist for many months, Nolt said.
Irritated mucus membranes can cause often debilitating cough seizures, said Vanderbilt’s Schaffner.
“It’s not just one or two, it’s a whole series of coughs, so much so that you can’t breathe,” he said. “And when you finally, in a rather exhausted way, come to the end of your cough seizure, you inhale — that’s the ‘whoop.’ ”
Babies, however, may not cough as much but rather have difficulty breathing or intermittently stop breathing.
The CDC recommends the DTaP vaccine for babies and children under 7 years old. Older children and adults are advised to get the vaccine as well as a booster every 10 years.
The most severe cases are in infants, whose small airways can become more easily blocked, Schaffner said. Since babies can’t be vaccinated until they reach 2 months, the CDC recommends that pregnant people be vaccinated early in the last trimester of every pregnancy to protect newborns.
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Supreme Court blocks redrawing of New York congressional map, dealing a win for GOP
The Supreme Court
Win McNamee/Getty Images
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Win McNamee/Getty Images
The Supreme Court on Monday intervened in New York’s redistricting process, blocking a lower court decision that would likely have flipped a Republican congressional district into a Democratic district.
At issue is the midterm redrawing of New York’s 11th congressional district, including Staten Island and a small part of Brooklyn. The district is currently held by a Republican, but on Jan. 21, a state Supreme Court judge ruled that the current district dilutes the power of Black and Latino voters in violation of the state constitution.
GOP Rep. Nicole Malliotakis, who represents the district, and the Republican co-chair of the state Board of Elections promptly appealed to the U.S. Supreme Court, asking the justices to block the redrawing as an unconstitutional “racial gerrymander.” New York’s congressional election cycle was set to officially begin Feb. 24, the opening day for candidates to seek placement on the ballot.
As in this year’s prior mid-decade redistricting fights — in Texas and California — the Trump administration backed the Republicans.
Voters and the State of New York contended it’s too soon for the Supreme Court to wade into this dispute. New York’s highest state court has not issued a final judgment, so the voters asserted that if the Supreme Court grants relief now “future stay applicants will see little purpose in waiting for state court rulings before coming to this Court” and “be rewarded for such gamesmanship.” The state argues this is an issue for “New York courts, not federal courts” to resolve, and there is sufficient time for the dispute to be resolved on the merits.
The court majority explained the decision to intervene in 101 words, which the three dissenting liberal justices summarized as “Rules for thee, but not for me.”
The unsigned majority order does not explain the Court’s rationale. It says only how long the stay will last, until the case moves through the New York State appeals courts. If, however, the losing party petitions and the court agrees to hear the challenge, the stay extends until the final opinion is announced.
Dissenting from the decision were Justices Sonia Sotomayor, Elena Kagan, and Ketanji Brown Jackson. Writing for the three, Sotomayor said that if nonfinal decisions of a state trial court can be brought to highest court, “then every decision from any court is now fair game.” More immediately, she noted, “By granting these applications, the Court thrusts itself into the middle of every election-law dispute around the country, even as many States redraw their congressional maps ahead of the 2026 election.”
Monday’s Supreme Court action deviates from the court’s hands-off pattern in these mid-term redistricting fights this year. In two previous cases — from Texas and California — the court refused to intervene, allowing newly drawn maps to stay in effect.
Requests for Supreme Court intervention on redistricting issues has been a recurring theme this term, a trend that is likely to grow. Earlier last month the high court allowed California to use a voter-approved, Democratic-friendly map. California’s redistricting came in response to a GOP-friendly redistricting plan in Texas that the Supreme Court also permitted to move forward. These redistricting efforts are expected to offset one another.
But the high court itself has yet to rule on a challenge to Louisiana’s voting map, which was drawn by the state legislature after the decennial census in order to create a second majority-Black district. Since the drawing of that second majority-black district, the state has backed away from that map, hoping to return to a plan that provides for only one majority-minority district.
The Supreme Court’s consideration of the Louisiana case has stretched across two terms. The justices failed to resolve the case last term and chose to order a second round of arguments this term adding a new question: Does the state’s intentional creation of a second majority-minority district violate the constitution’s Fourteenth and Fifteenth Amendments’ guarantee of the right to vote and the authority of Congress to enforce that mandate?
Following the addition of the new question, the state of Louisiana flipped positions to oppose the map it had just drawn and defended in court. Whether the Supreme Court follows suit remains to be seen. But the tone of the October argument suggested that the court’s conservative supermajority is likely to continue undercutting the 1965 Voting Rights Act.
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Map: Earthquake Shakes Central California
Note: Map shows the area with a shake intensity of 3 or greater, which U.S.G.S. defines as “weak,” though the earthquake may be felt outside the areas shown. The New York Times
A minor earthquake with a preliminary magnitude of 3.5 struck in Central California on Monday, according to the United States Geological Survey.
The temblor happened at 7:17 a.m. Pacific time about 6 miles northwest of Pinnacles, Calif., data from the agency shows.
As seismologists review available data, they may revise the earthquake’s reported magnitude. Additional information collected about the earthquake may also prompt U.S.G.S. scientists to update the shake-severity map.
Source: United States Geological Survey | Notes: Shaking categories are based on the Modified Mercalli Intensity scale. When aftershock data is available, the corresponding maps and charts include earthquakes within 100 miles and seven days of the initial quake. All times above are Pacific time. Shake data is as of Monday, March 2 at 10:20 a.m. Eastern. Aftershocks data is as of Monday, March 2 at 11:18 a.m. Eastern.
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US says Kuwait accidentally shot down 3 American jets
The U.S. and Israel have been conducting strikes against targets in Iran since Saturday morning, with the aim of toppling Tehran’s clerical regime. Iran has fired back, with retaliatory assaults featuring missiles and drones targeting several Gulf countries and American bases in the Middle East.
“All six aircrew ejected safely, have been safely recovered, and are in stable condition. Kuwait has acknowledged this incident, and we are grateful for the efforts of the Kuwaiti defense forces and their support in this ongoing operation,” Central Command said.
“The cause of the incident is under investigation. Additional information will be released as it becomes available,” it added.
In a separate statement later Monday, Central Command said that American forces had been killed during combat since the strikes began.
“As of 7:30 am ET, March 2, four U.S. service members have been killed in action. The fourth service member, who was seriously wounded during Iran’s initial attacks, eventually succumbed to their injuries,” it said.
Major combat operations continue and our response effort is ongoing. The identities of the fallen are being withheld until 24 hours after next of kin notification,” Central Command added.
This story has been updated.
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