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Influenza’s presence in Sault, Algoma will prompt hike in ER visits: Sault Area Hospital

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Sault Area Hospital continues to see a “steady” number of children with respiratory infections, and “fortunately” the region’s principal health-care facility has not exceeded its bed or staffing numbers – yet, says the facility’s chief of pediatric and neonatal services.

But after having circulated in southern Ontario for weeks, influenza is now in Algoma District, said Dr. Jonathan DellaVedova.

“So, we predict the number of emergency room visits and hospital admissions will increase,” he told the Sault Star Thursday.

Algoma Public Health reported Nov. 3 the first two confirmed cases of influenza A this respiratory season in the Sault Ste. Marie area.

“Our experience so far suggests that patients are staying in the hospital longer to recover from respiratory infections, especially when they have multiple viruses at the same time,” DellaVedova said.

Ontario children’s hospitals are especially reporting longer-than-usual wait times as providers see rising rates of respiratory illness amid dropped public health measures and ongoing worker shortages, and experts say the situation could worsen as cold and flu season ramps up.

Sault Area Hospital said recently it had not exceeded its capacity to care for children, but warned that could easily change.

Currently, SAH still has open beds to care for infants, children and adolescents, whether for respiratory infections or other reasons.

“To my knowledge, there are no children in our ICU, which is designed for adults,” said DellaVedova, but added the province has directed the hospital to keep critical adolescents, aged 14-17, there rather than transferring them to a children’s hospital.

“Given that all pediatric ICU beds in the province are currently full, it is not clear what would happen day-to-day if we had a critically ill child under 14 years who needed an ICU bed,” DellaVedova said.

The situation in southern Ontario is much more severe.

For example, a perfect storm of illness – COVID-19, the flu and a respiratory syncytial virus (RSV) to which children are especially vulnerable – has put more strain on London, Ont.’s already-burdened hospitals and is only likely to get worse, officials warn.

“We anticipate significant ongoing pressures in the coming weeks and support the government’s recommendation for individuals to mask in public places, as we know masking is one of the most effective tools for preventing disease transmission,” London Health Sciences Centre said in a statement on Wednesday.

LHSC said occupancy at Children’s Hospital is at 115 per cent, the highest it’s ever been. Non-urgent patients in the Children’s Hospital emergency room can expect average wait times of six to eight hours, mainly due to the large volume of patients coming in with RSV and influenza symptoms.

A shortage of children’s pain relievers, including Tylenol and Advil, in Canada has parents looking elsewhere.

DellaVedova said he is aware of “some” Sault Ste. Marie parents travelling to nearby Michigan to acquire children’s acetaminophen and ibuprofen.

“In that respect, we have a slight advantage over other communities in the province,” he added. “Keep in mind Sault Ste. Marie, Mich., is also a small community, and this option is only available to families with the means.”

Drug shortages in Canada started as early as last spring, but the supply crunch has been exacerbated in recent months by soaring demand amid the spread of influenza, RSV and COVID-19. Lingering pandemic supply chain snags have also contributed to the problem. Panic buying as news of the lack of availability for the medicines spread compounded the issue

After nearly two months of discussions between governments and manufacturers, Health Canada arranged to import doses from the United States and Australia. The first U.S. shipment is already on the ground.

DellaVedova said he is unable to comment on SAH’s overall supply of children’s fever medications.

“But they have always been available when I have called for them,” he added.

The increase in the number of children ending up at hospitals’ emergency rooms prompted Ontario’s chief medical officer of health, Kieran Moore, on Monday, to ask Ontarians to wear masks in all indoor settings to help overwhelmed children’s hospitals and reduce the spread of respiratory illnesses.

If the situation gets worse, Moore said he would consider mandating masks, especially in day-care centres. Most of the sick children in hospital are aged four and under. Moore urged Ontario residents to help protect children by wearing a mask, getting flu and COVID-19 vaccinations, staying home when sick and washing their hands.

DellaVedova said masks “work,” but most people will not wear them in “sufficient numbers” unless a mandate is in place.

“Doctors and nurses are very empathetic to pandemic fatigue … we share it, too,” he added. “However, we also spend our days face-to-face with children who are struggling to breathe. By comparison, masking seems like a minor inconvenience.”

Masking for a short period of time could help flatten the curve of not just COVID but influenza and RSV, DellaVedova said.

“This could prevent a dangerous accumulation of cases in a short time span,” he added. “It is already too late for southern Ontario, but not too late for us.

“Keep in mind there is another other tool to prevent each of COVID-19 and influenza, which is a safe, effective, free and publicly-available vaccine.”

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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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