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Here and Now Transcript #000443    Airdate: 04/21/2006
[Captioning made possible by U.S. Department of Education]
  Mumps Outbreak Reaches Wisconsin
The Midwest's outbreak of the mumps virus has reached Wisconsin. As many as 18 cases now exist in Milwaukee, including five at the University of Wisconsin-Milwaukee. Across the Midwest, more than 1,000 cases have been confirmed in the nation's worst mumps outbreak in almost 20 years. The virus causes fever, headaches, muscle aches and swelling around the jaw. It is typically spread by coughing and sneezing. Associate Medical Director for the City of Milwaukee Health Department Geoffrey Swain joins us to discuss the outbreak.

related links
City of Milwaukee Health Department
Journal Sentinel Online Article
Mayo Clinic Mumps Page
  State 911 Dispatcher Recognized for On-the-Job Excellence
A Wisconsin 911 dispatcher is being recognized for excellence on the job. Madison's Tom Hanrahan has been named national Emergency Dispatcher of the Year for his calm and professional demeanor while assisting a woman and her nine-year-old diabetic son. Hanrahan will be recognized at a ceremony in Florida next week. He joins us to discuss his award and his lifesaving work.

related links
Dane County Press Release
Dispatch Monthly Magazine
  Alliant Energy Seeks Expansion of Power Plant
Alliant Energy is looking expand its coal-based power plant in Cassville, Wis., and state environmental groups are not happy about it. Alliant Energy says the project would help ease power crunches, especially during summer months. However, environmental group Clean Wisconsin says alternative energy solutions, not fossil fuel-powered plants, should be used. Alliant Energy Spokesperson Scott Smith and Clean Wisconsin Energy Program Director Katie Nekola join us to discuss the proposed expansion.

related links
Alliant Energy
Capital Times Article
Clean Wisconsin
  End Insight
Our singing commentator Peter Leidy is back this week. He gives us a satirical look at Gov. Doyle's fears of a return to state politics by former Gov. Tommy Thompson.

related links
Peter Leidy

Wisconsin Public Television
Transcript: "Here and Now"
Original Air Date: April 21, 2006


Frederica Freyberg:
Welcome to "Here and Now," I'm Frederica Freyberg. There is a mumps outbreak in Wisconsin and it¿s hitting some people who have already been vaccinated. We have the latest on that story. More power to the people in southwestern Wisconsin may come with more coal plants. Threats of pollution have some environmentalists fired up. We have both sides of that debate. The nation's 911 dispatcher of the year is here. He's from Madison and brought a recording from the dramatic emergency call that earned him that honor. Singing commentator Peter Leidy dusts off his Jim Doyle impersonation for a song about Tommy Thompson's rumor mill. But first, even as we worry about the bird flu, the Midwestern outbreak of the mumps has migrated to Wisconsin, with more than 40 cases and counting. Most from Milwaukee and western Wisconsin. Here with the latest on this is Milwaukee Health Department Associate Medical Director Dr. Joffree Swain. Thank you for being here.

Joffree Swain:
Pleasure.

Freyberg:
How fast is the outbreak growing?

Swain:
It's growing pretty quickly. In Iowa they have nearly 1,000 cases, and they're getting at least 50 new case reports every day.

Freyberg:
When was the last time we had such a large outbreak?

Swain:
It's been over 20 years since we have had such a large outbreak, probably longer than that.

Freyberg:
What's responsible for it?

Swain:
Very interesting question, I think a lot of people don't have a real good answer to. The CDC is looking into this. There are a variety of theories, but no one is quite certain.

Freyberg:
Now it's mostly affecting college-age students, is that right?

Swain:
That's right. Most states that are heavily affected in the Midwest is college students.

Freyberg:
Why is that?

Swain:
I think the main reason for that is that college campuses are a good place for infections to spread. A lot of people in close proximity, and they mix very well with each other.

Freyberg:
And yet it can affect people of any age.

Swain:
It can affect people of any age at all.

Freyberg:
What is done to prevent the spread?

Swain:
Best prevention for mumps is vaccination. The vaccine is part of the MMR vaccine, and it's not perfect, but it's the best we have and it's pretty good. If you get two vaccines, what we recommend, 90 to 95 percent of people are protected from mumps.

Freyberg:
So there are people out there that are getting it who have been vaccinated, but there must be a certain number in the population that haven't been vaccinated.

Swain:
Oh, yes. Unfortunately not everyone has been fully vaccinated for this and many vaccine-preventable diseases.

