Manitoba monitoring Strep A infections as Canada sees rise in cases - CityNews Winnipeg | Canada News Media
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Manitoba monitoring Strep A infections as Canada sees rise in cases – CityNews Winnipeg

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According to the country’s national health agency, Canada saw in 2023, the most invasive group A strep infections reported, with cases here in Manitoba also picking up.

As neighbouring province Ontario reports child deaths from invasive strep A, officials here say they are keeping a close eye.

“Most definitely we saw an increase in incidents last year and this year we still see a higher trend,” said Dr. Brent Roussin, Chief Provincial Public Health Officer.

Canada’s public health agency told CityNews over 4,600 invasive group A strep infections were reported in 2023, beating the previous record set in 2019 where over 3,200 cases were reported.

Manitoba also saw an increase in invasive group A strep infections in 2023, with 200 cases reported, up from 200 a year prior.

“We know that with the respiratory season, we usually see an uptick in these invasive secondary infections, including group A strep,” said Roussin.

Strep A is a bacteria only found in humans, which lives in our throats and our skin. The bacteria can cause strep throat.

Invasive group A strep infection occurs when strep A bacteria moves from an environment which is not considered sterile such as our throats to an area of our body that is supposed to be sterile such as our blood.

“This increase in cases is likely due to a new strain that has been circulating around the globe. It likely originated in the United Kingdom,” explained John McCormick, a professor of microbiology and immunology at the University of Western Ontario.

“When invasive infections are caused by strep A, those can become extremely dangerous. They tend to happen to people in the more of the extremes of age, the very young or the very old but those infections can happen to anybody.” 

It’s why McCormick says if anyone is experiencing strep throat, they seek treatment for it to prevent more serious illness.

“Prior viral infections can predispose people to getting invasive disease. The one that has been well-studied years ago has been chicken pox. Children who have developed active chicken pox roughly have a 50-fold increase in developing invasive streptococcus disease. There is no vaccine for strep but there is a vaccine for chicken pox,” said McCormick.

Ontario reported 48 deaths, including six in children nine and under between October and December in 2023.

“Because it’s associated with those infections, COVID-19, influenza, we should take that opportunity to protect ourselves,” said Dr. Roussion.

While Manitoba is not reporting an outbreak of cases here, Health Minister Uzoma Asagwara says the province is monitoring the situation across the country.

“Certainly, the rise of cases is concerning nationally. Here in Manitoba, we have taken steps through the public health lens to ensure that physicians, nurse practitioners are aware of how they need to asses patients and communicate with families to ensure they have the right information,” said Manitoba Health Minister Uzoma Asagwara.

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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.

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