RUSH TRANSCRIPT Saw Rich ░░░░░░░░ s something Thank you ░░░░░░░░ much Jacque disturbing development ░░░░░░░░ medical news Whooping cough ░░░░░░░░ hitting the highest level ░░░░░░░░ a decade in the ░░░░░░░░ S Let s bring ░░░░░░░░ dr Debbie thank you ░░░░░░░░ being here doctor What ░░░░░░░░ causing this This is ░░░░░░░░ in a decade That ░░░░░░░░ something Yeah there is ░░░░░░░░ a few different reasons ░░░░░░░░ thing is that because ░░░░░░░░ is so much coughing ░░░░░░░░ stuff the tests have ░░░░░░░░ better and people are ░░░░░░░░ tested more often and ░░░░░░░░ are looking for it ░░░░░░░░ is probably a few ░░░░░░░░ factors First we re ░░░░░░░░ out of the lockdowns ░░░░░░░░ the last couple years ░░░░░░░░ gathering and typically whooping ░░░░░░░░ has these cycles every ░░░░░░░░ to five years Now ░░░░░░░░ people are gathering more ░░░░░░░░ re seeing that cyclical ░░░░░░░░ Another factor is that ░░░░░░░░ ve had a change ░░░░░░░░ the vaccine back in ░░░░░░░░ 90s We used to ░░░░░░░░ a very strong vaccine ░░░░░░░░ was very strong Good ░░░░░░░░ terms of controlling whooping ░░░░░░░░ but a lot of ░░░░░░░░ effects for the same ░░░░░░░░ What happened was that ░░░░░░░░ we got better controls ░░░░░░░░ vaccine changed into something ░░░░░░░░ was a little bit ░░░░░░░░ in the sense it ░░░░░░░░ t last as long ░░░░░░░░ that reason if people ░░░░░░░░ t get vaccinated during ░░░░░░░░ and the lockdowns and ░░░░░░░░ in getting care The ░░░░░░░░ faded or waned Now ░░░░░░░░ are more at risk ░░░░░░░░ get whooping cough and ░░░░░░░░ have more of the ░░░░░░░░ Then we can also ░░░░░░░░ that all of these ░░░░░░░░ of infectious diseases they ░░░░░░░░ have mutations so they ░░░░░░░░ spread more easily over ░░░░░░░░ It is probably a ░░░░░░░░ of those factors and ░░░░░░░░ we also think about ░░░░░░░░ in general obviously after ░░░░░░░░ and the lockdowns some ░░░░░░░░ are a little more ░░░░░░░░ to get vaccines or ░░░░░░░░ held off That can ░░░░░░░░ a factor Then we ░░░░░░░░ illegal migration We can ░░░░░░░░ people coming in who ░░░░░░░░ unvaccinated Jacque some of ░░░░░░░░ symptoms Whopping cough cases ░░░░░░░░ worse with time That ░░░░░░░░ another complicating factor here ░░░░░░░░ symptoms are low grade ░░░░░░░░ and cough and then ░░░░░░░░ coughing vomiting pauses in ░░░░░░░░ and dangerous for little ░░░░░░░░ More than 32 000 ░░░░░░░░ in the U S ░░░░░░░░ year Six times higher ░░░░░░░░ just the last year ░░░░░░░░ what can people do ░░░░░░░░ protect themselves This can ░░░░░░░░ very stressful whether you ░░░░░░░░ the person who has ░░░░░░░░ cough or sitting across ░░░░░░░░ someone who has the ░░░░░░░░ during these holiday get ░░░░░░░░ The thing is because ░░░░░░░░ has a long period ░░░░░░░░ contagiousness and very contagious ░░░░░░░░ you cough or cold ░░░░░░░░ you may want to ░░░░░░░░ off on going to ░░░░░░░░ of these get togethers ░░░░░░░░ it still could be ░░░░░░░░ cough A person has ░░░░░░░░ gasping for air after ░░░░░░░░ ve been coughing That ░░░░░░░░ particularly concerning If you ░░░░░░░░ these symptoms I usually ░░░░░░░░ people call 911 or ░░░░░░░░ urgent care before going ░░░░░░░░ Since it is contagious ░░░░░░░░ you go there other ░░░░░░░░ there might be at ░░░░░░░░ of catching it too ░░░░░░░░ it s not whooping ░░░░░░░░ even if it s ░░░░░░░░ anybody who has chest ░░░░░░░░ difficulty breathing any kind ░░░░░░░░ fever better to get ░░░░░░░░ out to make sure ░░░░░░░░ don t have another ░░░░░░░░ Just to reassure folks ░░░░░░░░ you see someone who ░░░░░░░░ a cough it doesn ░░░░░░░░ mean they automatically have ░░░░░░░░ cough People can have ░░░░░░░░ reflux asthma copd post ░░░░░░░░ cough when people are ░░░░░░░░ A lot of reasons ░░░░░░░░ have a cough Jacque ░░░░░░░░ season for coughing The ░░░░░░░░ loss drug got FDA ░░░░░░░░ to be used for ░░░░░░░░ apnea My question to ░░░░░░░░ is because obesity has ░░░░░░░░ many impacts on overall ░░░░░░░░ do you see some ░░░░░░░░ these weight loss medications ░░░░░░░░ approved for more and ░░░░░░░░ conditions Yes I think ░░░░░░░░ s the future I ░░░░░░░░ it s not approved ░░░░░░░░ it I treat a ░░░░░░░░ of patients with arthritis ░░░░░░░░ seem to get better ░░░░░░░░ losing weight from these ░░░░░░░░ The landscape of medicine ░░░░░░░░ change over time Jacque ░░░░░░░░ times ahead and really ░░░░░░░░ lot of breakthroughs in ░░░░░░░░ these days Thank you ░░░░░░░░ much for being here ░░░░░░░░ it.