Freyberg:
How does that work? To get and keep your kids in school, you have to provide the vaccination records and they have to have had them.

Swain:
Well, that's true. But there are two caveats. One is the vaccine requirements are, there's more and more over time. So we haven't always had a two-dose MMR requirement for school. And also states differ from state to state in their school requirement. The second thing is there are people who do not vaccinate their children either for medical reasons or for religious reasons or for reasons of personal conviction.

Freyberg:
Is mumps dangerous?

Swain:
Mumps is dangerous. Ten percent of mumps cases need to be hospitalized. And meningitis is a frequent complication for mumps. In addition infection or inflammation of the testicles and ovaries, deafness. This is not something we should take lightly. In fact, I know one case of a 60 year old with intensive care with brain inflammation due to mumps.

Freyberg:
How do you know if you have it?

Swain:
It starts out with a lot of viral illnesses with vague, non-specific symptoms, fever, headache, muscle aches, fatigue. After a couple days, most typical symptom of mumps is a swelling in the side of the face near the salivary gland, the main organ in the body the mumps virus affects.

Freyberg:
I know that Milwaukee is setting up the vaccination stations across the city. Are those being attended?

Swain:
Yes, they are. In fact, UW-Milwaukee has been out in the lead on this, setting up vaccine clinics for their students. We are encouraging all students on college campuses, because this is where the outbreak seems to be most centered, to check and make sure they are up to date on their mumps vaccine and their MMR vaccine, and if they are not, to be vaccinated either by their own provider or by a school clinic.

Freyberg:
How long does it take for the vaccination to become effective?

Swain:
Fortunately if a person has already had one vaccine, only take a day or two for the booster to be effective. If a person has not been vaccinated at all, it can take a week or two. It's the best defense against mumps and we strongly encourage everyone to know what their vaccine status is and be sure they are up to date.

Freyberg:
Thanks very much.

Swain:
A pleasure.

Freyberg:
In a moment, we meet the national dispatcher of the year and later Peter Leidy puts singing commentary to the rumor mill.

Man:
I think Tommy Thompson was a good government, and I think he should-- when he was here, he did a good job and he helped us a lot. So I think it's a good idea for him to come back.

Man:
It would be interesting. I don't have a definite opinion on it, though.

Woman:
I think that would be a positive thing, except for the whole-- not really strong-- I don't really agree with a lot of what he does on education. But other than that¿


Freyberg:
If you have ever had to dial 911 in an emergency, you know the value of a calm, informed professional on the other end of the line. Next week, members of the National Academy of Emergency Dispatch will gather in Orlando. That's where they will honor the dispatcher of the year, a Madison man by the name of Tom Hanrahan who joins us now. Thanks very much for being here.

Tom Hanrahan:
Thank you very much.

Freyberg:
Well, of all the 911 calls in the past year, the one that you picked up stood out. What is it like to be honored by fellow dispatchers this way?

Hanrahan:
It is a great honor because it's a thing we do every day. And I appreciate, you know, this honor, and being able to tell people about it.

Freyberg:
Before we listen to a portion of the call that came in to you, give us a little background. It was a mom and a 9-year-old boy who called 911. What was going on?

Hanrahan:
The mother called because her child was recently diagnosed as a diabetic and she finds the child unconscious, and so she called 911 for help and she was quite frantic. So we have a job, we have a protocol to follow, but we have a job in trying to get her focused on the information that we need in order to send the proper help.

Freyberg:
How do you cut through that kind of hysteria? We are not playing the whole tape, but there are several minutes of just sheer hysteria on her part.

Hanrahan:
Right. It comes from training. The training we have uses a couple techniques. One technique is repetitive persistence, where you can get a person to focus by saying the same question a couple times. The questions are scripted quite clearly to get just the information you need.

Freyberg:
What's going through your mind when you take a call like that?

Hanrahan:
Well, initially of course you have no idea what the call is going to be about. And the more frantic they are does not necessarily mean a more serious call. In many cases it does. So in this case as the call progressed, I could tell it was the mother's realization of the seriousness of her child's condition.

Freyberg:
Not necessarily his condition right then?

Hanrahan:
Yeah, I think so. I think it was probably the first time that she found her child in this condition, even though the child had been diagnosed as a diabetic.

Freyberg:
His condition was that he was breathing but unconscious and foaming at the mouth.

Hanrahan:
That's right.

Freyberg:
That's pretty heavy stuff. Take a listen to a portion of the call that came in.

