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Two new COVID cases announced in Nova Scotia, Strang says people are lying to contact tracers – Halifax Examiner

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Dr. Robert Strang, Nova Scotia’s chief medical officer of health, speaks during Friday’s COVID-19 briefing.

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Nova Scotia’s premier and chief medical officer of health defended the province’s vaccine rollout and urged people to tell the truth if contacted public health during Friday’s COVID-19 briefing.

The province announced two new cases on Friday — one each in the Northern and Central zones, both close contacts of previously reported cases. There are 32 known active cases in Nova Scotia and no one is in the hospital with the disease. Labs completed 2,010 tests on Thursday.

Here are the new daily cases and seven-day rolling average since the start of the second wave (Oct. 1):

And here is the active caseload for the second wave:

At the start of Friday’s briefing, Premier Stephen McNeil said Nova Scotia had administered 7,600 doses of vaccines by the end of Thursday, 2,200 front-line healthcare workers had received both doses, and all frontline workers and long-term care residents at Northwood’s Halifax campus had received their first dose.

“I know there’s lots of concerns with how our vaccination program is rolling out,” McNeil said. “Dealing with this vaccine is not the same as dealing with the flu.”

Those concerns — primarily that Nova Scotia is behind all other provinces in the percentage of acquired doses it’s administered — are contemplated in Friday’s Morning File.

McNeil said the province will continue to hold onto a second shot for anyone given a first dose until the province is guaranteed there won’t be an interruption in supply.

“And right now, we don’t have that guarantee,” he said.

McNeil said the province will now report vaccine numbers twice weekly, instead of once a week. Strang suggested the province may ramp up to daily reporting.

Strang said Nova Scotia had received about 13,000 doses by Thursday, and those were all either used or held back for second shots. Another 10,000 doses were delivered on Thursday, and Strang said those would be used or reserved by the end of next week.

“Our goal is to make sure that we have a constant and steady supply of vaccine going to clinics. We don’t want to have a surplus of vaccine in the province,” Strang said.

“We have to make sure people have access across the province, so we have to make sure we ship vaccine in an equitable basis to multiple locations … It’s an ongoing balancing act to make sure that what we receive goes out to clinics in a timely way and is used.”

Strang faced numerous questions about who will get the vaccine and when, and how it will roll out in Phase 2.

Much more vaccine is coming in April or May, Strang said, and when that happens the province will shift from immunizing only select groups of people in hospitals and long-term care facilities to immunizing people in the community based on age.

Strang said the province would start piloting clinics for people 80-85 years and older in February or March, but most seniors will have to wait until the spring for their shots.

Public health is working on a process for directly and individually notifying people when it’s their turn to be immunized, Strang said, rather than advertising generally.

Asked when people with underlying conditions who are under the age of 75 will be immunized, Strang suggested they’ll have to wait, saying age will be the first priority.

“Age is by far the single biggest predictor of risk for severe outcomes of COVID,” he said, adding that people with those underlying conditions in the older age group will be prioritized.

Tell contact tracers the truth, Strang and McNeil plead

Strang said during Friday’s briefing that there have been recent cases of people lying to contact tracers with public health.

“It’s been recently brought to my attention that in a few of our ongoing investigations by public health, there are some individuals who have been very deliberately not following the public health regulations, and they have not been truthful and honest about their movements and people they have been in contact with,” Strang said.

“I have to say I’m very disappointed by this news. By not following public health orders or disclosing contacts, these individuals are putting other people’s lives unnecessarily at risk.”

Strang said the issue isn’t widespread, but in a few cases people have broken their quarantine and exceeding gathering limits and then lied about who they’ve been in contact with. Public health found out when they traced their way back to a previous positive case.

Giving public health accurate and full information is “critically important” to minimize community spread, Strang said.

“The lack of information has put us in a position where we weren’t able to respond and there’s been further transmission of the virus, which is unfortunate,” he said.

Strang urged people who think public health orders don’t apply to them to reflect.

“We’re one of the safest places certainly in the country, if not globally, but we can only stay here if we continue to stay committed,” Strang said.

McNeil reiterated that people should be honest with public health.

“We’re not looking in any way to judge your movement or decisions that you have made. Our No. 1 goal and only goal is to capture and wrap our arms around this virus as quickly as we can so it doesn’t spread within the community,” McNeil said.

“We’ve come so far. The private conversations you have with public health will be private between you and public health. Please, please tell them everything, all the contacts that you have. We’ll protect your information at the same time we protect health for Nova Scotians.”


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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.

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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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