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Montreal monkeypox cases levelling off, officials concerned by rises elsewhere – q107.com

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Monkeypox cases in Montreal appear to be hitting a plateau, but authorities say they’re worried that soaring infections in the United States and a low vaccination rate could help the disease surge anew in the city.

Dr. Geneviève Bergeron of Montreal public health says that while the situation in the city has stabilized in recent weeks, she fears the busy tourist and travel season could compromise efforts to contain the disease.

“We’re concerned we might see an increase over the coming weeks because of travel and how connected we are with different countries, so we are being quite vigilant with the progress pattern that we see right now,” she said Monday in an interview.

Last month, public health officials described Montreal as the epicentre of the monkeypox outbreak in North America and expanded vaccination against the disease to all men who have sex with men.

Read more:

Monkeypox now a global health threat. But risk not necessarily higher in Canada: experts

Bergeron said that getting an early start to vaccination was helpful in the efforts to control the disease, but the city “still has a lot of work to do” when it comes to promoting vaccination.

People wait to receive a monkeypox vaccine at an outdoor walk-in clinic in Montreal, Saturday, July 23, 2022. Tourists are among those lining up to get monkeypox vaccines in Montreal, as the World Health Organization declares the virus a global health emergency. THE CANADIAN PRESS/Graham Hughes

She said that only between a third and half of those eligible to be vaccinated have received a shot. Demand for the vaccine has slowed somewhat, she said, although there has been an uptick since the World Health Organization declared the disease a global emergency on Saturday.

The provincial government has described the monkeypox outbreak in the province as “relatively contained,” with 331 cases as of last week and no hospitalizations. More than 13,000 people have been vaccinated.

In contrast, the Public Health Agency of Canada says cases across the country have continued to rise, to a total of 681. “Since July 1, we have also seen a doubling of cases to date, the first case in a female, and the first cases in Saskatchewan,” the agency wrote on Saturday.

Read more:

Tourists among those getting monkeypox shots in Montreal as global emergency declared

Bergeron said the city is working with different levels of government and with community organizations to raise awareness around monkeypox and to promote vaccination. That includes pop-up notifications sent out via dating apps, mobile vaccine clinics and soliciting the support of influencers, including a popular drag queen, to raise awareness.

Dr. Michael Libman, an infectious and tropical diseases specialist at the McGill University Health Centre, said his impression is that monkeypox numbers in the city “are controlled and maybe turning around.”

He says that for now, the disease is mainly being transmitted among a small segment of the population — men who report intimate contact with men — which makes it controllable as long as health officials act quickly. But he notes that anyone can get monkeypox, which is spread through prolonged close contact via respiratory droplets, direct contact with skin lesions or bodily fluids, or through contaminated clothes or bedding.

If it isn’t brought under control, “inevitably it will get out to other sexually active communities and eventually to households if we don’t succeed in controlling it,” he said.

Brian Maci, left, and Isaiah Hagerman chat as they wait to receive a monkeypox vaccine at an outdoor walk-in clinic in Montreal, Saturday, July 23, 2022. Tourists are among those lining up to get monkeypox vaccines in Montreal, as the World Health Organization declares the virus a global health emergency. THE CANADIAN PRESS/Graham Hughes

Dr. Réjean Thomas, who works at the l’Actuel medical clinic in Montreal, said he’s “very surprised” by the number of sexually active patients who aren’t vaccinated. He thinks public health messaging may need to be strengthened to better reflect the seriousness of the situation, without being alarmist.

He believes some people may have been inadvertently led to believe the disease is “benign” just because it is rarely fatal.

“But the cases we see are pretty serious: big ulcers in the mouth, the tongue, the chin, the genital organs,” he said. “People are suffering a lot.”

Read more:

Canada confirms 681 monkeypox cases as WHO declares global health emergency

A study published last week in the New England Journal of Medicine that analyzed over 500 cases in 16 countries found that 98 per cent of those infected were gay or bisexual, 75 per cent were white and 41 per cent had a prior HIV diagnosis. However, the study noted that while the current outbreak disproportionately affects men who have sex with men, monkeypox can affect anyone, and heterosexual transmission was also reported.

Spread to other populations is “anticipated,” the study added.

Bergeron said the vaccine is available in Montreal to people who have had direct contact with someone who has monkeypox, or with potentially contaminated objects or bedding. It is also available to men and members of the gay, bisexual and trans communities who have sex with at least one male partner in Montreal, other than a single regular partner.

— With files from Frédéric Lacroix-Couture

© 2022 The Canadian Press

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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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