i think bureaucrats today are really politicians with tender. that s what s happened or they haven t become civil servants. they become politicians of tenure. i don t know how we re going to do it. the state to become less and less important. these 50 places of experimentation are being shut down. i think it has to start in washington first. i think washington is the key to unleashing these 50 places that can really produce innovation. i think washington is where it has to start and filter down. final question or was that it? thank you again. thank you for joining in the big tent. [applause] copies of the book our personal. he can state an autographed impartially and even wander outside. we do thank you for your kind attention. hope to see you again soon in the future. thank you all. [inaudible conversations] on the go, afterwards is available via podcast. visit booktv.org and click podcast on the upper left side of the page. select which podcast you d like to dow
who is the prolific author of some 26 books and about 22 behind, mom. it is these snail mail dispatches from the eastern front that reappear lightly edited in parts of the book and they help give the dispatches narrative some chronological order from 1975 when i first became, first began working in congress until 2010 when dean harry harding blessedly rescued me. now in editing these papers, the great folks at bancroft press works to encourage me to leave some of that naïve enthusiastic impressionable boys in and i did so what you have here are some stories about washington, about moscow, about a meeting with andrei sakharov and andre dmytro with jimmy carter, meetings with the nixon family, ted kennedy and with a young senator barack obama. they are stories about freshmen senators guys like howard baker, john kerry and joe biden when they first showed up on the foreign relations committee in the senate where i was the leadership staffer working for the committee. and there
As whooping cough (pertussis) cases surge globally, experts offer their insights on symptoms, prevention and vaccination requirements. Here's what you need to know to stay safe.
As whooping cough cases are surging globally, experts offer their insights on symptoms, prevention and vaccination requirements. Here's what you need to know to stay safe.
Increasing vaccine uptake is critical to controlling pertussis outbreaks
Pertussis incidence is high and climbing in the UK. In January 2024, there were 553 cases in England compared with 858 cases for the whole of 2023. The largest previous pertussis outbreak in recent years was in 2012, when cases were at their highest level in two decades. At this stage, it is difficult to tell how the current rise in pertussis activity will play out over the coming months.
Pertussis is highly contagious. Up to 90% of household contacts become infected, although harms occur predominantly in young infants, who are too young to be fully vaccinated and are at the highest risk of severe complications.1 Roughly 4% of confirmed cases in January were in infants under the age of 3 months, although most people affected have been over 15 years old.2
The rise in pertussis infections has been replicated across many European countries. It is thought to be …