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3rd wave would have killed more people in Canada without vaccines: Tam – Oak Bay News

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Canada’s chief public health officer says without vaccines the third wave of COVID-19 in Canada would have been much deadlier.

Dr. Theresa Tam said Tuesday as vaccines began to roll out she was in awe of how well they began to ease the impact the pandemic was having on Canada’s elderly.

“We saw the numbers of cases, but also the serious outcomes declined very quickly in those populations,” said Tam.

A Canadian Press analysis of epidemiology data posted online by Health Canada shows in January, when the second wave of COVID-19 peaked, more than 4,000 Canadians over the age of 80 died from it.

In April, when the third wave peaked and most Canadians over 80 had at least one dose of vaccine, the number of deaths in that age group fell below 500.

The number of cases confirmed in people over 80 averaged more than 470 a day in January, and 122 in April.

While Canada’s slower than hoped vaccine rollout rankled throughout the winter, the emphasis was on getting vaccinations first to the people most vulnerable to COVID-19.

Less than one-tenth of Canadians over 80 had their first dose of vaccine by the end of January, but by the end of April almost 90 per cent had at least one dose and more than 15 per cent were fully vaccinated. In long-term care homes, where many of the worst outbreaks occurred, full vaccinations were largely completed by April.

That helped limit the outbreaks of COVID-19 in long-term care this spring.

As of June 19, only six per cent of people over 80 were not even partially vaccinated, and two-thirds are fully vaccinated.

“If you imagine this third wave without the vaccine, the mortality impact would have been much higher,” said Tam.

The death toll in the second wave averaged more than 150 deaths a day for part of January. In the third wave, the highest average death count was about one-third of that.

The lack of vaccinations among kids may also now be playing out in the spread of COVID-19.

Children and teenagers now account for the largest share of Canada’s total COVID-19 cases for the first time. Canadians in their 20s have accounted for the largest share of cases since last summer, but as of June 25, people under 19 now account for 19.3 per cent of the 1.4 million cases confirmed in Canada, slightly ahead of the 19.16 per cent for 20 to 29 year olds.

More than 60 per cent of teenagers now have at least one dose of vaccine, but children under 12 aren’t eligible for vaccinations yet. That fact, combined with the more transmissible Delta variant of the virus that causes COVID-19, is a conundrum for health policy-makers and politicians deciding what advice to give fully vaccinated adults.

New federal guidance issued by Tam’s office Friday suggests fully vaccinated people can take off their masks and socialize in close quarters with other people who are fully vaccinated. But families whose kids can’t be vaccinated were left wondering what that meant for them.

“More and more of us are asking when can we hug our loved ones, in particular grandparents, aunts and uncles are looking for advice for when they can share hugs with the kids in their lives,” Tam said.

“The answer is because children under 12 are not eligible for vaccinations yet, there is still a risk they can get infected with COVID-19 and pass the virus on to others. However, if you and everyone else around them are fully vaccinated, the risk is lower.”

Tam was less clear about what the new variants mean for lifting public masking requirements. Alberta intends to cancel its provincewide mask mandate on Canada Day. Saskatchewan will follow on July 11.

The World Health Organization said Friday fully vaccinated people should continue to wear masks in public because the vaccines aren’t preventing infections entirely.

Tam said the Delta variant will mean more people need to get fully vaccinated to prevent a punishing fourth wave this fall. Federal modelling released Friday incorporate the data on Delta for the first time, including that it is 1.5 times as infectious as the Alpha variant now dominant in Canada, and twice as virulent.

But Tam said if 80 per cent of Canadians between 12 and 54 are fully vaccinated by the fall, it should prevent another surge in hospitalizations.

Nationally, COVID-19 hospitalizations are at an eight-month low, with about 900 people currently in hospital. The number of people in intensive care is below 500 for the first time since November.

Mia Rabson, The Canadian Press

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Canada to donate up to 200,000 vaccine doses to combat mpox outbreaks in Africa

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The Canadian government says it will donate up to 200,000 vaccine doses to fight the mpox outbreak in Congo and other African countries.

It says the donated doses of Imvamune will come from Canada’s existing supply and will not affect the country’s preparedness for mpox cases in this country.

Minister of Health Mark Holland says the donation “will help to protect those in the most affected regions of Africa and will help prevent further spread of the virus.”

Dr. Madhukar Pai, Canada research chair in epidemiology and global health, says although the donation is welcome, it is a very small portion of the estimated 10 million vaccine doses needed to control the outbreak.

Vaccine donations from wealthier countries have only recently started arriving in Africa, almost a month after the World Health Organization declared the mpox outbreak a public health emergency of international concern.

A few days after the declaration in August, Global Affairs Canada announced a contribution of $1 million for mpox surveillance, diagnostic tools, research and community awareness in Africa.

On Thursday, the Africa Centres for Disease Control and Prevention said mpox is still on the rise and that testing rates are “insufficient” across the continent.

