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After a year of growing vaping concerns, critics urge the federal government to take control – Ottawa Citizen

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In recent years, vaping has gone from a phenomenon to a crisis among Canadian teens and young adults, say researchers.


Vaping may be helping some adults quit smoking, but use of vaping products among young people is growing alarmingly.


Adnan Abidi / REUTERS

Fifteen years after they were introduced in Canada, e-cigarettes made headlines in 2019 with a spike in vaping-related illnesses and soaring rates of youth vaping.

If 2019 was the year of the vaping scare, observers and critics are hoping that 2020 will be the year in which Canada gains some control over the issue.

Before the year was over the federal government began taking steps in that direction by announcing a ban on promotion of vaping products in spaces where young people could see them, including on social media. It also announced that e-cigarettes must carry mandatory health warnings and must be child resistant.

Critics want to see the government go much further when it comes to reducing teen vaping.

The mandate letter to newly appointed federal Health Minister Patty Hajdu suggests the government could go further. The letter, released in mid-December, tells the health minister to “tackle the rapid increase in vaping among young people,” in collaboration with other levels of government by taking regulatory action to “reduce the promotion and appeal of vaping products to young people and by educating the public to raise awareness of health risks.”

The federal government and others have their work cut out.

In recent years, vaping has gone from a phenomenon to a crisis among Canadian teens and young adults, researchers say.

In groundbreaking research, Professor David Hammond of the University of Waterloo found that between 2017 and 2018 vaping increased by a stunning 74 per cent among Canadian teens between the ages of 16 and 19. His ongoing research suggests there has been a similar increase in youth vaping in 2019 and Hammond believes numbers of youth vaping could go higher yet.

The Canadian Student tobacco, Alcohol and Drugs survey for 2018-2019 found e-cigarette use by students doubled between 2016-17 and 2018-19. Twenty per cent of students surveyed (approximately 418,000) had used e-cigarettes in the past 30 days, an increase from 10 per cent the last time the survey was done in 2016-17.

The figures are shocking, but likely no surprising to those who have been seeing the first-hand evidence in schools and other places teenagers frequent.

In Ottawa and elsewhere, schools have taken the doors off bathrooms to try to control vaping, without much luck. Teachers report students vaping in class — exhaling into the sleeves to try to hide it and vaping wherever they can.

The huge spike in teen vaping is likely related to high rates of nicotine in Juul e-cigarettes and other popular products.

Before Juul came along, there were almost no e-cigarette brands with more than 20 mg of nicotine for each millilitre of e-liquid. That is the limit in Europe. But in North America, Juul contains 57 mg of nicotine. The federal government only limits nicotine to 66 mg or below.

The biggest change in the market, said Hammond, is that Juul designed a product that could deliver higher amounts of nicotine while remaining smooth tasting. The result has been high rates of nicotine addiction, mainly among youth.

Along with spiking teen vaping rates, dramatic and deadly cases of vaping-related illnesses have been in the news, especially in the U.S. where 52 people have died and more than 2,400 have been hospitalized. In Canada, 14 cases of vaping related illness have been reported.

The acute illnesses and deaths in the U.S. have been linked to the additive Vitamin E acetate in THC in most cases.

A study published in December, found e-cigarette users were significantly more likely to develop long-term chronic lung disease than non-smokers.

The issues have occurred against a backdrop of weak or non-existent federal regulations in Canada, which has been consulting on tougher regulations. Some provinces have toughened their laws, including a ban on the sale of flavoured vaping liquid in New Brunswick and a reduction in nicotine levels in British Columbia.

Hammond said Health Canada has failed to properly regulate the product and as a result has failed both the adult smokers who could use them to quit cigarettes and the teenagers who have become addicted to nicotine.

E-cigarettes, he noted, are less harmful than cigarettes, but they are also highly addictive: “It might not make sense to sell them beside the chips and chocolate bars.”

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Meanwhile, many of the adult smokers who could reduce their harm by switching to e-cigarettes are no longer interested. “Adults don’t want to go near them. Everyone sees this as something 15-year-olds grab on the way to a party.”

Ottawa’s Dr. Andrew Pipe said the federal government needs to step up with tougher regulations. The existing regulations are tepid, he said, and have left a regulatory vacuum. Even the changes announced at the end of the year do not come close to what he and others want to see — notably banning flavoured e-cigarettes.

Pipe, who is considered the country’s foremost expert on smoking cessation, was instrumental in developing the Ottawa Model for Smoking Cessation at the University of Ottawa Heart Institute. He wants to see flavoured e-cigarettes banned and limits on nicotine, in addition to the restrictions on where they can be sold and mandatory health warnings, which have been announced.

