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PEI has the highest rate of COVID-19 cases amongst Canadian provinces – SaltWire Network

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As of Jan. 21, P.E.I. had the highest reported rate of COVID-19 cases, with 1,050 per 100,000 people, of any province in Canada over the last seven days.

Only one jurisdiction, the Northwest Territories, surpassed the province’s rate of cases over the last week, with 2,024 cases per 100,000 people. The next closest province to P.E.I. was Alberta with 759 cases per 100,000.

But Susan Kirkland, head of Dalhousie University’s department of community health and epidemiology, said daily case counts and case rates do not capture the whole story.


“There does become a point where following cases – it collapses.”

Susan Kirkland, Dalhousie University Department of community health and epidemiology 


Kirkland says it is now clear that community spread of COVID-19 is widespread in Atlantic Canada, including in provinces like P.E.I., where testing of incoming travellers had previously helped contain spread of the virus.

Kirkland said differences in testing criteria, as well as differing reporting details mean comparing case rates between provinces is becoming less and less useful.

Dr. Susan Kirkland, head of the Department of Community Health and Epidemiology at Dalhousie University, says that even after people are vaccinated for COVID-19, a strange new world awaits us. – SaltWire Network

While P.E.I. still allows PCR-RT testing for anyone with symptoms, Nova Scotia has limited PCR testing to specific vulnerable populations that are symptomatic. Rapid antigen tests are provided to the general population that is symptomatic.

In many provinces, daily positive case counts are not capturing the full number of people who have contracted the virus. New Brunswick has also stopped reporting daily case counts in COVID-19 briefings because of this, although the information is still available on the province’s website.

Kirkland said other indicators like hospitalization rates and test positivity are better indicators of how well a province like P.E.I. is faring amid the Omicron wave.

“Ultimately, what we are trying to do is stop the health-care system from (collapsing),” Kirkland said.

P.E.I.’s most recent test positivity rate was 20.7 per cent – significantly higher than all three other Atlantic provinces. There have been 19 hospitalizations since the first Omicron case was announced on Dec. 14.

After weeks of escalating case counts, P.E.I. Premier Dennis King imposed tighter public health restrictions on Jan. 19, closing gyms and in-room dining in restaurants.

Reporting varies

Since Jan. 18, the P.E.I. government has stopped recording daily counts of outbreaks associated with long-term care homes, shelters, the provincial correctional centre and other congregate settings.

While the lack of daily reporting has occurred in conjunction with continuing escalating case counts, P.E.I. may not be the only province to have made a decision to report less information about outbreaks.

Nova Scotia is continuing to report daily positive cases associated with long-term care outbreaks, but the province has recently decided to not report school outbreak numbers.

As an epidemiologist, Kirkland said she was not sure what she thought of public health offices restricting reporting on outbreak case counts.

She said Atlantic Canadians have become used to COVID-19 being contained. This has made it difficult for public health offices to communicate that overall containment of the virus is less feasible, due to the higher transmissibility of the Omicron variant.

“I think that what public health is now doing is trying to turn the corner to say, ‘we have to start to learn how to live with COVID,’ ” Kirkland said.

“We have to deal with the things that we know will reduce risks – we have to wear masks. We have to improve ventilation where we can. We have to limit social contacts in areas where we can,” she said.

But Kirkland also believes governments are faced with the challenges of prioritizing a safe reopening of schools.

“Very often people will say, ‘why is it safe for kids to be in school but we need to close restaurants,’ ” she said.

“That’s not the point. The point is that the priority is to keep kids in school. So, we have to do these other things in the community so that kids can stay in school. Because that’s what we think is the most important.”

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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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