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After 3 years of COVID-19, here's how Canada's 'endemic' future may look – q107.com

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On March 11, 2020, the world came to a screeching halt when the World Health Organization declared the COVID19 outbreak a global pandemic.

Schools across the world shut down, workplaces turned remote and the fast-spreading virus revealed the fragility of many countries’ health-care systems. Since then, the virus has claimed close to seven million lives, of which more than 51,000 were Canadians.

Fast-forward three years and COVID-19 hospitalizations and deaths are declining, more than 70 per cent of Canadians have contracted the virus at least once and effective vaccines and treatments paired with previous infection have allowed many to live somewhat normal lives again.

Some experts now say the pandemic is slowly transitioning to an endemic state — when a disease, like COVID-19, is consistently present, often within a particular area or region. Examples of this include the flu, malaria, ebola and hepatitis B.

“I think we are seeing that point,” explained Dr. Zain Chagla, infectious disease physician and associate professor at McMaster University in Hamilton.

“We are seeing death rates lower since the beginning of the pandemic, we’re seeing health care utilization slowing, we are seeing the population having immunity to this,” he said.

Dr. Theresa Tam, Canada’s chief public health officer, echoed this sentiment.

Speaking at a media conference Friday, she said Canadians should not expect a surge of COVID-19 in the upcoming months.

“We are now at a point in Canada where COVID-19 activity has reached a relatively steady state. In recent months there have been no distinct variant-driven waves,” she said. “Over the past six to eight months COVID-19 hospitalizations have been relatively stable despite the ongoing spread of Omicron subvariants.”

In light of the good news, Chagla warned COVID-19 will be around for “quite some time as it’s reached every corner of the Earth,” meaning there will be future challenges with infection and hospitalization – especially for older and immune-compromised Canadians – just like there is with influenza every year.

But if the virus is here to stay, at least in the near future, will society ever be able to recover when a persistent threat of a new variant remains just over the horizon?

New variants are likely to circulate, Chagla warned, but the impact may not be as profound as it was in 2020 or 2021.

Many have been infected with Omicron or had a vaccine and because most of the population has seen the virus as well as a vaccine, it makes a higher barrier for health destabilization to happen,” he explained.

Danielle Rice, assistant professor at McMaster University in the Department of Psychiatry & Behavioural Neurosciences, said if there are more variants on the horizon, it may cause anxiety for some, but many people may have become accustomed to the consistent threat of a new variant of concern.

Rice, who is also a clinical and health psychologist in supervised practice at St. Joseph’s Healthcare, said people’s mental health has been “resilient” during COVID-19 and likely will continue.

“There have been challenges, such as folks that may feel distressed with the reality that we may be living with COVID-19, but on the other end are folks adapting to this new reality,” she explained.

“In general that’s how anxiety works, the more we are exposed to something, the less anxiety we face.”

New variants may emerge in the future, but testing for COVID-19 may not be as prevalent, Chagla said.

Instead, the message from health officials may be simply to stay at home if you are sick, he added.

“I think the guidance of staying home while sick is more effective from a long-term standpoint,” he explained. “Rather than saying, with one disease you isolate and another disease, you don’t isolate.”

At the end of January, Health Canada announced it was ending shipments of rapid antigen tests to provinces and territories.

Supply is not an issue as Ottawa and provincial health authorities have millions of rapid tests in their stockpile. However, demand appears to be waning, according to officials.

“It’s not surprising, just given the fact that we are starting to see this gradual transition out of the pandemic into a little bit more of normal life,” said Dr. Gerald Evans, infectious disease specialist at Queen’s University in Kingston, Ont.

“So it may be that a year from now or so, the rapid test may not be necessarily useful,” he told Global News.

As the virus has mutated over time, the emergence of new variants has also reduced the sensitivity of the antigen tests, said Evans.

But, Evans argued that cutting back on supply might make it difficult for people who want to continue testing themselves, and many may have to start paying for it.

If people end up having to buy them, Evans suspects most won’t be keen on spending out of their pocket.

Last week, Canada’s national vaccination advisory body advised high-risk individuals to get another COVID-19 booster shot, starting this spring.

The National Advisory Committee on Immunization’s (NACI) recommendations said an additional vaccine shot may be offered for people at a higher risk of severe illness, such as the elderly, those living in long-term care homes, and Canadians who are immunocompromised.

Chagla explained that focusing on boosting the high-risk population is likely the approach Canadian health officials will keep using in the future.

“We are starting to see a switch (of booster campaigns) to really focusing on highest risk and focusing less on lower risk populations,” Chagla said.

Although vaccine rates are dropping among the lowest-risk population, he noted it’s still too early to say if Canada will soon recommend an annual COVID-19 booster.

In January, the U.S. Food and Drug Administration (FDA) asked its scientific advisors to consider simplifying COVID-19 vaccination to encourage most adults and children to get a once-a-year shot to protect against the virus.

Under this proposal, Americans would no longer have to track how many shots they’ve received or how many months it’s been since their last booster.

Canadian health officials have not indicated whether they are considering a similar proposal, but in a statement to Global News, Health Canada said NACI “continues to monitor evolving evidence, including evidence on the potential need or benefit of booster shots, and will update recommendations as required.”

As Canadians start heading into a new COVID-19 chapter, one where federal health officials are moving towards treating the virus like a “regularly occurring disease,” experts warn not to forget about the vulnerable population.

“Going into this pandemic phase … for most people that means going back to normal. But it’s important that resources for the highest-risk populations are maintained,” Chagla said.

“If we’re going to cut back on testing, we really do need to make sure testing is still there for the high-risk population. And if we’re going to cut back on vaccinations, vaccinations need to be easily accessible to those people that need to get them.”

Rice agreed.

She explained that pre-pandemic, society made sure to focus on protecting infants, the elderly and the immunocompromised from getting infected during the cold and flu season.

It will be the same battle moving forward with COVID-19.

“These are some transferable skills that are actually now able to take to the COVID-19 pandemic, potentially going to this endemic situation,” she said.

— with files from Teresa Wright and Global News’ Saba Aziz

© 2023 Global News, a division of Corus Entertainment Inc.

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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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