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Canadian coronavirus cases linked to Iran rise, experts question country’s response – Global News

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As Canadian cases of the new coronavirus linked to Iran grow, so does the scrutiny surrounding how the country has handled the crisis so far.

The outbreak of Covid-19 in Iran has escalated quickly — with at least 388 confirmed cases and 34 deaths. It has the most deaths outside China.






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More coronavirus cases reported outside China than inside: WHO


More coronavirus cases reported outside China than inside: WHO


READ MORE:
Canada warns of evolving risk as new virus case linked to Iran appears in Canada

There have been dramatic developments in recent days. The head of the country’s coronavirus task force was seen coughing and sweating during a press conference before testing positive for the virus. Days later, one of Iran’s vice-presidents became infected. As it stands, there are at least seven government officials combating the new coronavirus.






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COVID-19: Iran health minister appears ill at news conference before coronavirus diagnosis


COVID-19: Iran health minister appears ill at news conference before coronavirus diagnosis

The surge in cases follows unwavering denial from Iran that the virus was even in the country. By dismissing the outbreak, experts believe it likely helped the virus spread even more rapidly.

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“The Iranian development is huge.”

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“It’s a country geographically very far from China with a large burden of infection,” said Isaac Bogoch, an infectious disease specialist based out of Toronto General Hospital.

“It shows that we’re either at the precipice of a pandemic or we’re in a pandemic. The word we choose to use at this point is irrelevant because it’s time we all prepare for this now.”

Bogoch is among a group of Canadian researchers who looked into Iran’s ballooning outbreak.

They, like many others, believe there are far more cases of the virus in Iran than being officially reported. Many more, in fact.

Their study looked at the volume of travel from Iran to other countries, including Canada, and the number of infected people arriving in other countries. It estimated there are more than 18,000 cases, as opposed to the government reported 139, which was the tally at the time of their first analysis.






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Buses, trains sprayed with disinfectant as multiple COVID-19 cases reported in Iran


Buses, trains sprayed with disinfectant as multiple COVID-19 cases reported in Iran

When they revisited the study model with new case numbers days later, it jumped to around 20,000 cases, ultimately increasing the researchers’ confidence in their analysis.

“People keep asking me ‘are the most recent numbers based on the reported cases,’ but honestly, who cares? The point is there’s a lot of infection in the country, whether it’s 18,000 or 25,000, it’s identified as a place that has a high burden of infection,” he said.

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“That should be enough to help address some of the public health responses to travellers from Iran.”

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Of Canada’s 13 confirmed coronavirus cases so far, at least six of them have ties to Iran.

Quebec’s first presumptive case is a patient who had recently returned from Iran. In British Columbia, a woman who recently spent time in Iran was diagnosed with the virus. Later, a man who had close contact with that woman was confirmed infected. In Ontario, a woman who travelled to Iran tested positive for the virus and her husband later contracted it in Toronto. A third Iran-linked case was reported in Ontario on Friday.


READ MORE:
WHO raises global risk of coronavirus spread to ‘very high’

“Compared to other countries, Canada has relatively low connectivity with Iran via air travel,” said Ashleigh Tuite, an adjunct lecturer at the University of Toronto’s Dalla Lana School of Public Health and co-author of the study.

“So the fact that we’re seeing cases in Canada linked to Iran suggests that the outbreak in Iran is much larger than has been officially reported. It’s likely been circulating in the country for a while.”

China has been the country under the microscope since the virus first emerged. The outbreak has been linked to a market in the central province of Hubei and the vast majority of deaths from the virus are found there. Nations around the world have reacted by closing borders, cancelling and suspending air travel to China, and screening recent arrivals for symptoms of the illness.

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But Iran’s outbreak is proving that China shouldn’t be the only one on under the scope, both Tuite and Bogoch agree.






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Tips for travelling amid ongoing coronavirus concerns


Tips for travelling amid ongoing coronavirus concerns

“People returning from Iran who have compatible symptoms should come to medical care for testing. Does this mean we need to stigmatize Iranian-Canadians? Absolutely not. Does this mean we should change our practices and stop going to delicious Iranian restaurants or businesses? Absolutely not,” said Bogoch, adding that Italy is another example of a country that needs further scrutiny.

“This means we identify people who may be at a greater risk of having this infection so we can prevent further transmission in community settings.”

But, with the virus now in at least 60 countries, Tuite says relying on travel history to identify possible cases is growing futile.

If you travelled internationally at all recently, you should be screened, she said.

“We should be moving away from using travel history to a specific country at this point.”

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“History of international travel alone is probably sufficient enough of a flag for assessing Covid-19 risk,” she said.

She said Canada’s move toward “active case finding,” which involves more systematic surveillance particularly in healthcare, is the appropriate next step given the growing number of countries with cases.

