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It's as if it were a bulletin from the early days of The Bradford Era: Cases of pertussis reported in the community. But it's today, in 2024, when two area school districts have issued notes of caution to the community saying cases of whooping cough have been reported. At Otto-Eldred School District, Superintendent Matt Splain released a statement on social media: "Otto-Eldred Elementary School received reporting of a whooping cough case this week. The student is currently under medical care and has not been in school for 2 weeks. Pertussis cases have been rising nationwide, including in Pennsylvania. Pennsylvania has seen the most reported cases so far this year. The U.S. has seen a five-fold increase in reported cases in 2024 compared to 2023." At Smethport Area School District, a student wasn't mentioned, but the cautionary statement prior to Thanksgiving asked folks to review an update on whooping cough from the school nurses. "We are still experiencing cases of pertussis circulating in our community," the notice read. Both schools included informational statements on pertussis, how to recognize it and what the Department of Health recommended for treatment. The health department and CDC noted that Pennsylvania has had 2,657 cases so far this year; last year there were 305 cases. The most recent week reported, which ended Nov. 23, had 35 cases in the state. "Pertussis, commonly known as whooping cough, follows a relatively typical cycle that sees cases rise and fall, with illness peaks occurring every 2 to 5 years – this is a normal occurrence and should not be considered abnormal or thought of as an 'outbreak,' stated Neil Ruhland, deputy press secretary for the health department. There has been a rise in the state, particularly in areas with greater population density, he said, like Philadelphia and Pittsburgh. "The majority of outbreaks that have been reported are from middle school, high school or college settings. The number of reported pertussis outbreaks increased throughout the 2023-24 school year, that trend is expected to continue into 2025. No reported deaths due to a pertussis diagnosis have occurred in Pennsylvania in 2024," he said. The health department sent out a health alert and has been presenting educational materials to daycares and school settings. "Vaccination against whooping cough is the best way to prevent the disease," Ruhland said. "Children should routinely be vaccinated with a DTaP vaccine at two months, four months, six months, 15 to 18 months, and again at 4 to 6 years. "Adolescents should be up to date with the whooping cough vaccine and the last vaccination of Tdap at 11 to 12 years of age," he said. "Adults should get a Tdap vaccine every 10 years. "Pregnant women should receive Tdap between 27 and 36 weeks gestation with each pregnancy, regardless of prior vaccination history. The youngest children can get the first dose until two months of age." The vaccine rate in the state is 94.6% for kindergarten students, 92.4% for seventh graders, and 97.1% for 12th graders. According to the Centers for Disease Control, "Reports of pertussis cases were lower than usual over the past few years, during and following the COVID-19 pandemic. However, the United States is beginning to return to pre-pandemic patterns where more than 10,000 cases are typically reported each year. The infection prevention team for Upper Allegheny Health System said they haven't seen any cases of pertussis at Bradford Regional Medical Center or Olean (N.Y.) General Hospital. Cases of whooping cough tend to be cyclical, the experts agreed. "However, during the typical respiratory season, pertussis is often overlooked as a diagnosis in adolescents and adults, even when cough is present. This only reinforces the need for healthcare provider awareness with recognizing the symptoms of the illness and opting to perform laboratory testing for confirmation. Recognition and isolation is so important to preventing spread." "It's likely mitigation measures used during the pandemic (e.g., masking, remote learning) lowered transmission of pertussis. In 2024, reported cases of pertussis increased across the United States, indicating a return to more typical trends." "Pertussis is an acute bacterial disease caused by Bordetella pertussis spread through airborne droplets," the health department noted. "The incubation period is typically 7 to 10 days but can range from 5 to 21 days. Patients are infectious from the onset of symptoms until 3 weeks after the cough starts or until after 5 days of appropriate antibiotic treatment." It is a highly contagious respiratory tract infection. In many people, it's marked by a severe hacking cough followed by a high-pitched intake of breath that sounds like a "whoop."

