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We looked at every confirmed COVID-19 case in Canada. Here’s what we found

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Canada’s first known case of COVID-19 was detected eight months ago this week. As of Sept. 22, the coronavirus has been confirmed in 146,663 people across the country.

CBC News has dug deep into the data collected by the Public Health Agency of Canada (PHAC) to examine how COVID-19, the illness caused by the virus, affects the young, the elderly, men and women in order to better understand what’s most likely to land you in hospital — or worse.

The data contains details on 121,795 cases up to the first week of September. See the methodology at the bottom to learn more.

Here are our findings.

Who is getting the virus?

In the early days, people over 80 years old made up the largest group getting sick as long-term care homes were hit hard, resulting in more older people getting tested.

But CBC’s analysis reveals that since mid-August, infections among young people (under 30) have surged and now, after a summer of provincial reopenings and expanded testing, cumulatively outnumber the elderly.

COVID-19 infections are also on the rise among the very youngest (under 20) as schools, colleges and universities reopen.

How is the virus affecting us?

Symptoms can vary by age group from youngest to oldest. Chills, sore throat and runny nose were reported more frequently among those under 50.

PHAC only has symptom data on seven per cent of cases in the detailed data as not every province records this. The way symptoms are defined and recorded may also vary across jurisdictions. But the 9,000 cases that do list those details suggest that people with COVID-19 suffer differently depending on age and symptoms.

 

 

*Other symptoms can include loss of taste and smell.

Who’s being hospitalized?

Close to 10 per cent of people who tested positive for coronavirus wound up in hospital, according to the cases tracked by PHAC.

Two per cent of cases landed in intensive care units (ICU) across all ages but mostly among people over 50.

In people admitted to hospital, shortness of breath and fever were more common symptoms while headaches, sore throat and runny nose were seen more often in less severe cases.

 

 

In fatal cases, shortness of breath and fever were also more common.

 

 

“Keep in mind that mortality is often through respiratory distress,” said University of Ottawa epidemiologist Raywat Deonandan.

“It’s not surprising that those showing an early symptom of that distress [shortness of breath] would be on a shorter path to death.”

Deaths and serious illness

More than 9,200 people have died in Canada because of COVID-19.

Of all confirmed infections in Canada, six per cent, or 9,274 cases, have been fatal, with the elderly hit the hardest. Only two people under 20 are known to have died from the disease so far.

The age gap in deaths is so wide that the chart below had to be stretched for the younger victims to be visible:

More women in Canada have died from COVID-19, especially in the 80+ age group where they outnumber men. Outside that age group, more men are dying from the virus.

Deonandan says differences between men and women’s health might be affecting COVID-19 outcomes.

“Older men are more likely than women to have serious heart disease. COVID-19 might be expressing mortality through these disproportionate vulnerabilities that already exist,” he said.

But more men have been hospitalized or wound up in an ICU with COVID-19.

Recovery

By Sept. 22, of the 146,663 confirmed and presumptive cases in Canada, 126,905 had recovered.

Canada’s public health data only shows recovery times for about 10 per cent of cases.

Older people tend to suffer longer (based on this small sample), not surprising given the greater presence of other medical conditions among the elderly.

Some COVID-19 cases took as many as 11 weeks to resolve, though the average recovery time is two to three weeks.

“Older people are more likely to be hospitalized and need more intensive interventions, which in turn are associated with longer recovery periods,” said Deonandan.

Similarly, more severe cases that required hospitalization had longer recovery times.

The future

The fall return to school has health officials bracing for a rise in exposures and new infections, particularly among young people.

The data shows that the youngest cohort, age 19 or younger, is making up an increasingly larger share of Canada’s overall cases and by early September had overtaken people in their 70s.

METHODOLOGY

The main data source for this article is the detailed preliminary information on confirmed cases of COVID-19 compiled by the Public Health Agency of Canada and published by Statistics Canada.

The data is based on a case report form that provincial authorities send to PHAC for each confirmed case.

Provinces might define a confirmed case, symptoms and recovery time differently, so that must be taken into account when interpreting the data.

Not every province reports symptoms and recoveries, and those that do don’t report them for every case. Only about 9,000 cases out of 121,795 in the data contain symptom information, and only about 12,500 cases contain the recovery date.

Symptom onset and recovery dates are noted only with the week of the year. Recovery times were calculated by subtracting the recovery week from the diagnosis week and do not account for possible variations in days.

In some cases, details are excluded or modified by Statistics Canada if there is a risk of identifying a patient in the data. For example, the data does not show any fatal cases under 50 years of age, even though there were nearly 80 such cases in the daily epidemiological report from PHAC, which contains the most recent confirmed numbers. CBC used the daily epidemiological data for the chart on deaths by age and gender.

