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Respiratory illnesses surge beyond pre-pandemic numbers in Nunavut

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IQALUIT, Nunavut — Nunavut health officials say there has been a surge of respiratory illnesses across the territory this year.

Dr. Sean Watchel, the territory’s chief public health officer, says cases of respiratory syncytial virus, or RSV, along with the flu and COVID-19 have increased dramatically.

“That’s reflected across the country, that increase from opening up after the pandemic restrictions,” he said during a press conference Thursday.

Nunavut lifted all COVID-19 public health restrictions in April.

Before the pandemic, in 2018-19, there were 142 cases of RSV in Nunavut. That dropped to 58 cases in 2019-20 and just two in 2020-21.

Watchel said there have been 493 RSV infections and 86 hospitalizations so far this year.

COVID-19 infections are also in the rise in the territory. Watchel said there were 269 cases and four hospitalizations in 2020, 598 cases and nine hospitalizations in 2021, and 3,155 known infections and 84 hospitalizations in 2022.

A total of 10 deaths attributed to COVID-19 have been reported in the territory since 2020.

Watchel said flu cases in Nunavut this year have nearly tripled pre-pandemic levels. There were 212 cases in 2019, 145 in 2020, 13 in 2021, and 635 this year so far.

The rising number of respiratory illnesses in Nunavut reflects a nationwide trend as many hospitals and clinics across Canada have reported an increasing number of patients, particularly children.

Dr. Francois de Wet, territorial chief of staff for Nunavut’s Department of Health, said the increase in cases in Nunavut has put pressure on the territory’s medevac system.

“We’ve had a large uptick in the amount of medevacs that we’ve had over the last couple of months,” he said, adding all of the territory’s southern partners are currently accepting Nunavut patients.

“The big thing for us, as long as we have accepting providers and accepting facilities in the South, we are able to get those patients out.”

Coupled with the increase in infections, Nunavut is grappling with a shortage of health-care staff, leading to reduced and suspended health services across the territory.

The territory’s Department of Health said Thursday it is expecting health centres in Chesterfield Inlet, Clyde River and Kinngait to temporarily close in the coming weeks. Several other health centres have also faced closures this year due to staff shortages.

The department said it has developed contingency plans to allow for urgent health services in affected communities using a combination of virtual health, fly-in clinics and paramedic services. It said it is also “aggressively pursuing recruitment efforts.”

“From a staffing perspective, our system across Nunavut is fragile right now,” Health Minister John Main said. “And things are also fragile in the south and the word crisis is being used quite often.”

This report by The Canadian Press was first published Dec. 15, 2022.

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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.

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