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'There will be more deaths': COVID-19 outbreak in nursing home leaves small cottage community reeling – CBC.ca

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Lloyd Thomas wishes he was well enough to take his wife out of the Pinecrest Nursing Home in Bobcaygeon, Ont., where COVID-19 has killed nine residents since late last week

Thomas has nothing but praise for the nursing home, located in a town of around 3,500 people in Ontario’s cottage country about 150 kilometres northeast of Toronto, but the virus that has infected its residents has him fearing for her safety.

“I was afraid my wife’s going to die,” he said in an interview with CBC News. 

Thomas said a doctor at the facility told him his wife, Annabelle, is fine. But Thomas, who lives in Bobcaygeon, is 86, and Annabelle is two years older and has Alzheimer’s disease, meaning there’s little he can do but hope that she emerges healthy from the outbreak.

The facility is home to 65 residents. Since a news release went out March 26 reporting that two residents at the home had died, seven more have succumbed to COVID-19, the disease caused by the novel coronavirus.

Michelle Snarr, the medical director of Pinecrest, said three other residents have tested positive for COVID-19. More than a third of the home’s staff — 24 people — also tested positive, and test results for six other staff members are pending, according to the Haliburton, Kawartha, Pine Ridge District Health Unit.

‘It’s grim’

“There will be more deaths. It’s grim. It’s heartbreaking,” said Michelle Snarr, the medical director of Pinecrest. 

“We get more heartbreaking news all the time. I’ve been in practice for 32 years. I’ve seen a lot of bad stuff happen, but I don’t remember anything with this level of sadness.”

It’s unclear how the outbreak began, whether it came from a visitor to the facility or a new resident. But the number of cases and deaths within the small nursing home has stunned many in the community. 

“It’s pretty sad for a little community like this,” said area resident Bob Hetherington.

It was neighbours who first told Thomas about the deaths at the nursing home.

A sign of support sits outside Pinecrest Nursing Home, which is located in a small community in Ontario’s cottage country, about 150 km northeast of Toronto. (Evan Mitsui/CBC)

“Absolutely, I was shocked,” he said.

Sarah Gardiner, a nurse at Pinecrest who has worked at the home for 12 years, had a similar reaction. 

“I’ve been doing this a long time, never run into a situation like this,” she said.

“To have so much death occurring so quickly in such a short space of time and just to watch the effect on the community, not only the community of Pinecrest Nursing Home but the community of Bobcaygeon. 

“People are frightened, and it’s just overwhelming.”

Home turned upside down

When Gardiner arrived Saturday afternoon for work, having just returned from Vancouver, everything at the nursing home had changed, she said.

Equipment was all over the place, and everyone was walking around in full protective gear.

“The nursing home felt like a war zone,” said Gardiner.

Bobcaygeon, a small town made somewhat famous by the Tragically Hip song of the same name, is located in the Kawartha Lakes region, an area dotted with cottages.

Gardiner said she never imagined an outbreak like this could occur in such a small, out of the way, tourist area.

“You would think, OK, maybe in the city in one of the bigger [seniors] homes. But how it happened here, I don’t know,” she said.

“I really care about those people, and we’re losing them, and they can’t even see their family in many cases because we are in lockdown.”

Window visits

In some instances, family members are only able to communicate through the window of the nursing home, with a wave. 

“Unfortunately, by the point that happens, many of these residents are so ill that they’re not aware of what is happening around them and that their family is there,” Gardiner said.

“It’s a very lonely situation for the residents, and that makes it very heartbreaking.”

Ian Handscomb, right, his wife, Carol, left, and his father, Bill. Bill is a resident at Pinecrest Nursing Home, and his wife and son have been unable to visit him in person since the outbreak so have been waving to him through a window. (Submitted by Ian Handscomb )

Ian Handscomb and his mother have been doing regular “window visits” with his father, Bill, who suffers from advanced Parkinson’s disease.

“What we do is sit outside his window and [talk] through writing on signs. We’re able to kind of keep in contact through that way,” he told CBC’s As It Happens.

But the past week, he says, has been an emotional rollercoaster. 

“We think maybe we’ve got to a good spot where they’re starting to make some progress, then we hear it’s ramping up again,” he said.

“And it’s very emotional for the families, and the whole community in Bobcaygeon are touched by this horrible, horrible situation.”

Handscomb lives in Toronto but has relocated to Bobcaygeon to be with his mother.

“We never thought in little Bobcaygeon, away from a big metropolis, that it would be one of the [disease] epicentres of Ontario.”

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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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