Should men be worried about coronavirus because of their testicles? - Haaretz | Canada News Media
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Should men be worried about coronavirus because of their testicles? – Haaretz

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Men have a higher mortality rate than women from COVID-19, studies from different countries have consistently shown. Moreover, men remain infectious for longer than women, other studies have amply demonstrated. But why are men more at risk?

Because men were slower to clear the virus from their bodies than women. That may be because the virus could be hiding in their testicles, suggests a new study co-written by researchers of the Albert Einstein College of Medicine in New York and the Kasturba Hospital for Infectious Diseases in Mumbai, India. The paper, published in MedRxiv, has not been peer-reviewed yet.

Not every country has kept statistics on male/female deaths from COVID-19, the disease caused by the SARS-CoV-2 virus, known to humankind since about November 2019. But among those that have, including Italy and China, the death rate for males is roughly double or more than that of females. In Wuhan, the original epicenter of the virus, men accounted for almost 73 percent of the deaths ascribed to COVID-19. (By the way, COVID-19 means “coronavirus disease 2019,” and not the 19th coronavirus we know).

Various explanations have been suggested for the higher mortality rate of men. One proposes that men are more prone to risk-taking behavior, so they are more likely to indulge in counter-survivalist activities, such as smoking and (in the age of coronavirus) group gatherings. But a Chinese study suggests that the answer does not lie in the demon tobacco: Half of Chinese men smoke but smokers comprised only somewhere between 1.4 to 12.6 percent of the male deaths , and similar results were found in New York, according to Forbes.

Another suggestion is that women have generally stronger and more efficient immune systems than men, which on the downside renders women more prone to auto-immune disease.

All this could be spot-on and contribute to the higher male mortality rate from COVID-19. But it wouldn’t explain why men clear SARS-CoV-2 from their bodies more slowly than women.

Checking 68 symptomatic subjects, 40 men and 20 women, the joint Amercian-Indian paper found an average of a two-day delay for symptomatic males to produce “clean” swab-test results compared with symptomatic females.

“Furthermore, examination of 3 families with both male and female patients followed serially, demonstrated that female members of the same household cleared the SARS-CoV-2 infection earlier in each family,” the team wrote.

Where the coronavirus docks

How might the testicles be involved? To infect a cell, a coronavirus has to “dock” onto a specific protein on the target cell wall, called an ACE2 receptor – which stands for angiotensin-converting enzyme 2. Cell types with copious levels of ACE2 on their surfaces would theoretically be most susceptible to infection. Which cells copiously produce ACE2 receptor proteins? Lungs and kidneys (the renal proximal tubule; COVID-19 is also associated with kidney trouble in severe cases) – and certain testicular tissue.

Manuel Silvestri/Reuters

Specifically, a separate paper published in Nature on Monday  detailed that ACE2 is highly expressed in the seminiferous ducts of testis, adult Leydig cells (which produce hormones and are adjacent to those ducts) and in the prostate.

In the kidneys, the receptor is highly expressed in the epithelial cells of the renal tubule, which probably explains why some people with severe cases of COVID-19 have been developing kidney damage.

Conversely, ovaries do not express much ACE2, the Bronx-Mumbai study explains.

So it seems plausible that men are clearing the virus more slowly than women because they have an extra reservoir that women do not possess. It must be stressed that this has not been proven. But it is consistent with this hypothesis that gonadal loss-of-function has been reported in SARS-CoV-2 patients, indicating damage to testicular cells – especially the ones producing hormones – during infection.

On exactly the same grounds – testicular and nephritic susceptibility to coronavirus – a comment published in Nature Reviews, Urology this week urges monitoring the urogenital tract of COVID-19 patients.

“Most patients with severe COVID-19 present with pneumonia-related symptoms, but some patients with severe disease could develop serious urinary complications including acute kidney injury,” writes Shangqian Wang, Xiang Zhou, Tongtong Zhang and Zengjun Wang from the First Affiliated Hospital of Nanjing Medical University.

“Furthermore, male reproductive systems are vulnerable to infection; dramatic changes in sex hormones in patients with COVID-19 have been observed, suggesting gonadal function impairment,” the team writes. Which is a euphemism for infertility.

