cough won't go away can't stop coughing SARS Severe Acute Respiratory Syndrome bronchitis pneumonia can't shake this cough weird cough unusual cough persistent tickle cough coughing epidemic Los Angeles
 
COUGH WON'T STOP: Inquiries
Authorities who should know about this cough epidemic have seemingly no information on it. The author is inquiring, hoping to find some explanation. The responses have been passed to more and more local levels, with no informative response forthcoming to date (August, 2005).

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Center for Disease Control

Author to CDC 2/24/02: "Please help me understand the epidemic of un-curable coughing that is infecting half or more of the population of central Los Angeles. I have monitored the cold symptoms of the children I teach (day-to-day subbing, different classroom each day for 18 years, full time) and have never seen anything like this in all these years. Everyone is commenting on it, that their coughs won't go away. Please help us understand what is happening here!"

CDC to author 2/26/02: "CDC DOES NOT HAVE ANY INFORMATION CONCERNING THIS, PLEASE CONTACT THE CALIFORNIA STATE HEALTH DEPARTMENT CONCERNING THIS MATTER.
LL
PUBLIC INQUIRIES"



Calif State Dept. of Health

Author to Calif Dept of Health and Safety 2/26/02: "Sirs: THERE IS AN EPIDEMIC OF COUGHING IN LOS ANGELES. HOSPITALS ARE OVERFLOWING WITH CHILDREN IN ALL STAGES OF BRONCHITIS FROM SERIOUS TO CRITICAL, AND ALSO PNEUMONIA.

THE CDC, IN CAPITAL LETTERS, URGED THAT I CONTACT YOU.

PLEASE HELP US UNDERSTAND WHAT THIS DISEASE IS, AND WHY IT WILL NOT PRODUCE IMMUNITY.

I AM A CERTIFICATED TEACHER IN ELEMENTARY SCHOOL

CDHS to Author 3/5/02: "I am hereby forwarding your note to the Acute Communicable Disease Control Program of the Los Angeles County Department of Health (phone 213-240-7941), which is responsible for dealing with such problems in the county. However, please be aware that there are increases in respiratory illness each winter, and that hospitals are increasingly having difficulty meeting the demand that creates on their emergency departments, often creating the appearance of larger increases than are actually occurring because of the long waiting times in their emergency departments. Thank you for your concern in reporting this."

Jon Rosenberg, M.D.
California Department of Health Services
Division of Communicable Disease Control
Infection Control and Healthcare Epidemiology
2151 Berkeley Way, Berkeley CA 94704
Phone (510) 540-3233 Fax (510) 540-2570
e-mail: jrosenbe@dhs.ca.gov



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cough won't go away can't stop coughing bronchitis pneumonia can't shake this cough weird cough unusual cough persistent tickle cough coughing epidemic Los Angeles
cough won't go away can't stop coughing bronchitis pneumonia can't shake this cough weird cough unusual cough persistent tickle cough coughing epidemic Los Angeles



Definitions

Acute: Characterized by sharpness or severity; having a sudden onset, sharp rise, and short duration; seriously demanding urgent attention

Bacterium (Plural = Bacteria): Any of a class (Schizomycetes) of microscopic plants having round, rodlike, spiral, or filamentous single-celled or noncellular bodies often aggregated into colonies or motile by means of flagella, living in soil, water, organic matter, or the bodies of plants and animals, and being autotrophic, saprophytic, or parasitic in nutrition and important to man because of their chemical effects and as pathagens.

Bronchitis: An acute or chronic inflammation of the bronchial tubes, or a disease marked by this. "Chronic bronchitis is defined in clinical terms as the presence of chronic cough with sputum production that occurs most days of the week, at least 3 months a year, for more than two consecutive years, in the absence of other specific causes (e.g. asthma, bronchiectasis, cystic fibrosis). Importantly, most patients who have only chronic bronchitis do not have any substantive airflow limitation." (from Google)

Bronchial tube: A bronchus or any of its branches.

Bronchioles: The tiniest brochial tubes in the lungs; there are about 30,000 of them in each lung; each one is about the thickness of a hair

Bronchus: Either of the two primary divisions of the trachea that lead respectively into the right and left lung.

Chronic: Marked by long duration or frequent recurrence; not acute

Cough: A symptom, not a disease. A reflex action that tries to clear the lungs. At least one online MD recommends getting a chest x-ray if one has a cough for 6 weeks, even if a doctor has used a stethoscope and pronounced the lungs "clear."

Epidemic: Affecting, or tending to affect, many individuals within a population, community, or region, at the same time; excessively prevalent

Inflammation: A local response to cellular injury that is marked by capillary dilatation, leukocytic infiltration, redness, heat, and pain and that serves as a mechanism initiating the elimination of noxious agents and of damaged tissue; when tissues are damaged or otherwise attacked, blood cells rush to the area to bring healing and remove damaged tissue, causing swelling, and also causing blockage of circulation

Sputum: Expectorated matter made up of saliva and often discharges from the respiratory passages

Trachea: The main trunk of the system of tubes by which air passes to and from the lungs in vertebrates.

Virus: Any of a large group of submicroscopic infective agents that are regarded either as the simplest microorganisms or as extremely complex molecules, that typically contain a protein coast surrounding an RNA or DNA core of genetic material, that are capable of growth and multiplication only in living cells, and that cause various important diseases in man, lower animals, or plants.