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Public health officials taking stock of supplies, equipment to prepare for possible coronavirus pandemic – CBC.ca

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Canada’s top public health officer says federal and provincial officials are now taking stock of the medical supplies and equipment they’d need to respond to a coronavirus pandemic — but the responsibility for ensuring those inventories are adequate lies with the provinces.

During a briefing call with reporters Thursday, Chief Public Health Officer Theresa Tam said the Public Health Agency of Canada serves a national coordination role for planning and preparing for health emergencies, and can do bulk purchasing on the provinces’ behalf. While there is a federal stockpile of some medical supplies, it’s normally reserved for rare, “high-impact” biological or radiological events.

Tam said that in those cases, the federal government can top up provincial and territorial supplies in the event they run short.

“As a result of the changing landscape because of COVID-19, we are pulling together that kind of information right now,” she said.

“Of course, we have to adapt to … the evolution of the outbreak in order to fine-tune some of these estimates. But that’s the kind of exercise that’s being undertaken right now. But the granularity of the system’s preparedness is, of course, left to the provinces and territories.”

Chief Public Health Officer of Canada Dr. Theresa Tam. (Justin Tang/Canadian Press)

Tam noted that there are now more cases of COVID-19 — the respiratory illness caused by the novel coronavirus — being reported outside China than inside the country where the outbreak started. About 50 countries are now affected — some with isolated travel-related cases and others with outbreaks of their own, such as South Korea, Italy and Iran.

Seven countries — Brazil, Georgia, Greece, Macedonia, Norway, Pakistan and Romania — have only recently reported cases for the first time, World Health Organization (WHO) director general Tedros Adhanom Ghebreyesus told reporters at a daily briefing Thursday.

“This virus does not respect borders,” he said.

No pandemic call by WHO

WHO has declared the epidemic a global health emergency but has not called it a pandemic.

To date, there have been 13 cases confirmed in Canada, but no reports of transmission through communities.

Tam said Canadian health authorities are in close contact with their counterparts in the U.S. — which only recently confirmed a case of the virus that does not appear to be linked to international travel.

The Trump administration has requested an additional $2.5 billion to respond to the coronavirus, even as the president expressed confidence there would not be a widespread outbreak in the U.S.

CBC News has asked if the federal government is earmarking extra funds for a response, but has not yet received an answer.

On Wednesday, Health Minister Patty Hajdu said it would be prudent for Canadians to prepare for a possible illness in their households by setting aside a week’s supply of medicine and food.

Tam repeated that advice today, suggesting Canadians prepare by ensuring medication supplies and making back-up child care arrangements.

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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.

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