Woman:
Oh my God.

Hanrahan:
Okay, I¿m helping you and you¿re going to help him.

Woman:
I know.

Hanrahan:
That¿s the way we¿re going to do this okay?

Woman:
I know.

Hanrahan:
All right. Okay. It¿s going to be fine.

Woman:
Okay.

Hanrahan:
It's going to be fine. It's nothing new, right? The doctor knows he's diabetic. So it¿s nothing new. He just has a little setback today, but we¿re going to help him, okay? And the EMTs will be there soon. Let me know when someone is there.

Woman:
Okay.

Hanrahan:
That¿s all you need to do.

Woman:
Justin. Justin. Oh, God, he woke up. He woke up. Oh my God.

Hanrahan:
Excellent. Okay, just have him relax. Tell him that he's going to be okay. Would you do that now, I'll listen for you to do that.

Woman:
Justin, you are going to be okay.

Hanrahan:
There you go. He needs that from you. He needs that from you. Tell him again.

Woman:
Oh, God.

Hanrahan:
Tell him again. Justin…

Woman:
Justin. He just pulled himself up. Oh my God.

Hanrahan:
Keep him lying down. Is he on the bed or the floor?

Woman:
On the bed.

Hanrahan:
Have him calm down and lay on his side, okay?

Hanrahan:
Oh God, okay.

Hanrahan:
That's great. That¿s good news. It¿s all right, Justin. Tell him Justin, okay. All right? Okay, he¿s as long as he doesn¿t vomit, that¿s all that we¿re worried about right now. Just watch him and relax. Pat him on the head, or whatever you need to do, just to help keep him calm. If he sees that you¿re calm, he will stay calm.

Woman:
Okay.

Hanrahan:
Okay, do that. Okay, yeah. Just talk to him.

Woman:
Okay. Justin. Oh God.

Hanrahan:
There you go. There you go. It¿s getting better, right?

Woman:
Oh, God. Oh, come on. Come in.

Hanrahan:
Yep. Just let them come in.

Woman:
Oh, God.

Hanrahan:
Let me know when the EMTs are in.

Woman:
Oh my God.

Hanrahan:
It's going to be okay. It's going to be okay.

Woman:
The officer is here.

Hanrahan:
The police officer is with him?

Woman:
Yeah, the police officer.

Hanrahan:
Okay. I'll let you go then. Okay.

Woman:
Oh my God. Okay, thank you. Thank you.

Hanrahan:
All right. Sure. Goodbye.

Freyberg:
Man, what is it like when you hang up from a call like that?

Hanrahan:
And you have to go on to the next one. You have no idea what the next one is going to be either. You think about whether there's going to be a happy ending or not, but all the while you are picturing what it would be like to be on the other end.

Freyberg:
How is the little boy doing now?

Hanrahan:
The EMS director in the city of where the child is from said he's doing fine.

Freyberg:
How long have you been doing this?

Hanrahan:
Since 1991.

Freyberg:
What is the most important quality for a dispatcher to have?

Hanrahan:
I think it's probably clarity, be able to speak clearly to people and gather the information from them and not be judgmental. I think all those things rolled into one is what you have to do. You can't see what is going on, you have to do it with your ears.

Freyberg:
None of us ever want to be in a position like that woman was on the other end of the phone. But what kind of advice do you have for any of us that may end up in an emergency situation like that?

Hanrahan:
Well, the good news I can say is that with the program that we are use being here in Dane County in Madison, we have instructions for virtually any medical emergency. You don't need to know what to do. We don't tell you to do a particular procedure or another. We say, `Listen to me carefully. I'll tell you what to do next,¿ and you proceed and tell them what to do. And people follow quite well, and there's lifesaving measures we can give you over the phone.

Freyberg:
How rewarding is what you do?

Hanrahan:
Well, it can be very rewarding. It can be frustrating at times. It has all of those things all rolled into one.

Freyberg:
What about this particular call? Is it hard to listen to it again?

Hanrahan:
Yeah, it sort of is. It sort of is. Because you are picturing what it must be like for a newly-diagnosed child, and thinking of the future and thinking of this episode ever happening again, will she know what to do. She didn't have to know what to do, we were able to help her.

Freyberg:
She'll always remember you. You go to Orlando next week to collect this award, and congratulations.

Hanrahan:
Thank you very much.


