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April 21, 2014

Andrew Silow-Carroll: Passoverkill? Suggestions to make next year's seders even more culturally sensitive

Sara Israelsen Hartley: Seeking the Divine: An ancient connection in a new context

Christine M. Flowers: Priest's execution in Syria should be call to action

Courtnie Erickson: How to help kids accept the poor decisions of others

Lizette Borreli: A Glass Of Milk A Day Keeps Knee Arthritis At Bay

Lizette Borreli: 5 Health Conditions Your Breath Knows Before You Do

The Kosher Gourmet by Betty Rosbottom Coconut Walnut Bars' golden brown morsels are a beautifully balanced delectable delight

April 18, 2014

Rabbi Yonason Goldson: Clarifying one of the greatest philosophical conundrums in theology

Caroline B. Glick: The disappearance of US will

Megan Wallgren: 10 things I've learned from my teenagers

Lizette Borreli: Green Tea Boosts Brain Power, May Help Treat Dementia

John Ericson: Trying hard to be 'positive' but never succeeding? Blame Your Brain

The Kosher Gourmet by Julie Rothman Almondy, flourless torta del re (Italian king's cake), has royal roots, is simple to make, . . . but devour it because it's simply delicious

April 14, 2014

Rabbi Dr Naftali Brawer: Passover frees us from the tyranny of time

Greg Crosby: Passing Over Religion

Eric Schulzke: First degree: How America really recovered from a murder epidemic

Georgia Lee: When love is not enough: Teaching your kids about the realities of adult relationships

Cameron Huddleston: Freebies for Your Lawn and Garden

Gordon Pape: How you can tell if your financial adviser is setting you up for potential ruin

Dana Dovey: Up to 500,000 people die each year from hepatitis C-related liver disease. New Treatment Has Over 90% Success Rate

Justin Caba: Eating Watermelon Can Help Control High Blood Pressure

The Kosher Gourmet by Joshua E. London and Lou Marmon Don't dare pass over these Pesach picks for Manischewitz!

April 11, 2014

Rabbi Hillel Goldberg: Silence is much more than golden

Caroline B. Glick: Forgetting freedom at Passover

Susan Swann: How to value a child for who he is, not just what he does

Cameron Huddleston: 7 Financial Tasks You Should Tackle Right Now

Sandra Block and Lisa Gerstner: How to Profit From Your Passion

Susan Scutti: A Simple Blood Test Might Soon Diagnose Cancer

Chris Weller: Have A Slow Metabolism? Let Science Speed It Up For You

The Kosher Gourmet by Diane Rossen Worthington Whitefish Terrine: A French take on gefilte fish

April 9, 2014

Jonathan Tobin: Why Did Kerry Lie About Israeli Blame?

Samuel G. Freedman: A resolution 70 years later for a father's unsettling legacy of ashes from Dachau

Jessica Ivins: A resolution 70 years later for a father's unsettling legacy of ashes from Dachau

Kim Giles: Asking for help is not weakness

Kathy Kristof and Barbara Hoch Marcus: 7 Great Growth Israeli Stocks

Matthew Mientka: How Beans, Peas, And Chickpeas Cleanse Bad Cholesterol and Lowers Risk of Heart Disease

Sabrina Bachai: 5 At-Home Treatments For Headaches

The Kosher Gourmet by Daniel Neman Have yourself a matzo ball: The secrets bubby never told you and recipes she could have never imagined

April 8, 2014

Lori Nawyn: At Your Wit's End and Back: Finding Peace

Susan B. Garland and Rachel L. Sheedy: Strategies Married Couples Can Use to Boost Benefits

David Muhlbaum: Smart Tax Deductions Non-Itemizers Can Claim

Jill Weisenberger, M.S., R.D.N., C.D.E : Before You Lose Your Mental Edge

Dana Dovey: Coffee Drinkers Rejoice! Your Cup Of Joe Can Prevent Death From Liver Disease

Chris Weller: Electric 'Thinking Cap' Puts Your Brain Power Into High Gear

The Kosher Gourmet by Marlene Parrish A gift of hazelnuts keeps giving --- for a variety of nutty recipes: Entree, side, soup, dessert

April 4, 2014

Rabbi David Gutterman: The Word for Nothing Means Everything

Charles Krauthammer: Kerry's folly, Chapter 3

Amy Peterson: A life of love: How to build lasting relationships with your children

John Ericson: Older Women: Save Your Heart, Prevent Stroke Don't Drink Diet

John Ericson: Why 50 million Americans will still have spring allergies after taking meds

Cameron Huddleston: Best and Worst Buys of April 2014

Stacy Rapacon: Great Mutual Funds for Young Investors

Sarah Boesveld: Teacher keeps promise to mail thousands of former students letters written by their past selves

The Kosher Gourmet by Sharon Thompson Anyone can make a salad, you say. But can they make a great salad? (SECRETS, TESTED TECHNIQUES + 4 RECIPES, INCLUDING DRESSINGS)

April 2, 2014

Paul Greenberg: Death and joy in the spring

Dan Barry: Should South Carolina Jews be forced to maintain this chimney built by Germans serving the Nazis?

