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2 monkeypox cases confirmed in Quebec — the first in Canada – CBC.ca

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Two cases of monkeypox have been confirmed in Quebec, the first such cases in the country, according to the Public Health Agency of Canada (PHAC).

The agency says it has alerted public health authorities around Canada to look for symptoms in patients, regardless of whether they’ve travelled.

“This is an evolving and ongoing investigation, both in Canada and around the world,” PHAC said in a statement on Thursday.

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Earlier on Thursday, Montreal’s top public health official urged people not to panic as her department investigated 17 cases of suspected monkeypox in the greater Montreal region.

Dr. Mylène Drouin said there were 15 suspected cases on the island of Montreal, one on the South Shore and another north of Laval.

It’s not clear if the two cases confirmed by PHAC are among those 17.

“Most of our cases are not severe,” said Drouin. 

Until now, monkeypox outbreaks have been limited mostly to central and western Africa, but in recent weeks, suspected cases have been identified in the U.S., U.K., Portugal and Spain.

WATCH | How the virus is transmitted:

Montrealers ‘do not have to panic’ over monkeypox: public health

15 hours ago

Duration 3:35

Dr. Mylène Drouin, Montreal’s public health director, said there are 17 suspected cases in the region, but they’re not highly contagious.

Drouin said the first cases in Montreal were reported on May 12 by clinics specializing in sexually transmitted diseases. She said those cases are tied mostly to men aged 30 to 55 who have had sexual relations with other men.

The virus is not sexually transmitted, Drouin explained, but is mainly spread “by close contact and [respiratory] droplets.”

It is also spread by open sores, contact with bodily fluids, or by touching contaminated clothes or bedding. 

“It’s not something that you can acquire when you [do your groceries] or on public transportation,” she said.   

Drouin described those at risk of contracting the virus as “those in the same household and sexual partners.” She urged anyone with symptoms to consult a doctor.

A section of skin tissue, harvested from a lesion on the skin of a monkey, that had been infected with monkeypox virus, is seen at 50X magnification on day four of rash development in 1968. (Handout/Reuters)

The news conference came after Quebec’s Health Ministry said late Wednesday it had been notified of a person with a confirmed case of monkeypox who had travelled to the province. 

The Massachusetts Department of Public Health confirmed a single case of monkeypox on Wednesday in a man who had recently travelled to Canada. Drouin said several of the cases in Montreal have been linked to the traveller who came from Boston.

Cautious optimism

Likened to a milder form of smallpox, monkeypox is a rare viral illness that typically begins with symptoms such as fever, headache, backache and fatigue — similar to symptoms of COVID-19 or the flu. But doctors say the most noticeable symptom is a rash or lesions on the skin.

“They’re very specific: they look like mini-volcanoes,” said Dr. Robert Pilarski, a family physician at Clinique Médicale La Licorne in Montreal, who has treated several recent suspected monkeypox patients.

Pilarski said the four patients he’s seen have presented with lesions around their genitals. He recommends anyone with flu-like symptoms and “eruptions on the skin” to isolate immediately. 

The incubation period for monkeypox is between seven to 14 days, according to the doctor, but it can be as short as five days and as long as 21. A person is likely to be contagious one day before symptoms appear, he said. 

Symptoms of one of the first known human cases of the monkeypox virus are shown on a patient’s hand in 2003. (CDC/Getty Images)

According to the World Health Organization, there are two distinct clades, or strains, of the monkeypox virus — the Central African (Congo Basin) strain and the West African strain. 

Pilarski said he’s seeing what appears to be a less-contagious strain of the virus, which is giving him hope that it will not be widespread.

“We [likely] have the western virus, which is less contagious. So I’m pretty much sure this is going to be a milder course of disease,” said Pilarski. “But we cannot eliminate the possibility of serious complications.” 

While the U.S. Centers for Disease Control and Prevention (CDC) says infections with the Congo Basin strain can be fatal in as many as one in 10 people, infections with the West African strain can be fatal in about one in 100 people. Rates can be higher in people who have weakened immune systems.

