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Its winter, that cozy season that brings crackling fireplaces, indoor gatherings and a wave of respiratory illness. Nearly four years since the pandemic emerged, people are growing weary of dealing with it, but the virus is not done with us.

Nationally, a sharp uptick in emergency room visits and hospitalizations for covid-19, influenza, and respiratory syncytial virus, or RSV, began in mid-December and appears to be gaining momentum.

This story also ran on CBS News. It can be republished for free.

Here are a few things to know this time around:

Whats Circulating Now?

The covid virus is continually changing, and a recent version is rapidly climbing the charts. Even though it appeared only in September, the variant known as JN.1, a descendant of omicron, is rapidly spreading, representing between 39% to half of the cases, according to pre-holiday stats from the Centers for Disease Control and Prevention.

Lab data indicates that the updated vaccines, as well as existing covid rapid tests and medical treatments, are effective with this latest iteration. More good news is that it does not appear to pose additional risks to public health beyond that of other recent variants, according to the CDC. Even so, new covid hospitalizations 34,798 for the week that ended Dec. 30 are trending upward, although rates are still substantially lower than last Decembers tally. Its early in the season, though. Levels of virus in wastewater one indicator of how infections are spreading are very high, exceeding the levels seen this time last year.

And dont forget, other nasty bugs are going around. More than 20,000 people were hospitalized for influenza the week ending Dec. 30, and the CDC reports that RSV remains elevated in many areas.

The numbers so far are definitely going in the not-so-good direction, said Ziyad Al-Aly, the chief of the research and development service at the Veterans Affairs St. Louis Healthcare System and a clinical epidemiologist at Washington University in St. Louis. Were likely to see a big uptick in January now that everyone is back home from the holidays. Email Sign-Up

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But No Big Deal, Right?

Certainly, compared with the first covid winter, things are better now. Far fewer people are dying or becoming seriously ill, with vaccines and prior infections providing some immunity and reducing severity of illness. Even compared with last winter, when omicron was surging, the situation is better. New hospitalizations, for example, are about one-third of what they were around the 2022 holidays. Weekly deaths dropped slightly the last week of December to 839 and are also substantially below levels from a year ago.

The ratio of mild disease to serious clearly has changed, said William Schaffner, a professor of medicine in the division of infectious diseases at Vanderbilt University School of Medicine in Nashville, Tennessee.

Even so, the definition of mild is broad, basically referring to anything short of being sick enough to be hospitalized.

While some patients may have no more than the sniffles, others experiencing mild covid can be miserable for three to five days, Schaffner said.

How Will This Affect My Day-to-Day Life?

Am I going to be really sick? Do I have to mask up again? It is important to know the basics.

For starters, symptoms of the covid variants currently circulating will likely be familiar such as a runny nose, sore throat, cough, fatigue, fever, and muscle aches.

So if you feel ill, stay home, said Marcus Plescia, chief medical officer of the Association of State and Territorial Health Officials. It can make a big difference.

Dust off those at-home covid test kits, check the extended expiration dates on the FDA website, and throw away the ones that have aged out. Tests can be bought at most pharmacies and, if you havent ordered yours yet, free test kits are still available through a federal program at covid.gov.

Test more than once, especially if your symptoms are mild. The at-home rapid tests may not detect covid infection in the first couple of days, according to the FDA, which recommends using multiple tests over a certain time period, such as two to three days.

With all three viruses, those most at risk include the very young, older adults, pregnant people, and those with compromised immune systems or underlying diseases, including cancer or heart problems. But those without high-risk factors can also be adversely affected.

While mask-wearing has dropped in most places, you may start to see more people wearing them in public spaces, including stores, public transit, or entertainment venues.

Although a federal mask mandate is unlikely, health officials and hospitals in at least four states California, Illinois, Massachusetts, and New York have again told staff and patients to don masks. Such requirements were loosened last year when the public health emergency officially ended.

Such policies are advanced through county-level directives. The CDC data indicates that, nationally, about 46.7% of counties are seeing moderate to high hospital admission rates of covid.

We are not going to see widespread mask mandates as our population will not find that acceptable, Schaffner noted. That said, on an individual basis, mask-wearing is a very intelligent and reasonable thing to do as an additional layer of protection.

The N95, KN95, and KF94 masks are the most protective. Cloth and paper are not as effective.

