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P.E.I. partners with researchers looking into STI testing at pharmacies

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A new study wants to look into how making testing for sexually transmitted and blood-borne infections (STBBIs) more accessible can impact the health of Prince Edward Islanders.

A group of researchers with Memorial University’s School of Pharmacy has partnered with organizations and government agencies across Canada — including Health P.E.I. — to explore testing for such diseases at community pharmacies.

The team has been granted $2 million in federal funding. Some pharmacies in Nova Scotia, Newfoundland and Alberta are already offering accessible testing for HIV, hepatitis C and syphilis as part of the study.

Debbie Kelly, director of the Medication Therapy Services Clinic at the MUN School of Pharmacy, is leading the project.

“Just like if you were going to get counselled about how to inject yourself with insulin, for example, you’d be taken into the private counselling room in the pharmacy,”  she said. “The pharmacist would describe to you … sort of the benefits and the limitations of the different tests, and then they would administer the tests.”

Point-of-care tests for HIV, hepatitis C and syphilis tests provide patients with results right away, though if they’re reactive they still have to be confirmed by a lab.

Results for dry spot tests, which only require the prick of a finger, take a couple of weeks, Kelly said.

 

Information Morning – NS8:51Atlantic Canadian researchers want to make STI testing more accessible

Featured VideoResearchers at Memorial University and Dalhousie University talk about a collaborative research program that’s exploring the possibility of offering testing for sexually transmitted infections through local pharmacies.

“In the model that we’ve been studying, the pharmacist can provide a blood work requisition right away. So you can go to the lab and get your blood work done and a direct referral to a physician or a nurse,” she said.

“If it’s negative, then you can get education about how you can protect yourself in future.”

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Kelly said the pharmacy model has shown to be especially successful for vulnerable populations and the LGBTQ community.

Providing easier access to STBBI diagnosis and testing is one of the key points of the provincial government’s new strategy on the file, which the province’s chief public health officer says is still under development.

Pharmacy Plus originally launched with over 30 ailments that could be assessed by a pharmacist. (Nicola MacLeod/CBC)

 

Island Morning7:27Sexually transmitted infections steady on P.E.I.

Featured VideoWe’ll bring you the latest numbers on sexually transmitted diseases here on the Island. Dr. Heather Morrison will tell us about the latest approach to testing and treatment.

Dr. Heather Morrison told CBC News earlier this month the province has already improved the ability to treat STBBIs at P.E.I.’s Sexual Health, Options and Reproductive Services clinic and UPEI’s Health and Wellness Centre.

Morrison said the CPHO is also working with other community organizations to make testing more accessible.

Meanwhile, the province is still working to fill gaps in primary care through its Pharmacy Plus program, which covers consultations for a couple dozen common ailments within pharmacists’ scope of practice.

While there’s been no funding commitment for Kelly’s STBBI testing model in the province yet, the researcher said Health P.E.I. has shown some interest.

“We’re looking to take it to the next level so that we can bring it to your community, especially for people that don’t have a primary care provider or maybe have challenges with accessing care that way,” Kelly said.

“It’s just about offering another option and so far, we’re hearing that people really like having it in their pharmacy.”

 

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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.

The Canadian Press. All rights reserved.

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