Freyberg:
Also this week, a look ahead to the sendoff tomorrow at Mitchell Field for 430 Wisconsin National Guard artillery troops. The soldiers will be deployed overseas for one year. Their mobilization puts the total number of Wisconsin National Guard troops serving active duty at 2,400. In education news this week, the University of Wisconsin-Madison and Milwaukee announced guaranteed enrollment to students transferring from Madison and Milwaukee Area Technical Colleges. Governor Doyle vetoed an assortment of education bills, one that would allow schools to cut five days off the academic calendar by lengthening the school day by ten minutes. And this week, former Assembly Minority Leader Steve Foti began his 60-day jail sentence for corruption in office. He becomes the third lawmaker to serve time as a result of crimes committed in the capital caucus scandal. It's hard to imagine steaming hot July days on a cool spring night in April. They are coming, though. And with them, the annual increase in demand on our state's power grids. This week, Alliant Energy Company announced a seven-year plan to crank up energy supplies. It¿s plan, along with potential wind farm development, calls for the expansion of coal-burning capacity at one of either two existing coal plants. The Columbia Energy Center near Portage or here, the Nelson Dewy Facility near Cassville, in the southwestern corner of Wisconsin. Some environmental groups are upset about the possible expansion at Cassville. We hear from one of those groups in a few moments, but first, here is a conversation I had with Alliant Energy Spokesmen Scott Smith earlier today.

Freyberg:
Thank you for being here.

Scott Smith:
Thank you.

Freyberg:
And why do we need to expand?

Smith:
The last time we built a plant was in 1985. And since then, we have more people in the service territory and each customer is actually using more and more electricity.

Freyberg:
Why is the Cassville location your first choice?

Smith:
Cassville really represents an excellent choice for a new plant. We have an existing plant there, and because of the location of Cassville on the transmission infrastructure, it allows for the import of 600 additional megawatts into the state. We have talked about how Wisconsin has a constrained transmission network, and this actually helps push more electricity into the state.

Freyberg:
Environmentalists call this your `dirty coal plant proposal.¿ How do you respond to that?

Smith:
Well, actually in conjunction with building a new plant at the Nelson Dewy Station, we would actually reduce emissions. For example, the Knox emissions would be reduced. We have 200 megawatts there, this is additional 300. We¿d have 500 megawatts, and emissions for nitrogen oxide would decrease 55 percent, and others would also decrease.

Freyberg:
With new filters?

Smith:
They call them scrubbers? We¿d be installing scrubbers on existing units as well as the additional unit.

Freyberg:
Also plans for increased wind power.

Smith:
That's right. Wisconsin power and light has embraced wind for a number of years. Now we are actually planning on owning our own wind farm. Up kind of east of Fond du Lac is where we are proposing to build that.

Freyberg:
One thing people talk about is going towards something called coal gasification, basically a plant that turns coal into gas and they say it burns a lot cleaner. Why don't we do something like that?

Smith:
Coal gasification is an excellent technology. We just don't believe it's here ready to use today. There have been a few plants that have been built. We visited some of those. For example, there's one down in Indiana that we sent a delegation down to take a look at that, and the engineer actually told us that they had made 1,700 modifications to the gasifier. It's expensive not only to make the modifications, but also when you have the plant offline, you need to buy power from the market.

Freyberg:
We may be looking at that somewhere down the road, but not right now?

Smith:
Absolutely.

Freyberg:
How much will the expanded capacity cost the customer?

Smith:
Right now the price of steel, price of concrete. We don't have solid figures today, but we'll be filing with the Public Service Commission in August of this year so we'll have better dollar figures at that time.

Freyberg:
All right. Scott Smith, thanks very much.

Smith:
Thank you.

Freyberg:
I spoke with Scott Smith earlier today. Joining us now is the Energy Program Director of Clean Wisconsin, Katie Nekola. Thanks very much for joining us.

Katie Nekola:
Thanks, Frederica, nice to be here.

Freyberg:
In your mind what is wrong with burning coal for energy?

Nekola:
There is a lot wrong with burning coal for energy. We currently use 70 percent coal to generate our electricity here in Wisconsin, and that's completely unbalanced. Far too much coal. And it's a bad idea because of the pollutants that coal puts out, and we know about the mercury contamination and the water bodies in the state, coal emits a lot of mercury, so there are fish advisories. We should not eat the fish. Coal also emits a lot of global warming pollutants, CO-2 in particular, and also soot, smog, nitrous oxide, sulfur dioxide. It¿s just a dirty way to get electricity.