The changes in the sex hormones are a side effect of inflammation resulting from the immune system fighting the virus, the paper explains: “Inflammatory cytokines that are locally or systematically produced by these cells can activate the autoimmune response, destroying the seminiferous epithelium, which leads to autoimmune orchitis [inflammation of the testicles].”

The team notes that SARS, a different coronavirus, could and did attack the testicles, inducing orchitis. The SARS virus was discovered in the outer cells of testicular seminiferous tubules and Leydig cells, which produce testosterone.

Now, SARS-CoV-2 isn’t the same as SARS-CoV. But both viruses have receptors in the testicles. So while COVID-19 chiefly attacks the respiratory system, doctors should watch out for urogenital complications, the team urges.

They also have a sobering word of advice for men who contracted COVID-19, recovered, and want children: “After recovery from COVID-19, young men who are interested in having children should receive a consultation regarding their fertility.”

This seems to be one thing that China already knew. As early as mid-March, China Daily was warning men who recovered from COVID-19 to have their fertility tested. (It’s worth mentioning that a steady diet of junk food or keeping a smartphone next to boys may have similar effects.)

The authors of the study published in MedRxiv are Aditi Shastri, Justin Wheat, Kith Pradhan, Mendel Goldfinger, Noah Kornblum, Ulrich Steidl, and Amit Verma from the Albert Einstein College of Medicine with Sachee Agrawal, Nirjhar Chaterjee and Aditi’s mother Jayanthi Shastri from the Kasturba Hospital for Infectious Diseases in Mumbai.

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Health Canada approves updated Moderna COVID-19 vaccine

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TORONTO – Health Canada has authorized Moderna’s updated COVID-19 vaccine that protects against currently circulating variants of the virus.

The mRNA vaccine, called Spikevax, has been reformulated to target the KP.2 subvariant of Omicron.

It will replace the previous version of the vaccine that was released a year ago, which targeted the XBB.1.5 subvariant of Omicron.

Health Canada recently asked provinces and territories to get rid of their older COVID-19 vaccines to ensure the most current vaccine will be used during this fall’s respiratory virus season.

Health Canada is also reviewing two other updated COVID-19 vaccines but has not yet authorized them.

They are Pfizer’s Comirnaty, which is also an mRNA vaccine, as well as Novavax’s protein-based vaccine.

This report by The Canadian Press was first published Sept. 17, 2024.

Canadian Press health coverage receives support through a partnership with the Canadian Medical Association. CP is solely responsible for this content.

The Canadian Press. All rights reserved.

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These people say they got listeria after drinking recalled plant-based milks

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TORONTO – Sanniah Jabeen holds a sonogram of the unborn baby she lost after contracting listeria last December. Beneath, it says “love at first sight.”

Jabeen says she believes she and her baby were poisoned by a listeria outbreak linked to some plant-based milks and wants answers. An investigation continues into the recall declared July 8 of several Silk and Great Value plant-based beverages.

“I don’t even have the words. I’m still processing that,” Jabeen says of her loss. She was 18 weeks pregnant when she went into preterm labour.

The first infection linked to the recall was traced back to August 2023. One year later on Aug. 12, 2024, the Public Health Agency of Canada said three people had died and 20 were infected.

The number of cases is likely much higher, says Lawrence Goodridge, Canada Research Chair in foodborne pathogen dynamics at the University of Guelph: “For every person known, generally speaking, there’s typically 20 to 25 or maybe 30 people that are unknown.”

The case count has remained unchanged over the last month, but the Public Health Agency of Canada says it won’t declare the outbreak over until early October because of listeria’s 70-day incubation period and the reporting delays that accompany it.

Danone Canada’s head of communications said in an email Wednesday that the company is still investigating the “root cause” of the outbreak, which has been linked to a production line at a Pickering, Ont., packaging facility.

Pregnant people, adults over 60, and those with weakened immune systems are most at risk of becoming sick with severe listeriosis. If the infection spreads to an unborn baby, Health Canada says it can cause miscarriage, stillbirth, premature birth or life-threatening illness in a newborn.

