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7 residents dead at Scarborough long-term care home battling COVID-19 outbreak – CBC.ca

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Seven residents have died at a Scarborough, Ont., long-term care home in the midst of a COVID-19 outbreak, while 136 other residents and 66 staff members have tested positive for the virus, said the company that owns and operates the facility.

Sienna Senior Living said on its website that the current outbreak at Rockcliffe Care Community, 3015 Lawrence Avenue E., west of McCowan Road, began on Nov. 2. The home has 204 beds. It confirmed the deaths and latest case numbers in an email on Saturday.

“We are grateful to our partners and team members who are working very hard to protect the health of our residents during the second wave of the pandemic. The safety of everyone in our residences is our highest priority as the province experiences unprecedented rates of COVID-19,” Nadia Daniell-Colarossi, manager of media relations for Sienna, said in the email.

Daniell-Colarossi provided no details of the deaths, but expressed condolences to relatives.

The home is working with Toronto Public Health, Scarborough Health Network and Sienna’s physician experts, Dr. Andrea Moser, chief medical officer, and Dr. Allison McGeer, chief infection prevention and control consultant, to respond to the outbreak, Daniell-Colarossi  said.

Measures to reduce further spread of the virus at Rockcliffe include:

  • Full contact and droplet precautions throughout the building.
  • Residents must remain in their rooms, including for meals.
  • Residents may only leave Rockcliffe for essential medical appointments.
  • Group programming is paused until further notice.
  • Only essential caregivers are permitted in the residence.
  • Team members are working in cohorts so they only provide care to a specific group of residents.

“Many lessons were taken from the beginning of the pandemic and in preparing for this second wave, our focus was to enhance our expertise, grow our personal protective equipment (PPE) supply, reinforce our infection prevention and control practices, invest in our residences, support the frontlines, and strengthen communications with residents and families,” Daniell-Colarossi said.

She said staff members are communicating with families through virtual town halls, telephone, email and newsletter updates to keep them up-to-date about measures being implemented to control the outbreak.

The home is located across the street from Scarborough General Hospital.

“Rockcliffe opened its doors in 1972 and, because of the cultural diversity of the 204 residents, is often referred to as Sienna’s very own ‘United Nations,'” its website said.

WATCH | How long-term care homes are battling the second wave of COVID-19: 

Long-term care homes are battling this second wave of COVID-19 — which is proving difficult. Ninety-three long-term care homes across Ontario are reporting outbreaks with hundreds of residents infected with the virus. Ali Chiasson has more. 2:35

Dr. Vinita Dubey, associate medical officer of health for Toronto Public Health (TPH), said in an email on Saturday that the public health unit was notified of the first case at Rockcliffe Care Community on Oct. 30.

She said TPH took action immediately to make sure “outbreak measures” were put in place to protect residents and staff. The public health unit is continuing to investigate.

To prevent further spread of COVID-19 at the facility, TPH has worked with the long-term care home to implement the following:

  • Ensure twice a day screening of residents and staff remains in place to monitor for COVID-19 symptoms and to identify new infections as early as possible.  
  • Implement physical distancing measures and cancel all group activities.
  • Enhancing cleaning, particularly for frequently touched surfaces.
  • Work to make sure that personal protective equipment (PPE) continues to be used appropriately to minimize health risks. 
  • Restrict staff from working on more than one unit within the facility.

“TPH works with all institutions when cases are identified to ensure that prevention measures are in place to prevent further virus spread and assesses the potential for ongoing risk of transmission to staff and vulnerable residents in these settings,” Dubey said. 

She said all cases and their close contacts are also told to go into isolation for 14 days.

Signs direct scheduled visitors at the rear of Rockcliffe Care Community. The long-term care home is one of 100 in Ontario and one of 26 in Toronto with an active COVID-19 outbreak as of Saturday at 10:30 a.m. (Michael Charles Cole/CBC)

“We are very concerned about all COVID-19 outbreaks in long-term care homes (LTCH), and their potentially devastating impact on our parents, our grandparents and our loved ones,” she said.  

“We know that any infectious disease can spread easier and faster in congregate settings, but LTCHs are especially concerning for COVID-19 because these residents are generally older, more vulnerable to infection due to compromised immune systems, or chronic health conditions.”

Vulnerable people at risk when virus spreads, doctor says

Earlier this week, Dr. Eileen de Villa, Toronto’s medical officer of health, had warned that the city must take more steps to prevent people, including those in long-term care homes, from getting sick and dying due to COVID-19. Community transmission can lead to further spread in institutions, she said.

“If action is not taken we can expect to see even more cases of COVID-19, which means more illness and more death. These infections could easily spread further through the health care system, to the long-term care system, to schools and to workplaces,” De Villa said on Tuesday.

“To everyone in Toronto, I want to warn you in the plainest possible terms that COVID-19 is out there at levels we have not seen before. You should assume it is everywhere and that without proper precautions and protections, you are at risk of infection,” she continued. 

“We can’t guarantee what the course of illness looks like. We can’t predict what the long-term effects might be. People recover from it who you wouldn’t expect to live through it. And people you’d think would come through it can die instead.”

The home is located across the street from Scarborough General Hospital. (Michael Charles Cole/CBC)

Home inspected due to complaints, critical incidents

Rockcliffe Care Community is one of 100 long-term care homes in Ontario and one of 26 in Toronto with an active COVID-19 outbreak as of Saturday.

Inspectors with the Ontario long-term care ministry inspected the home due to complaints and critical incidents on July 21, Feb. 21, Jan. 20 and Jan. 7 this year.

Toronto has had a cumulative total of 34,222 COVID-19 cases as of Friday at 2 p.m., with 28,450 marked as recovered, A total of 1,448 people have died of the virus in Toronto, while 164 are currently in hospital.

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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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