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23 of 29 new COVID-19 cases announced in Manitoba on Sunday are in Winnipeg

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Health officials are again calling on people in Winnipeg to follow public health directions, as 23 of Manitoba’s 29 new COVID-19 cases on Sunday are people in the capital city.

Many of the cases of the illness among a worrisome recent increase in Winnipeg have large numbers of close contacts, the province says in a news release.

Of Manitoba’s 354 active COVID-19 cases, 275 — more than three-quarters — are now in Winnipeg, according to provincial data.

Another three of Sunday’s new cases are in the Prairie Mountain Health region, while two are in the Interlake-Eastern health region and one is in the Southern health region, the release says.

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One case of the illness caused by the novel coronavirus previously reported on Sept. 19 has been removed from the totals, the release says, though it does not specify why.

Twenty of Sunday’s new cases are people under age 30, provincial data shows.

Half of those are people in their 20s, while the other half are people younger than 20.

 

Most of Sunday’s new cases are people under age 30, including 10 under age 20. (Jacques Marcoux/CBC)

 

There have now been 1,586 cases of COVID-19 in Manitoba.

There are now 11 people hospitalized with COVID-19 in Manitoba, including three in intensive care.

 

Most of Manitoba’s new COVID-19 cases on Sunday are in the Winnipeg health region, while the rest are split up between five other areas of the province. (Jacques Marcoux/CBC)

 

Manitoba’s five-day test positivity rate, a rolling average of the COVID-19 tests that come back positive, is up slightly to 1.9 per cent, the release says.

To date, 1,216 people in Manitoba have recovered from COVID-19 and 16 have died.

Possible exposures

People who were on the bus to John Pritchard School on Sept. 14 and 15 may have been exposed to the illness, the release says. The exposures happened on Winnipeg Transit school route S412 from around 8:15 a.m. at the Headmaster/Mildred stop to 8:40 a.m. at the school, and from 3 p.m. at the school to 3:25 p.m. back at the Headmaster/Mildred stop, the release says

Café La Scala on Corydon Avenue is temporarily closed, the release says, as public health officials investigate COVID-19 exposures that happened there on Sept. 11 from 10 p.m. to 3 a.m. and Sept. 12 from 10 p.m. to 2:30 a.m.

XXI Lounge on Pembina Highway was also closed temporarily for investigations into exposures to the illness, though it has since reopened. Those exposures happened on Sept. 11, 12 and 13 from 10 p.m. to 2:30 a.m., the release says.

On Saturday, officials warned of possible exposures to the illness at a Winnipeg daycare, high school and restaurant.

A person with COVID-19 was at the Munroe Early Childhood Education Centre in Elmwood on Monday morning and afternoon, the province said. Seven staff and 21 kids are in isolation after being named as close contacts.

The centre has closed off areas used by the sick person and will not use them again until they’re disinfected, Sunday’s news release says. The rest of the building is still open for unaffected kids and staff.

 

Most of Sunday’s new COVID-19 cases in Winnipeg are in the city’s River East area, while the rest are spread out among nine other districts. (Jacques Marcoux/CBC)

 

Another person with the illness was at Gordon Bell High School in central Winnipeg on Thursday morning and afternoon, the province said, though no close contacts were named in that investigation and the risk of further transmission is deemed low.

Meanwhile, Local Public Eatery downtown was closed on Saturday, pending the results of investigations into COVID-19 exposures that happened there on Sept. 11 and 12, the release says, though the restaurant has since reopened.

Three new cases of the illness were announced on Fisher River Cree Nation this weekend, in addition to the first case in the Interlake community announced last week.

Manitoba Premier Brian Pallister is watching for COVID-19 symptoms after meeting earlier this week with Quebec Premier François Legault, who is self-isolating after coming into contact with a confirmed case of the illness, a spokesperson for Pallister said on Saturday.

Legault tested negative on Saturday evening but is still self-isolating in accordance with public health guidelines.

On Saturday, 1,216 more COVID-19 tests were done in Manitoba, bringing the total number of tests completed in the province to 164,177.

Source:- CBC.ca

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Toronto reports 2 more measles cases. Use our tool to check the spread in Canada – Toronto Star

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Canada has seen a concerning rise in measles cases in the first months of 2024.

By the third week of March, the country had already recorded more than three times the number of cases as all of last year. Canada had just 12 cases of measles in 2023, up from three in 2022.