Kentucky will aim to improve upon its best start in seven seasons when it hosts Western Kentucky on Tuesday night in Lexington, Ky., in the final game of the BBN Invitational. The Wildcats (5-0) are ranked No. 8 in the latest Associated Press poll and are setting impressive offensive milestones even for a program as tradition-rich as Kentucky, which includes eight national championships. The Wildcats have scored 97 or more points in their first four home games for the first time in program history and eclipsed the 100-point mark in three of those games. Their lone trip out of state was a solid 77-72 victory over Duke in a matchup of top-10 teams in Atlanta. Kentucky has also made at least 10 three-pointers in each of its first five games of a season for the first time ever. "I think Kentucky attracts good people," Kentucky coach Mark Pope said after the Wildcats' 108-59 win over Jackson State on Friday. "It's the one place in all college basketball where you represent just a fanbase in a different, unique way." Otega Oweh and Koby Brea have led the Wildcats' early scoring outburst. Oweh, who is averaging 16.2 points per game, had 21 points on 8-for-12 shooting against Jackson State. "He gets us off to unbelievable starts every night," Pope told reporters after that game. "He's probably been our most consistent guy in games." Brea, who scored 22 points against Jackson State and is averaging 16.0 points per game, is leading the nation in 3-point accuracy at 74.1 percent. As a team, the Wildcats are shooting 42.3 percent from beyond the arc. And the few times they miss, Amari Williams has been doing the dirty work on the glass, averaging 10.8 boards in addition to 9.6 points per game. Kentucky faces a different challenge than it's had to contend with so far in the Hilltoppers (3-2), who have won three in a row after losing their first two games to Wichita State and Grand Canyon. Their up-tempo play hasn't exactly resulted in great offensive output, but in the Hilltoppers' 79-62 win over Jackson State on Wednesday, they shot 45.2 percent from 3-point range (14 for 31). "I was happy to see a lot of different guys contribute tonight and, hopefully, get their feet under them a little bit and get some confidence," said Western Kentucky coach Hank Plona, who is in his first season as head coach. "Obviously, Tuesday will be quite a test and challenge for us and we'll need them to be at their absolute best." Western Kentucky has an experienced group, which returned mostly intact from last season. The team is led by Conference USA first-team selection Don McHenry, who is leading the team with 17.2 points and 2.2 steals per game. McHenry is one of four Hilltoppers with scoring averages in double figures. Julius Thedford (11.4 points per game) and Babacar Faye (15.0) are each shooting 40 percent or better from 3-point range. Western Kentucky also figures to challenge the Wildcats on the boards as it enters the game ranked in the top 25 in defensive rebounding (30.4 per game). Faye leads the Hilltoppers in that department, averaging 7.8 rebounds per game and figures to battle Williams inside. "We're not the biggest team in the world, but our depth and our quickness are our strengths," Plona said. --Field Level Media

It was the fourth time this season they had conceded four or more and the performance showed why they have the Premier League’s worst defence. When O’Neil and the players went over to acknowledge the visiting supporters there were boos for a run of two wins in 14 league matches. “Whatever the fans think of me, there is definitely no-none working harder than me and I will continue to do so until someone tells me not to,” said O’Neil, who is under increasing pressure with his side second bottom of the table. “I go over there to see them because I appreciate every one of the Wolves fans. They have given me unbelievable support since I arrived at the football club,” he said. “We managed to produce some unbelievable stuff last season with a team that was heavily tipped by most of the nation for relegation. We managed to enjoy it together. “Now it is tough. I was happy to go over there and look them right in the face and take any criticism they want to throw at me. “I accept responsibility for my part in that. Whatever criticism they want to throw at me will not change how I feel about them. “Everyone at this football club needs to do more. We will get back to be ready to fight again on Monday (another crucial game against West Ham, whose manager Julen Lopetegui’s tenure is hanging by a thread). “I will work with everything I have. I will back myself to get the most out of the group. I understand the drive for change (but) you never know how much of a percentage of supporters it is.” Veteran Ashley Young ended Everton’s 370-minute wait for a goal with a 10th-minute free-kick, his first league goal for more than two years, and on-loan Lyon midfielder Orel Mangala blasted home his first for the club to establish a 2-0 half-time lead. Two Craig Dawson own goals secured Everton’s biggest home league win since April 2019, but manager Sean Dyche insisted their issues up front were far from sorted. He said: “It’s our fifth clean sheet in the last eight so the consistency has been there in one degree, we just haven’t been scoring goals. That’s been the hardest thing to find consistently and we haven’t solved it yet. “Goals change everything, they change opinions. That’s what football is like.” The victory was hugely important in a month in which, having been hammered 4-0 at Manchester United, they face top-six sides Liverpool, Arsenal, Chelsea, Manchester City and Nottingham Forest and undoubtedly eased some of the pressure on Dyche and his players. “I’ve told them how proud I am of them,” he added. “The challenges come thick and fast on and off the pitch and they just keep going. “It’s only a step and there are many more to go but it’s a good step and a positive step. “It’s a temporary moment in time because the next one is a big one (Saturday’s Merseyside derby).”

