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Florida is in the grip of its deadliest wave of COVID-19 since the pandemic began, a disaster driven by the highly contagious delta variant.

While Florida’s vaccination rate is slightly higher than the national average, the Sunshine State has an outsize population of elderly people, who are especially vulnerable to the virus; a vibrant party scene; and a Republican governor who has taken a hard line against mask requirements, vaccine passports and business shutdowns.

As of mid-August, the state was averaging 244 deaths per day, up from just 23 a day in late June and eclipsing the previous peak of 227 during the summer of 2020. (Because of both the way deaths are logged in Florida and lags in reporting, more recent figures on fatalities per day are incomplete.)

Hospitals have had to rent refrigerated trucks to store more bodies. Funeral homes have been overwhelmed.

Paramedics admit a patient to an emergency room in Clearwater, Fla., on Aug. 3. (Octavio Jones/Reuters)

Cristina Miles, a mother of five from Orange Park, a suburb of Jacksonville, is among those facing more than one loss at a time. Her husband died after contracting COVID-19, and less than two weeks later, her mother-in-law succumbed to the virus.

“I feel we are all kind of in a weird dream state,” she said, adding that her children are grieving differently — with one shutting down, another feeling inspired to pass a hard swimming test and the oldest going about her life as usual.

Hospitals have been swamped with patients who, like Miles’s husband and mother-in-law, haven’t been vaccinated.

In a positive sign, the number of people in the hospital with COVID-19 in Florida has dropped over the past two weeks from more than 17,000 to 14,200 on Friday, indicating the surge is easing.

Florida made an aggressive effort early on to vaccinate its senior citizens. But Dr. Kartik Cherabuddi, a professor of infectious diseases at the University of Florida, said the raw number of those who have yet to get the shot is still large, given Florida’s elderly population of 4.6 million.

WATCH | Fauci on what it will take to get America vaccinated: 

Anthony Fauci on what it will take to get America vaccinated

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“Even 10 per cent is still a very large number, and then folks living with them who come in contact with them are not vaccinated,” Cherabuddi said. “With delta, things spread very quickly.”

Cherabuddi said there is also a “huge difference” in attitudes toward masks in Florida this summer compared with last year. This summer, “if you travelled around the state, it was like we are not really in a surge,” he said.

Gov. Ron DeSantis has strongly opposed certain mandatory measures to keep the virus in check, saying people should be trusted to make decisions for themselves. He has also asserted that the spike in cases is seasonal, as Floridians spend more time indoors to escape the heat.

A health worker administers a COVID-19 test at a drive-thru site in Miami on Aug. 30. (Joe Raedle/Getty Images)

Overall, more than 46,300 people have died of COVID-19 in Florida, which ranks 17th in per-capita deaths among states.

The majority of the deaths this summer — like last summer — are among the elderly. Of the 2,345 people whose recent deaths were reported over the past week, 1,479 of them — or 63 per cent — were 65 and older.

But the proportion of under-65 people dying of COVID-19 has grown substantially, which health officials attribute to lower vaccination rates in those age groups.


What’s happening across Canada

A woman wearing a face mask is seen in Montreal on Saturday. (Jean-Claude Taliana/Radio-Canada)

  • Ont. reports 944 new cases — highest daily number since end of May

What’s happening around the world

As of Saturday, more than 220 million cases of COVID-19 had been reported worldwide, according to Johns Hopkins University. The reported global death toll stood at more than 4.5 million.

In the Americas, some cities in Brazil are providing booster shots of the COVID-19 vaccine, even though most people have yet to receive their second jabs. The move reflects the concern in the country over the highly contagious delta variant.

A resident is administered a COVID-19 vaccine booster shot at a nursing home in Rio de Janeiro on Thursday. (Silvia Izquierdo/The Associated Press)

In Europe, Germany’s top health official has called on more citizens to get vaccinated, warning that if the numbers don’t go up, hospitals may get overwhelmed by COVID-19 patients toward the end of the year. Health Minister Jens Spahn tweeted that “we need at least 5 million vaccinations for a safe autumn and winter.”

In the  Asia-Pacific region, New Zealand reported its first coronavirus death in more than six months, while the number of new cases continued to trend downward. Health authorities said the woman who died was in her 90s and had underlying health problems.

In Africa, a survey of 18- to 24-year-olds in 15 countries on the continent found that nearly a fifth of the survey’s 4,500 respondents said they lost their jobs, and 37 per cent said they had to stop or pause their education. Another eight per cent surveyed saw their pay docked, 18 per cent had to move back home and 10 per cent said they were forced to care for family members.

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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.

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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.

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