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B.C.’s ‘massive error’ part of web of inaction that could have saved boy: advocate

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An 11-year-old Indigenous boy who died after being tortured by the extended family members approved to be his caregivers was failed in a myriad of ways, a report by British Columbia’s representative for children and youth shows.

The boy’s death is not an outlier, Jennifer Charlesworth said in her latest report released Tuesday, but rather an example of ways the child welfare system has let down children and families in B.C. and across Canada, despite decades of reports making hundreds of recommendations for change.

“And yet here we are again — reviewing the death of an innocent young child and asking the same questions that have been asked for years: How did the systems that are intended to help children and families in this province let this boy and his family down so badly? What will it take for us not to return to this very place in another few years?”

Charlesworth said the boy, who was given the pseudonym Colby in her report, had complex medical needs and was one of three siblings placed with their mother’s cousin and her partner.

The man and woman were convicted of manslaughter for his death and of aggravated assault for the abuse of one of his siblings last year. They were sentenced to 10 years in prison.

“In Colby’s story, there was no one thing or one person who could be held wholly responsible. Instead, we see a web of actions and inactions and dozens of missed opportunities across an entire system,” the report says.

The placement was approved by both B.C.’s Ministry of Children and Family Development and the family service’s department of the boy’s First Nation, but the report says the ministry did not complete background checks or visit the home before the siblings were moved there.

Charlesworth said the lack of communication, due diligence and process would “prove to be a massive error” because those in charge of the boy’s safety could have learned the woman had prior involvement with the ministry over physical abuse of her child and there were documented concerns about her partner’s “conduct with children.”

The report says the abuse and torture Colby and his sister experienced was enabled isolation.

“They had little to no contact with anybody outside of the home during the final months of the boy’s life. Colby’s (provincial) social worker didn’t see him in-person during the final seven months despite a ministry policy requirement that children in care should be seen every 90 days,” it says.

“There is no record of the (First Nation) department ever visiting the family or children.”

The report describes Colby’s health-care team placing urgent requests with the ministry and the cousin asking to see him, and teachers raising red flags when the children stopped coming to school in the months leading up to Colby’s death.

A summary of Charlesworth’s report avoids going into specifics about how the children were abused but says what they suffered was “strikingly similar in nature to the horrors inflicted on many Indigenous children who attended residential schools.”

The boy, who is described as having bright eyes and a love of Archie comics and monster trucks, was in a system that was not built to deal with complex and multi-faceted situations, Charlesworth told a news conference following the report’s release.

“It wasn’t built with an anticipation of the toxic drug crisis that we’re dealing with, the housing crisis, the income security, all of the things that are going on right now. So, we have a system that was designed for a very different time,” she said

The report makes a series of recommendations, including that assessments done on potential caregivers be reviewed, that there be dedicated supports for extended family members involved in kinship care and that public bodies which have previously received recommendations from her office revise their timelines.

The report highlights the need for clarity around the roles and responsibilities of the ministry and First Nations working to take over jurisdiction for their child welfare system.

Charlesworth said the provincial government should establish a “Child well-being Strategy and Action Plan” and address “the pervasive silencing, secrecy, diminishment, acceptance and concealment of intimate partner violence and family violence in society and within child and youth serving systems.”

She said data should be collected so outcomes related to a child’s well-being are being measured and reported.

At an event to mark the report’s release Children’s Minister Grace Lore promised “a new vision for child welfare in this province” that prioritizes child and family well-being.

“As minister, and on behalf of the provincial government, I want to apologize, because it is clear Colby and his family were failed,” she said.

“There are many lessons to learn from Colby’s story to help us improve how we support children like him and families like his. And we must learn these lessons. Because it could have been different.”

Lore’s department has promised a cross-ministry group of senior public officials will guide the development of the new direction throughout the fall and map out new strategies focused on outcomes across government for children and families.

Lore told reporters she is committed to action.

“That looks like the work we need to do with our systems to have real-time data and reporting on visitation and criminal record checks. But it also, as the representative outlined, is fundamentally about calling us to reimagine how we support kids and families,” she said.

“And that work can’t wait either. So, we are committed to a new vision.”

BC Assembly of First Nations Regional Chief Terry Teegee said in a statement that the boy’s death was entirely preventable and “highlights a profound failure in our collective responsibility to provide connected and holistic care.”

“The experiences of Colby and the other Indigenous and non-Indigenous children examined in this report must serve as a catalyst for real and immediate change,” Teegee said.

“British Columbia and all relevant agencies must urgently implement the report’s recommendations to ensure that no more children or families suffer from the lack of timely and appropriate support. This is a stark call to action for all of us to prioritize the well-being of our most vulnerable community members.”

Charlesworth said she is feeling confident that these latest recommendations will be followed through on, in part because the report comes after conversations with the ministry, public bodies and thousands of people.

“The whole system was in the room. We had community sector, we had Indigenous leaders, we had Indigenous-serving organizations, we had mental health, justice, education. So, when you’ve got that kind of collective commitment, then it’s very hard to turn back,” she said.

This report by The Canadian Press was first published July 16, 2024.

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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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