Mayra Bitsko: Save me! An alien took over my child's personality

Frank Clayton: Get happy: 20 scientifically proven happiness activities

Susan Scutti: It's Genetic! Obesity and the 'Carb Breakdown' Gene

Lecia Bushak: Why Hand Sanitizer May Actually Harm Your Health

Stacy Rapacon: Great Funds You Can Own for $500 or Less

Cameron Huddleston: 7 Ways to Save on Home Decor

The Kosher Gourmet by Steve Petusevsky Exploring ingredients as edible-stuffed containers (TWO RECIPES + TIPS & TECHINQUES)

Jewish World Review

Mayo Clinic Medical Edge: Resurgence of whooping cough makes vaccination important for people of all ages

By Thomas Boyce, M.D., and W. Charles Huskins, M.D.





JewishWorldReview.com | DEAR MAYO CLINIC: Is it true that adults should be vaccinated against pertussis? I thought that was a childhood disease. Hasn't it basically been eliminated in the United States?

ANSWER: Now more than ever, it's important for everyone -- including adults -- to be vaccinated against pertussis. There is an effective vaccine against pertussis, also known as whooping cough. But the immunity generated by the vaccine weakens over time. When enough people in the population become susceptible to infection, an epidemic can occur. These epidemics are not as severe as was seen in the pre-vaccine era, but they still affect a lot of people. Currently, there are large outbreaks of pertussis in Washington, Minnesota and Wisconsin.

Pertussis is a highly contagious bacterial infection that causes a severe, hacking cough. The coughing spells can be followed by a high-pitched intake of breath that sounds like a "whoop" and gives the disease its name. Coughing spasms can cause extreme fatigue and vomiting and make breathing difficult. In babies, the disease can be very serious because their airways are tiny and they may have trouble breathing in enough oxygen during coughing spells. Severe coughing spells can also generate small hemorrhages in the eyes and brain.


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Vaccination is the most important way to prevent pertussis. Infants should be vaccinated at ages 2, 4 and 6 months. The pertussis vaccination is given in combination with tetanus and diphtheria vaccines, which is abbreviated as DTaP for diphtheria, tetanus and acellular pertussis.

Boosters are recommended at 12 to 18 months; 4 to 6 years; and again at age 11. Pertussis booster shots are available for adults, too, and are strongly recommended for those in close contact with infants, particularly during an outbreak. Ask your physician if you can receive Tdap (tetanus-diphtheria-acellular pertussis) vaccine instead of the usual Td (tetanus-diphtheria) booster. The Tdap vaccine can be given anytime, regardless of how recently the person received their last Td booster. Tdap (given to older children and adults) is slightly different from DTaP (given to infants) in that it has a lower amount of diphtheria and pertussis antigens, hence the lowercase "d" and "p."

Pertussis vaccines are very safe, effective and beneficial. Before the vaccine was available, pertussis was a greatly feared disease that killed thousands of children every year. Now, perhaps 10 to 20 pertussis deaths occur per year in the United States. Almost all of these deaths occur in young infants.

People of all ages still contract the disease. Since the 1980s, pertussis incidence has been increasing in the United States. In a typical year, 5,000 to 10,000 cases are reported, according to the U.S. Centers for Disease Control and Prevention (CDC). But epidemics occur every three to five years. In 2010, more than 27,000 cases were reported in the United States.

We continue to see pertussis for several reasons. One, vaccinations aren't universal. The CDC estimates that about 85 percent of children between ages 19 and 35 months are fully immunized against pertussis. The rates in adolescents are about 70 percent. In adults, fewer than 10 percent have received Tdap. So the last time most adults were immunized against pertussis was when they were children.

In addition, over time the vaccine's effectiveness wanes, so we see adolescents and adults with pertussis. These older patients typically have a milder form of the illness because they retain some immunity from early vaccinations. But patients with mild pertussis are still contagious. The disease can be transmitted via germ-laden droplets propelled into the air from a cough or sneeze.

Pertussis is typically diagnosed by inserting a thin swab through the nose to the back of the throat. Collected fluid is then sent for culture or other more rapid tests. Cultures and other tests are not always positive, so some patients will be treated based on symptoms. Regardless of their vaccination history, those with pertussis should be treated with a specific antibiotic. People with pertussis should be kept home from school, day care, or work until they've had five days of antibiotics. A doctor may recommend antibiotics for everyone in the household because pertussis is easily transmitted.

Antibiotics work best when given early in the course of the illness. Treatment doesn't immediately stop the cough; pertussis is also called the 100-day cough because symptoms can linger that long.

Home care includes plenty of rest and fluids. Cough medications aren't helpful and aren't recommended. Infants may need to be monitored in a hospital to make sure they can breathe on their own after a coughing spell.

The key is to prevent pertussis from occurring. Make sure that all infants and children -- as well as adult family members and caregivers -- are fully vaccinated against pertussis. -- Thomas Boyce, M.D., and W. Charles Huskins, M.D., Pediatric Infectious Diseases, Mayo Clinic, Rochester, Minn.

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