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Around 410 London, Ont. students remain suspended for lacking vaccine records

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Around 410 London and Middlesex area students remain suspended from school as of Wednesday evening for lacking submitted immunization records with the Middlesex-London Health Unit.

MLHU officials say that while over 1,100 students were set to be suspended Wednesday, that number had dropped to 675 by 11 a.m. and then again to 410 by 5 p.m. as parents submitted proper documentation.

The local health unit resumed suspending elementary or high school students in January for not having up-to-date immunization records.

Because there are so many students lacking documentation with the health unit, the suspensions are being done in seven different cohorts between January and the end of May. The suspensions this week are for the fourth cohort.

Dr. Alex Summers, the medical officer of health for Middlesex-London, says it is not a mandatory vaccination issue but instead a mandatory reporting issue.

“We know that there is probably a number of students out there that have received the vaccines, but we just don’t have their records,” said Summers.

Under the Ontario Immunization of Student Pupils Act, Grade 1-12 students are required to have up-to-date immunization reporting for nine preventable diseases. If a student’s vaccination or a valid exemption is not recorded, the local health has the authority to issue school suspensions.

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Students must be immunized against diphtheria, tetanus, polio, measles, mumps, rubella, meningococcal disease and whooping cough. Kids born in 2010 or later are also required to have the chickenpox shot.

Once a child is vaccinated, families are responsible for submitting the updated records to the health unit or submitting an exemption.

The health unit began the process of getting immunization records updated again a little under a year ago, sending out 42,000 letters last school year to families with missing records.

The first two cohorts in January and February had a combined 2,300 suspensions from 7,600 notices issued a month before the suspensions.

“Rapidly, many of those students come off the suspension list because that due date really helps people move forward with submitting records or getting vaccinations done,” said Summers.

None of the students suspended in the first two cohorts remain away from school.

The third cohort, which had its suspensions begin on March 1, has had the vast majority of students return to school, with less than 60 continuing to be suspended from 3,300 notices.

A spokesperson for the Thames Valley District School Board says the board supports all students who are not able to learn in-person, no matter the reason.

“Educators post work in the digital classrooms and families can reach out to the school/educator directly for independent learning activities,” said the board in a statement in Global News.

The MLHU has run 28 special clinics since the start of 2023 to help students and parents catch up on vaccinations that may have been missed during the COVID-19 pandemic. Over 2,000 people have received over 4,000 vaccines during the special clinics.

Summers says catch-up clinics will continue to run into April to give families every opportunity to get caught up on vaccines. And while the issue is considered a documentation and not a vaccination issue, Summers says vaccines are essential to a healthy life.

“Because of the vaccines we have available to us, we have a much significantly higher quality of life than we used to a 100 years ago,” said Summers.

“Without high vaccination coverage in our region, we will see outbreaks locally.”

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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.

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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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