Jason Kindrachuk, Canada research chair in emerging viruses at the University of Manitoba, said donating vaccines, in addition to supporting surveillance and diagnostic tests, is “massively important.”

But Kindrachuk, who has worked on the ground in Congo during the epidemic, also said that the international response to the mpox outbreak is “better late than never (but) better never late.”

“It would have been fantastic for us globally to not be in this position by having provided doses a much, much longer time prior than when we are,” he said, noting that the outbreak of clade I mpox in Congo started in early 2023.

Clade II mpox, endemic in regions of West Africa, came to the world’s attention even earlier — in 2022 — as that strain of virus spread to other countries, including Canada.

Two doses are recommended for mpox vaccination, so the donation may only benefit 100,000 people, Pai said.

Pai questioned whether Canada is contributing enough, as the federal government hasn’t said what percentage of its mpox vaccine stockpile it is donating.

“Small donations are simply not going to help end this crisis. We need to show greater solidarity and support,” he said in an email.

“That is the biggest lesson from the COVID-19 pandemic — our collective safety is tied with that of other nations.”

This report by The Canadian Press was first published Sept. 13, 2024.

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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How many Nova Scotians are on the doctor wait-list? Number hit 160,000 in June

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HALIFAX – The Nova Scotia government says it could be months before it reveals how many people are on the wait-list for a family doctor.

The head of the province’s health authority told reporters Wednesday that the government won’t release updated data until the 160,000 people who were on the wait-list in June are contacted to verify whether they still need primary care.

Karen Oldfield said Nova Scotia Health is working on validating the primary care wait-list data before posting new numbers, and that work may take a matter of months. The most recent public wait-list figures are from June 1, when 160,234 people, or about 16 per cent of the population, were on it.

“It’s going to take time to make 160,000 calls,” Oldfield said. “We are not talking weeks, we are talking months.”

The interim CEO and president of Nova Scotia Health said people on the list are being asked where they live, whether they still need a family doctor, and to give an update on their health.

A spokesperson with the province’s Health Department says the government and its health authority are “working hard” to turn the wait-list registry into a useful tool, adding that the data will be shared once it is validated.

Nova Scotia’s NDP are calling on Premier Tim Houston to immediately release statistics on how many people are looking for a family doctor. On Tuesday, the NDP introduced a bill that would require the health minister to make the number public every month.

“It is unacceptable for the list to be more than three months out of date,” NDP Leader Claudia Chender said Tuesday.

Chender said releasing this data regularly is vital so Nova Scotians can track the government’s progress on its main 2021 campaign promise: fixing health care.

The number of people in need of a family doctor has more than doubled between the 2021 summer election campaign and June 2024. Since September 2021 about 300 doctors have been added to the provincial health system, the Health Department said.

“We’ll know if Tim Houston is keeping his 2021 election promise to fix health care when Nova Scotians are attached to primary care,” Chender said.

This report by The Canadian Press was first published Sept. 11, 2024.

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Newfoundland and Labrador monitoring rise in whooping cough cases: medical officer

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ST. JOHN’S, N.L. – Newfoundland and Labrador‘s chief medical officer is monitoring the rise of whooping cough infections across the province as cases of the highly contagious disease continue to grow across Canada.

Dr. Janice Fitzgerald says that so far this year, the province has recorded 230 confirmed cases of the vaccine-preventable respiratory tract infection, also known as pertussis.

Late last month, Quebec reported more than 11,000 cases during the same time period, while Ontario counted 470 cases, well above the five-year average of 98. In Quebec, the majority of patients are between the ages of 10 and 14.

Meanwhile, New Brunswick has declared a whooping cough outbreak across the province. A total of 141 cases were reported by last month, exceeding the five-year average of 34.

The disease can lead to severe complications among vulnerable populations including infants, who are at the highest risk of suffering from complications like pneumonia and seizures. Symptoms may start with a runny nose, mild fever and cough, then progress to severe coughing accompanied by a distinctive “whooping” sound during inhalation.

“The public, especially pregnant people and those in close contact with infants, are encouraged to be aware of symptoms related to pertussis and to ensure vaccinations are up to date,” Newfoundland and Labrador’s Health Department said in a statement.

Whooping cough can be treated with antibiotics, but vaccination is the most effective way to control the spread of the disease. As a result, the province has expanded immunization efforts this school year. While booster doses are already offered in Grade 9, the vaccine is now being offered to Grade 8 students as well.

Public health officials say whooping cough is a cyclical disease that increases every two to five or six years.

Meanwhile, New Brunswick’s acting chief medical officer of health expects the current case count to get worse before tapering off.

A rise in whooping cough cases has also been reported in the United States and elsewhere. The Pan American Health Organization issued an alert in July encouraging countries to ramp up their surveillance and vaccination coverage.

This report by The Canadian Press was first published Sept. 10, 2024.

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