The data analysis was done in Python. Questions about how it was done? Contact data journalist Roberto Rocha at roberto.rocha@cbc.ca.

Source:- CBC.ca

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STD epidemic slows as new syphilis and gonorrhea cases fall in US

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NEW YORK (AP) — The U.S. syphilis epidemic slowed dramatically last year, gonorrhea cases fell and chlamydia cases remained below prepandemic levels, according to federal data released Tuesday.

The numbers represented some good news about sexually transmitted diseases, which experienced some alarming increases in past years due to declining condom use, inadequate sex education, and reduced testing and treatment when the COVID-19 pandemic hit.

Last year, cases of the most infectious stages of syphilis fell 10% from the year before — the first substantial decline in more than two decades. Gonorrhea cases dropped 7%, marking a second straight year of decline and bringing the number below what it was in 2019.

“I’m encouraged, and it’s been a long time since I felt that way” about the nation’s epidemic of sexually transmitted infections, said the CDC’s Dr. Jonathan Mermin. “Something is working.”

More than 2.4 million cases of syphilis, gonorrhea and chlamydia were diagnosed and reported last year — 1.6 million cases of chlamydia, 600,000 of gonorrhea, and more than 209,000 of syphilis.

Syphilis is a particular concern. For centuries, it was a common but feared infection that could deform the body and end in death. New cases plummeted in the U.S. starting in the 1940s when infection-fighting antibiotics became widely available, and they trended down for a half century after that. By 2002, however, cases began rising again, with men who have sex with other men being disproportionately affected.

The new report found cases of syphilis in their early, most infectious stages dropped 13% among gay and bisexual men. It was the first such drop since the agency began reporting data for that group in the mid-2000s.

However, there was a 12% increase in the rate of cases of unknown- or later-stage syphilis — a reflection of people infected years ago.

Cases of syphilis in newborns, passed on from infected mothers, also rose. There were nearly 4,000 cases, including 279 stillbirths and infant deaths.

“This means pregnant women are not being tested often enough,” said Dr. Jeffrey Klausner, a professor of medicine at the University of Southern California.

What caused some of the STD trends to improve? Several experts say one contributor is the growing use of an antibiotic as a “morning-after pill.” Studies have shown that taking doxycycline within 72 hours of unprotected sex cuts the risk of developing syphilis, gonorrhea and chlamydia.

In June, the CDC started recommending doxycycline as a morning-after pill, specifically for gay and bisexual men and transgender women who recently had an STD diagnosis. But health departments and organizations in some cities had been giving the pills to people for a couple years.

Some experts believe that the 2022 mpox outbreak — which mainly hit gay and bisexual men — may have had a lingering effect on sexual behavior in 2023, or at least on people’s willingness to get tested when strange sores appeared.

Another factor may have been an increase in the number of health workers testing people for infections, doing contact tracing and connecting people to treatment. Congress gave $1.2 billion to expand the workforce over five years, including $600 million to states, cities and territories that get STD prevention funding from CDC.

Last year had the “most activity with that funding throughout the U.S.,” said David Harvey, executive director of the National Coalition of STD Directors.

However, Congress ended the funds early as a part of last year’s debt ceiling deal, cutting off $400 million. Some people already have lost their jobs, said a spokeswoman for Harvey’s organization.

Still, Harvey said he had reasons for optimism, including the growing use of doxycycline and a push for at-home STD test kits.

Also, there are reasons to think the next presidential administration could get behind STD prevention. In 2019, then-President Donald Trump announced a campaign to “eliminate” the U.S. HIV epidemic by 2030. (Federal health officials later clarified that the actual goal was a huge reduction in new infections — fewer than 3,000 a year.)

There were nearly 32,000 new HIV infections in 2022, the CDC estimates. But a boost in public health funding for HIV could also also help bring down other sexually transmitted infections, experts said.

“When the government puts in resources, puts in money, we see declines in STDs,” Klausner said.

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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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World’s largest active volcano Mauna Loa showed telltale warning signs before erupting in 2022

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WASHINGTON (AP) — Scientists can’t know precisely when a volcano is about to erupt, but they can sometimes pick up telltale signs.

That happened two years ago with the world’s largest active volcano. About two months before Mauna Loa spewed rivers of glowing orange molten lava, geologists detected small earthquakes nearby and other signs, and they warned residents on Hawaii‘s Big Island.

Now a study of the volcano’s lava confirms their timeline for when the molten rock below was on the move.

“Volcanoes are tricky because we don’t get to watch directly what’s happening inside – we have to look for other signs,” said Erik Klemetti Gonzalez, a volcano expert at Denison University, who was not involved in the study.

