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Brace for highly contagious new COVID-19 variant that can re-infect – Windsor Star

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Local health officials warned Friday that Windsor-Essex is at the precipice of a seventh COVID-19 wave, with a new strain that is highly contagious and easily re-infects its victims.

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“It seems to have an ability to evade the immune system,” said Dr. Wassim Saad, chief of staff at Windsor Regional Hospital. “There have been case reports of patients acquiring this variant twice within a month, which is something we did not see with any previous variant.

“Previously, if you had an infection you felt relatively protected because your immune system was going to protect you for at least a few months and sometimes up to six months. That is absolutely not the case with this variant.”

Dr. Kieran Moore, Ontario’s chief medical officer, told the Canadian Press this week that the province is officially in a seventh wave of the COVID-19 pandemic. The province is set to make a decision next week about potentially expanding the eligibility for fourth doses of the vaccine, he said.

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The culprit is an Omicron subvariant called BA.5, which is quickly becoming the dominant strain of the virus.

“I think it’s generally accepted that BA.5 is going to have a higher burden of disease,” said Dr. Shanker Nesathurai, acting medical officer of health with the Windsor-Essex County Health Unit.

Saad said the Windsor region generally lags behind Toronto and other larger regions in Ontario by a couple weeks, so the worst of this wave is likely yet to come. Nesathurai said it’s possible the new wave could continue to swell through the summer.

“We’re going to see increased disease activity in the near and intermediate term,” he said. “I am concerned about persistent disease activity in the fall as we have more people being indoors.”

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The pandemic is not over

The concern is that, while BA.5 infections do not appear to be more severe than previous variants, more people are likely to become infected. That could lead to more hospitalizations for the elderly and people with other health issues.

Windsor Regional Hospital is already short on beds and dealing with an overburdened emergency room, where the wait time for a first assessment by a doctor often stretches beyond five hours.

Saad said the hospital had to halt elective surgeries for a couple days this week because of a bed shortage.

“It shows you that we’re teetering right on the edge,” he said. “There’s not a lot of flexibility in the system and we don’t have a lot of capacity. Any added strain on the system is going to hurt it.

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“It’s one of those things where we always talk about being close to a breaking point. But if this seventh wave is a significant one, knowing that we’re going into the summer months at or above capacity, it could be devastating for our ability to deliver safe and adequate health care in our region.”

  1. Painful wait. Retired nurse Lorraine Carnelos, 78, shown at her Windsor home on Monday, July 4, 2022, said she had to recently wait roughly 18 hours at a Windsor hospital ER before getting potentially life-saving surgery.

    Windsor Regional Hospital grapples with highest ER wait times in Ontario

  2. A 3D-printed model of a SARS-CoV-2 particle,

    COVID-19 is claiming community residents’ lives in Windsor-Essex, says region’s top doc

Nesathurai said it’s time for renewed vigilance.

“We have to change our strategy,” he said. “Part of that is when we have higher disease activity we should have a greater number of public health restrictions.”

The health unit still recommends that people wear masks indoors where they’re out of their own homes. Nesathurai added that only 35 per cent of people in Windsor-Essex are caught up on their vaccinations. The recommended number of doses and boosters varies depending on age and health status.

“I think the fact that we have only 35 per cent of people who are up-to-date on their vaccinations concerns us that perhaps as a community we could be more vigilant in trying to manage COVID-19,” said Nesathurai.

“The pandemic is not over.”

twilhelm@postmedia.com

twitter.com/WinStarWilhelm

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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.

The Canadian Press. All rights reserved.

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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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