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What will Canada’s 4th COVID-19 wave look like? Here’s what the experts, data say – Global News

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The fourth wave of COVID-19 that public health experts have been warning about for months has arrived.

“The latest national surveillance data indicate that a fourth wave is underway in Canada and that cases are plotting along a strong resurgence trajectory,” said Dr. Theresa Tam, Canada’s chief public health officer, at a press conference Thursday.

Read more:
Fourth wave of COVID-19 now underway in Canada, Dr. Theresa Tam says

However, experts say this wave might look a little different than previous ones. Here’s what could happen.

It’s already here

If the word of the chief public health officer of Canada isn’t enough, data from PHAC shows a clear rise in cases.

“We are seeing an increase in numbers, and it’s mostly amongst the unvaccinated,” said Dr. Cora Constantinescu, a pediatric infectious diseases specialist with the University of Calgary.

“Our hospitalizations are going up, at least in Alberta. ICU stays are going up as part of the numbers from our chief medical officer of health, and R0, which is how many people one person infects, is going up, which is all a sign of an outbreak or a wave.”

Delta will drive it

According to preliminary data from the Public Health Agency of Canada, the Delta variant has essentially taken over in Canada. It was only about eight per cent of cases during the week of May 9, 2021.

By July 11, it was 78 per cent — though the data remains incomplete, so this number could change.

However, public health experts have no doubt that Delta is driving the fourth wave.

“The Delta variant is a very highly contagious variant with a very high R0,” said Craig Janes, director of the school of public health sciences at the University of Waterloo.

“So it just means that we’re going to see probably this doubling (of case numbers) fairly quickly. With each week you’re going to see increasing cases.”


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Concerns about holding federal election during 4th wave


Concerns about holding federal election during 4th wave

“Although we’re heading into the fourth wave driven by the Delta variant, the good news is that millions of Canadians have rolled up their sleeves to help build a strong wall of vaccination production,” Tam said Thursday.

The unvaccinated are most at risk

Experts agree that people who aren’t vaccinated — including children under 12 who are too young to be eligible for the shot — are most at risk in this wave of the pandemic.

“They call it the ‘pandemic of the unvaccinated,’” Dr. Anna Banerji, an infectious diseases specialist with the University of Toronto, told Global News earlier in the week.

“The vast majority of people that will get COVID will be the unvaccinated people. So, adults who continue to be unvaccinated or under-vaccinated and children under the age of 12 that are not eligible for vaccination right now.”


Click to play video: 'Beyond the facts: Why some Canadians remain vaccine hesitant'



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Beyond the facts: Why some Canadians remain vaccine hesitant


Beyond the facts: Why some Canadians remain vaccine hesitant

With the combination of the Delta variant affecting children in a way that original strains of COVID-19 didn’t and lower vaccination rates in younger people, “We’re going to see a lot of younger people getting sick and winding up in the hospital,” Janes said.

Ontario recently started releasing data on hospitalization numbers that include vaccine status.

At first look, unvaccinated people represent 81 per cent of non-ICU hospital patients with COVID-19 in the province. Partially-vaccinated people represent 8 per cent and fully-vaccinated people are 11 per cent.

However, it’s worth remembering that most Ontarians — 64 per cent — are fully vaccinated right now. So, taking that into account, the unvaccinated are 15 times more likely to be in hospital with COVID-19 than people who are fully vaccinated: a rate of 1.5 per 100,000 compared to 0.1 per 100,000.

Read more:
How to reach the vaccine-hesitant – What experts, reluctant Canadians say

Alberta is showing similar figures. According to the government website, 92 per cent of hospitalized cases since January occurred in unvaccinated people, or in people who got sick less than two weeks after their first dose. Unvaccinated people account for the vast majority of people with COVID-19 currently in Alberta hospitals and ICUs.

“I think the picture has changed for adults because of vaccination and because of our fantastic rate of vaccination in Canada,” Constantinescu said.

Read more:
Doctors predict potential 4th wave of COVID-19 could hit Canada’s youth

“I think this has changed for adults to a huge extent. We’re not seeing the same hospitalization and death, but for children, it’s the same. So because our kids are unvaccinated, the only way our children are safe is if the numbers in our society are low.”

Hospitalizations might not match case numbers

Because of the high vaccination rate, epidemiologists suggest that we might not see hospitalizations stay as closely linked to case numbers as they were in the past.


Click to play video: 'COVID-19 case numbers in Ontario surpass 500'



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COVID-19 case numbers in Ontario surpass 500


COVID-19 case numbers in Ontario surpass 500

“You’ll see cases going up, but without the corresponding increase in hospitalization,” Janes said. He thinks that this is because older people, who are most likely to end up in the hospital, tend also to be the most-vaccinated group.

So even if younger people get infected, they likely won’t be going to hospital in the same numbers as older people were earlier in the pandemic, he thinks.

We might be seeing this now in the U.K., he said, where case numbers are rising but hospitalization isn’t at the same rate.

Public health measures need to maintained to control it

How do we stop the fourth wave? “Get vaccinated!” said Constantinescu.

“If you haven’t had the first dose, have the first dose,” she said, but, “the second dose is much more magical.”

Because children can’t be vaccinated, it’s especially important that those around them are, she said.

Aside from vaccination, she thinks that it’s a good idea to continue to wear masks indoors. “There’s no doubt in my mind that when indoor masking went down, COVID came up again,” she said.

Finally, if you’re feeling sick, even with just a sore throat, you should stay home, she said.


Click to play video: 'Federal election amid fourth wave & schools reopening? Dr. Bogoch shares reaction and the risks involved'



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Federal election amid fourth wave & schools reopening? Dr. Bogoch shares reaction and the risks involved


Federal election amid fourth wave & schools reopening? Dr. Bogoch shares reaction and the risks involved

Over time, Janes said, “This pandemic may end in terms of waves of hospitalizations and some serious illness, but it’s not going to go away. It’ll just simply become endemic.”

Public health practitioners are most concerned about serious illness, he explained. “It’s really the spikes in hospitalization. I think when those level off, we don’t see those anymore, that’s when I think we can feel we can be somewhat confident that the pandemic is over.”

© 2021 Global News, a division of Corus Entertainment Inc.

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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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