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Ontario reports 821 new cases of COVID-19, 2nd-most since resurgence began in August – CBC.ca

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Ontario reported 821 new cases of COVID-19 on Tuesday, the second-most on a single day since a resurgence of the illness began in the province in mid-August.

Toronto once again saw the most with 327, while 136 were recorded Peel Region and 79 in Ottawa.

The new case count is the highest number the province has seen in the second wave, since 939 cases were reported on Oct. 9. The seven-day average of new daily cases, which had been slowly dropping over the last several days, ticked back up with today’s update and is now about 743. 

Notably, just over 24,000 tests were completed yesterday — the lowest number of tests Ontario has processed on  a single day since Sept. 9. The province previously said it aimed to be processing 50,000 tests per day by mid-October, and as many as 68,000 daily by mid-November. 

The number of confirmed, active infections of the novel coronavirus in Ontario is 6,237, an all-time high.

Hospitalizations, as well as the number of patients in intensive care and using ventilators, all went up. Hospitalizations rose from 252 yesterday to 274 today, ICU patients went from 69 yesterday to 72 today, and people in the ICU using ventilators went from 40 to 45. 

The province is also reporting three more deaths.

Premier appeals to people with symptoms to get tested

Asked Tuesday about the relatively low levels of testing in the last 24 hours, Premier Doug Ford said the province’s labs have now cleared through a backlog of tests that once ballooned to more than 90,000 and that there is capacity for as many as 50,000 daily, but that people can’t be forced to be tested.

Ford said the province has set up additional testing units in hotspots, but some people seem to be holding back from getting an assessment.

The province changed its testing guidelines last month, making COVID-19 tests available only to symptomatic people by appointment at its assessment centres.

The change came after the government was heavily criticized for hours-long lineups at walk-in testing centres that assessed people with or without symptoms.

Meanwhile, Ontario is extending most of its emergency orders until Nov. 21 as the province faces a resurgence of COVID-19.

In a news release Tuesday, the provincial government announced the extension will be in place for 30 days with exceptions for orders around pandemic pricing on electricity and electronic access to personal health records.

“With the cold and flu season upon us and the continuing high number of COVID-19 cases in certain parts of the province, it’s critical we continue to take the necessary steps to protect the health and safety of Ontarians,” said Solicitor General Sylvia Jones.  

Masks not required in dance studios, province says

The province has also updated its pandemic rules to allow dance classes to resume in Ontario’s four hot spot areas.

Asked Tuesday why small fitness studios aren’t allowed to open under the current regulations but dance studios are, Ford drew a distinction between the two saying that unlike fitness studios, dance studios are cohorted.

The province announced this week that dance classes will be allowed to resume in hotspot areas as long as dances are pre-registered and physical distancing is observed.

Masks are not required inside the studios.

Asked why that is, Health Minister Christine Elliott told reporters Tuesday, “It’s because of the distance and the separation between the dancers that can be maintained such that the masks aren’t necessarily required.”

Airborne transmission of COVID-19 however has not been ruled out, with the U.S. Centers for Disease Control and Prevention updating its guidance this month to say infections can be spread by exposure to virus in small droplets that can linger in the air for minutes to hours. 

NDP bring motion to eliminate for-profit LTCs as some face insurance woes

Also Tuesday, NDP Leader Andrea Horwath said she would introduce a motion to remove for-profit companies from the long-term care system and replace them with an “all non-profit and public system.”

“We need to take action to protect seniors and fix the long-term care system for good, and we have to do it now,” Horwath said in a tweet.

A vote on the motion is expected this afternoon. 

Meanwhile, some of Ontario’s long-term care homes are having trouble securing liability insurance for COVID-19, a situation that could force some of them to close, says a group representing more than 70 per cent of the province’s homes.

The Ontario Long-Term Care Association says its homes are being offered new policies without a key provision: coverage for infectious diseases, including COVID-19.

The association has now turned to the federal government for help, saying potential claims could place a burden on the homes’ finances, and that loans could be denied over the lack of coverage.

Previously, long-term care homes received $5-million to $10-million coverage for damages or claims related to infectious diseases, CEO Donna Duncan said.

Now, insurance companies are including a “contagious disease exclusion endorsement” in policies for the homes, she said.

Her association has pleaded its case to the federal government in a letter sent late last week, asking Ottawa to provide a “backstop” and essentially insure the insurance companies.

Ontario to provide COVID-19 liability protection to some workers, businesses

Also Tuesday, Attorney General Doug Downey introduced a new bill that would provide liability protection to some workers, businesses and non-profits against COVID-19 exposure-related lawsuits. 

Downey says the bill, if passed, would ensure anyone making an “honest effort” to follow public health guidelines while working or volunteering not be exposed to liability. The bill will not prevent lawsuits against those who willfully, or through “gross negligence”, endanger others, he said.

The government says health-care workers and institutions, front-line retail workers, and charities and non-profits would be covered by the bill.

The legislation would also cover coaches, volunteers and minor sports associations.

Outbreak at CAMH worsens   

Toronto’s Centre for Addiction and Mental Health (CAMH) is reporting three more patients have tested positive for COVID-19 on a unit at its Queen Street site.

It follows confirmation Sunday of an outbreak at the unit, when it said two people had COVID-19.

Two other Toronto hospitals also confirmed outbreaks over the weekend. 

The centre says it has implemented standard infection prevention and control procedures for respiratory outbreaks, including closing the unit to admissions and transfers. 

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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.

The Canadian Press. All rights reserved.

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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.

The Canadian Press. All rights reserved.

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