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Confirmed cases of new COVID-19 variant in Canada are 'unsurprising', experts say – CTV News

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TORONTO —
A new, more contagious variant of COVID-19 that first surfaced in the U.K. has been detected in Canada, something health experts had already predicted.

Ontario’s Associate Chief Medical Officer of Health, Dr. Barbara Yaffe, announced Saturday that there are two confirmed cases of the coronavirus variant in Durham region. The patients who tested positive are a couple, now in self-isolation.

“I’m not surprised,” Dr. Brian Conway, medical director of the Vancouver Infectious Diseases Centre, told CTV News Channel Saturday, in the wake of the news. “Obviously, this variant has been circulating for some time before it was actually recognized.”

In a news release announcing the cases, Dr. Yaffe said this “further reinforces the need for Ontarians to stay home as much as possible and continue to follow all public health advice, including the provincewide shutdown measures beginning today.

Durham Region Health Department has conducted case and contact investigation and Ontario is working in collaboration with our federal counterparts at the Public Health Agency of Canada.”

The PHAC said in a statement Saturday that they believe there are more cases out there.

“As the monitoring continues, it is expected that other cases of this variant and other variants of concern may be found in Canada,” the statement reads. 

But even before today’s confirmation that this coronavirus variant is in Canada, health experts suspected it was already here. 

“It’s spread to other countries,” Ronald St. John, the former director-general of the Centre for Emergency Preparedness and Response at the Public Health Agency of Canada (PHAC), told CTV News Channel earlier on Saturday.

“Since it’s been found since September, there’s no reason why people coming since September haven’t been able to bring that new strain to Canada.” 

The new variant that emerged from the U.K. has since been found in other countries around the world, including France, Japan, Israel and Sweden.

Only two days ago, PHAC said in a statement that there had been “no evidence of these variants in Canada to-date” and that it was enhancing screening and scrutiny of quarantine plans for inbound passengers.

The Ontario news release on Saturday thanked the “proactive work” of the PHAC in locating the two cases of the new variant.

Conway said that more measures need to be taken to understand how the variant made its way into Canada.

“We need to do much more testing, we need to understand where this couple became infected,” he said, adding that we can only interrupt the “transmission chains” if we understand them.  

On Dec. 20, Prime Minister Justin Trudeau announced a restriction on flights from the U.K. to Canada in an effort to prevent the new variant from coming to Canada. That restriction has since been extended to Jan. 6.

According to the PHAC’s Saturday statement, travellers who arrive to Canada are also being asked “additional health screening questions to help identify if their travel itinerary included a country concern reporting this variant in the last 14 days.”

St. John said these measures may have come too little, too late.

The two cases announced today have no travel history, high-risk contacts or known exposure.

“It’s a question of if the horse is out of the barn already, and are we closing the doors too late?” St. John said. 

Kirsten Fiest, an epidemiologist at the University of Calgary Cumming School of Medicine, also said stopping flights from the U.K. may not be enough to prevent the new variant from spreading in Canada.

“Almost certainly, it’s spread even further than we know right now,” Fiest told CTV Calgary. “If something can spread really quickly and rapidly and it increases the likelihood of infection, then our biggest concern should be long-term care facilities.” 

PHAC said in their statement that the lack of a clear link to travel in the new cases in Durham Region underlines the importance of minimizing community transmission.

“As these two cases did not travel outside of Canada, it is important to follow public health measures and limit contacts with others, to reduce the transmission of the virus and any of its variants in communities,” the statement says.  

The new variant of the virus “may be up to 70 per cent more transmissible than the original version of the disease,” U.K. Prime Minister Boris Johnson said in a press conference on Dec. 19, though a new study from the London School of Hygiene And Tropical Medicine suggests the virus is about 56 per cent more contagious.

“While early data suggests that these new variants may be more transmissible, to date there is no evidence that they cause more severe disease,” PHAC stated Saturday, adding that more research needs to be done. 

Two other variants of COVID-19 have also been found in Nigeria and South Africa, leading Canada to expand screening and monitoring measures on flights inbound from South Africa.

“We need to be on the lookout for other variants,” Conway said. 

St. John said both variants need further study to understand how variations in the genes could impact the behaviour of the virus and its effects on how the disease presents itself in the people who have contracted it, adding that the variant found in South Africa also appear, “at this point,” to be more contagious than the base strain of coronavirus already in Canada.

As to whether or not the vaccines already being delivered in Canada will be effective in defending against these new variants, St. John said he doesn’t believe the virus will mutate in the same way seasonal influenza does, and that the vaccines will likely be effective.

“So far, as near as I know, the vaccine targets many different parts of the virus,” St. John said. “So it’s a good thing that it does, and that the virus probably will not escape the vaccine.”

Conway added that there is “no evidence that the vaccine works less well,” on the variant that first emerged in the U.K. 

BioNTech CEO Ugur Sahin has also said he is “confident” his company’s vaccine, created with Pfizer, will be effective against the new U.K. variant of the virus.  

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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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