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Cancer Awareness Month – Métis Nation of Alberta

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Cancer Awareness Month

Posted on: Apr 18, 2024

April is Cancer Awareness Month

As we recognize Cancer Awareness Month, we stand together to raise awareness, support those affected, advocate for prevention, early detection, and continued research towards a cure. Cancer is the leading cause of death for Métis women and the second leading cause of death for Métis men. The Otipemisiwak Métis Government of the Métis Nation Within Alberta is working hard to ensure that available supports for Métis Citizens battling cancer are culturally appropriate, comprehensive, and accessible by Métis Albertans at all stages of their cancer journey.

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Receiving a cancer diagnosis, whether for yourself or a loved one, can feel overwhelming, leaving you unsure of where to turn for support. In June, our government will be launching the Cancer Supports and Navigation Program which will further support Métis Albertans and their families experiencing cancer by connecting them to OMG-specific cancer resources, external resources, and providing navigation support through the health care system. This program will also include Métis-specific peer support groups for those affected by cancer.

With funding from the Canadian Partnership Against Cancer (CPAC) we have also developed the Métis Cancer Care Course to ensure that Métis Albertans have access to culturally safe and appropriate cancer services. This course is available to cancer care professionals across the country and provides an overview of who Métis people are, our culture, our approaches to health and wellbeing, our experiences with cancer care, and our cancer journey.

Together, we can make a difference in the fight against cancer and ensure equitable access to culturally safe and appropriate care for all Métis Albertans. Please click on the links below to learn more about the supports available for Métis Albertans, including our Compassionate Care: Cancer Transportation program.

I wish you all good health and happiness!

Bobbi Paul-Alook
Secretary of Health & Seniors

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Type 2 diabetes is not one-size-fits-all: Subtypes affect complications and treatment options – The Conversation

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You may have heard of Ozempic, the “miracle drug” for weight loss, but did you know that it was actually designed as a new treatment to manage diabetes? In Canada, diabetes affects approximately 10 per cent of the general population. Of those cases, 90 per cent have Type 2 diabetes.

This metabolic disorder is characterized by persistent high blood sugar levels, which can be accompanied by secondary health challenges, including a higher risk of stroke and kidney disease.

Locks and keys

In Type 2 diabetes, the body struggles to maintain blood sugar levels in an acceptable range. Every cell in the body needs sugar as an energy source, but too much sugar can be toxic to cells. This equilibrium needs to be tightly controlled and is regulated by a lock and key system.

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In the body’s attempt to manage blood sugar levels and ensure that cells receive the right amount of energy, the pancreatic hormone, insulin, functions like a key. Cells cover themselves with locks that respond perfectly to insulin keys to facilitate the entry of sugar into cells.

Unfortunately, this lock and key system doesn’t always perform as expected. The body can encounter difficulties producing an adequate number of insulin keys, and/or the locks can become stubborn and unresponsive to insulin.

All forms of diabetes share the challenge of high blood sugar levels; however, diabetes is not a singular condition; it exists as a spectrum. Although diabetes is broadly categorized into two main types, Type 1 and Type 2, each presents a diversity of subtypes, especially Type 2 diabetes.

These subtypes carry their own characteristics and risks, and do not respond uniformly to the same treatments.

To better serve people living with Type 2 diabetes, and to move away from a “one size fits all” approach, it is beneficial to understand which subtype of Type 2 diabetes a person lives with. When someone needs a blood transfusion, the medical team needs to know the patient’s blood type. It should be the same for diabetes so a tailored and effective game plan can be implemented.

This article explores four unique subtypes of Type 2 diabetes, shedding light on their causes, complications and some of their specific treatment avenues.

Severe insulin-deficient diabetes: We’re missing keys!

In severe insulin-deficient diabetes, beta cells limit production of the keys that unlock cells to allow entry of sugar from the blood.
(Lili Grieco-St-Pierre, Jennifer Bruin/Created with BioRender.com)

Insulin is produced by beta cells, which are found in the pancreas. In the severe insulin-deficient diabetes (SIDD) subtype, the key factories — the beta cells — are on strike. Ultimately, there are fewer keys in the body to unlock the cells and allow entry of sugar from the blood.

SIDD primarily affects younger, leaner individuals, and unfortunately, increases the risk of eye disease and blindness, among other complications. Why the beta cells go on strike remains largely unknown, but since there is an insulin deficiency, treatment often involves insulin injections.

Severe insulin-resistant diabetes: But it’s always locked!

