Genetic Mutation May Explain Increase in U.S. Whooping Cough Cases

An old disease is making a comeback, possibly due to a bacterial mutation. Seventeen states and Washington D.C. are reporting an increase in whooping cough this year. It’s an epidemic in Texas, on pace to be the worst in half a century [1]. The very young are most at risk.

Whooping cough

New Treatment for Preschoolers with Acute Wheezing

Most acute wheezing episodes in preschool children lead to airway dehydration. Together with other factors, airway dehydration causes the body to have trouble clearing mucus. These children do not respond well to available treatments. A new study published in the journal Pediatrics evaluated the effect of administering inhaled hypertonic saline to wheezing preschool children, which promotes airway hydration and thus mucus clearance [1].

Breathing treatment
Creative Commons License photo credit: MinivanNinja

Clearing Up Concerns Over Vicks VapoRub

A new study raised concerns recently over safety of the popular ointment Vicks VapoRub in young children. Wake Forest University researchers report that the salve, which is used to relieve symptoms of cough and chest congestion, may actually stimulate mucus production and airway inflammation in infants and toddlers [1]. However, the results are far from conclusive as the study was based on the case of a single child and 15 animals. Moreover, many of the results of the study have been incorrectly reported by the media.

Sinus Congestion

The sinuses are hollow spaces located inside the bones in the skull to either side of the nose, behind and in between the eyes, in the forehead and at the back of the nasal cavity. The sinuses are lined with a moist, thin layer of tissue called a mucous membrane, which not only humidifies the air as you breathe it in, but also produces mucus to trap irritants such as dust, pollen and bacteria. The sinuses are lined with microscopic hairs called cilia. The function of cilia is to move mucus to flush the sinuses and nasal passageways of trapped irritants.

Sinus congestion is the blockage of one or more of the nasal passageways as a result of inflammation and swelling of the sinus tissues, secretion of mucus or a deviated septum (meaning obstruction of the nasal passage by the membranous ridge of cartilage in the nose that separates the nasal cavity into the two nostrils). Sinus congestion leads to impaired flow of mucus out of the sinuses. The build up of mucus in the sinuses causes increased pressure. Also, bacteria can become trapped and infect the mucous membrane, a condition termed sinusitis.