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“It’s going to be really important,” she said.

–With files from The Associated Press

© 2020 Global News, a division of Corus Entertainment Inc.

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STD epidemic slows as new syphilis and gonorrhea cases fall in US

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NEW YORK (AP) — The U.S. syphilis epidemic slowed dramatically last year, gonorrhea cases fell and chlamydia cases remained below prepandemic levels, according to federal data released Tuesday.

The numbers represented some good news about sexually transmitted diseases, which experienced some alarming increases in past years due to declining condom use, inadequate sex education, and reduced testing and treatment when the COVID-19 pandemic hit.

Last year, cases of the most infectious stages of syphilis fell 10% from the year before — the first substantial decline in more than two decades. Gonorrhea cases dropped 7%, marking a second straight year of decline and bringing the number below what it was in 2019.

“I’m encouraged, and it’s been a long time since I felt that way” about the nation’s epidemic of sexually transmitted infections, said the CDC’s Dr. Jonathan Mermin. “Something is working.”

More than 2.4 million cases of syphilis, gonorrhea and chlamydia were diagnosed and reported last year — 1.6 million cases of chlamydia, 600,000 of gonorrhea, and more than 209,000 of syphilis.

Syphilis is a particular concern. For centuries, it was a common but feared infection that could deform the body and end in death. New cases plummeted in the U.S. starting in the 1940s when infection-fighting antibiotics became widely available, and they trended down for a half century after that. By 2002, however, cases began rising again, with men who have sex with other men being disproportionately affected.

The new report found cases of syphilis in their early, most infectious stages dropped 13% among gay and bisexual men. It was the first such drop since the agency began reporting data for that group in the mid-2000s.

However, there was a 12% increase in the rate of cases of unknown- or later-stage syphilis — a reflection of people infected years ago.

Cases of syphilis in newborns, passed on from infected mothers, also rose. There were nearly 4,000 cases, including 279 stillbirths and infant deaths.

“This means pregnant women are not being tested often enough,” said Dr. Jeffrey Klausner, a professor of medicine at the University of Southern California.

What caused some of the STD trends to improve? Several experts say one contributor is the growing use of an antibiotic as a “morning-after pill.” Studies have shown that taking doxycycline within 72 hours of unprotected sex cuts the risk of developing syphilis, gonorrhea and chlamydia.

In June, the CDC started recommending doxycycline as a morning-after pill, specifically for gay and bisexual men and transgender women who recently had an STD diagnosis. But health departments and organizations in some cities had been giving the pills to people for a couple years.

Some experts believe that the 2022 mpox outbreak — which mainly hit gay and bisexual men — may have had a lingering effect on sexual behavior in 2023, or at least on people’s willingness to get tested when strange sores appeared.

Another factor may have been an increase in the number of health workers testing people for infections, doing contact tracing and connecting people to treatment. Congress gave $1.2 billion to expand the workforce over five years, including $600 million to states, cities and territories that get STD prevention funding from CDC.

Last year had the “most activity with that funding throughout the U.S.,” said David Harvey, executive director of the National Coalition of STD Directors.

However, Congress ended the funds early as a part of last year’s debt ceiling deal, cutting off $400 million. Some people already have lost their jobs, said a spokeswoman for Harvey’s organization.

Still, Harvey said he had reasons for optimism, including the growing use of doxycycline and a push for at-home STD test kits.

Also, there are reasons to think the next presidential administration could get behind STD prevention. In 2019, then-President Donald Trump announced a campaign to “eliminate” the U.S. HIV epidemic by 2030. (Federal health officials later clarified that the actual goal was a huge reduction in new infections — fewer than 3,000 a year.)

There were nearly 32,000 new HIV infections in 2022, the CDC estimates. But a boost in public health funding for HIV could also also help bring down other sexually transmitted infections, experts said.

“When the government puts in resources, puts in money, we see declines in STDs,” Klausner said.

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The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Science and Educational Media Group. The AP is solely responsible for all content.

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World’s largest active volcano Mauna Loa showed telltale warning signs before erupting in 2022

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WASHINGTON (AP) — Scientists can’t know precisely when a volcano is about to erupt, but they can sometimes pick up telltale signs.

That happened two years ago with the world’s largest active volcano. About two months before Mauna Loa spewed rivers of glowing orange molten lava, geologists detected small earthquakes nearby and other signs, and they warned residents on Hawaii‘s Big Island.

Now a study of the volcano’s lava confirms their timeline for when the molten rock below was on the move.

“Volcanoes are tricky because we don’t get to watch directly what’s happening inside – we have to look for other signs,” said Erik Klemetti Gonzalez, a volcano expert at Denison University, who was not involved in the study.