A diagram of three closed locks and lots of keys

In severe insulin-resistant diabetes, the locks start ignoring the keys, triggering the beta cells to produce even more keys to compensate.
(Lili Grieco-St-Pierre, Jennifer Bruin/Created with BioRender.com)

In the severe insulin-resistant diabetes (SIRD) subtype, the locks are overstimulated and start ignoring the keys. As a result, the beta cells produce even more keys to compensate. This can be measured as high levels of insulin in the blood, also known as hyperinsulinemia.

This resistance to insulin is particularly prominent in individuals with higher body weight. Patients with SIRD have an increased risk of complications such as fatty liver disease. There are many treatment avenues for these patients but no consensus about the optimal approach; patients often require high doses of insulin.

Mild obesity-related diabetes: The locks are sticky!

Illustration of a lock and key

In mild obesity-related diabetes, the locks are ‘sticky,’ making it difficult for the keys to open the locks.
(Lili Grieco-St-Pierre, Jennifer Bruin/Created with BioRender.com)

Mild obesity-related (MOD) diabetes represents a nuanced aspect of Type 2 diabetes, often observed in individuals with higher body weight. Unlike more severe subtypes, MOD is characterized by a more measured response to insulin. The locks are “sticky,” so it is challenging for the key to click in place and open the lock. While MOD is connected to body weight, the comparatively less severe nature of MOD distinguishes it from other diabetes subtypes.

To minimize complications, treatment should include maintaining a healthy diet, managing body weight, and incorporating as much aerobic exercise as possible. This is where drugs like Ozempic can be prescribed to control the evolution of the disease, in part by managing body weight.

Mild age-related diabetes: I’m tired of controlling blood sugar!

Illustration of a lock and a beta cell

In people with mild age-related diabetes, both the locks and the beta cells that produce keys are tired, resulting in fewer keys and stubborn locks.
(Lili Grieco-St-Pierre, Jennifer Bruin/Created with BioRender.com)

Mild age-related diabetes (MARD) happens more often in older people and typically starts later in life. With time, the key factory is not as productive, and the locks become stubborn. People with MARD find it tricky to manage their blood sugar, but it usually doesn’t lead to severe complications.

Among the different subtypes of diabetes, MARD is the most common.

Unique locks, varied keys

While efforts have been made to classify diabetes subtypes, new subtypes are still being identified, making proper clinical assessment and treatment plans challenging.

In Canada, unique cases of Type 2 diabetes were identified in Indigenous children from Northern Manitoba and Northwestern Ontario by Dr. Heather Dean and colleagues in the 1980s and 90s. Despite initial skepticism from the scientific community, which typically associated Type 2 diabetes with adults rather than children, clinical teams persisted in identifying this as a distinct subtype of Type 2 diabetes, called childhood-onset Type 2 diabetes.




Read more:
Indigenous community research partnerships can help address health inequities


Childhood-onset Type 2 diabetes is on the rise across Canada, but disproportionately affects Indigenous youth. It is undoubtedly linked to the intergenerational trauma associated with colonization in these communities. While many factors are likely involved, recent studies have discovered that exposure of a fetus to Type 2 diabetes during pregnancy increases the risk that the baby will develop diabetes later in life.

Acknowledging this distinct subtype of Type 2 diabetes in First Nations communities has led to the implementation of a community-based health action plan aimed at addressing the unique challenges faced by Indigenous Peoples. It is hoped that partnered research between communities and researchers will continue to help us understand childhood-onset Type 2 diabetes and how to effectively prevent and treat it.

A mosaic of conditions

Illustration of different subtypes of Type 2 diabetes

Type 2 diabetes is a mosaic of conditions, each with its own characteristics.
(Lili Grieco-St-Pierre, Jennifer Bruin/Created with BioRender.com)

Type 2 diabetes is not uniform; it’s a mosaic of conditions, each with its own characteristics. Since diabetes presents so uniquely in every patient, even categorizing into subtypes does not guarantee how the disease will evolve. However, understanding these subtypes is a good starting point to help doctors create personalized plans for people living with the condition.

While Indigenous communities, lower-income households and individuals living with obesity already face a higher risk of developing Type 2 diabetes than the general population, tailored solutions may offer hope for better management. This emphasizes the urgent need for more precise assessments of diabetes subtypes to help customize therapeutic strategies and management strategies. This will improve care for all patients, including those from vulnerable and understudied populations.

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