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'We took our eye off the ball': How Canada lost its vaccine production capacity – CTV News

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TORONTO —
In the race to develop and produce a COVID-19 vaccine, Canada is on the sidelines despite its once notable status as a global source for life-saving injections.

Canada lost that standing long ago, as Prime Minister Justin Trudeau explained this week, which means even if the country had developed its own novel coronavirus vaccine, there would be no means to produce it on the scale required.

“We used to have [production capacity] decades ago but we no longer have it,” Trudeau said Tuesday in Ottawa.

How did it get to this point? Canadian administrations simply took their “eye off the ball,” said Earl Brown, an infectious disease expert and a former member of the H1N1 vaccine task group in Canada. After that pandemic, a review found that vaccine production capacity was “right at the top” of the list of problems, he said. It wasn’t always that way.

“We had great vaccine producers in Canada — world leaders essentially — 50 years ago,” he told CTV’s Your Morning on Wednesday. There was Connaught Laboratories in Toronto, which was known for producing insulin to treat diabetes and inoculants for diphtheria and polio, and Institut Armand Frappier in Montreal that produced vaccines, including one for tuberculosis, he noted.

“The problem was they had a poor business model,” said Brown. “These were vaccine companies spun off from universities, so there was indirect funding and they had a model of not making so much profit.”

So they were eventually sold, Montreal’s Frappier lab to British multinational GlaxoSmithKline and Connaught, through a series of mergers, to French multinational Sanofi Pasteur​ after Brian Mulroney’s Progressive Conservative government’s program of privatization​. The labs now have a “tighter production line and not so much capacity,” said Brown.

The inability to mount a domestic production campaign means that the Canadian government must rely on purchase agreements with top U.S. and European pharmaceutical brands, including Pfizer, Moderna and AstraZeneca, to produce and provide the shots to Canadians once the vaccines are approved by Health Canada. In the absence of a domestic candidate, Ottawa has ordered as many as 414 million doses of COVID-19 vaccine candidates from seven different companies.

‘A MAJOR GLITCH’

There are some promising vaccine candidates in development across Canada, including Quebec’s Medicago and Saskatchewan’s VIDO-InterVac, but the companies lack the means to produce them here. What would that mean for rollout should those candidates be successful? 

“That’s a major glitch,” said Brown. “You’re going to have to get a partner, somebody who’s got the ability to do that and then you have to get them onside, tuned up, send them your vaccine, get it produced and bottled. Not the best way to do it.”

For those Canadian companies to mount production campaigns on their own will take time — and a lot of it, they have said. VIDO-InterVac said it has plans to build a facility in one year, but that it would take another still to get it in operating shape. “That’s not the time frame you like,” said Brown.

In the meantime, Canadians will have to rely on speedier countries with approved COVID-19 vaccines to provide doses, but Canadians won’t be prioritized ahead of their own people. “Countries like the United States, Germany and the U.K. do have domestic pharmaceutical facilities, which is why they’re obviously going to prioritize helping their citizens first,” Trudeau said on Tuesday in Ottawa.

To help Canadians first, the federal government should set up a Crown corporation to produce vaccines, suggests Joel Lexchin, a professor emeritus with York University’s School of Health Policy and Management. 

“It’s one thing if we give up the ability to domestically make something like laundry detergent. We can all live without laundry detergent. But when it comes to medications and vaccines, those are critical for the health of Canadians and we should be able to make them ourselves,” he told CTV National News. “Not only will the ability to domestically produce them ensure that Canadians get the care that they need, but we can also fulfill our human rights obligations by exporting them at low cost to low- and middle-income countries.”

‘GROSS INCOMPETENCE’

The reliance on other countries and private companies is upsetting critics of Trudeau, who said Tuesday that his administration has begun funding domestic vaccine production capacity because “we never want to be caught short again.” 

“This is gross incompetence that’s going to cost Canadians their lives and their jobs,” said Conservative health critic Michelle Rempel Garner on Tuesday from Parliament Hill.

But criticism toward one government’s inaction may often easily be directed at another with hindsight, countered Brown on Your Morning.

“When you have the problem, you look back and say ‘We should have done something, shouldn’t we?’” he said.

With files from CTV News’ Rachel Aiello and CTV National News correspondents Glen McGregor and Avis Favaro 

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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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