“Gladiator II” asks the question: Are you not moderately entertained for roughly 60% of this sequel? Truly, this is a movie dependent on managed expectations and a forgiving attitude toward its tendency to overserve. More of a thrash-and-burn schlock epic than the comparatively restrained 2000 “Gladiator,” also directed by Ridley Scott, the new one recycles a fair bit of the old one’s narrative cries for freedom while tossing in some digital sharks for the flooded Colosseum and a bout of deadly sea-battle theatrics. They really did flood the Colosseum in those days, though no historical evidence suggests shark deployment, real or digital. On the other hand (checks notes), “Gladiator II” is fiction. Screenwriter David Scarpa picks things up 16 years after “Gladiator,” which gave us the noble death of the noble warrior Maximus, shortly after slaying the ignoble emperor and returning Rome to the control of the Senate. Our new hero, Lucius (Paul Mescal), has fled Rome for Numidia, on the North African coast. The time is 200 A.D., and for the corrupt, party-time twins running the empire (Joseph Quinn and Fred Hechinger), that means invasion time. Pedro Pascal takes the role of Acacius, the deeply conflicted general, sick of war and tired of taking orders from a pair of depraved ferrets. The new film winds around the old one this way: Acacius is married to Lucilla (Connie Nielsen, in a welcome return), daughter of the now-deceased emperor Aurelius and the love of the late Maximus’s life. Enslaved and dragged to Rome to gladiate, the widower Lucius vows revenge on the general whose armies killed his wife. But there are things this angry young phenom must learn, about his ancestry and his destiny. It’s the movie’s worst-kept secret, but there’s a reason he keeps seeing footage of Russell Crowe from the first movie in his fever dreams. Battle follows battle, on the field, in the arena, in the nearest river, wherever, and usually with endless splurches of computer-generated blood. “Gladiator II” essentially bumper-cars its way through the mayhem, pausing for long periods of expository scheming about overthrowing the current regime. The prince of all fixers, a wily operative with interests in both managing gladiators and stocking munitions, goes by the name Macrinus. He’s played by Denzel Washington, who at one point makes a full meal out of pronouncing the word “politics” like it’s a poisoned fig. Also, if you want a masterclass in letting your robes do a lot of your acting for you, watch what Washington does here. He’s more fun than the movie but you can’t have everything. The movie tries everything, all right, and twice. Ridley Scott marshals the chaotic action sequences well enough, though he’s undercut by frenetic cutting rhythms, with that now-familiar, slightly sped-up visual acceleration in frequent use. (Claire Simpson and Sam Restivo are the editors.) Mescal acquits himself well in his first big-budget commercial walloper of an assignment, confined though he is to a narrower range of seething resentments than Crowe’s in the first film. I left thinking about two things: the word “politics” as savored/spit out by Washington, and the innate paradox of how Scott, whose best work over the decades has been wonderful, delivers spectacle. The director and his lavishly talented design team built all the rough-hewn sets with actual tangible materials the massive budget allowed. They took care to find the right locations in Morocco and Malta. Yet when combined in post-production with scads of medium-grade digital effects work in crowd scenes and the like, never mind the sharks, the movie’s a somewhat frustrating amalgam. With an uneven script on top of it, the visual texture of “Gladiator II” grows increasingly less enveloping and atmospherically persuasive, not more. But I hung there, for some of the acting, for some of the callbacks, and for the many individual moments, or single shots, that could only have come from Ridley Scott. And in the end, yes, you too may be moderately entertained. “Gladiator II” — 2.5 stars (out of 4) MPA rating: R (for strong bloody violence) Running time: 2:28 How to watch: Premieres in theaters Nov. 21. Michael Phillips is a Tribune critic.