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Ontario's top doctor says that the third wave of the COVID-19 pandemic has arrived – CP24 Toronto's Breaking News

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Ontario’s top public health official says that we are now in the midst of a third wave of the COVID-19 pandemic driven by the spread of the more infectious B.1.1.7 variant.

Chief Medical Officer of Health Dr. David Williams made the comment on Thursday afternoon, hours after the Ministry of Health reported more than 1,500 new cases of COVID-19 for a second straight day.

“We are in the third wave it is just a matter of what kind of wave is it?” he said. “Is it an undulating wave? Is it a rapidly rising breaking wave? Is it going to look like wave two. We don’t know right now.”

Ontario reported 1,553 new COVID-19 cases and 15 additional deaths on Thursday, as the number of known active cases hit its highest point in five weeks.

The seven-day rolling average of cases now stands at 1,427, up from 1,251 at this point one week ago. Over the last three weeks it has risen by about 35 per cent.

There are now 12,814 known active cases of novel coronavirus infection across the province, along with 7,202 deaths and 303,500 recoveries.

It’s the highest the province’s active caseload has been since Feb. 11.

Speaking with reporters during a briefing, Williams said that he believes that the public health restrictions in Ontario have had “some efect on slowing the rise of the variants of concern,” given that modelling initially suggested that they would double every seven to 10 days.

But he said that they are clearly escalating and that Ontario is in a “precarious” position as a result.

“Can we slow the rise and get away from the so-called hockey stick or exponential growth that we have seen in some other juridstictions?” he asked.

15 more deaths

Provincial labs processed 58,560 tests in the past 24 hours, generating a positivity rate of at least 3.1 per cent.

Of the 15 deaths, one involved a resident of the long-term care system.

Across the GTA, Toronto reported 404 new cases, Peel Region reported 294 new cases, York reported 176 new cases and Durham reported 85 new cases.

Elsewhere in the GTA, Halton Region reported 38 new cases and Hamilton reported 80 new cases.

The numbers come as one of the heads of a body of epidemiologists advising the province went beyond merely calling for a new lockdown on Wednesday and described what he thought it should entail – a three week stay at home order in the GTA and Golden Horseshoe area with mandatory travel restrictions between regions.

The Ontario COVID-19 Science Table projected up to 4,000 cases per day in the province by early April even in its middle of the road scenario released last week.

Ontario vaccine distribution task force member Dr. Isaac Bogoch said Thursday he thought that was avoidable.

“Maybe we’ll be able to stick handle our way through this without a significant lockdown. I think it’s worth a try. But we need to keep all of our options open to protect our acute healthcare system.”

Hospitalizations continued an overall increase, with the Ministry of Health saying ICU occupancy due to COVID-19 surpassed 300 for the first time since Feb. 10.

There were 730 people in hospital on Thursday, and of those, 304 are in intensive care and 186 are breathing with the help of a ventilator.

Meanwhile, a Toronto intensive care unit doctor citing Critical Care Services Ontario data said there were 361 COVID-19 patients in intensive care at midnight on Wednesday.

A count of data released by local public health units and hospital networks on Thursday found 914 people in hospital.

Three new cases were confirmed to be variants of concern on Thursday, bringing the total confirmed through whole genomic sequencing to 1,218.

Public Health Ontario says more than 10,000 other samples have screened positive for a variant of concern and are awaiting sequencing.

The Science Table believes 53 per cent of all new daily cases are now variants of concern.

Another 58,000 doses of approved COVID-19 vaccines were administered on Thursday, bringing the total number of shots completed to 1,359,453.

More than 292,000 people have now completed their full two-dose course of inoculation.

The numbers used in this story are found in the Ontario Ministry of Health’s COVID-19 Daily Epidemiologic Summary. The number of cases for any city or region may differ slightly from what is reported by the province, because local units report figures at different times.

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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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