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Raymond Boudreau heard about Santé Montréal’s walk-in monkeypox vaccination clinic from a friend, who had heard it from his hairdresser Wednesday afternoon.
“(The vaccine reaches) full effect or close to full effect after one week. That’s very encouraging. It’s a relief, just like the COVID vaccine.”
Raymond Boudreau heard about Santé Montréal’s walk-in monkeypox vaccination clinic from a friend, who had heard it from his hairdresser Wednesday afternoon.
“The hairdresser mentioned they were doing vaccines here; we weren’t even aware,” Boudreau said of the clinic on de Maisonneuve Blvd. E., at the edge of the Gay Village.
Boudreau’s friend convinced him to get vaccinated, too.
“He told me it was worth it,” said the 70-year-old. “I said, ‘I don’t know.’ I was already vaccinated against smallpox when I was younger. He told me it would be even safer to get vaccinated (again), so here I am.”
Montreal is the epicentre of the monkeypox virus in North America, with 126 confirmed cases as of Tuesday, accounting for 7.9 per cent of the World Health Organization’s total of 1,600 confirmed cases in 39 countries so far this year, which caused 72 deaths.
All the cases in Montreal so far are among men, though the WHO has said the high number of cases in this group may be, as has been seen before, the product of “positive health-seeking behaviour in this demographic.”
That behaviour was on display Wednesday, as several Montrealers answered the call of the ramped-up vaccination campaign by municipal and provincial health authorities, targeting “men who plan to or are having sexual relationships with men.”
Pierre (who preferred not to give his real name), 55, looked dapper exiting the clinic in a lime green suit. He wasn’t too concerned about catching monkeypox, but got vaccinated just to be safe.
“I’m not really the type to go to clubs and have casual encounters,” he said, “but if ever the occasion presents itself — it’s more for that (reason I came).”
Kyle, 32, knows of friends of friends who contracted the virus.
“It seemed to not be a good experience for them,” he said, “and from everything I had read, (the vaccine) is safe and effective, so I thought I would get it.”
Emerging from the clinic, he felt good about his decision and prepared for whatever the next few months may hold.
“I definitely feel more protected for the summer season,” he said. “We’re going to have a lot of new people coming into the city, a lot of mixing up of everybody, so it feels good to be protected on that level.”
The virus appears to be transmitted by close, prolonged physical contact, Quebec says. The disease can be transmitted five days before symptoms appear and until all lesions have crusted over.
Danny Lapierre, 52, got vaccinated because “I’m in contact with a lot of people in the gay community, so there’s a potential danger,” he said. “And I have a stronger reaction to STIs (sexually transmitted infections) — I know there’s no link, but I didn’t want to be very sick.”
He wasn’t sure he felt any safer being vaccinated, but knew he had done the right thing.
“I did what I had to do, voilà,” he said, adding that he had gotten jabbed “to avoid propagation, for me and so as not to spread it, as well. I’m a good soldier. You tell me to do it, and I go.”
Michael (not his real name), 56, got vaccinated not due to any immediate concern, but out of caution.
“Cases are still very low,” he said, “but it could spread, so just to be ready in case it does.”
Asked whether the threat of monkeypox was changing people’s behaviours, he replied that it was “limiting behaviours, I would say.”
He came after hearing about the vaccination campaign on the news Tuesday night, and was happy with his choice.
“Apparently (the vaccine reaches) full effect or close to full effect after one week,” he said. “That’s very encouraging. It’s a relief, just like the COVID vaccine.”
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.
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.
The Canadian Press. All rights reserved.
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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