And, finally, if you havent yet been vaccinated with an updated covid vaccine or gotten a flu shot, its not too late. There are also new vaccines and monoclonal antibodies to protect against RSV recommended for certain populations, which include older adults, pregnant people, and young children.

Generally, flu peaks in midwinter and runs into spring. Covid, while not technically seasonal, has higher rates in winter as people crowd together indoors.

If you havent received vaccines, Schaffner said, we urge you to get them and dont linger.

Arent We All Going to Get It? What About Repeat Infections?

People who have dodged covid entirely are in the minority.

At the same time, repeat infections are common. Fifteen percent of respondents to a recent Yahoo News/YouGov poll said theyd had covid two or three times. A Canadian survey released in December found 1 in 5 residents said they had gotten covid more than once as of last June.

Aside from the drag of being sick and missing work or school for days, debate continues over whether repeat infections pose smaller or larger risks of serious health effects. There are no definitive answers, although experts continue to study the issue.

Two research efforts suggest repeat infections may increase a persons chances of developing serious illness or even long covid which is defined various ways but generally means having one or more effects lingering for a month or more following infection. The precise percentage of cases and underlying factors of long covid and why people get it are among the many unanswered questions about the condition. However, there is a growing consensus among researchers that vaccination is protective.

Still, the VAs Al-Aly said a study he co-authored that was published in November 2022 found that getting covid more than once raises an additional risk of problems in the acute phase, be it hospitalization or even dying, and makes a person two times as likely to experience long covid symptoms.

The Canadian survey also found a higher risk of long covid among those who self-reported two or more infections. Both studies have their limitations: Most of the 6 million in the VA database were male and older, and the data studied came from the first two years of the pandemic, so some of it reflected illnesses from before vaccines became available. The Canadian survey, although more recent, relied on self-reporting of infections and conditions, which may not be accurate.

Still, Al-Aly and other experts say taking preventve steps, such as getting vaccinated and wearing a mask in higher-risk situations, can hedge your bets.

Even if in a prior infection you dodged the bullet of long covid, Al-Aly said, it doesnt mean you will dodge the bullet every single time.

Julie Appleby: jappleby@kff.org, @Julie_appleby Related Topics COVID-19 Public Health Legislation Vaccines Contact Us Submit a Story Tip

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Sports

Panthers-Hurricanes Game 5 preview: Can Carolina force another game?

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Panthers-Hurricanes Game 5 preview: Can Carolina force another game?

All signs pointed to the Florida Panthers finishing off the Carolina Hurricanes in Game 4, but the Canes kept the series rolling with a 3-0 win on Monday.

Will the Panthers finish the story in Game 5? Or will the Hurricanes send the festivities back to South Florida again?

Here are matchup notes heading into Wednesday’s Game 5 from ESPN Research, as well as betting intel from ESPN BET:

More on Game 4: Recap | Grades

Matchup notes

Florida Panthers at Carolina Hurricanes
Game 5 | 8 p.m. ET | TNT

The Panthers’ odds to win the series are now -1600, adjusted from -5000 heading into Game 4. The Hurricanes’ odds have shifted to +750 (adjusted from +1500) after their win. The Panthers’ odds to win the Cup are now +105 (previously -110), while the Canes’ are now +1800. Sergei Bobrovsky is the leading Conn Smythe candidate in this series at +200, followed by Aleksander Barkov (+800).

Game 4 was the Canes’ first win in the round since Game 7 of the 2006 Eastern Conference finals against the Buffalo Sabres, snapping a 15-game conference finals losing streak. It was the longest losing streak in NHL playoff history for a team in the round preceding the Stanley Cup Final. The Hurricanes are now 4-4 all-time in Game 4s when trailing 3-0 in a best-of-seven series.

Frederik Andersen made 20 saves for his fifth career playoff shutout, his second with the Hurricanes. He joins Cam Ward (four), Kevin Weekes (two) and Petr Mrazek (two) as goaltenders with multiple playoff shutouts in Whalers/Hurricanes Stanley Cup playoffs history.

Carolina’s Logan Stankoven scored playoff goal No. 5 in the second period. He joins Erik Cole (six in 2002) and Warren Foegele (five in 2019) as the only rookies in Whalers/Hurricanes history to score at least five goals in a single Stanley Cup playoffs year.

Sebastian Aho scored an empty-net goal in the third period, his 32nd career playoff tally. That extends his own franchise record for career goals in the Stanley Cup playoffs.

The Panthers were shut out for the second time this postseason; both games were at home — the other instance was Game 6 of the second-round series against the Toronto Maple Leafs.