One of the sad ironies of the lack of regulation, Pipe said, is that the potential of e-cigarettes to be used as harm reduction “has now essentially been squandered. No responsible clinician is now going to entertain the use of e-cigarettes as a harm reduction aid. Their potential for harm reduction has gone out the window.”

Pipe urged the new federal minister of health to act strongly to turn around soaring youth vaping rates buy using emergency powers to expedite changes while longer-term regulations are being developed.

“We are dealing with an urgent, emergent public health issue which many have labelled a crisis.”

epayne@postmedia.com

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Health Canada approves updated Moderna COVID-19 vaccine

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TORONTO – Health Canada has authorized Moderna’s updated COVID-19 vaccine that protects against currently circulating variants of the virus.

The mRNA vaccine, called Spikevax, has been reformulated to target the KP.2 subvariant of Omicron.

It will replace the previous version of the vaccine that was released a year ago, which targeted the XBB.1.5 subvariant of Omicron.

Health Canada recently asked provinces and territories to get rid of their older COVID-19 vaccines to ensure the most current vaccine will be used during this fall’s respiratory virus season.

Health Canada is also reviewing two other updated COVID-19 vaccines but has not yet authorized them.

They are Pfizer’s Comirnaty, which is also an mRNA vaccine, as well as Novavax’s protein-based vaccine.

This report by The Canadian Press was first published Sept. 17, 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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These people say they got listeria after drinking recalled plant-based milks

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TORONTO – Sanniah Jabeen holds a sonogram of the unborn baby she lost after contracting listeria last December. Beneath, it says “love at first sight.”

Jabeen says she believes she and her baby were poisoned by a listeria outbreak linked to some plant-based milks and wants answers. An investigation continues into the recall declared July 8 of several Silk and Great Value plant-based beverages.

“I don’t even have the words. I’m still processing that,” Jabeen says of her loss. She was 18 weeks pregnant when she went into preterm labour.

The first infection linked to the recall was traced back to August 2023. One year later on Aug. 12, 2024, the Public Health Agency of Canada said three people had died and 20 were infected.

The number of cases is likely much higher, says Lawrence Goodridge, Canada Research Chair in foodborne pathogen dynamics at the University of Guelph: “For every person known, generally speaking, there’s typically 20 to 25 or maybe 30 people that are unknown.”

The case count has remained unchanged over the last month, but the Public Health Agency of Canada says it won’t declare the outbreak over until early October because of listeria’s 70-day incubation period and the reporting delays that accompany it.

Danone Canada’s head of communications said in an email Wednesday that the company is still investigating the “root cause” of the outbreak, which has been linked to a production line at a Pickering, Ont., packaging facility.

Pregnant people, adults over 60, and those with weakened immune systems are most at risk of becoming sick with severe listeriosis. If the infection spreads to an unborn baby, Health Canada says it can cause miscarriage, stillbirth, premature birth or life-threatening illness in a newborn.

The Canadian Press spoke to 10 people, from the parents of a toddler to an 89-year-old senior, who say they became sick with listeria after drinking from cartons of plant-based milk stamped with the recalled product code. Here’s a look at some of their experiences.

Sanniah Jabeen, 32, Toronto

Jabeen says she regularly drank Silk oat and almond milk in smoothies while pregnant, and began vomiting seven times a day and shivering at night in December 2023. She had “the worst headache of (her) life” when she went to the emergency room on Dec. 15.

“I just wasn’t functioning like a normal human being,” Jabeen says.

Told she was dehydrated, Jabeen was given fluids and a blood test and sent home. Four days later, she returned to hospital.

“They told me that since you’re 18 weeks, there’s nothing you can do to save your baby,” says Jabeen, who moved to Toronto from Pakistan five years ago.

Jabeen later learned she had listeriosis and an autopsy revealed her baby was infected, too.

“It broke my heart to read that report because I was just imagining my baby drinking poisoned amniotic fluid inside of me. The womb is a place where your baby is supposed to be the safest,” Jabeen said.

Jabeen’s case is likely not included in PHAC’s count. Jabeen says she was called by Health Canada and asked what dairy and fresh produce she ate – foods more commonly associated with listeria – but not asked about plant-based beverages.

She’s pregnant again, and is due in several months. At first, she was scared to eat, not knowing what caused the infection during her last pregnancy.

“Ever since I learned about the almond, oat milk situation, I’ve been feeling a bit better knowing that it wasn’t something that I did. It was something else that caused it. It wasn’t my fault,” Jabeen said.

She’s since joined a proposed class action lawsuit launched by LPC Avocates against the manufacturers and sellers of Silk and Great Value plant-based beverages. The lawsuit has not yet been certified by a judge.

Natalie Grant and her seven year-old daughter, Bowmanville, Ont.

Natalie Grant says she was in a hospital waiting room when she saw a television news report about the recall. She wondered if the dark chocolate almond milk her daughter drank daily was contaminated.