Upswelling ground and increased earthquake activity near the volcano resulted from magma rising from lower levels of Earth’s crust to fill chambers beneath the volcano, said Kendra Lynn, a research geologist at the Hawaiian Volcano Observatory and co-author of a new study in Nature Communications.

When pressure was high enough, the magma broke through brittle surface rock and became lava – and the eruption began in late November 2022. Later, researchers collected samples of volcanic rock for analysis.

The chemical makeup of certain crystals within the lava indicated that around 70 days before the eruption, large quantities of molten rock had moved from around 1.9 miles (3 kilometers) to 3 miles (5 kilometers) under the summit to a mile (2 kilometers) or less beneath, the study found. This matched the timeline the geologists had observed with other signs.

The last time Mauna Loa erupted was in 1984. Most of the U.S. volcanoes that scientists consider to be active are found in Hawaii, Alaska and the West Coast.

Worldwide, around 585 volcanoes are considered active.

Scientists can’t predict eruptions, but they can make a “forecast,” said Ben Andrews, who heads the global volcano program at the Smithsonian Institution and who was not involved in the study.

Andrews compared volcano forecasts to weather forecasts – informed “probabilities” that an event will occur. And better data about the past behavior of specific volcanos can help researchers finetune forecasts of future activity, experts say.

(asterisk)We can look for similar patterns in the future and expect that there’s a higher probability of conditions for an eruption happening,” said Klemetti Gonzalez.

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The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Science and Educational Media Group. The AP is solely responsible for all content.

The Canadian Press. All rights reserved.

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Waymo’s robotaxis now open to anyone who wants a driverless ride in Los Angeles

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Waymo on Tuesday opened its robotaxi service to anyone who wants a ride around Los Angeles, marking another milestone in the evolution of self-driving car technology since the company began as a secret project at Google 15 years ago.

The expansion comes eight months after Waymo began offering rides in Los Angeles to a limited group of passengers chosen from a waiting list that had ballooned to more than 300,000 people. Now, anyone with the Waymo One smartphone app will be able to request a ride around an 80-square-mile (129-square-kilometer) territory spanning the second largest U.S. city.

After Waymo received approval from California regulators to charge for rides 15 months ago, the company initially chose to launch its operations in San Francisco before offering a limited service in Los Angeles.

Before deciding to compete against conventional ride-hailing pioneers Uber and Lyft in California, Waymo unleashed its robotaxis in Phoenix in 2020 and has been steadily extending the reach of its service in that Arizona city ever since.

Driverless rides are proving to be more than just a novelty. Waymo says it now transports more than 50,000 weekly passengers in its robotaxis, a volume of business numbers that helped the company recently raise $5.6 billion from its corporate parent Alphabet and a list of other investors that included venture capital firm Andreesen Horowitz and financial management firm T. Rowe Price.

“Our service has matured quickly and our riders are embracing the many benefits of fully autonomous driving,” Waymo co-CEO Tekedra Mawakana said in a blog post.

Despite its inroads, Waymo is still believed to be losing money. Although Alphabet doesn’t disclose Waymo’s financial results, the robotaxi is a major part of an “Other Bets” division that had suffered an operating loss of $3.3 billion through the first nine months of this year, down from a setback of $4.2 billion at the same time last year.

But Waymo has come a long way since Google began working on self-driving cars in 2009 as part of project “Chauffeur.” Since its 2016 spinoff from Google, Waymo has established itself as the clear leader in a robotaxi industry that’s getting more congested.

Electric auto pioneer Tesla is aiming to launch a rival “Cybercab” service by 2026, although its CEO Elon Musk said he hopes the company can get the required regulatory clearances to operate in Texas and California by next year.

Tesla’s projected timeline for competing against Waymo has been met with skepticism because Musk has made unfulfilled promises about the company’s self-driving car technology for nearly a decade.

Meanwhile, Waymo’s robotaxis have driven more than 20 million fully autonomous miles and provided more than 2 million rides to passengers without encountering a serious accident that resulted in its operations being sidelined.

That safety record is a stark contrast to one of its early rivals, Cruise, a robotaxi service owned by General Motors. Cruise’s California license was suspended last year after one of its driverless cars in San Francisco dragged a jaywalking pedestrian who had been struck by a different car driven by a human.

Cruise is now trying to rebound by joining forces with Uber to make some of its services available next year in U.S. cities that still haven’t been announced. But Waymo also has forged a similar alliance with Uber to dispatch its robotaxi in Atlanta and Austin, Texas next year.

Another robotaxi service, Amazon’s Zoox, is hoping to begin offering driverless rides to the general public in Las Vegas at some point next year before also launching in San Francisco.

The Canadian Press. All rights reserved.

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