Freyberg:
Scott Smith said the new technology and the scrubbers on any new plant they would build or expand, would greatly reduce those pollutants. Still not good enough?

Nekola:
Still not good enough. It¿s true that it would improve from the old coal plants, which are incredibly dirty and which we still have about 13 operating in the state they're not cleaned up. So yeah, it is an improvement over the old coal plants, but they will not control for CO-2, which again is, you know, a huge concern now because we all understand global warming is a reality.

Freyberg:
What do you do? Demand is on the increase, coal is apparently abundant, I'm told for the next 200 years. What do you do, given the demand?

Nekola:
Well, I think that's the first assumption we need to challenge. I think you need to challenge the assumption that demand needs to increase. I think we need to take really aggressive steps to address demand growth, and I think that we don't also need to shiver in the dark in order to do that. I think there are a lot of ways that we can cut our energy consumption without even noticing it. There's a tremendous amount of waste.

Freyberg:
People are not doing that. People are gas-guzzlers and I'm sure they crank their AC during the summer.

Nekola:
That's absolutely true. You can walk down a city street and you'll see doorways open with air-conditioning blasting into the streets. It's incredibly wasteful. We need policies on the state and federal level that will provide incentives and penalties for that kind of behavior.

Freyberg:
In the meantime, though, these new plants probably will be approved, and will be built.

Nekola:
Well, not if we have anything to say about it. We are going to fight this one, and we are going to fight any proposal to build a new pulverized coal plant in the state.

Freyberg:
What kind of energy alternatives would you prefer?

Nekola:
Well, we would first of all prefer conservation. We certainly could cut down on the energy use. Energy efficiency is another great idea. There are a lot of ways we could make our buildings and homes far more energy efficient than they are, and there are programs in place in the state. You mentioned the Focus on Energy Program earlier when we were talking that can help people do that. And then beyond the conservation and energy efficiency, and ways that the utilities themselves could manage the demand and the load internally, of course renewable energy and we are hearing a lot about wind farms being proposed in the state, and we support those.

Freyberg:
All right. Katie Nekola, thanks very much.

Nekola:
Thank you.

Man:
Alternative energy should be looked at, but I think a lot of that is theoretical right now, more for the long-term. And I also think that one thing we should look at, we have our university as a resource for pursuing alternative energy. I don't see a lot of energy, so to speak, going in that direction for research.

Man:
I think we need to take advantage of solar power, wind power, hydroelectric power, geothermal power, whatever we can to decrease reliance on oil, fossil fuels.

Man:
We need to explore whether we can manage demand more aggressively, look at solar, balanced set of energy sources, renewables. My preference would be to go to nuclear over coal.


Freyberg:
Next month, the state Republican Party will rally its members at the annual GOP Convention in Appleton. One of the faithful, who will take the podium: Tommy Thompson. He is expected to announce his future political plans. Plans rumored ranging from he might run for governor in the fall to the fact he has no plans at all. Our singing commentator, Peter Leidy, says there's at least one state democrat who will be hanging on every word of Thompson's speech, Governor Jim Doyle. Here is Peter Leidy singing in character as Jim Doyle in tonight's "End Insight."

Peter Leidy:
I heard you might be coming, coming back to stay,
I liked it so much better when you were away
But this is your home, that's plain to see
And I hate to admit it, but people like you more than me
Folks would be glad if you stayed in Wisconsin,
Republicans love their Tommy Thompson
But that love ain't confined to the GOP
Oh, I can't stand it, Tommy,
You're way more popular than me
Well I just want to tell you,
Why I sing this song,
The good old private sector is where you belong
Don't you like making money, you deserve it, Tommy T.
You see, I want to keep my job,
And people like you more than me
Well you had 14 years at the house in Maple Bluff.
Now it's just my opinion but wasn't that enough
We battled with each other when I was AG
Don't even think of running,
You're way more popular than me
Now I know politics is deep inside your soul
So you got to run for something, think about Herb Kohl
That man is a big old bundle of vulnerability
I'm begging you Tommy, I'm down on my knee
You got better hair than me, and a personality
Don't you run for governor, just stay away from me, yeah!

Freyberg:
Peter Leidy. Reminder his songs are commentary, his political views are not necessarily those of "Here and Now." And with that disclaimer, we remind you Peter will be back next month with more musical satire. That's our program tonight. Next week we have an author for a sneak preview of "Cage of Stars." That book will be released in May. I'm Frederica Freyberg, thanks for watching. Have a great weekend.

 
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