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Bad flu season predicted for B.C.

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After two years of record-low influenza rates, experts are warning the flu will likely be back in full swing this season.

That’s because of a general lifting of pandemic health measures, such as required masking, gathering size limits and travel restrictions, according to pharmacist Kim Myers.

“It definitely increases the spread of germs and colds,” said Myers, who works in the Greater Victoria area.

Health Canada estimates that in a non-pandemic year, about 12,200 Canadians are hospitalized with the flu or flu-like symptoms. Getting an exact number is difficult as only nine of the country’s provinces and territories report hospitalizations to the national flu surveillance system, FluWatch.

Flu hospitalizations dropped during pandemic

of those which do report — Newfoundland and Labrador, Prince Edward Island, Nova Scotia, New Brunswick, Manitoba, Alberta, Yukon, Northwest Territories and Saskatchewan — 5,176 influenza-related hospitalizations were reported during the 2017-2018 season and 3,657 were reported in 2018-2019.

During the 2019-2020 season, half of which occurred within the COVID-19 pandemic, there were 2,493 hospitalizations. That number dropped to zero in 2020-2021, again not including Ontario, Quebec, B.C. or Nunavut.

Myers said it’s hard to tell whether this year’s flu season will be as bad as pre-pandemic years, but that it will almost certainly be worse than the last year or two. She said the awareness the pandemic has raised around the importance of vaccines makes her hopeful more people will get the flu shot this year. Already, Myers said, people coming into her pharmacy are asking when shots will be available.

Possible correlation between COVID-19 and influenza vaccine uptake

B.C. did see a small spike in flu vaccine uptake in the first year of the pandemic. In 2018, 34.6 per cent of people got the shot, followed by 37.2 per cent in 2019 and 42.1 per cent in 2020, according to Statistics Canada. 2021 rates are not yet available.

A 2021 research paper published in medical journal Vaccine found the primary indicator of whether Canadians will get a vaccination is whether they have been vaccinated before, suggesting those who got the COVID vaccine may be more likely to get the influenza one.

More than 87 per cent of British Columbians have received at least one dose of a COVID vaccine as of Sept. 26.

Beginning in early October, B.C. residents will have the option of receiving COVID vaccine boosters and flu shots at the same time. The province said it will have the capacity to vaccinate about 250,000 people per week that way.

Who is most impacted?

For the majority of people, the flu means up to a week of sickness, but for young children, elderly people and the immunocompromised the virus can make it significantly harder for them to fight off infections.

Health Canada said 3,500 deaths are influenza-related each year, although that number is based off a mathematical estimate, rather than actual yearly data.

Myers said the best thing people can do to stop the spread of the virus and protect those most vulnerable to it is to follow many of the same precautions put in place for COVID-19: get vaccinated, wash your hands, wear a mask, stay home if you’re sick and minimize your number of crowded public outings.

“It’s not just for themselves, it’s trying to do it for those around them who are vulnerable and for those who aren’t able to receive vaccines. It’s important that we try and do that to help protect them,” Myers said.

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Whooping cough is at a decade-high level in US

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MILWAUKEE (AP) — Whooping cough is at its highest level in a decade for this time of year, U.S. health officials reported Thursday.

There have been 18,506 cases of whooping cough reported so far, the Centers for Disease Control and Prevention said. That’s the most at this point in the year since 2014, when cases topped 21,800.

The increase is not unexpected — whooping cough peaks every three to five years, health experts said. And the numbers indicate a return to levels before the coronavirus pandemic, when whooping cough and other contagious illnesses plummeted.

Still, the tally has some state health officials concerned, including those in Wisconsin, where there have been about 1,000 cases so far this year, compared to a total of 51 last year.

Nationwide, CDC has reported that kindergarten vaccination rates dipped last year and vaccine exemptions are at an all-time high. Thursday, it released state figures, showing that about 86% of kindergartners in Wisconsin got the whooping cough vaccine, compared to more than 92% nationally.

Whooping cough, also called pertussis, usually starts out like a cold, with a runny nose and other common symptoms, before turning into a prolonged cough. It is treated with antibiotics. Whooping cough used to be very common until a vaccine was introduced in the 1950s, which is now part of routine childhood vaccinations. It is in a shot along with tetanus and diphtheria vaccines. The combo shot is recommended for adults every 10 years.

“They used to call it the 100-day cough because it literally lasts for 100 days,” said Joyce Knestrick, a family nurse practitioner in Wheeling, West Virginia.

Whooping cough is usually seen mostly in infants and young children, who can develop serious complications. That’s why the vaccine is recommended during pregnancy, to pass along protection to the newborn, and for those who spend a lot of time with infants.

But public health workers say outbreaks this year are hitting older kids and teens. In Pennsylvania, most outbreaks have been in middle school, high school and college settings, an official said. Nearly all the cases in Douglas County, Nebraska, are schoolkids and teens, said Justin Frederick, deputy director of the health department.

That includes his own teenage daughter.

“It’s a horrible disease. She still wakes up — after being treated with her antibiotics — in a panic because she’s coughing so much she can’t breathe,” he said.

It’s important to get tested and treated with antibiotics early, said Dr. Kris Bryant, who specializes in pediatric infectious diseases at Norton Children’s in Louisville, Kentucky. People exposed to the bacteria can also take antibiotics to stop the spread.

“Pertussis is worth preventing,” Bryant said. “The good news is that we have safe and effective vaccines.”

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AP data journalist Kasturi Pananjady contributed to this report.

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The Associated Press Health and Science Department receives support from the Robert Wood Johnson Foundation. The AP is solely responsible for all content.

The Canadian Press. All rights reserved.

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Scientists show how sperm and egg come together like a key in a lock

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How a sperm and egg fuse together has long been a mystery.

New research by scientists in Austria provides tantalizing clues, showing fertilization works like a lock and key across the animal kingdom, from fish to people.

“We discovered this mechanism that’s really fundamental across all vertebrates as far as we can tell,” said co-author Andrea Pauli at the Research Institute of Molecular Pathology in Vienna.

The team found that three proteins on the sperm join to form a sort of key that unlocks the egg, allowing the sperm to attach. Their findings, drawn from studies in zebrafish, mice, and human cells, show how this process has persisted over millions of years of evolution. Results were published Thursday in the journal Cell.

Scientists had previously known about two proteins, one on the surface of the sperm and another on the egg’s membrane. Working with international collaborators, Pauli’s lab used Google DeepMind’s artificial intelligence tool AlphaFold — whose developers were awarded a Nobel Prize earlier this month — to help them identify a new protein that allows the first molecular connection between sperm and egg. They also demonstrated how it functions in living things.

It wasn’t previously known how the proteins “worked together as a team in order to allow sperm and egg to recognize each other,” Pauli said.

Scientists still don’t know how the sperm actually gets inside the egg after it attaches and hope to delve into that next.

Eventually, Pauli said, such work could help other scientists understand infertility better or develop new birth control methods.

The work provides targets for the development of male contraceptives in particular, said David Greenstein, a genetics and cell biology expert at the University of Minnesota who was not involved in the study.

The latest study “also underscores the importance of this year’s Nobel Prize in chemistry,” he said in an email.

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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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