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Elevated risk of Monkeypox in Saskatchewan: SHA – CTV News Regina

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The Saskatchewan Health Authority (SHA) has alerted the public to the elevated risk of acquiring Monkeypox through anonymous sexual contact.

“So far we’ve had three cases, who were exposed out of the province,” said Saskatchewan’s Chief Medical Health Officer, Dr. Saqib Shahab.

“We think the situation has changed now, in the last week. Where we have had evidence of exposures happening in Saskatchewan, in many cases happening through anonymous sexual contacts with people who have been coming into the province.”

Shahab noted that the exposures were happening almost exclusively to those in the gay, bisexual and men who have sex with men (gbMSM) community.

“We think now that there is a higher risk that we may see ongoing transmission within Saskatchewan … particularly in this community.”

Shahab noted that these trends were similar to what is being seen across Canada. He urged those in Saskatchewan at risk not to hesitate and reach out.

“If you belong to the gbMSM community it’s really important that at the first sign of illness you do contact the Healthline (811) for advice and seek testing and isolate till the diagnosis is made.”

INCREASED ELIGIBILITY FOR VACCINES

The SHA announced that Monkeypox vaccine requirements would be expanded to both post and pre exposure, following the alert.

The Public Health Agency of Canada has set aside 99,000 doses of the vaccine, with 50,000 doses being given to provinces so far, according to Shahab.

Those eligible for vaccinations include select high-risk contacts 18 years and older who are identified ideally within 4 days and up to 14 days after an exposure. Those who are at a high risk of exposure are also eligible. The SHA’s criteria includes:

  • Are transgender or self-identify as two spirit, bisexual, gay or men who have sex with men (MSM)

And one or more of the following:

  • Have had a recent sexually transmitted infection (in the past six months);
  • Report having had two or more sexual partners in the past six months;
  • Had (in the past six months) or plan to have sexual contact involving an exchange of money or other goods for sexual services;
  • Report having had (in the past six months) or planning to have sexual contact at an event or social gathering where there is MSM-themed sexual activity (sauna, bath house, club);
  • Have had (in the past six months) or plan to have sexual contact with an anonymous partner (at an event or via a hook-up app);
  • Planning to travel in the next three months to an area in Canada or internationally currently reporting monkeypox cases;

OR

  • Individuals 18 years and older who work or volunteer at an event or social gathering where there is MSM themed sexual activity (sauna, bath house, club).

The SHA has outlined how to properly isolate and protect others while contagious with Monkeypox on its website.

Monkeypox is a rare viral illness that causes fever, headache, swollen lymph nodes and lethargy, followed by the development of a rash over a person’s body. The disease is not easily spread from person to person according to the SHA. Monkeypox is spread through:

  • Close, personal, often skin-to-skin contact.
  • Touching bodily fluids or lesions of a person who is sick with the disease.
  • Exposure to contaminated objects such as bed linens or clothing.

There are currently around 30,000 Monkeypox cases globally, with approximately 1,000 of those occurring in Canada.

Saskatchewan’s current criteria for vaccination and its overall approach has been informed by other provincial responses such as in Ontario and Quebec, according to Shahab.

“We really hope that by this approach in Saskatchewan we can try to avert a quick or high surge of cases and also prevent further transmission.”

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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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