She had brought the girl to hospital because she was vomiting every half hour, constantly on the toilet with diarrhea, and had severe pain in her abdomen.

“I’m definitely thinking that this is a pretty solid chance that she’s got listeria at this point because I knew she had all the symptoms,” Grant says of seeing the news report.

Once her daughter could hold fluids, they went home and Grant cross-checked the recalled product code – 7825 – with the one on her carton. They matched.

“I called the emerg and I said I’m pretty confident she’s been exposed,” Grant said. She was told to return to the hospital if her daughter’s symptoms worsened. An hour and a half later, her fever spiked, the vomiting returned, her face flushed and her energy plummeted.

Grant says they were sent to a hospital in Ajax, Ont. and stayed two weeks while her daughter received antibiotics four times a day until she was discharged July 23.

“Knowing that my little one was just so affected and how it affected us as a family alone, there’s a bitterness left behind,” Grant said. She’s also joined the proposed class action.

Thelma Feldman, 89, Toronto

Thelma Feldman says she regularly taught yoga to friends in her condo building before getting sickened by listeria on July 2. Now, she has a walker and her body aches. She has headaches and digestive problems.

“I’m kind of depressed,” she says.

“It’s caused me a lot of physical and emotional pain.”

Much of the early days of her illness are a blur. She knows she boarded an ambulance with profuse diarrhea on July 2 and spent five days at North York General Hospital. Afterwards, she remembers Health Canada officials entering her apartment and removing Silk almond milk from her fridge, and volunteers from a community organization giving her sponge baths.

“At my age, 89, I’m not a kid anymore and healing takes longer,” Feldman says.

“I don’t even feel like being with people. I just sit at home.”

Jasmine Jiles and three-year-old Max, Kahnawake Mohawk Territory, Que.

Jasmine Jiles says her three-year-old son Max came down with flu-like symptoms and cradled his ears in what she interpreted as a sign of pain, like the one pounding in her own head, around early July.

When Jiles heard about the recall soon after, she called Danone Canada, the plant-based milk manufacturer, to find out if their Silk coconut milk was in the contaminated batch. It was, she says.

“My son is very small, he’s very young, so I asked what we do in terms of overall monitoring and she said someone from the company would get in touch within 24 to 48 hours,” Jiles says from a First Nations reserve near Montreal.

“I never got a call back. I never got an email”

At home, her son’s fever broke after three days, but gas pains stuck with him, she says. It took a couple weeks for him to get back to normal.

“In hindsight, I should have taken him (to the hospital) but we just tried to see if we could nurse him at home because wait times are pretty extreme,” Jiles says, “and I don’t have child care at the moment.”

Joseph Desmond, 50, Sydney, N.S.

Joseph Desmond says he suffered a seizure and fell off his sofa on July 9. He went to the emergency room, where they ran an electroencephalogram (EEG) test, and then returned home. Within hours, he had a second seizure and went back to hospital.

His third seizure happened the next morning while walking to the nurse’s station.

In severe cases of listeriosis, bacteria can spread to the central nervous system and cause seizures, according to Health Canada.

“The last two months have really been a nightmare,” says Desmond, who has joined the proposed lawsuit.

When he returned home from the hospital, his daughter took a carton of Silk dark chocolate almond milk out of the fridge and asked if he had heard about the recall. By that point, Desmond says he was on his second two-litre carton after finishing the first in June.

“It was pretty scary. Terrifying. I honestly thought I was going to die.”

Cheryl McCombe, 63, Haliburton, Ont.

The morning after suffering a second episode of vomiting, feverish sweats and diarrhea in the middle of the night in early July, Cheryl McCombe scrolled through the news on her phone and came across the recall.

A few years earlier, McCombe says she started drinking plant-based milks because it seemed like a healthier choice to splash in her morning coffee. On June 30, she bought two cartons of Silk cashew almond milk.

“It was on the (recall) list. I thought, ‘Oh my God, I got listeria,’” McCombe says. She called her doctor’s office and visited an urgent care clinic hoping to get tested and confirm her suspicion, but she says, “I was basically shut down at the door.”

Public Health Ontario does not recommend listeria testing for infected individuals with mild symptoms unless they are at risk of developing severe illness, such as people who are immunocompromised, elderly, pregnant or newborn.

“No wonder they couldn’t connect the dots,” she adds, referencing that it took close to a year for public health officials to find the source of the outbreak.

“I am a woman in my 60s and sometimes these signs are of, you know, when you’re vomiting and things like that, it can be a sign in women of a bigger issue,” McCombe says. She was seeking confirmation that wasn’t the case.

Disappointed, with her stomach still feeling off, she says she decided to boost her gut health with probiotics. After a couple weeks she started to feel like herself.

But since then, McCombe says, “I’m back on Kawartha Dairy cream in my coffee.”

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