By John F. Bonfatti When her 3-year-old daughter Courtney vomited, Marcie Karroach wasn't overly concerned. "I'm a first-time mom, with an only child," she said while sitting in her home in this Cattaraugus County town 70 miles south of Buffalo.

By John F. Bonfatti, The Buffalo News, N.Y. Apr. 29--HINSDALE -- When her 3- year-old daughter Courtney vomited, Marcie Karroach wasn't overly concerned. "I'm a first-time mom, with an only child," she said while sitting in her home in this Cattaraugus County town 70 miles south of Buffalo.