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Canadian research network examining pregnancy and COVID-19 – CTV News

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VANCOUVER —
Clinicians and epidemiologists don’t yet know much about COVID-19 and pregnancy, says the leader of a newly formed national network that’s aiming to fill in those gaps.

“We scoured the literature and found a real limited amount of information, of course, at the beginning, from China and a little bit more from Europe,” said Dr. Deborah Money, a professor in obstetrics and gynecology at the University of British Columbia’s faculty of medicine.

That early information ranged from “quite dreadful predictions of what might happen to much more benign,” said Money, who is a sub-specialist in reproductive infectious diseases.

She’s heading up the new network of physicians and researchers that is examining maternal and infant outcomes among pregnant women who fell ill with COVID-19.

She said every province and territory has signed on to work with local public health departments and collect data.

“We’re actually hoping to collect every single, solitary, identified COVID-19 positive pregnancy, regardless of when it happened, and collect it through the evolution of the pandemic,” Money said in an interview on Friday.

They’re focused on variables including the mother’s age, the age of the fetus at the time of her COVID-19 infection, the severity of the infection and whether the mother required hospitalization or intensive care treatment. They are also looking at what happens during delivery and whether the mother chooses to breast feed, as well as the newborn’s weight, Money explained.

Some of Money’s colleagues are exploring women’s experiences of pregnancy during COVID-19 overall, regardless of whether they contracted the illness.

Money also sits on the infectious diseases committee for the Society of Obstetricians and Gynaecologists of Canada, whose members are working to provide up-to-date guidelines for pregnant women and new parents during the pandemic.

She said Canadian clinicians have taken a different approach to their counterparts in China and the United States when it comes to handling deliveries and post-natal care.

“We have not done what other jurisdictions have done, which is if the mom has COVID, they separate the baby from the mom,” she said.

Canadian doctors have “erred on the side of bonding is best,” in part based on lessons from SARS and H1N1, said Money, adding that newborns and mothers with COVID-19 are generally kept together unless the case is more serious.

As long as the new parents don face masks and adhere strictly to an array of precautions, Money said the benefits of allowing contact between a mother and her newborn are high.

The likelihood of transmission through breast milk is next to none, she added.

Money advises mothers with milder illness not to cuddle or sit with their babies when they’re not breast feeding and to frequently wash their hands.

“We have not seen a high rate of transmission in that setting. So, super careful close quarters like that seem to be reasonably safe,” she said.

Those previous respiratory viruses have also offered insight into the effects of COVID-19 on babies in utero, said Money, noting they don’t cross the placenta and cause infection for fetuses.

She said research is ongoing, but clinicians believe that’s also the case for the novel coronavirus.

“The babies, for the most part, appear to be well,” she said.

“We are early days and we must add a degree of caution around that until we fully follow those infants out longer term. But generally speaking, we’re being very reassuring.”

However, Money said if the expectant mother has a severe case of COVID-19 and ends up in intensive care, that could be problematic for the fetus.

This report by The Canadian Press was first published June 13, 2020.

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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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