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.
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.
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Montrealers ‘do not have to panic’ over monkeypox: public health
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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.
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.
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.
PORT ALBERNI, B.C. – RCMP say the body of a second person has been found inside their vehicle after a road washed away amid pouring rain on the west coast of Vancouver Island.
Police say two vehicles went into the Sarita River when Bamfield Road washed out on Saturday as an atmospheric river hammered southern B.C.
The B.C. Greens say Sonia Furstenau will be staying on as party leader, despite losing her seat in the legislature in Saturday’s provincial election.
The party says in a statement that its two newly elected MLAs, Jeremy Valeriote and Rob Botterell, support Furstenau’s leadership as they “navigate the prospect of having the balance of power in the legislature.”
Neither the NDP led by Premier David Eby nor the B.C. Conservatives led by John Rustad secured a majority in the election, with two recounts set to take place from Oct. 26 to 28.
Eby says in a news conference that while the election outcome is uncertain, it’s “very likely” that the NDP would need the support of others to pass legislation.
He says he reached out to Furstenau on election night to congratulate her on the Greens’ showing.
But he says the Green party has told the NDP they are “not ready yet” for a conversation about a minority government deal.
The Conservatives went from taking less than two per cent of the vote in 2020 to being elected or leading in 45 ridings, two short of a majority and only one behind the NDP.
This report by The Canadian Press was first published Oct. 22, 2024.
Toronto FC captain Jonathan Osorio is making a difference, 4,175 kilometres away from home.
The 32-year-old Canadian international midfielder, whose parents hail from Colombia, has been working with the Canadian Colombian Children’s Organization, a charity whose goal is to help disadvantaged youth in the South American country.
Osorio has worked behind the scenes, with no fanfare.
Until now, with his benevolence resulting in becoming Toronto FC’s nominee for the Audi Goals Drive Progress Impact Award, which honours an MLS player “who showed outstanding dedication to charitable efforts and serving the community” during the 2024 season.”
Other nominees include Vancouver Whitecaps midfielder Sebastian Berhalter and CF Montreal goalkeeper Jonathan Sirois.
The winner will be announced in late November.
The Canadian Colombian Children’s Organization (CCCO) is run entirely by volunteers like Monica Figueredo and Claudia Soler. Founded in 1991, it received charitable status in 2005.
The charity currently has four projects on the go: two in Medellin and one each in Armenia and Barranquilla.
They include a school, a home for young girls whose parents are addicted to drugs, after-school and weekend programs for children in a disadvantaged neighbourhood, and nutrition and education help for underprivileged youth.
The organization heard about Osorio and was put in contact with him via an intermediary, which led to a lunch meeting. Osorio did his due diligence and soon got back to the charity with his decision.
“It was something that I wanted to be a part of right away,” said Osorio, whose lone regret is that he didn’t get involved sooner.
“I’m fortunate now that to help more now that I could have back then,” he added. “The timing actually worked out for everybody. For the last three years I have donated to their cause and we’ve built a couple of (football) fields in different cities over there in the schools.”
His father visited one of the sites in Armenia close to his hometown.
“He said it was amazing, the kids, how grateful they are to be able to play on any pitch, really,” said Osorio. “But to be playing on a new pitch, they’re just so grateful and so humble.
“It really makes it worth it being part of this organization.”
The collaboration has also made Osorio take stock.
“We’re very fortunate here in Canada, I think, for the most part. Kids get to go to school and have a roof over their head and things like that. In Colombia, it’s not really the same case. My father and his family grew up in tough conditions, so giving back is like giving back to my father.”
Osorio’s help has been a godsend to the charity.
“We were so surprised with how willing he was,” said Soler.
The TFC skipper has helped pay for a football field in Armenia as well as an ambitious sports complex under construction in Barranquilla.
“It’s been great for them,” Figueredo said of the pitch in Armenia. “Because when they go to school, now they have a proper place to train.”
Osorio has also sent videos encouraging the kids to stay active — as well as shipping soccer balls and signed jerseys their way.
“They know more about Jonathan than the other players in Colombia,” Figueredo said. “That’s the funny part. Even though he’s far away, they’ve connected with him.”
“They feel that they have a future, that they can do more,” she added. “Seeing that was really, really great.”
The kids also followed Osorio through the 2022 World Cup and this summer’s Copa America.
Back home, Osorio has also attended the charity’s annual golf tournament, helping raise funds.
A Toronto native, he has long donated four tickets for every TFC home game to the Hospital for Sick Children.
Vancouver’s Berhalter was nominated for his involvement in the Whitecaps’ partnership with B.C. Children’s Hospital while Montreal’s Sirois was chosen for his work with the Montreal Impact Foundation.
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This report by The Canadian Press was first published Oct. 21, 2024.