Florida went 0-4 on the power play in Game 4, and the team is now 0-8 with the man advantage in the last two games of this series after going 4-for-5 in Games 1 and 2.

Though he hasn’t scored a goal in the past two games, Sam Bennett has a team-leading nine this postseason. That is two shy of the franchise record in a single playoff year, currently held by Matthew Tkachuk (2023) and Carter Verhaeghe (2024).


Scoring leaders

GP: 16 | G: 6 | A: 9

GP: 14 | G: 5 | A: 9

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Liverpool fan says his baby was flung 15ft in his pram and his partner run over during trophy parade

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Liverpool fan says his baby was flung 15ft in his pram and his partner run over during trophy parade

A father has told Sky News how his partner was driven over, and his baby son was flung 15ft in his pram, after they were hit by a vehicle during the Liverpool parade collision.

Daniel Everson, 36, had been with Sheree Aldridge and their five-month-old baby, Teddy, at Liverpool FC’s victory parade on Monday.

“The best day of my life turned into worst”, said Daniel, a lifelong fan of ‘The Reds’.

Daniel described the moment the car came towards him and his family.

“I tried to hold on to the front of the car and try and stop it, push it, do whatever I could [to stop it] from hitting my partner and my baby.

'The best day of my life turned into worst', Daniel Everson told Sky News.
Image:
Daniel Everson was in the crowd for the Liverpool trophy parade when the incident took place

“Me and my partner were flat on the roof, on the bonnet… we were just both trying to hold on for dear life with Ted next to us.

“And my partner went under the wheels of the car, of the front of the car, and it rolled over her leg, and I just bounced off to the side, but my boy and his pram got bounced totally in the opposite direction – about 15ft down the road.

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“As soon as that happened, I just started screaming for my partner, and I found her and I asked where Teddy was, and she didn’t know… and I found him and he was okay, thank God.

“He was in the road, in his pram, on his back, and I grabbed him. I chucked the pushchair to the side and I ran up to some paramedics with him.”

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The suspect is being held on suspicion of attempted murder, dangerous driving and drug driving.

Daniel, from Telford, said he felt like he was in “hell” as he rushed back to find Sheree.

“I had to carry her up the road with four police officers holding her while she was screaming and crying. At that point, I didn’t know what was wrong with her, but I could see the injuries to her leg,” he explained.

Sheree, 36, is recovering at Aintree University Hospital after suffering muscle tissue damage. Daniel has been allowed to return home with Teddy after he was assessed at Alder Hey Children’s Hospital.

“I feel a lot of emotions right now. Upset, angry, traumatised. A lot of unanswered questions that need to be answered.

To me, it just wasn’t handled properly – the situation with the car getting that far into the crowd, in my opinion, he should not have got anywhere near us.”

Merseyside Police have now been given more time to question a 53-year-old arrested after a car struck a crowd at Liverpool FC’s victory parade on Monday.

The suspect, who police have described as a white British man from the local area, is being held on suspicion of attempted murder, dangerous driving, and drug driving.

Police have said the extra time they have been given to question the suspect runs into Thursday.

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Politics

Pakistan announces Bitcoin strategic reserve

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Pakistan announces Bitcoin strategic reserve

Pakistan announces Bitcoin strategic reserve

Bilal Bin Saqib, head of Pakistan’s crypto council, announced on May 28 that the country is moving to establish a strategic Bitcoin reserve.

Speaking at the Bitcoin 2025 conference in Las Vegas, Nevada, Saqib said the government of Pakistan followed the United States’ lead in establishing a Bitcoin strategic reserve and is embracing pro-crypto regulatory policies. The government official told the audience:

“Today is a very historic day. Today, I announce the Pakistani government is setting up its own government-led Bitcoin Strategic Reserve, and we want to thank the United States of America again because we were inspired by them.”

The announcement represents a significant departure from the government of Pakistan’s previous stance on cryptocurrencies, holding that crypto would never be legal in the country.

Pakistan’s shift reflects the broader trend of nation-states adopting pro-crypto policies following the regulatory shift in Washington, DC under the President Donald Trump administration.

Government, Bitcoin Reserve, Bitcoin2025
Bilal Bin Saqib at the Bitcoin 2025 conference announcing a Bitcoin strategic reserve. Source: Cointelegraph

Related: Pakistan appoints special assistant to PM on blockchain and crypto

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