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Canadians would not have backed strict pandemic measures in mid-January, says official – CBC.ca

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Closing the border and telling the public to self-isolate at home in the early days of Canada’s COVID-19 outbreak would have done more harm than good, according to a national public health organization.

Ian Culbert, executive director of the Canadian Public Health Association (CPHA), told a virtual committee of MPs today that while critics have said the federal government should have acted sooner, there would have been “very little” public support for strict measures in the middle of January, which could have undermined health officials’ efforts when the situation became more dire.

“Low public support would have led to low-level adherence and a diminished support for any future interventions,” he said. “Slowly, you have to change people’s thinking … that takes time. It takes evidence. You have to prove to people that it’s serious.”

The House of Commons health committee is studying Canada’s response to the COVID-19 virus to ensure the federal government learns lessons that can be applied to the next pandemic. The Liberal government has faced criticism for waiting until the eve of Ontario’s March break to tell people not to travel. The Conservatives have accused the Trudeau government of failing to restrict public gatherings soon enough and waiting too long to impose tougher measures at the border.

After critics accused it of lax screening at airports for returning travellers, Quebec Premier François Legault sent his own public health officials and police to airports to warn travellers to self-isolate for two weeks. This week, B.C. Premier John Horgan took it a step further and imposed a new legal requirement forcing travellers to present formal self-isolation plans to authorities at airports and border crossings.

Culbert said while public health officials’ incremental approach has been attacked, he believes it was backed up by evidence.

Culbert said it’s hard to change human behaviour — especially in Canada’s case, given that the pandemic started halfway around the world in China. Canadians felt a sense of “insulation,” he said. That attitude carried on even when Canada reported its first cases in British Columbia and Ontario, he added.

“There’s a sense of them and us,” he said. “Slowly, you have to change people’s thinking. There’s no them and us. It’s a ‘we’ situation.”

He turned to an example from the 20th century: when Canadians with tuberculosis were forced to leave their families and isolate in sanatoriums, he said, many avoided public health authorities as a result, which spread the disease further.

“This shows coercive actions can only be used as a last resort,” he said. 

Watch: ‘This will be the new normal until a vaccine is developed’: Trudeau

Prime Minister Justin Trudeau says it will take months of Canadians’ “continued, determined effort” to follow pandemic measures such as physical distancing to overcome COVID-19. 1:55

There’s been a “massive cultural change” over the last century in the public’s attitudes toward science and health authorities, Culbert added. But he pointed to the anti-vaccination movement as a current example that shows public health officials can’t just tell people what’s good for them and expect them to listen.

“Just telling people the right thing to do doesn’t work anymore,” he said. “We have to convince people. It takes time, unfortunately … but it’s actually what works.”

‘We’re just trying to strengthen the message’: Tam

Conservative MP Tamara Jansen questioned the government’s incremental approach to the restrictions. 

Jansen said that in January, the Langley Chinese Cultural Arts Association cancelled a large event proactively before Chief Public Health Officer Dr. Theresa Tam banned large gatherings.

She also said that, early in the outbreak, members of the Chinese community in B.C.’s Lower Mainland were picking up people at the airport returning from China to ensure they didn’t take cabs. They were also buying them groceries so they didn’t go to the grocery store, she said.

“They were begging me to get the government to be more proactive,” said Jansen. 

“This was all done on a completely voluntary basis. Is it possible it was a misjudgment of [the] willingness of Canadians to self-isolate that this didn’t go quicker?”

Watch: Tam and Freeland explain how closing the U.S. border helped fight COVID-19:

Dr Theresa Tam Canada’s Chief Public Health officer and Deputy Prime Minister Chrystia Freeland spoke with reporters on Thursday 2:12

Culbert said this particular community likely felt directly affected because of their ties to the epicentre of the outbreak in Wuhan, China.

“You’re talking about a highly sensitized community,” he said. “They had a direct connection [to] what was happening in China and were very much aware. Many Canadians were not that connected and [were] thinking of it as a problem on the other side of the country.”

Dr. Tam, meanwhile, was asked at a press conference today if she’s recommending the government enact even stricter measures.

Tam said she’s working with her provincial and territorial counterparts to monitor the trajectory of the pandemic and figure out how effective the current measures are. She said innovative studies are underway to track how well Canadians are following those measures, which could point to places where they can be bolstered.

Watch: Trudeau asked how should Canadians react to many more months of shutdowns:

Prime Minister Justin Trudeau spoke with reporters on Thursday. Earlier federal officials released models which predict many more months of self distancing needed to fight the virus. 2:30

“We’re just trying to strengthen the message to Canadians that really you should avoid all non-essential travel and stay at home as much as possible during this critical period,” she said.

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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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