Health
Experts Urge Maternal Vaccination as Whooping Cough Surges in Europe and US
Health experts are warning of a sharp resurgence in whooping cough, also known as pertussis, with case numbers in Europe and the United States now surpassing pre-pandemic levels. Doctors stress that vaccinating women during pregnancy is the most effective way to protect newborns, who face the highest risk of life-threatening complications.
The highly contagious bacterial infection, often dubbed the “100-day cough,” had been circulating at relatively low levels during the COVID-19 pandemic due to widespread mask use, school closures, and restrictions on gatherings. But with those measures lifted, pertussis has returned strongly.
According to the European Centre for Disease Prevention and Control (ECDC), more than 25,000 cases were recorded across EU and EEA countries in 2023, followed by over 32,000 cases in the first quarter of 2024 alone. The illness typically causes weeks or months of relentless coughing fits in older children and adults. In infants under two months old, however, it can be far more dangerous.
“Pertussis symptoms are different in infants,” explained Dr. Caitlin Li, an infectious disease specialist at Ann & Robert H. Lurie Children’s Hospital of Chicago, in a recent article in Pediatrics. “The characteristic whooping sound may be absent, but apnea—interrupted breathing—is common.” She added that babies often present with unusually high white blood cell counts, which can be mistaken for more serious non-infectious conditions.
The rise in cases reflects both a post-pandemic rebound and the cyclical nature of pertussis, which tends to peak every three to five years, even in countries with strong vaccine programs.
To counter the current surge, public health agencies are emphasizing maternal vaccination as the most critical intervention. When mothers are immunized between 27 and 36 weeks of pregnancy, antibodies pass through the placenta and shield newborns until they are old enough to begin their own vaccination schedule.
“Given that infants are at high risk for complications, pertussis vaccination of mothers during pregnancy is critical, as it protects newborns against this potentially fatal illness,” Dr. Li said. Studies suggest the strategy reduces the risk of severe pertussis in infants by up to 85 percent.
The US Centers for Disease Control and Prevention (CDC) recommends a five-dose DTaP series for children from two months to six years of age, followed by a booster during adolescence. But the agency stresses that maternal immunization remains the most urgent preventive measure.
WHO Europe also urges rapid antibiotic treatment for those who contract the infection and strict avoidance of contact with infants, pregnant women, or other vulnerable individuals. Data from Public Health France shows that more than half of infected children contract pertussis from one of their parents.
With cases rising sharply, experts warn that maintaining high vaccination coverage—among children, adults, and especially expectant mothers—will be key to protecting the most vulnerable.
Health
World Cup Emotion Can Strain the Heart, Cardiologists Warn Fans at Risk
As the World Cup begins, medical experts are cautioning football fans with underlying heart conditions that the emotional intensity of matches can place unexpected strain on the cardiovascular system.
Cardiologists say that the excitement, tension, and anxiety generated during high-stakes games can trigger physical reactions similar to intense exercise, raising heart rate, blood pressure, and stress hormones.
“Intense emotions, whether positive or negative, can act as ‘precipitating risk factors’ for cardiovascular events such as heart attack,” said Paola Santalucia, a cardiologist and board member of the European Heart Network.
She explained that moments of extreme excitement, such as a decisive penalty shootout or a last-minute goal, may pose risks for people already living with heart disease. Those with additional risk factors, including hypertension, obesity, or smoking habits, are also advised to be cautious during emotionally charged matches.
Research using wearable devices has shown that during major football events, some fans experience heart rates climbing as high as 150 beats per minute. That level is comparable to sprinting and reflects how strongly the body reacts to emotional stress.
A study examining supporters during the 2025 German Cup final found that even watching from home can significantly affect physiological responses. “They still had an increase in heart rate that compares to walking, even though they didn’t walk,” said Christian Deutscher, professor of sports economics at Bielefeld University and co-author of the study.
He noted that the most intense reactions often occur not during goals themselves, but during moments of uncertainty such as VAR checks, penalty shootouts, or shots striking the post. These unpredictable situations, he said, are what drive the strongest emotional and physical responses among fans.
Deutscher also pointed out that stadium spectators may experience even greater strain due to environmental factors such as heat and alcohol consumption.
However, experts emphasize that football itself is not inherently dangerous. Instead, it is the body’s natural response to excitement that can create temporary stress.
“The adrenergic stimulation is at its max: extreme high blood pressure, high heart rate, and adrenaline, cortisol, skyrocketing,” said Dan Atar, professor of cardiology at Oslo University Hospital. In rare cases, he added, this surge can contribute to the rupture of arterial plaque in vulnerable individuals, potentially leading to a heart attack.
Atar stressed that such events can occur in everyday situations as well, including physical exertion like shoveling snow. “It is in no way dangerous to watch a football game,” he said. “All this is physiologic. It’s not dangerous to be excited.”
Still, he acknowledged that combining emotional stress with alcohol, heat, and pre-existing conditions can increase risk for some viewers.
Doctors advise those at higher risk to continue prescribed medications, limit alcohol intake, avoid smoking, and watch for warning signs such as chest pain or irregular heartbeat.
“The key message is not to avoid enjoying the match, but to do so with moderation and awareness,” Santalucia said.
Health
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Health
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