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Experts explain why it is important for Ontario residents to get the flu shot this year

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Ontario experts are urging everyone to get their flu shot this year in order to prevent the health-care system from being flooded with both influenza and COVID-19 patients as the province grapples with a potential second wave.

Speaking with CTV News Toronto, infectious disease specialist Dr. Isaac Bogoch said while it’s important to get the vaccine every year, it’s even more important during a global pandemic.

“People often think it’s just the sniffles or a cold, but it’s not,” Bogoch said. “It can be a very, very serious infection, especially in elderly populations, in young children and in people with underlying medical conditions.”

“It’s nasty and it’s incredible that a vaccine is available.”

According to the Ontario Medical Association (OMA), influenza kills an estimated 3,500 Canadians and hospitalizes 12,000 Canadians in a year—yet only about 40 per cent of the adult population gets the flu shot.

This year, with the threat of a COVID-19 resurgence, experts are saying that getting the flu shot will not only protect an individual from influenza, but it may also help prevent the spread of the virus to others and help keep people out of health-care centres.

Dr. Samantha Hill, president of the OMA, told CTV News Toronto that if an outbreak of influenza happened as the province was dealing with a second wave of COVID-19 it would “really strain the system, which is already working overtime to prevent surges in hospitals and community clinics.”

“With COVID-19 at the moment, all we can do is social distancing and hand hygiene and masking. But with the flu, we do have the option of getting the flu vaccine that, you know, depending on the year is variably effective but it is our best defense.”

Speaking on the potential strain on the health-care system, Bogoch added “we know it’s already going to be busy with COVID-19 cases, especially in the fall, in the winter.”

“If we can reduce the burden on the health-care system through high uptake of influenza vaccine, we’ll be doing something right. Anyone who is on the fence, this is the year to get it.”

When is the flu shot going to be available in Ontario?

Experts say the flu shot should be available in the next few weeks, but the Ontario Ministry of Health was unable to confirm that information. In an email to CTV News Toronto, a spokesperson said the ministry is working with the federal government and participating programs to gain access to the influenza vaccine “as soon as possible this fall.”

“More details on timing for influenza vaccination will (be) available soon.”

The ministry has also not confirmed how many doses of the vaccine they will be ordering, but said they ordered 4.72 million doses for the 2019-2020 influenza season in Ontario.

“Ontario has been working with federal, provincial and territorial partners through the National Bulk Purchasing Program to secure additional doses of influenza vaccine for the 2020-2021 season,” the ministry said. “Ontario has ordered more of the high dose vaccine to further protect seniors.”

Hill said that while people may think it would have been better for the flu shot to be rolled out earlier, it’s done in the fall because the influenza virus can continue to mutate throughout the flu season.

“One of the reasons it doesn’t get rolled out in like, August, is because by the time the main flu season came around, you would have essentially selected out for a virus that isn’t part of that stream.”

“In some ways the more effective, the vaccine is, the more other streams will try and populate.”

Hill added that it will be important to prioritize the high-dosage flu shot for seniors and those with acute medical conditions as there will likely be a limited supply.

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If you think you have the flu, what should you do?

The symptoms of COVID-19 and influenza are incredibly similar—so much so that doctors say there is pretty much no clinical way to distinguish the two.

Symptoms that overlap can include fever, cough, fatigue, sore throat, runny nose, muscle pain and headaches.

Instead of going into a doctor’s office, the OMA is urging anyone who experiences these symptoms to stay home, call their physician or Telehealth Ontario, and get a COVID-19 test if necessary.

“Try not to go out in public unless you have to,” Hill said. “So, you shouldn’t be going, not just to your doctor’s office, but you shouldn’t be going to work, you shouldn’t be going shopping, you shouldn’t be going for a walk in the park unless you absolutely need to get something and there’s no one else who can help you. As soon as you start to have any of the COVID symptoms you should basically be self-isolating.”

At the same time, Hill added that physicians are available to see patients in-person if someone is feeling unwell.

“Call your doctor figure out what the best way to move forward is,” she said.

“It is important to remember those two facts, that one is once you start to get sick you should be staying home, and that if you’re really not feeling well or even if you’re not sure, that you can always call your doctor for more information and more advice.”

Are doctors prepared for the flu season this year?

Both Hill and Bogoch have said that while many physicians have moved some of their services online, they are prepared to provide the flu shot in-person.

“I think this stage in the game is, we know what physical distancing is, we know what mask wearing is, we know what hand hygiene is,” Bogoch said. “I think we will be able to (distribute the flu shot) in a safe and responsible manner.”

The OMA agreed, but also said they are working with the government to help create more physically distanced spaces for people to get their flu shot and to ensure that health-care workers have enough personal protective equipment.

“A lot of physician’s offices aren’t modifiable,” Hill added. “They lack the kind of infrastructure that you need to safely see the volume of the patients, which is why they have been seeing them by virtual care when possible.”

“It’s challenging to visualize being able to see the 340,000 patients a day that Ontario doctors were seeing without other systemic changes and that’s been part of an ongoing discussion that we’ve been having with government and we are committed to working collaboratively.”

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Who should get the flu shot?

The flu season typically runs from late fall to early spring. It is recommended that everyone older than six months should get the flu shot. Those under the age of four should get it at their doctor’s office or a local public health unit, while anyone else is permitted to get it at a pharmacy or clinic.

For those over the age of 65, there is a high-dose vaccine available.

Officials say that it takes about two weeks for the vaccine to take effect.

At the same time, health professionals are still urging everyone to remain vigilant and practice proper hand hygiene and physical distancing—as both will help curb the spread of COVID-19 and the flu.

“Especially as everyone’s going back to school and things are getting hairier and the numbers are climbing up a little bit. We knew that this was going to be what the fall looks like, it’s not a surprise to anyone. But I think people are getting tired,” Hill said.

“We’re all in this together.”

Source:- CP24 Toronto’s Breaking News

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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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