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B.C. to relax COVID-19 rules later than most other provinces — but it had fewer to begin with – CBC.ca

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For much of the COVID-19 pandemic, B.C. has been a bit of an outlier — and is likely to remain so.

The province is set this week to announce its strategy and timeline for easing restrictions put in place to combat COVID-19. But much like its strategy over the past two months in containing outbreaks and limiting freedoms, B.C.’s strategy for opening up the province will differ from much of Canada.

First, nothing will “reopen” this week: Premier John Horgan is expected to outline the broad strokes of B.C.’s plan on Wednesday, but it won’t be until the middle of the month before things take effect. And, rather than delivering a long list of which stores should open, the province will instead give guidelines to industries that may have voluntarily closed over the past two months. 

That’s despite British Columbia having a lower hospitalization rate than Alberta, Ontario or Quebec, all of which have already announced reopening plans.

While some guidelines for individuals are expected to be issued — specifics on how many people can attend a dinner party are being discussed, for example — the focus will be on giving people broad rules for how they can safely practise a “new normal”, as Health Minister Adrian Dix as put it, until a vaccine is found.  

All the while, the province’s emergency powers will allow it to continue shutting down any business that fails to operate in a safe manner. 

However, because B.C. shut down relatively few activities to begin with — except for eating in restaurants, personal service providers like hairdressers or nail salons, and activities where more than 50 people are in the same area — the province has fewer things to reopen than many other parts of the country. 

Several golf courses that voluntarily shut down for March and April, including Vancouver’s Fraserview Golf Course, have either reopened or are planning to in the coming days. (Maggie MacPherson/CBC)

Still weeks away

Waiting an extra few weeks to begin reopening will provide the province greater confidence in avoiding an immediate relapse, epidemiology experts say.

“Different provinces are taking different approaches because there is no textbook for what we’re going through,” said Mohsen Sadatsafavi, a University of British Columbia professor specializing in disease modelling and projection.

“But we probably need to buy more time, because every day and every week that goes on, our models have more data to crunch to provide predictions on, and those intervals become narrower and narrower. 

“And once they are narrow enough that both ends of the interval — either the pessimistic prediction and optimistic predictions are in the same neighbourhood — then you can have a mitigation policy.”

Education over enforcement

The government’s plan fits with its broad strategy throughout the pandemic of encouragement and education over enforcement. 

The province continues to trend on the right path, says Daniel Coombs, a UBC mathematics professor who has been working with the provincial government in developing its projections.

B.C. has the fewest per capita deaths of any U.S. state or Canadian province with more than five million people.

However, the province will likely continue having isolated outbreaks — similar to those at the Mission Institution and three Lower Mainland poultry plants — for some time to come. 

“The key to continuing that good downward suppression is … having the conditions to keep community transmission from popping back up again right,” Coombs said.

The government has estimated that while contacts in B.C. are around 30 per cent of “normal”, they could increase by up to 60 per cent by the end of May without causing a resurgence of the virus. 

Government officials have told CBC News its strategy continues to be predicated on ensuring that any easing of restrictions keeps the province at below a 60 per cent contact level. 

It’s why Coombs says community transmission can remain low as some activities open back up — but people need to continue to use common sense around physical distancing and proper hygiene.  

“Let’s keep skirting around each other in the grocery store,” he said.

“Let’s do all those little things that we can to try to cut out a few transmissions here and there. They’re all valuable, and that will allow other things potentially to open up which may be more important.”

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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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