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
How Philadelphia took care of its own through history
The Orphan Society was formed by a committee of wealthy Philadelphia women, notably Sarah Ralston and Rebecca Gratz, who each took the role of social reformer very seriously.
Gratz, the daughter of a wealthy Jewish merchant, also formed the Female Association for the Relief of Women and Children in Reduced Circumstances, the Female Hebrew Benevolent Society, and the Hebrew Sunday School. Gratz College in Elkins Park is named after her.
“She never married,” Barnes said. “She did things like put her money and her time toward doing that kind of public service.”
Ralston, the daughter of onetime Philadelphia mayor Matthew Clarkson, also formed the Indigent Widows and Single Women’s Society, which ultimately became the Sarah Ralston Foundation supporting elder care in Philadelphia. The historic mansion she built to house indigent widows still stands on the campus of the University of Pennsylvania, which is now its chief occupant.
Women like Ralston and Gratz were part of the 19th-century Reform Movement that sought to undo some of the inhumane conditions brought about by the rapid industrialization of cities. Huge numbers of people from rural America and foreign countries came into urban cities for factory work, and many fell into poverty, alcoholism, and prostitution.
“These are not new problems, but on a much larger scale than they ever were,” Barnes said. “It was just kind of in the zeitgeist in the mid- and later-1800s to say, ‘We’ve got to address all these problems.”
The reform organizations could be highly selective and impose a heavy dose of 19th-century moralism. The Indigent Widows and Single Women’s Society, for example, only selected white women from upper-class backgrounds whose fortunes had turned, rejecting women who were in poor health, “fiery-tempered,” or in one case, simply “ordinary.”
Pennsylvania
How did Pennsylvania’s top-ranked football teams fare on Friday, Nov. 22?
Pennsylvania
Pennsylvania Education Secretary Khalid Mumin is stepping down • Pennsylvania Capital-Star
Pennsylvania Education Secretary Khalid Mumin will resign from his position in Gov. Josh Shapiro’s cabinet next month, the governor’s office announced Friday afternoon.
Mumin was confirmed in June 2023 about six months after Shapiro took office and has presided over some of the administration’s early successes such as increasing funding for K-12 public schools by $1.5 billion over the last two budgets and providing free breakfast for 1.7 million public school students.
Mumin will resign Dec. 6 and Executive Deputy Secretary of Education Angela Fitterer will take over as interim secretary. A statement from Shapiro’s office did not say why Mumin is stepping down.
Shapiro said in a statement that Mumin has dedicated his life and career to ensuring that Pennsylvania children have a quality education that sets them up for success.
“He has led the Pennsylvania Department of Education with passion and integrity. I am grateful for his service to Pennsylvania’s students and educators and wish him great success in his future endeavors,” Shapiro said.
Mumin said it has been the honor of a lifetime to serve as education secretary.
“I began my career as a teacher in a classroom, and those early experiences watching students get excited about learning inspired me to become a principal, a superintendent, and ultimately Secretary of Education, so I could continue to fight for those students to get more support and more opportunities,” Mumin said. “I’m so grateful to Governor Shapiro for this opportunity to lead the Pennsylvania Department of Education and help build a bright future for Pennsylvania’s students and educators.”
State Sen. David Argall (R-Schuylkill), chairman of the Legislature’s education committee, said he wished Mumin the best and added, “I look forward to working with Acting Secretary Fitterer and the governor’s nominee to improve our education system, from Pre-K to graduate school.”
State Rep. Jesse Topper (R-Bedford), the ranking Republican member of the House Education Committee, said that from his point of view in the legislature “there were some definite bumps” during Mumin’s tenure as he presided over transformational change in the department.
“It’s important to understand that running a bureaucracy of that size … is different than being a great superintendent in a school district, big or small,” Topper said. “I think there are times when those coming from the academic world find it a little jolting what they’re going to encounter in the realm of government. I think he found it challenging, as all of these roles are.”
Before Shapiro tapped Mumin for his cabinet, he served as superintendent of the Lower Merion school district in Montgomery County. Mumin, who began his career as a classroom teacher in the Franklin County community of Scotland in 1997, also has served as superintendent of the Reading public schools.
Dan Urevick-Ackelsberg, senior attorney at the Public Interest Law Center, said Mumin’s background gave him a useful perspective on Pennsylvania’s schools. Lower Merion is among the state’s wealthiest communities, while Reading is one of the least.
“He came to office with the experience of seeing everything that Pennsylvania public schools can offer and the kind of disparity that underfunding public schools creates,” Urevick-Acklesberg said, adding that an important part of Mumin’s legacy will be the first steps the commonwealth took toward bringing its public schools into constitutional compliance.
Mumin’s tenure coincided with the resolution of a decade of litigation over the state’s public education funding formula, which a group of school districts, parents and advocates argued put students in less wealthy areas at a disadvantage because of its reliance on property taxes.
A Commonwealth Court judge ordered Shapiro and the General Assembly in February 2023 to correct the inequities and a interbranch commission found the state needed to invest $5.4 billion in underfunded schools to bring them up to par with the state’s most successful school districts.
This year’s budget includes about $526 million toward that goal, but lawmakers were unable to reach a compromise that would guarantee future installments to close the gap.
Sen. Lindsey Williams (D-Allegheny), who is the ranking Democrat on the Senate Education Committee, said she was grateful for Mumin’s service and experience as an educator, which helped the administration and lawmakers achieve shared goals such as strengthening career and technical education programs, investing in student mental health, repairs for schools and providing free menstrual products for students.
The governor’s office also credited Mumin with bringing together higher education leaders together to rethink higher education in Pennsylvania, establishing a state Board of Higher Education to provide more support for public universities and make college education more affordable.
Topper said the Education Department’s communications with the General Assembly were often found lacking by some members. Topper pointed to the higher education reform initiative, which the Shapiro administration billed as “a blueprint for higher education,” that many Republicans criticized for lacking detail or a clear proposal for how it would be funded.
Williams noted that the next four years will bring profound challenges for public education, as President-elect Donald Trump appears poised to eliminate the U.S. Department of Education. This week he appointed professional wrestling executive Linda McMahon to head the agency.
“Given the President-elect’s nominee to head the federal Department of Education, any successor to Secretary Mumin must be prepared to defend Pennsylvania students’ constitutional right to a high-quality inclusive public education,” Williams said.
Fitterer, who will serve in Mumin’s place until Shapiro’s nominee is confirmed in the Senate, has a 25-year career in state government, serving in former Gov. Tom Wolf’s administration, as legislative director for the education department and in crafting public policy in the House and Senate.
(This article was updated about 4 p.m. on Friday, Nov. 22, 2024, to include additional comments.)
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