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Ontario promises to probe 'tragic' situation at Bobcaygeon, Ont., nursing home; at least 25 other facilities have COVID-19 cases – The Globe and Mail

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Only three residents of Pinecrest Nursing Home in Bobcaygeon – visitors seen here on March 30, 2020 – were tested for COVID-19 because of a provincial policy – usually applied in flu outbreaks – that once the virus at the root of an outbreak has been identified, everyone who is symptomatic is presumed to have it.

Fred Thornhill/The Canadian Press

The Ontario government says it will probe a “tragic situation” unfolding at a Bobcaygeon, Ont., nursing home where nine residents have died of COVID-19, but won’t commit to further transparency or testing at seniors’ facilities.

Premier Doug Ford offered condolences and his “heart and prayers” to the families who have lost loved ones at the Pinecrest Nursing Home in Bobcaygeon, a cottage-country town about 150 kilometres northeast of Toronto. As of Monday, 24 staff have also tested positive for the virus, with results pending for another 10.

It is difficult to say how many nursing homes across the province are fighting outbreaks of COVID-19, the respiratory illness caused by the coronavirus. Unlike some provinces, Ontario does not collect that data and publish it in one place. It leaves local public-health units and long-term-care homes to make that information public.

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The Globe and Mail surveyed numerous public-health units in Ontario on Monday and learned of 26 long-term-care homes with at least one case of COVID-19. According to The Globe’s reporting, 17 residents have died of the virus.

As the numbers of cases rise, health-care workers have expressed fear that the pandemic threatens Canada’s older population, with those in nursing homes particularly at risk.

Minister of Long-Term Care Merrilee Fullerton, who is also a medical doctor, said the government began to assess the risks of the pandemic to long-term-care homes weeks ago.

“The reality is that this is a virus that is new to the world and it is a threat, and we are doing everything possible to make sure that all measures are taken to address the issue that happened in Bobcaygeon,” she said at Queen’s Park on Monday.

“This is an evolving case … we will do absolutely everything that we can.”

She said the government will look at “shining a light” on the situation through increased screening and stricter isolation for people being admitted to the home, as well as staff. However, her office later clarified that admissions to Pinecrest have stopped amid the outbreak.

Toronto Public Health says it has six outbreaks in long-term-care homes and one in a retirement home. The hardest hit is Seven Oaks, where two residents have died, 12 are sick and nine staff are affected.

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In Durham Region, two residents in their 90s at Hillsdale Terraces in Oshawa have died after testing positive for COVID-19. A resident of the Promenade Seniors’ Suites & Retirement Residence in the Ottawa suburb of Orleans also died. Anson Place Care Centre, a facility in Hagersville southeast of Brantford, has had seven cases – and one death. Public-health officials in Hamilton declared an outbreak at Heritage Green Nursing Home, where one resident has died of COVID-19 and 16 others are sick, including two who also tested positive. In addition, 10 staff members are ill, with one lab-confirmed case. An 88-year-old man at the Markhaven Home for Seniors in Markham also died of COVID-19 on the weekend.

Ms. Fullerton said it is up to David Williams, Ontario’s Chief Medical Officer of Health, to determine whether outbreaks in long-term-care homes will be reported publicly, and if more than three people in a home will be tested for the virus. Only three residents of Pinecrest were tested for COVID-19 because of a provincial policy – usually applied in flu outbreaks – that once the virus at the root of an outbreak has been identified, everyone who is symptomatic is presumed to have it.

COVID-19 testing kits have been in short supply around the world, but Ms. Fullerton said testing at long-term-care facilities will be a priority.

On Monday, Dr. Williams said it is more challenging to test seniors for COVID-19 because of other medical conditions, which means symptoms are not always as overt.

“We’re looking at more and more finer measures to say, ‘can we detect it earlier,’” he said.

He added that the province will soon release new guidelines for long-term-care homes, including increasing training for staff and improved screening.

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Mary Carr, the administrator of Pinecrest Nursing Home, said in a statement that workers at the home are doing everything they can to keep “our residents, families and team members safe,” including actively monitoring residents for symptoms of COVID-19 and taking “necessary precautions” if they fall ill. “Our residents and staff have shown incredible resilience during this difficult time,” Ms. Carr said.

Sharleen Stewart, president of SEIU Healthcare, which represents 22,000 workers in long-term care, said her union is aware of nine homes where at least one member has tested positive for the coronavirus.

All nine are in the Greater Toronto Area, Ms. Stewart said, including the Markhaven Home for Seniors. York Region’s medical officer of health also said that 43 of the home’s workers were ill, and 12 had tested positive. Another 22 of the home’s residents have symptoms of the virus, five of whom had tested positive.

“We’re pounding our heads against a brick wall. It breaks my heart to be in this situation right now,” Ms. Stewart said.

Candace Rennick, secretary-treasurer of CUPE Ontario, said workers at some homes have not been outfitted with the masks, gowns and gloves they say they need to stop the coronavirus.

“It’s a wildfire spread without the personal protective equipment,” Ms. Rennick said.

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Mr. Ford said on Monday that the government is working to secure more personal protective equipment, but supply will be “seriously challenged” if a massive surge of people enters hospitals over the next two weeks.

Ontario on Monday reported 1,706 confirmed cases of COVID-19, an increase of 351 from Sunday. Total deaths in the province rose to 33 people.

Meanwhile, Dr. Williams strongly recommended that people over 70 and those with compromised immune systems self-isolate, leaving their homes for essential reasons only.

Christopher Mio and Meghan Hoople found themselves jobless and wanting to help in the wake of COVID-19 isolation in Toronto. After flyering their neighbourhood with a free-of-charge offer, they received an outpouring of support and requests from people in need.

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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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