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Fifth suspected coronavirus case in Canada is B.C. woman who had 'close contact' with Wuhan visitors – National Post

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As the death toll from the novel coronavirus reached at least 490 people worldwide, health officials in British Columbia announced a new presumed case of the virus Tuesday which, if confirmed, will bring the total number of those infected with it in Canada to five.

The woman, a 50-something resident of the Metro Vancouver area, had recently been in “close contact” with visitors from the Wuhan region in China, the epicentre of the outbreak, said Dr. Bonnie Henry, B.C.’s chief medical officer of health.

The woman became ill after hosting visitors from Wuhan and was treated and tested in hospital and then released, Henry said. Her sample came back positive and has been sent to the National Microbiology Laboratory in Winnipeg, where Henry expects the diagnosis will be confirmed.

The woman remains in quarantine at her home. Her guests, who are still in Canada, are also being monitored.

The announcement came just as the national near-hysteria over the virus appeared to have crested. None of the first four Canadians, three in Ontario and one in B.C., with confirmed cases of the virus remained in hospital as of Tuesday.

There are some signs, meanwhile, that novel coronavirus may not be nearly as fatal as it was initially feared, and nowhere near as fatal as SARS or MERS, two other, related, coronaviruses. “This could be more akin to a moderately bad flu, or even a more severe flu, which the world experiences every decade or so,” said Dr. Michael Gardam, chief of staff at Toronto’s Humber River Hospital and an infectious disease specialist.

That doesn’t mean there isn’t anything to be concerned about in Canada. In an interview before the fifth case was confirmed Tuesday, Gardam warned that the worst could still be to come here.

“Nobody’s not worried. But none of us are worried currently that this is a problem in Canada. We’re all worried about the potential of this becoming a problem in Canada,” he said.

Until and unless the outbreak is contained in China and the spread of the virus slows, the risk of a global pandemic remains. “I don’t think this is going to be a short-term thing,” he said. “Because of the nature of how it’s spreading and what’s happening in China, we could unfortunately be dealing with this story for the next two years.”

That doesn’t mean anyone should be panicking, said Steven Hoffman, an epidemiologist and the director of the Global Strategy Lab at York University. “In the most likely scenario, we’re going to get more cases,” he said. “But also what’s most likely is that they’ll be quickly identified and contained, just like the first four cases were.”

None of us are worried currently that this is a problem in Canada

What makes the latest case significant, however, is that the patient herself had not travelled to China, said Dr. Isaac Bogoch, an infectious disease specialist at the University of Toronto. “That’s called secondary spread,” he said. “That’s a problem.”

Still, for now, it is not a dire one.

A virus can become a pandemic when the chains of transmission multiply and efforts at containment fail. In other words, when you start seeing the virus spread from people who were infected at the site of the outbreak to people they physically saw or touched and then beyond them to third or fourth degrees of separation, in different locations, then you have a real problem.

We aren’t there yet with the novel coronavirus, Bogoch said. “In a week or two, we’ll know which direction this is going,” he added. It has already spread from China to countries in the developing world without robust systems of public health. If any one of those becomes its own hub of infection, the virus may spread, out of control, around the world. “I still think all efforts should be on containment,” Bogoch said. “But we have to prepare for the situation where that does not succeed.”


A railway station in Changsha, Hunan province in China is disinfected Tuesday to stop the spread of coronavirus.

CNS via Reuters

Trying to catch everyone who might be infected with the virus before or as soon as they arrive in the country is a bit like catching fly balls in the outfield, Bogoch said. “If there’s a bunch of them coming in, you can run around and catch them, but if you’re just getting overwhelmed, lots of them are going to miss you and they’re going to hit the ground.”

All of that said, Hoffman believes the Canadian government has responded to all of this so far about as well it could do. “I am someone who makes a living on criticizing the way that government responds to public health issues. And when I look at the federal government’s response to this outbreak, I’ve been really impressed,” he said. For Canadians worried about the virus, he believes, that should count for a lot.

“I would say this outbreak has my full attention,” he said. “But I also think people should be paying more attention to things that are actually greater risks, like the seasonal flu, like having a good night’s sleep, like not smoking tobacco.”

• Email: rwarnica@nationalpost.com | Twitter:

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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.

The Canadian Press. All rights reserved.

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