Smallpox vaccine a potential option

Montreal public health officials don’t believe the virus will circulate in the community, since it’s not highly infectious, Drouin said.

She said all people with suspected cases are in isolation and have been asked to cover their skin lesions with bandages.

Asked about potential treatments for the illness, Drouin said there are no specific remedies available in Canada, “so it is painful, but mainly, the forms that we have right now are not severe forms of the illness.”

Dr. Geneviève Bergeron, Montreal’s medical officer responsible for health emergencies and infectious diseases, said there’s reason to believe people who received the smallpox vaccine as children may have a better chance at fighting off monkeypox. 

However, routine immunization programs against smallpox ended in Canada in the early 1970s.

In the U.K., some health-care workers and people who have been in contact with cases have been offered a smallpox vaccine as protection.

Montreal health authorities said they don’t yet know how many people in the city received the smallpox vaccine as children, and a similar course of action to the U.K. won’t be taken just yet. 

“First, we have to see if we have access to a vaccine, so it’s going to be a decision that is made at the provincial and federal level,” said Drouin. 

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India tells Canada to remove 41 of its 62 diplomats: official

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OTTAWA –

Canada needs diplomats in India to help navigate the “extremely challenging” tensions between the two countries, Prime Minister Justin Trudeau said Tuesday in response to demands that Ottawa repatriate dozens of its envoys.

India reportedly wants 41 of 62 Canadian diplomats out of the country by early next week — a striking, if largely anticipated, deepening of the rift that erupted last month following Trudeau’s explosive allegations in the House of Commons.

The prime minister bluntly spoke of “credible” intelligence linking the Indian government to the shooting death in June of Hardeep Singh Nijjar, a 45-year-old Sikh leader India has long assailed as a terrorist.

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The demand, first reported by the Financial Times, comes less than two weeks after the Indian government first called on Canada to establish “parity in strength and rank equivalence in our diplomatic presence.”

Canada has a much larger diplomatic corps in India, owing in part to the fact it’s a country of 1.4 billion people, compared to 40 million in Canada — about 1.3 million of whom are of Indian origin.

Trudeau would not confirm the reports Tuesday, nor did he sound inclined to acquiesce to India’s request.

“Obviously, we’re going through an extremely challenging time with India right now,” Trudeau said on his way to a caucus meeting on Parliament Hill.

“That’s why it’s so important for us to have diplomats on the ground, working with the Indian government, there to support Canadians and Canadian families.”

Canada, he continued, is “taking this extremely seriously, but we’re going to continue to engage responsibly and constructively with the government of India.”

Foreign Affairs Minister Melanie Joly said largely the same thing.

“In moments of tension, because indeed there are tensions between both our governments, more than ever it’s important that diplomats be on the ground,” Joly said.

“That’s why we believe in the importance of having a strong diplomatic footprint in India. That being said, we are in ongoing conversations with the Indian government.”

During Tuesday’s daily briefing at the State Department, deputy spokesperson Vedant Patel was at pains to avoid exacerbating tensions any further.

“We are — and continue to be — deeply concerned about the allegations referenced by Prime Minister Trudeau and we remain in regular contact with our Canadian partners,” Patel said, a message the U.S. has had on repeat for weeks.

“It’s critical that Canada’s investigation proceed and the perpetrators be brought to justice. We also have … publicly and privately urged the Indian government to co-operate in the Canadian investigation and co-operate in those efforts.”

Patel also demurred on the potential impact of an escalating tit-for-tat exchange of diplomatic staff on the U.S. Indo-Pacific strategy, a key element of U.S. efforts to mitigate China’s growing geopolitical influence.

“I certainly don’t want to get into hypotheticals,” he said. “As it relates to our Indo-Pacific strategy and the focus that we continue to place on the region, that effort and that line of work is going to continue.”

David Cohen, the U.S. ambassador to Canada, has already confirmed that the allegations were buttressed in part on intelligence gathered by a key ally from the Five Eyes security alliance, which includes the U.S., the U.K., Australia and New Zealand, along with Canada.

Subrahmanyam Jaishankar, India’s external affairs minister, confirmed last week that the subject came up in his meetings in Washington, D.C., with Secretary of State Antony Blinken and Jake Sullivan, the U.S. national security adviser.

