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The Daily Tar Heel

Chapel Hill-Carrboro City Schools fight whooping cough

Chapel Hill-Carrboro City Schools is taking steps to ensure a handful of recently reported cases of whooping cough do not turn into an outbreak.

Six CHCCS students, three at Mary Scroggs Elementary and three at Carrboro Elementary School, have come down with the infection — which can be lethal for infants — in the last two weeks. The most recent case was reported March 12.

Whooping cough, or pertussis, is a bacterial respiratory infection that begins similarly to the common cold and features a heavy, violent cough. Though symptoms typically begin about a week after exposure, it can take 21 days for them to fully develop.

Students in close contact with those infected who show symptoms like coughing, sneezing or congestion ­must stay home until they have taken at least five days of antibiotics, including the time it takes for the tests to process.

“If the physician suspects a case of pertussis, then yes, they would have to stay out of school while it’s being confirmed,” said Stephanie Willis, district health coordinator.

CHCCS is also requiring close contacts of infected students — classmates, bus-mates or friends — to take a five-day antibiotic treatment to attend school.

Students listed as close contacts who choose not to take the treatment must stay home for 21 days from their last exposure.

Willis said the treatment, which follows the guidelines set forth by the state health department, is meant to prevent the disease from spreading.

“It’s within parents’ rights not to immunize their children and that is within the law, but it won’t prevent them from getting pertussis,” Willis said.

She said the district does require students to be immunized for pertussis, but makes medical or religious exceptions.

“Because our kids are immunized, we don’t necessarily see it,” Willis said. “But every year about this time we do have an isolated case here and there.”

She said Alamance County’s schools are currently experiencing an outbreak, with about 100 confirmed cases.

Willis said the last large outbreak in CHCCS was in the 2008-09 school year and the last reported case was in November.

Susan Rankin, the communicable disease coordinator for Orange County Health Department, said the guidelines help prevent whooping cough from spreading to high-risk groups, such as infants.

“If you have a strong, healthy immune system, you should be OK,” Rankin said. “The problem is you can infect others, and that increases the risk of infecting a more vulnerable person.”

Depending on the pharmacy and the medicine ordered, the school-required antibiotic treatment can cost between $10 and $40, she said.

Though Rankin said the school system doesn’t have funds to pay for the medications, they are conducting the tests for anybody without a medical provider or insurance.

Contact the City Editor at city@dailytarheel.com.

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