The Canadian Press spoke to 10 people, from the parents of a toddler to an 89-year-old senior, who say they became sick with listeria after drinking from cartons of plant-based milk stamped with the recalled product code. Here’s a look at some of their experiences.

Sanniah Jabeen, 32, Toronto

Jabeen says she regularly drank Silk oat and almond milk in smoothies while pregnant, and began vomiting seven times a day and shivering at night in December 2023. She had “the worst headache of (her) life” when she went to the emergency room on Dec. 15.

“I just wasn’t functioning like a normal human being,” Jabeen says.

Told she was dehydrated, Jabeen was given fluids and a blood test and sent home. Four days later, she returned to hospital.

“They told me that since you’re 18 weeks, there’s nothing you can do to save your baby,” says Jabeen, who moved to Toronto from Pakistan five years ago.

Jabeen later learned she had listeriosis and an autopsy revealed her baby was infected, too.

“It broke my heart to read that report because I was just imagining my baby drinking poisoned amniotic fluid inside of me. The womb is a place where your baby is supposed to be the safest,” Jabeen said.

Jabeen’s case is likely not included in PHAC’s count. Jabeen says she was called by Health Canada and asked what dairy and fresh produce she ate – foods more commonly associated with listeria – but not asked about plant-based beverages.

She’s pregnant again, and is due in several months. At first, she was scared to eat, not knowing what caused the infection during her last pregnancy.

“Ever since I learned about the almond, oat milk situation, I’ve been feeling a bit better knowing that it wasn’t something that I did. It was something else that caused it. It wasn’t my fault,” Jabeen said.

She’s since joined a proposed class action lawsuit launched by LPC Avocates against the manufacturers and sellers of Silk and Great Value plant-based beverages. The lawsuit has not yet been certified by a judge.

Natalie Grant and her seven year-old daughter, Bowmanville, Ont.

Natalie Grant says she was in a hospital waiting room when she saw a television news report about the recall. She wondered if the dark chocolate almond milk her daughter drank daily was contaminated.

She had brought the girl to hospital because she was vomiting every half hour, constantly on the toilet with diarrhea, and had severe pain in her abdomen.

“I’m definitely thinking that this is a pretty solid chance that she’s got listeria at this point because I knew she had all the symptoms,” Grant says of seeing the news report.

Once her daughter could hold fluids, they went home and Grant cross-checked the recalled product code – 7825 – with the one on her carton. They matched.

“I called the emerg and I said I’m pretty confident she’s been exposed,” Grant said. She was told to return to the hospital if her daughter’s symptoms worsened. An hour and a half later, her fever spiked, the vomiting returned, her face flushed and her energy plummeted.

Grant says they were sent to a hospital in Ajax, Ont. and stayed two weeks while her daughter received antibiotics four times a day until she was discharged July 23.

“Knowing that my little one was just so affected and how it affected us as a family alone, there’s a bitterness left behind,” Grant said. She’s also joined the proposed class action.

Thelma Feldman, 89, Toronto

Thelma Feldman says she regularly taught yoga to friends in her condo building before getting sickened by listeria on July 2. Now, she has a walker and her body aches. She has headaches and digestive problems.

“I’m kind of depressed,” she says.

“It’s caused me a lot of physical and emotional pain.”

Much of the early days of her illness are a blur. She knows she boarded an ambulance with profuse diarrhea on July 2 and spent five days at North York General Hospital. Afterwards, she remembers Health Canada officials entering her apartment and removing Silk almond milk from her fridge, and volunteers from a community organization giving her sponge baths.

“At my age, 89, I’m not a kid anymore and healing takes longer,” Feldman says.

“I don’t even feel like being with people. I just sit at home.”

Jasmine Jiles and three-year-old Max, Kahnawake Mohawk Territory, Que.

Jasmine Jiles says her three-year-old son Max came down with flu-like symptoms and cradled his ears in what she interpreted as a sign of pain, like the one pounding in her own head, around early July.

When Jiles heard about the recall soon after, she called Danone Canada, the plant-based milk manufacturer, to find out if their Silk coconut milk was in the contaminated batch. It was, she says.

