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COVID-19: Vancouver Island in a January spike while BC cases decrease

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Dr. Bonnie Henry is calling it a precipice, a plateau from which the novel coronavirus could spring upwards, or decline.

New cases in B.C. have hovered around 500 per day, but on Vancouver Island, numbers have anything but plateaued.

While B.C. is showing a gradual decline in new cases, Island Health is smashing through new highs weekly. The Island took 10 months to reach 1,000 cumulative cases. Three weeks later, that total has already reached 1,458.

What’s behind the exponential increase? Vancouver Island’s Chief Medical Health Officer Dr. Richard Stanwick isn’t sure.

But whatever the cause, the Island is seeing double digit case counts every day in January. The region has registered 25 or more new cases 11 times. Ten of those totals came in the past three weeks.

Contact tracing teams have gone all out — as of Jan. 26, the region had 753 people isolating after being identified as close contacts, and 217 people confirmed as positive. Total cases are still manageable, hospitals are not at capacity.

In fact, Vancouver Island has been able to offer support to Northern B.C., an area that is bursting at capacity for beds.

Most of the current Island cases are within the Central Island region, between the Nanaimo hospital outbreak, some school exposures, and Cowichan Tribes which has had more than 150 cases. The First Nation’s membership is sheltering in place until at least Feb. 5.

Indigenous people are four times more likely to experience the worst effects of COVID-19, Stanwick said.

“This is open to speculation as to why, whether they are under-housed, or a is there a propensity to it? The simple fact is unfortunately they are more vulnerable to the effects,” Stanwick said.

It’s one of the reasons First Nations communities are included in priority vaccinations along with long-term care and assisted living residents and workers.

“The good news is that we have finished immunizing all long-term care clients who have wished to be immunized as of [Jan. 24], and are working hard to complete all of our assisted living by mid-week,” Stanwick said.

But we’re far from out of the woods, even with positive first steps.

“It’s only the first dose they’ve gotten, and this is where I cross my fingers and my toes. It takes 14 days to get a good immune response mounted by the body. So we’re still vulnerable for two more weeks. There is a possibility we could still see outbreaks in our long-term care and assisted living facilities.”

The First Nations Health Authority has set a goal of delivering vaccinations to all First Nations on the Island by the end of March. That process is well underway.

What really worries Stanwick is the rising number of people who have no clue where they contracted the virus. It makes contact tracing nearly impossible, and makes it a lot harder to control the spread.

Take the U.K. variant for example; one Central Island resident caught it while travelling. They passed it to two others, but all three people followed quarantine rules and the strain died there.

The South African variant — which has not yet been found on the Island — is of unknown origin at this time.

“It’s when it surprises us that’s where we worry the most,” Stanwick said.

Vancouver Island’s positivity rate is another concern. Dr. Henry regularly says the goal is to keep it at 1 per cent or below, but the Island is almost at 4 per cent right now.

“We’re still looking at a few months out for wide vaccinations. We are so close, I’d hate to see us backslide into the same situation as the U.K., going into full lock down,” he said.

“The orders [Dr. Henry] puts in place have worked. They’ve gotten us where we are, we’ve just got to hang in a little longer.”

In the meantime, Stanwick said Vancouver Island Health Authority is assigning environmental health officers to identify places where standards are not being met. It’s not a hunt to issue fines, he said, but an effort to help people understand what Work Safe requirements are. However, they are issuing fines to people unwilling to comply.

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Source: – Nanaimo News Bulletin

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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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