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1st case of monkeypox in Sudbury area reported by health unit – CBC.ca

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The health unit in Sudbury, Ont., is confirming the first case of monkeypox in the area.

Public Health Sudbury & District said the individual likely acquired the infection in the Toronto area.

The individual is isolating and all close contacts have been identified.

“At this time, the risk to the general population remains low, as we have not detected the virus circulating in Sudbury and districts, and it does not spread easily,” said Dr Penny Sutcliffe, medical officer of health.

“Public health follows up with everybody. It’s not isolation that’s required but really close monitoring of symptoms to make sure you don’t develop any symptoms in the 21 days or three weeks following exposure.”

“Residents should not be concerned going about their routine everyday activities,” said Sutcliffe.

The health unit is closely monitoring the situation.

Anyone who develops symptoms or who has had contact with a suspected or known case of monkeypox should contact their health-care provider immediately.

“Anyone, regardless of sexual orientation, age, or gender, can spread monkeypox through contact with body fluids, monkeypox sores or by sharing contaminated items,” said Sutcliffe.

Monkeypox — a rare disease for North America — is usually a mild illness and treatment focuses on relieving symptoms. It spreads through close contact with an infected person, or with their clothing or linens. The virus enters the body through skin-to-skin contact with body fluids (saliva, lesions, blisters, or rashes) and through mucus membranes or respiratory droplets during prolonged face-to-face contact (breathing, talking, and coughing).

Symptoms usually develop five to 21 days after exposure and last between two to four weeks. 

Sutcliffe says locally, health care providers are well aware of what to look for.

“We have shared out what we call advisory alerts, making sure clinicians have information they need at their fingertips.” 

“Certainly, it is a reportable disease right now,” Sutcliffe said. “So if a clinician, a physician or nurse practitioner forms the opinion that somebody might be infected, that they contact us. And so the system works well, or has worked well. And that is the situation here.” 

Symptoms include fever, chills, swollen lymph nodes, headache, muscle, joint and back pain, and exhaustion. A rash could also develop on the face or extremities, as well as hands, feet, mouth and genitals, with scabs forming later. 

Sutcliffe says she believes this is the first confirmed case of monkeypox in northern Ontario.

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Some Ontario docs now offering RSV shot to infants with Quebec rollout set for Nov.

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Some Ontario doctors have started offering a free shot that can protect babies from respiratory syncytial virus while Quebec will begin its immunization program next month.

The new shot called Nirsevimab gives babies antibodies that provide passive immunity to RSV, a major cause of serious lower respiratory tract infections for infants and seniors, which can cause bronchiolitis or pneumonia.

Ontario’s ministry of health says the shot is already available at some doctor’s offices in Ontario with the province’s remaining supply set to arrive by the end of the month.

Quebec will begin administering the shots on Nov. 4 to babies born in hospitals and delivery centers.

Parents in Quebec with babies under six months or those who are older but more vulnerable to infection can also book immunization appointments online.

The injection will be available in Nunavut and Yukon this fall and winter, though administration start dates have not yet been announced.

This report by The Canadian Press was first published Oct. 21, 2024.

-With files from Nicole Ireland

Canadian Press health coverage receives support through a partnership with the Canadian Medical Association. CP is solely responsible for this content.

The Canadian Press. All rights reserved.

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Polio is rising in Pakistan ahead of a new vaccination campaign

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ISLAMABAD (AP) — Polio cases are rising ahead of a new vaccination campaign in Pakistan, where violence targeting health workers and the police protecting them has hampered years of efforts toward making the country polio-free.

Since January, health officials have confirmed 39 new polio cases in Pakistan, compared to only six last year, said Anwarul Haq of the National Emergency Operation Center for Polio Eradication.

The new nationwide drive starts Oct. 28 with the aim to vaccinate at least 32 million children. “The whole purpose of these campaigns is to achieve the target of making Pakistan a polio-free state,” he said.

Pakistan regularly launches campaigns against polio despite attacks on the workers and police assigned to the inoculation drives. Militants falsely claim the vaccination campaigns are a Western conspiracy to sterilize children.

Most of the new polio cases were reported in the southwestern Balochistan and southern Sindh province, following by Khyber Pakhtunkhwa province and eastern Punjab province.

The locations are worrying authorities since previous cases were from the restive northwest bordering Afghanistan, where the Taliban government in September suddenly stopped a door-to-door vaccination campaign.

Afghanistan and Pakistan are the two countries in which the spread of the potentially fatal, paralyzing disease has never been stopped. Authorities in Pakistan have said that the Taliban’s decision will have major repercussions beyond the Afghan border, as people from both sides frequently travel to each other’s country.

The World Health Organization has confirmed 18 polio cases in Afghanistan this year, all but two in the south of the country. That’s up from six cases in 2023. Afghanistan used a house-to-house vaccination strategy this June for the first time in five years, a tactic that helped to reach the majority of children targeted, according to WHO.

Health officials in Pakistan say they want the both sides to conduct anti-polio drives simultaneously.

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White House says health insurance needs to fully cover condoms, other over-the-counter birth control

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WASHINGTON (AP) — Millions of people with private health insurance would be able to pick up over-the-counter methods like condoms, the “morning after” pill and birth control pills for free under a new rule the White House proposed on Monday.

Right now, health insurers must cover the cost of prescribed contraception, including prescription birth control or even condoms that doctors have issued a prescription for. But the new rule would expand that coverage, allowing millions of people on private health insurance to pick up free condoms, birth control pills, or “morning after” pills from local storefronts without a prescription.

The proposal comes days before Election Day, as Vice President Kamala Harris affixes her presidential campaign to a promise of expanding women’s health care access in the wake of the U.S. Supreme Court’s decision to undo nationwide abortion rights two years ago. Harris has sought to craft a distinct contrast from her Republican challenger, Donald Trump, who appointed some of the judges who issued that ruling.

“The proposed rule we announce today would expand access to birth control at no additional cost for millions of consumers,” Health and Human Services Secretary Xavier Becerra said in a statement. “Bottom line: women should have control over their personal health care decisions. And issuers and providers have an obligation to comply with the law.”

The emergency contraceptives that people on private insurance would be able to access without costs include levonorgestrel, a pill that needs to be taken immediately after sex to prevent pregnancy and is more commonly known by the brand name “Plan B.”

Without a doctor’s prescription, women may pay as much as $50 for a pack of the pills. And women who delay buying the medication in order to get a doctor’s prescription could jeopardize the pill’s effectiveness, since it is most likely to prevent a pregnancy within 72 hours after sex.

If implemented, the new rule would also require insurers to fully bear the cost of the once-a-day Opill, a new over-the-counter birth control pill that the U.S. Food and Drug Administration approved last year. A one-month supply of the pills costs $20.

Federal mandates for private health insurance to cover contraceptive care were first introduced with the Affordable Care Act, which required plans to pick up the cost of FDA-approved birth control that had been prescribed by a doctor as a preventative service.

The proposed rule would not impact those on Medicaid, the insurance program for the poorest Americans. States are largely left to design their own rules around Medicaid coverage for contraception, and few cover over-the-counter methods like Plan B or condoms.

The Canadian Press. All rights reserved.

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