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What Manitobans need to know about the flu at the peak of the season – CBC.ca

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One person has died from the flu this season, Manitoba Health has confirmed, but the families of two other young people say their deaths were due to complications arising from the infectious virus.

Blaine Ruppenthal, a Grade 12 student at Kelvin High School in Winnipeg, died Monday after suffering medical complications, according to a family member.

Joanne Ens, 24, from Morden, Man., died Jan. 6 after battling the flu since New Year’s Day. She contracted a bacterial infection that she was unable to recover from, her family said. She suffered from asthma as well.

Manitobans might be concerned following the news of these deaths. Here’s what health-care experts have to say about influenza.

How many people die every year in Manitoba from flu-related complications?

So far this flu season, the province has confirmed one influenza-related death, but Dr. Brent Roussin, Manitoba’s chief public health officer, said there’s sometimes a delay in receiving reports of deaths and sharing them with the public.

The timing and intensity of the flu during any given season — defined as the period between November and May — can vary, a spokesperson for the province said in an email to CBC News.

There were 18 flu-related deaths reported during the 2018-19 flu season, but the number varies considerably year to year, according to figures from the province:

  • 2013-14: 9
  • 2014-15: 48
  • 2015-16: 22
  • 2016-17: 12
  • 2017-18: 46

“We do see severe outcomes every year with the flu, unfortunately, and this year will be no exception,” Roussin said.

There are cases of young people becoming ill and having severe symptoms, but it’s not very common, he said.

What are common flu symptoms and how should they be treated?

Most people with the flu have a fever, cough and muscle aches and pains within the first one to four days after being exposed to the virus, Health Canada says.

Health authorities recommend you stay home when you get sick and avoid close contact with other people until you’re well enough to get back to your regular day-to-day activities.

People infected with the flu virus can spread it to other people until approximately five days after they first show symptoms.

Doctors attribute Blaine Ruppenthal’s death to complications from influenza. The 17-year-old died after suffering cardiac arrest twice and being rushed to hospital, where he was put into an induced coma and received hypothermic therapy. 3:05

Rest, fluids and medication to reduce fever or aches can be used to treat symptoms.

Sometimes flu symptoms can be more serious and require medical attention.

When should you go to the hospital?

Health Canada says people with the flu should go to the hospital immediately if they develop any of these serious symptoms:

  • Shortness of breath, rapid breathing or difficulty breathing.
  • Chest pain.
  • Bluish or grey skin.
  • Bloody mucus or spit.
  • Sudden dizziness or confusion.
  • Severe or persistent vomiting.
  • High fever lasting more than three days.
  • Low blood pressure.

The flu can sometimes lead to pneumonia, respiratory failure, worsening of chronic health conditions and even death.

Should Manitobans be worried?

People living in the province should be alert to the impacts of the flu, Roussin said.

“I think that the message is that the flu is concerning every year and so we unfortunately see severe outcomes every year.”

Flu seasons are becoming longer, he said.

Dr. Brent Roussin, Manitoba’s chief public health officer, says it’s not uncommon for healthy young people to suffer complications from influenza. (Submitted by the province of Manitoba)

Another concern is that the influenza B strain is increasing at a higher rate than normal, according to the latest report from the province, which can cause serious problems.

“It’s usually [influenza] A that we see circulating, but B can cause significant illness,” Roussin said, particularly in those under 15.

People with serious diseases, those over 65, people who live in nursing homes or long-term care facilities, children under five and pregnant women are at high risk of complications from the flu, the federal government says.

What’s the best thing Manitobans can do to protect themselves from the flu?

The flu shot is No. 1, Roussin said.

“We always try to get the message out about the flu vaccine that the flu vaccine is safe, and it’s the best way to protect yourself and others from the flu.”

Health-care professionals recommend the flu vaccine for everyone over six months. (Kate Adach/CBC)

It’s not too late to get the flu vaccine, although it’s ideal to get it before the flu season is in full swing, he said.

“We’re still encouraging Manitobans to get that flu shot. It’s safe and that’s the best way to protect yourself and others from the flu and these serious complications.”

Health Canada recommends everyone over six months get the vaccine. It’s especially important for people who are at high risk for complications and for those who are in close proximity to those at high risk.

Currently, only 22 per cent of Manitobans are vaccinated, according to government statistics.

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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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