“My son is very small, he’s very young, so I asked what we do in terms of overall monitoring and she said someone from the company would get in touch within 24 to 48 hours,” Jiles says from a First Nations reserve near Montreal.

“I never got a call back. I never got an email”

At home, her son’s fever broke after three days, but gas pains stuck with him, she says. It took a couple weeks for him to get back to normal.

“In hindsight, I should have taken him (to the hospital) but we just tried to see if we could nurse him at home because wait times are pretty extreme,” Jiles says, “and I don’t have child care at the moment.”

Joseph Desmond, 50, Sydney, N.S.

Joseph Desmond says he suffered a seizure and fell off his sofa on July 9. He went to the emergency room, where they ran an electroencephalogram (EEG) test, and then returned home. Within hours, he had a second seizure and went back to hospital.

His third seizure happened the next morning while walking to the nurse’s station.

In severe cases of listeriosis, bacteria can spread to the central nervous system and cause seizures, according to Health Canada.

“The last two months have really been a nightmare,” says Desmond, who has joined the proposed lawsuit.

When he returned home from the hospital, his daughter took a carton of Silk dark chocolate almond milk out of the fridge and asked if he had heard about the recall. By that point, Desmond says he was on his second two-litre carton after finishing the first in June.

“It was pretty scary. Terrifying. I honestly thought I was going to die.”

Cheryl McCombe, 63, Haliburton, Ont.

The morning after suffering a second episode of vomiting, feverish sweats and diarrhea in the middle of the night in early July, Cheryl McCombe scrolled through the news on her phone and came across the recall.

A few years earlier, McCombe says she started drinking plant-based milks because it seemed like a healthier choice to splash in her morning coffee. On June 30, she bought two cartons of Silk cashew almond milk.

“It was on the (recall) list. I thought, ‘Oh my God, I got listeria,’” McCombe says. She called her doctor’s office and visited an urgent care clinic hoping to get tested and confirm her suspicion, but she says, “I was basically shut down at the door.”

Public Health Ontario does not recommend listeria testing for infected individuals with mild symptoms unless they are at risk of developing severe illness, such as people who are immunocompromised, elderly, pregnant or newborn.

“No wonder they couldn’t connect the dots,” she adds, referencing that it took close to a year for public health officials to find the source of the outbreak.

“I am a woman in my 60s and sometimes these signs are of, you know, when you’re vomiting and things like that, it can be a sign in women of a bigger issue,” McCombe says. She was seeking confirmation that wasn’t the case.

Disappointed, with her stomach still feeling off, she says she decided to boost her gut health with probiotics. After a couple weeks she started to feel like herself.

But since then, McCombe says, “I’m back on Kawartha Dairy cream in my coffee.”

This report by The Canadian Press was first published Sept. 16, 2024.

Canadian Press health coverage receives support through a partnership with the Canadian Medical Association. CP is solely responsible for this content.

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B.C. mayors seek ‘immediate action’ from federal government on mental health crisis

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VANCOUVER – Mayors and other leaders from several British Columbia communities say the provincial and federal governments need to take “immediate action” to tackle mental health and public safety issues that have reached crisis levels.

Vancouver Mayor Ken Sim says it’s become “abundantly clear” that mental health and addiction issues and public safety have caused crises that are “gripping” Vancouver, and he and other politicians, First Nations leaders and law enforcement officials are pleading for federal and provincial help.

In a letter to Prime Minister Justin Trudeau and Premier David Eby, mayors say there are “three critical fronts” that require action including “mandatory care” for people with severe mental health and addiction issues.

The letter says senior governments also need to bring in “meaningful bail reform” for repeat offenders, and the federal government must improve policing at Metro Vancouver ports to stop illicit drugs from coming in and stolen vehicles from being exported.

Sim says the “current system” has failed British Columbians, and the number of people dealing with severe mental health and addiction issues due to lack of proper care has “reached a critical point.”

Vancouver Police Chief Adam Palmer says repeat violent offenders are too often released on bail due to a “revolving door of justice,” and a new approach is needed to deal with mentally ill people who “pose a serious and immediate danger to themselves and others.”

This report by The Canadian Press was first published Sept. 16, 2024

The Canadian Press. All rights reserved.

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