Upswelling ground and increased earthquake activity near the volcano resulted from magma rising from lower levels of Earth’s crust to fill chambers beneath the volcano, said Kendra Lynn, a research geologist at the Hawaiian Volcano Observatory and co-author of a new study in Nature Communications.

When pressure was high enough, the magma broke through brittle surface rock and became lava – and the eruption began in late November 2022. Later, researchers collected samples of volcanic rock for analysis.

The chemical makeup of certain crystals within the lava indicated that around 70 days before the eruption, large quantities of molten rock had moved from around 1.9 miles (3 kilometers) to 3 miles (5 kilometers) under the summit to a mile (2 kilometers) or less beneath, the study found. This matched the timeline the geologists had observed with other signs.

The last time Mauna Loa erupted was in 1984. Most of the U.S. volcanoes that scientists consider to be active are found in Hawaii, Alaska and the West Coast.

Worldwide, around 585 volcanoes are considered active.

Scientists can’t predict eruptions, but they can make a “forecast,” said Ben Andrews, who heads the global volcano program at the Smithsonian Institution and who was not involved in the study.

Andrews compared volcano forecasts to weather forecasts – informed “probabilities” that an event will occur. And better data about the past behavior of specific volcanos can help researchers finetune forecasts of future activity, experts say.

(asterisk)We can look for similar patterns in the future and expect that there’s a higher probability of conditions for an eruption happening,” said Klemetti Gonzalez.

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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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Waymo’s robotaxis now open to anyone who wants a driverless ride in Los Angeles

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Waymo on Tuesday opened its robotaxi service to anyone who wants a ride around Los Angeles, marking another milestone in the evolution of self-driving car technology since the company began as a secret project at Google 15 years ago.

The expansion comes eight months after Waymo began offering rides in Los Angeles to a limited group of passengers chosen from a waiting list that had ballooned to more than 300,000 people. Now, anyone with the Waymo One smartphone app will be able to request a ride around an 80-square-mile (129-square-kilometer) territory spanning the second largest U.S. city.

After Waymo received approval from California regulators to charge for rides 15 months ago, the company initially chose to launch its operations in San Francisco before offering a limited service in Los Angeles.

Before deciding to compete against conventional ride-hailing pioneers Uber and Lyft in California, Waymo unleashed its robotaxis in Phoenix in 2020 and has been steadily extending the reach of its service in that Arizona city ever since.

Driverless rides are proving to be more than just a novelty. Waymo says it now transports more than 50,000 weekly passengers in its robotaxis, a volume of business numbers that helped the company recently raise $5.6 billion from its corporate parent Alphabet and a list of other investors that included venture capital firm Andreesen Horowitz and financial management firm T. Rowe Price.

“Our service has matured quickly and our riders are embracing the many benefits of fully autonomous driving,” Waymo co-CEO Tekedra Mawakana said in a blog post.

Despite its inroads, Waymo is still believed to be losing money. Although Alphabet doesn’t disclose Waymo’s financial results, the robotaxi is a major part of an “Other Bets” division that had suffered an operating loss of $3.3 billion through the first nine months of this year, down from a setback of $4.2 billion at the same time last year.

But Waymo has come a long way since Google began working on self-driving cars in 2009 as part of project “Chauffeur.” Since its 2016 spinoff from Google, Waymo has established itself as the clear leader in a robotaxi industry that’s getting more congested.

Electric auto pioneer Tesla is aiming to launch a rival “Cybercab” service by 2026, although its CEO Elon Musk said he hopes the company can get the required regulatory clearances to operate in Texas and California by next year.

Tesla’s projected timeline for competing against Waymo has been met with skepticism because Musk has made unfulfilled promises about the company’s self-driving car technology for nearly a decade.

Meanwhile, Waymo’s robotaxis have driven more than 20 million fully autonomous miles and provided more than 2 million rides to passengers without encountering a serious accident that resulted in its operations being sidelined.

That safety record is a stark contrast to one of its early rivals, Cruise, a robotaxi service owned by General Motors. Cruise’s California license was suspended last year after one of its driverless cars in San Francisco dragged a jaywalking pedestrian who had been struck by a different car driven by a human.

Cruise is now trying to rebound by joining forces with Uber to make some of its services available next year in U.S. cities that still haven’t been announced. But Waymo also has forged a similar alliance with Uber to dispatch its robotaxi in Atlanta and Austin, Texas next year.

Another robotaxi service, Amazon’s Zoox, is hoping to begin offering driverless rides to the general public in Las Vegas at some point next year before also launching in San Francisco.

The Canadian Press. All rights reserved.

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