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Omicron infections past peak in Canada, but hospitalizations still rising, Tam says – National Post

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Deaths from Omicron are still high — the number of daily deaths averaged 168 in the last week, Tam said, the highest it has been since the early days of the pandemic

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Canada has moved past the worst of the Omicron variant of coronavirus on some parameters, but Canadians still need to be prudent as hospitalizations were continuing to rise, the country’s top health official said Friday.

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Multiple indicators, including daily case counts and test positivity rates, now suggest that Omicron infections have peaked nationally, chief public health officer Theresa Tam told reporters at a briefing Friday.

“Getting to perhaps the peak is one thing but coming down the other side of the wave includes a lot of people could get infected, and some of them could potentially be infected with BA.2,” Tam said, referring to a subvariant of the Omicron variant that has been recorded in some European countries.

Canada has detected over 100 cases of BA.2, which does not appear to be causing more severe illness than the original Omicron. The new variant does not have the specific mutation seen with Omicron that can help to easily distinguish it from Delta, but the main Omicron variant was still behind the vast majority of COVID-19 infections.

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While the seven-day average case count dropped 28 per cent as of Wednesday, compared with the week earlier, hospitalizations due to COVID continued to increase during the same period and over 1,200 patients were getting treated in intensive care units on average daily.

Deaths from Omicron are still high — the number of daily deaths averaged 168 in the last week, Tam said, the highest it has been since the early days of the pandemic in April and May 2020.

“Presently lagging indicators are still rising … this is why it continues to be important to limit spread as much as possible,” Tam said.

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The National Advisory Committee on Immunization is now recommending teenagers with underlying conditions or at high risk of COVID-19 exposure get a booster shot.

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Tam said kids and adolescents are still at low risk of serious illness in general from COVID but because of the high rate of infection due to Omicron more kids are being admitted to hospital.

Health Canada data suggest in the last week 251 children under 12 and 84 adolescents between 12 and 19 were admitted to hospital with COVID-19.

Those data are not broken down by vaccination status but Tam said teenagers with two doses are at very low risk of severe outcomes, which is why for now Canada isn’t following the U.S. Centers for Disease Control and Prevention and recommending all adolescents get a third shot.

Just over half of Canadian children five to 11 now have their first dose, while 82 per cent of teens 12 to 17 are fully vaccinated. Most kids five to 11 only became eligible for a second dose in late January and there is no talk of boosters for that age group yet.

NACI’s new advice for teenagers between 12 and 17 is to get a booster if they have an underlying medical condition or live in congregate settings or racialized or marginalized communities that have been hard hit by COVID-19 infections.

The booster should be six months after their last dose, and would include fourth doses for teenagers with severely compromised immune systems who got a third dose as part of the primary vaccination series.

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B.C. mayors seek ‘immediate action’ from federal government on mental health crisis

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VANCOUVER – Mayors and other leaders from several British Columbia communities say the provincial and federal governments need to take “immediate action” to tackle mental health and public safety issues that have reached crisis levels.

Vancouver Mayor Ken Sim says it’s become “abundantly clear” that mental health and addiction issues and public safety have caused crises that are “gripping” Vancouver, and he and other politicians, First Nations leaders and law enforcement officials are pleading for federal and provincial help.

In a letter to Prime Minister Justin Trudeau and Premier David Eby, mayors say there are “three critical fronts” that require action including “mandatory care” for people with severe mental health and addiction issues.

The letter says senior governments also need to bring in “meaningful bail reform” for repeat offenders, and the federal government must improve policing at Metro Vancouver ports to stop illicit drugs from coming in and stolen vehicles from being exported.

Sim says the “current system” has failed British Columbians, and the number of people dealing with severe mental health and addiction issues due to lack of proper care has “reached a critical point.”

Vancouver Police Chief Adam Palmer says repeat violent offenders are too often released on bail due to a “revolving door of justice,” and a new approach is needed to deal with mentally ill people who “pose a serious and immediate danger to themselves and others.”

This report by The Canadian Press was first published Sept. 16, 2024

The Canadian Press. All rights reserved.

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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.

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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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