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Ontario reports 721 new COVID-19 cases and higher test-positivity rate – ThePeterboroughExaminer.com

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Ontario is taking a second look at COVID-19 guidelines for gyms and fitness facilities across the province after an outbreak at a spinning studio in Hamilton spawned at least 50 cases.

The review comes as the government reported the test positivity rate climbed to what associate chief medical officer Dr. Barbara Yaffe called a “worrisome” three per cent and another 721 Ontarians were infected with the virus.

A new provincial directive also barred families and friends from taking residents of nursing homes in the hot zones of Toronto, Peel and Ottawa out for day trips and overnights for social or personal reasons effective Friday, with exceptions for medical and compassionate reasons.

“Our priority has to be the safety and well-being of the residents and staff,” said Long-Term Care Minister Merrilee Fullerton.

She noted the restriction could extend to other communities as COVID-19 takes deeper hold in other locales with the government eager to avoid a repeat of last year’s surge of the virus in long-term care, where more than 1,900 residents and eight workers have died.

The apparent super-spreader event at SpinCo in Hamilton caught the attention of provincial officials when 37 customers and two employees tested positive, along with 11 other household contact or friends to date.

“Even though they followed guidelines there was obviously significant transmission so I do think we need to review the guidelines,” Yaffe told a news conference with Premier Doug Ford on Wednesday at Queen’s Park.

“That’s in process.”

Last Friday, Ford ordered the closures of gyms and fitness centres in Toronto, Peel and Ottawa because of rapidly rising case levels on the advice of his health experts in addition to banning indoor dining and drinking, indoor team sports, and closures of theatres, bingo halls and casinos.

Yaffe defended the gym shutdowns,saying “that’s the kind of facility where there can be and has been transmission” and noted many people do not wear masks while exercising. Current guidelines require patrons to be at least two metres apart. SpinCo said its bikes followed that with the studio’s capacity reduced to 21 riders, down from 43.

The Hamilton Spectator reported the owners of SpinCo said the local public health department told them that the “patient zero” of the outbreak did not display symptoms.

Yaffe acknowledged the test positivity rate — a key measure used to assess spread of COVID-19 — rose to three per cent from 2.6 the previous day, meaning three of every 100 people tested were positive, pointing to an increase in the rate of community transmission.

The seven-day average test positivity rate of 2.2 per cent is edging up, she added, as is the rate of people tested at pharmacies, restricted to those without symptoms or contact with known cases, she added.

Health Minister Christine Elliott said Ontarians should not be discouraged if they can’t get a flu shot immediately at their local pharmacy or from their doctor because “shipments are coming in on a regular basis.”

The 721 new COVID-19 cases across the province were down from 746 the previous day and below the record 939 reported last Friday.

Toronto had 270 new infections, Peel 170 and Ottawa 39, a large drop from 116 the day before. Overall, 84 per cent of the new cases were in the Greater Toronto-Hamilton Area.

However, with new research showing higher levels of COVID-19 in the Ottawa sewage system than last week, Yaffe said the nation’s capital will likely see an increase in infections in the next two to four days.

“It’s an alarm bell,” she told reporters. “It’s a warning sign they need to be looking for cases.”

Ford said the province is hiring another 500 contact tracing staff by mid-November, with most going to Ottawa and Toronto where the high number of cases has forced public health departments to trace only the most serious outbreaks.

It’s another sign Ontario isn’t ready for the expected spread of COVID-19 this fall, said Green Leader Mike Schreiner.

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“Once again, the premier is reacting to a situation he let get out of control.”

The number of patients in hospital for COVID-19 increased by one to 231, with four more people requiring intensive care pushing that total to 64 with 35 on ventilators. Four weeks ago, there were 44 in hospital, 20 in ICU and 12 on ventilators.

There were another 96 cases reported in the almost 5,000 schools across Ontario but the number of schools with cases fell by 15 to 421. Five schools were closed because of outbreaks, an increase of two from Tuesday’s report.

Labs across the province processed 32,206 cases Tuesday with a backlog of 25,558 remaining.

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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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