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Two US deaths reported amid signs coronavirus has been spreading unchecked for several weeks – World Socialist Web Site

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Two US deaths reported amid signs coronavirus has been spreading unchecked for several weeks

By
Benjamin Mateus

2 March 2020

Two patients infected with Covid-19, the coronavirus that broke out in Hubei province, China last December, passed away over the weekend at the Evergreen Health Medical Center in the Seattle suburb of Kirkland. Doctors said that a man who died on Saturday had no links to anyone who had traveled to, or was in contact with, someone from a high-risk country. He suffered underlying health issues that may have contributed to the course of his illness.

Viral genetic testing has linked his infection to the first case in the US from January. Health authorities therefore worry that the epidemic has been spreading unchecked for several weeks, with hundreds more people possibly infected.

A person is taken by stretcher to a waiting ambulance from a nursing facility where more than 50 people are sick and being tested for the COVID-19 virus, Saturday, Feb. 29, 2020, in Kirkland, Wash. (AP Photo/Elaine Thompson)

Including a man who died on Sunday—the second death in the US—there are six confirmed cases involving elderly residents at a long-term care facility in Kirkland, Seattle, who are at risk due to their confinement and debilitated health status. According to Dr. Frank Riedo, medical director of Infection Control at Evergreen, “This is just the tip of the iceberg … over 50 individuals associated with Life Care [the long-term care facility] are reportedly ill with respiratory symptoms or hospitalized with pneumonia or other respiratory conditions of unknown cause and are being tested for Covid-19.”

Two other “presumptive positive” cases, pending confirmation by the Centers for Disease Control and Prevention (CDC), have been reported in Washington state. One is a teenager in Everett who reported no travel history. Health officials said his symptoms are mild and he will remain in isolation at home. The second case involved a woman in her 50s who had recently been in Daegu, South Korea, the epicenter of the outbreak in that country.

The sudden appearance of Covid-19 cases prompted Washington Governor Jay Inslee to declare a state of emergency. This gives the state additional resources and funding, including the use of the national guard, to prepare for a large-scale outbreak of the disease.

Medical facilities and hospitals have been frustrated by the lack of test kits, while strict guidelines set by the CDC for the testing of individuals has delayed the ability to investigate and track new cases. The Food and Drug Administration (FDA) issued a new policy over the weekend that grants emergency use approval to laboratories and hospitals that have proven they have diagnostic kits that can confirm the presence of the 2019 novel coronavirus, recently named SARS-CoV-2.

The FDA policy states: “To effectively respond to the COVID-19 outbreak, rapid detection of cases and contacts, appropriate clinical management and infection control, and implementation of community mitigation efforts are critical. This can best be achieved with the wide availability of testing capabilities in health care settings, reference, and commercial laboratories, and at the point of care.”

Clinical and hospital laboratories have initiated the process to begin testing for the virus in their facilities. This will allow real-time analysis of the magnitude of the health crisis that has gripped headlines for several weeks. Until recently, the CDC has been able to run fewer than 500 tests in total. Head of the Association of Public Health Laboratories, Scott Becker, told NPR that they expect that more than 40 labs will be able to test for the virus by the end of the weekend and more labs will follow in a short time.

Vice President Mike Pence and Human Health Services (HHS) Secretary Alex Azar made the rounds on the Sunday news shows, continuing with bald assertions that the contagion is under control and the number of outbreaks is quite low. Additionally, they assured viewers that the government was working with private contractors to distribute tens of thousands of test kits.

The negligence on the part of the Trump administration and the HHS—in light of what the World Health Organization, CDC, Medical professionals and scientists have been saying—is unconscionable. When time was of the essence to implement preventive strategies, implement point of care testing, and ensure test kits were available, they were instead engaged in assuring investors that China would be putting its factories back online in short course and declaring that the financial markets were sound. At each step in the development of this threatening health crisis, they have downplayed the seriousness and dangers that this crisis poses.

The case at Travis Airforce Base in California is a case example of gross incompetence. A high-ranking HHS whistleblower exposed that health officials sent to the base were woefully ill-prepared and untrained to assist evacuees from Japan. They not only exposed themselves to infected patients, but then risked the public off the base as they entered and left at their discretion, without regard for public safety.

Aside from the concerns raised by health and government officials, researchers have been able to examine the genetic makeup of the coronavirus from the first infected individual diagnosed on January 21 in Washington state and compare it to the individual that died over the weekend.