Trudeau’s allegation “was not consistent with our policy,” Jaishankar told a panel discussion Friday hosted by the Hudson Institute.

“If his government had anything relevant and specific they would like us to look into, we were open to looking at it. That’s where that conversation is at this point of time.”

Jaishankar went on to note that the issue of Sikh separatists living in Canada had long been “an issue of great friction,” notably after the 1985 bombing of Air India flight 182, the worst terrorist attack in Canadian history.

“In the last few years, it has come back very much into play, because of what we consider to be a very permissive Canadian attitude towards terrorists, extremists, people who openly advocate violence,” Jaishankar said.

“They have been given operating space in Canada because of the compulsions of Canadian politics.”

This report by The Canadian Press was first published Oct. 3, 2023.

With files from Mickey Djuric in Ottawa.

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In the news today: Regimental funeral today for B.C. Mountie, NDP victory in Manitoba – National Post

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All Flesh Redux

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Director’s Notes, Stacey Christodoulou

MONTREAL October, 2023 – Combining polyphonic singing, dance, and theatre, All Flesh REDUX is a poetic journey through time and space. Part sing-a-long, Dadaist performance piece as well as a love letter to our planet, the work enfolds the public in an intimate theatre-in-the-round setting where humour, music, storytelling and movement reign. Bringing together the worlds of medieval composers Guillaume de MachautHildegard von Bingen and modern composer John Cage, the company’s creation contemplates the unknowable past and the unimaginable future, and asks what acts of faith are possible in an uncertain world. October 13-22, seating is limited.

Director Stacey Christodoulou: “We could never imagine that the themes we spoke about in 2019 would become reality. In a certain way the show was prophetic. However, I believe that the message of creating beauty as a form of resistance is even more important now. The weaving of medieval song, contemporary dance and text continues our company’s interdisciplinary approach and reminds us that throughout history people have responded to turmoil with innovation and art.”

With: ENSEMBLE ALKEMIA (Jean-François Daignault, Dorothéa Ventura and Leah Weitzner), Stéphanie Fromentin, Erin Lindsay, Vanessa Schmit-Craan, Lael  Stellick

Musical direction by Jean-François Daignault; scenograpy by Amy Keith; sound by Debbie Doe; costumes by Cathia Pagotto; lighting by David Perreault Ninacs and technical stage coordination by Birdie Gregor.

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All Flesh REDUX

Studio Jean Valcourt du Conservatoire

4750, avenue Henri-Julien

Dates: Friday, Oct., 13, Saturday, Oct. 14 at 8pm; Sunday Oct. 14 at 3pm

Wednesday, October 18-Saturday, Oct. 21 at 8pm; Sunday, Oct. 22 at 3pm

Tickets/514 873-4032: $20, Students/Seniors: $15

Seating is limited

othertheatre.com/all-flesh-redux-en/

Website: othertheatre.com  Instagram: @othertheatremtl  Facebook: othertheatre

About THE OTHER THEATRE

Formed in 1991 by Artistic Director Stacey Christodoulou, The Other Theatre is devoted to contemporary creation. Working bilingually, their award-wining work has included adaptations, installations, theatre texts, and collectively written material performed in numerous venues in Montreal and abroad, including theatres, galleries, as well as a moving elevator.

Drawing inspiration from art forms other than theatre – dance, cinema, science, architecture, and the visual arts – the company presents evocative performances, grounded by thought-provoking texts.  From a creole Macbeth, to sci-fi with polyphonic singing, to the horror of H.P. Lovecraft, their original creations are thrilling and visually striking. They have also presented the work of International and Canadian writers, giving them their French-language premieres in Quebec. Exploring the large existential issues of the time, The Other Theatre aims to move audiences to greater emotional connection and reflection, bridging communities and languages to create a hybrid theatre that is reflective of the cultural richness of Montreal. They value and foster artistic exchange, both locally and internationally and share their artistic process in Canada, the US, Europe and Mexico, through mentorships, workshops and cultural mediation in local communities and schools.

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