'Very concerning' overdose numbers reignite debate about safe consumption site - OrilliaMatters | Canada News Media
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'Very concerning' overdose numbers reignite debate about safe consumption site – OrilliaMatters

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Potential locations for a proposed safe consumption site (SCS) in Barrie have been narrowed down to five, but the list needs to be reduced even further before going to city council for possible approval.

All in the downtown area, the short-list locations for an SCS are 121 Wellington St. W., 110 Dunlop St. W., 31 Toronto St., 90 Mary St., and 11 Sophia St. W.

The list of possible locations is now being reviewed by a site-selection advisory committee, whose members will whittle it down to two or three spots. Those sites will then be the topic of community consultation through an online presentation, which is expected in the fall, before being presented to council. 

Mia Brown, who manages the Simcoe Muskoka District Health Unit’s substance use and injury prevention program, said that while emergency-room visits are down, overdose deaths are showing a “concerning trend.”

“We have seen emergency visits down during the pandemic, which is the case all around as people avoid hospitals for fear of COVID-19. But the death rate is at a scary trajectory,” Brown said.

“There have been 19 deaths in the first five months of this year, and there were 26 total for all of 2019,” she noted. “That is very concerning.”

Brown says the trend “appears to have started prior to the pandemic,” and that the rate of emergency-department visits for opioid poisoning in Barrie, and within the Simcoe-Muskoka region, has been significantly higher than the provincial average for more than a decade.

Coun. Keenan Aylwin, whose ward includes Barrie’s downtown, says there are two major public health crises happening in the country at the moment, including COVID-19 and opioid deaths.

Aylwin called the rate of overdose deaths “a political and moral failure,” and added the time for action is now. 

“A supervised consumption site is an essential public health service that we desperately need in Barrie,” he said. “It’s incredibly unfortunate that Barrie city council rejected the previous proposal for a site.”

The debate around an SCS has been going on for several months. Last summer, council called for more information before making any decisions. 

“The research on supervised consumption sites suggests that many of the deaths from opioid overdose can likely be prevented with this service,” Aylwin said. “We have to take responsibility for the failure to recognize this and the lives that have been lost as a result.”

While the local health unit doesn’t have statistics for the city of Barrie, it does have information pertaining to the entire region. 

Preliminary data for Simcoe-Muskoka — from January to March 2020 — shows 23 opioid deaths among males in the region compared with five deaths among females. The majority of the local overdose deaths were people between 25 and 44 years old, including 14 of the 23 male fatalities and four of the five women who died.

Aylwin says he hopes his colleagues around the city council table will see the need for an SCS facility. 

“It is my hope that Barrie city council will listen to the advice of public health officials who are calling for the creation of harm-reduction services like an SCS, just like we’ve listened to their expert advice on COVID-19 measures,” he said. “The need to listen to public health experts is more apparent now than ever.”

The ratio of male-to-female deaths so far in 2020 is higher than the provincial average and what was observed in Simcoe-Muskoka in 2019. The percentage of deaths among 25- to 44-year-olds is higher than last year, particularly for females, although the numbers in that subset are small. 

Coun. Natalie Harris, who represents Ward 6, has been leading the charge to bring an addiction treatment centre for women to Barrie, which she says would be a helpful solution to the local problem. 

Cornerstone to Recovery is a Newmarket-based organization that began in 2004 and whose mission is “focused on supporting those impacted by addiction achieve emotional, physical and spiritual wellness.”

Harris says Cornerstone and its treatment model would work well in Barrie. 

“It’s so important to have a women’s addiction treatment centre in Barrie, and everywhere, because there are often familial aspects that prevent women from seeking treatment,” she said. “Most often, because they are the primary child-care provider.

“One of the goals of this centre is to complement women’s services already available in Barrie and address their child security needs by providing a model that will include the safety and wellness of the children,” Harris added. “Cornerstone is a family- and community-based program, and we are hoping to have this in Barrie soon.”

Harris would like to see the $2-million, 10-bed treatment centre open later this year, but a location has not been determined.

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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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