Both these individuals lived in the same county, but do not have known contacts with each other. The phylogenetic analysis of the virus’s genetic sequence indicates that the virus which killed the Washington man descended from the first case on January 21. Despite some minor alterations, they both share a rare genetic variation, which implies that the contagion has been spreading in the community for several weeks. Officials did not heed what the scientific reports were warning. Computer modeling places the number of undetected cases at between 150 and 1,000 people.

To appreciate the disastrous development that could have been averted, it helps to review the timeline.

On January 21, Governor Inslee of Washington state announced the first case of Covid-19 in the US. At the time, China was reporting hundreds of cases of a pneumonia-like illness and several deaths caused by a novel coronavirus that was similar to the 2003 SARS virus.

The infected man, who is 35 years old and lives in Snohomish County, Washington, returned from Wuhan on January 15, 2020—before airports had implemented screening measures. While back in Washington state, he began to develop flu-like symptoms. As he was aware of the news about the mysterious virus in China, he sought medical attention four days after his return. He was admitted to Providence Regional Medical center in Everett for treatment.

Specimens collected from him were sent to the CDC in Atlanta, which confirmed he was infected with the Sars-CoV-2 virus. For the first few days, he remained stable with just mild symptoms of cough and fevers. By day five, he developed respiratory difficulty needing supplemental oxygen and was diagnosed with pneumonia. His status worsened, and his doctors decided to administer an unapproved treatment with Remdesivir, a known anti-viral medication that was developed for Ebola but found to be ineffective. It was reported he made a brisk recovery, and his treatment experience was the basis for trials taking place in China and currently being established in the US.

Officials reported that he had been close contact with 65 people during his five days back in the US, including passengers on his flight, a luncheon with a group and patients at a local clinic where he sought medical attention. Local health departments said they were monitoring these individuals daily, but little information was provided on these follow-ups to the media. Additionally, there were 16 doctors and nurses treating him though they had limited contact during his isolation.

On February 4, the Snohomish County man was released to continue his recovery from home. He was to remain isolated and monitored by the Snohomish Health District. By this time, there were 11 confirmed cases of the coronavirus in the United States, with 260 people being monitored across 36 states. Yet, no measures were instituted outside of “monitoring.” It remains unclear if all these individuals were tested or repeatedly reassessed.

The World Health Organization declared a global emergency after mainland China instituted massive lockdowns in several cities. Factories remained shuttered after the end of the Lunar New Year. More than 420 people had died, and new deaths were confirmed in Hong Kong and the Philippines.

By this point, several studies and clinical investigations had highlighted the unusual nature of this infection. It had a high rate of person-to-person passage. It ignored national boundaries and has now affected 68 countries. In most cases, fever is not the initial presenting symptom. It has a very long incubation period, making early detection very difficult. A few patients with negative tests later tested positive after they returned home. Patients that have recovered can be re-infected, though rarely. They can also continue to carry the virus and pose an infectious risk.

The number of countries affected and the number of new cases is accelerating across the globe. Internationally, there are now 89,071 confirmed cases and the death toll stands at 3,039, with the vast majority, 2,803, taking place in China’s Hubei province.

Italy confirmed 566 new cases overnight, with 1,694 infected individuals. The death toll stands at 34. Northern Italy, where the outbreak is taking place, is the country’s industrial engine and accounts for 40 percent of its industrial output. The economy is expected to take major blows.

France has seen 30 new cases bringing to 130 the total Covid-19 infections in that country. President Emmanuel Macron has called for the banning of all gatherings of more than 5,000 people in confined spaces, as well as open environments. This will have a significant impact on sporting events and real estate conferences. It also provides the opportunity to use state measures against political demonstrations, such as the ongoing Yellow Vest protests.

In South Korea, 586 new cases have been registered, outpacing China, where there were 202. Across South Korea, there are now 4,212 confirmed cases and there have been 17 deaths. The city government of Seoul has asked prosecutors to bring charges against the founder of the Shincheonji Church, Lee Man-hee, for ignoring signs of the virus. Samsung Electronics, LG Display, and Hyundai automotive companies are reeling from the implications of resuming productions.

Anxiety is mounting in Iran as people recognize that the government has not come to terms with the potential enormity of the crisis. The virus death toll has reached 54 and the number of confirmed cases 978—though it is feared the figure is far higher. A retired teacher, Ziba Rezaie from Qom, said succinctly, “The smell of disinfectants has become my nightmare. The city smells like a cemetery, a morgue.”

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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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