Ontario sees 409 new COVID-19 cases, rolls out $1B updated testing and contact-tracing plan - CBC.ca | Canada News Media
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Ontario sees 409 new COVID-19 cases, rolls out $1B updated testing and contact-tracing plan – CBC.ca

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Ontario reported an additional 409 cases of COVID-19 on Thursday as the province announced it would shift back toward testing only symptomatic people and those in high-risk groups to relieve pressure on publicly funded testing sites and clear a severe backlog of samples.

The news comes as Premier Doug Ford said his government will invest $1 billion to expand testing and contact-tracing capacity heading into flu season, including some $30 million to “prevent and manage outbreaks” in priority settings like long-term care facilities, retirement homes and schools. 

The province’s network of labs is currently facing a backlog of 53,840 test samples, the most since cases of the respiratory infection were first detected in January. 

During a media briefing Thursday morning, health officials said that publicly funded testing sites are moving away from offering tests to asymptomatic people. Instead, the province will return to a more targeted approach, as hospitals, testing sites and labs have reported being overwhelmed by public demand for tests.

“We know that over the summer when we opened up testing to anybody who wanted it, we did not find cases. Right now, we need to focus on people who are symptomatic, people who are contacts, people in outbreaks, or in very specific populations where we have designated that testing needs to occur,” said Dr. Barbara Yaffe, Ontario’s associate chief medical officer of health.

“Your average person out there who is not exposed to a case, who is not part of an outbreak, has no symptoms, should not be going for testing. There’s no value. In fact, what we found is when there’s very little COVID in that group, what we end up with is false positives, which just complicates things even more.”

WATCH | Dr. Barbara Yaffe explains Ontario’s plan to target only symptomatic people for testing:

People in Ontario who are asymptomatic for COVID-19 will now only be tested if they are part of a targeted group, such as health-care workers, according to Dr. Barbara Yaffe, Ontario’s associate chief medical officer of health. 1:24

Testing of asymptomatic people will be limited to pharmacies, an initiative announced by Ford earlier this week. The government has said that testing will be available at 60 pharmacies by week’s end, with a plan to expand the initiative in coming weeks, although representatives at some pharmacies on the list told CBC News they will not be ready by Friday.

According to Matthew Anderson, president and CEO of Ontario Health, the province hopes to have capacity for up to 50,000 tests per day some time in October.

“We continue to work toward the 50,000 goal. We’re very close to it now. We are struggling a bit with some of our supply chain challenges,” said Anderson.

“We continue to build that capacity out, and do expect that we will be in that range in the next couple of weeks.”

At his daily news conference, Ford acknowledged that the updated testing guidelines are a move away from his government’s messaging in recent months. Over the summer, he repeatedly encouraged anyone who wanted to take a test for the novel coronavirus to get one. But that has become untenable, he told reporters, as school has restarted and the province prepares for the upcoming flu season.

The focus on those showing symptoms is part of Ontario’s fall COVID-19 strategy, which Ford and Health Minister Christine Elliott have been releasing in stages this week. 

CBC News has obtained a 21-page draft version of the entire plan, provided by a government source, which focuses primarily on preventing another widespread lockdown like the one implemented in March.

Ford said the economic fallout from such a lockdown could devastate some businesses.

“That would be extremely difficult on a tremendous number of people,” he said. 

He added, however, that if new daily case counts continue on an upward trend, his government would re-evaluate its plan.

“If it’s a huge spike, then everything is on the table.”

WATCH | Ontario to invest $1B to upgrade testing, tracing of COVID-19:

Health Minister Christine Elliott said the new $1-billion commitment will help ‘significantly’ expand coronavirus testing capacity and boost the number of contact tracers. 1:42

Doctors warn time to tighten restrictions is now

Meanwhile, a group of physicians and health care leaders issued an urgent call for the province to immediately tighten restrictions on non-essential businesses and activities that lend themselves to gatherings, including dine-in restaurants, bars, nightclubs, gyms, theatres and places of worship.

“Given the sharp rise in COVID-19 cases over the last two weeks, and the speed at which this virus spreads, now is the time to put public health measures in place to immediately limit opportunities for disease transmission,” the Ontario Hospital Association said in a news release Thursday. 

The group is also calling for non-essential businesses to have employees work from home and for universities and colleges to hold classes online wherever possible. 

They note Ontario has seen a seven-day average of about 400 cases per day, a figure last seen at the height of the pandemic in May.

“Without immediate action, we know from international experience that this extremely contagious and life-threatening virus will spread rapidly through our schools, long-term care homes, retirement homes and other congregate settings.”

409 new COVID-19 cases

Consistent with recent weeks, a majority of new cases were concentrated in three public health units:

  • Toronto: 151
  • Ottawa: 82
  • Peel Region: 46

Several other areas also registered double-digit increases:

  • York Region: 34
  • Waterloo Region: 26
  • Durham Region: 12
  • Middlesex-London: 12
  • Halton Region: 11

Elliott noted in a series of tweets that about 63 per cent of the newly confirmed infections in today’s update involve people under 40 years old.

Thirty-one are classified as school-related, including 24 students, three staff and four categorized as “individuals not identified.”

The province’s website tracking outbreaks in school and child care centres — which lags behind information parents would get directly from their school — shows there have been at least 210 school-related cases, including 101 students who have been infected.

Ontario has now seen a total of 48,496 confirmed cases of COVID-19 since the outbreak began in late January. Of those, about 86.4 per cent are considered resolved. Another 286 were marked resolved in today’s report.

There are currently some 3,774 confirmed, active infections provincewide, the most since June 9. 

The province also reported two new outbreaks in long-term care facilities, bringing the current total to 33. 

Ontario’s official COVID-19 death toll increased by one, and now sits at 2,836. A CBC News count based on information provided directly from public health units puts the real toll at 2,876.

Further, the province’s network of labs processed more than 30,600 tests for the novel coronavirus yesterday; however the Ministry of Health notes that that figure provides an incomplete picture because of a temporary outage at Public Health Ontario

There is no indication that the outage affected the number of new cases in today’s report.

Tour team staffer tests positive

Meanwhile, Ford’s office said he did not have “close contact or prolonged exposure” to a staff member of his tour team who tested positive for COVID-19.

“All staff that had contact with their teammate will self-isolate and monitor for symptoms,” wrote Ivana Yelich, spokesperson for the premier’s office, in an email to media.

“The premier will closely monitor for symptoms and take appropriate next steps if necessary,” she continued.

In a tweet, Ford wished the staffer a speedy recovery.

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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.

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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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