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After long-term care, Quebec private seniors residences a growing COVID-19 concern – Pipeline News

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MONTREAL — A slow but steady rise of COVID-19 cases in Quebec’s private seniors residences in recent weeks is causing concern among experts and authorities, who want to avoid the disaster that befell long-term care homes during the first wave of the novel coronavirus.

As of Wednesday evening, there were 39 private residences in Quebec with 180 COVID-19 cases between them listed on the government’s website. Four among them were described as “critical” because more than 25 per cent of their residents were infected.

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In comparison, only 20 long-term care homes were listed as having cases. One facility was listed as critical.

Yves Desjardins, the head of a group representing hundreds of seniors residences, says the number of facilities affected and the total number of COVID-19 cases in the network remains low. He said, however, managers are watching the trend carefully.

Unlike the first wave of the virus, which was concentrated in long-term care, the second has the virus spreading throughout the community, according to health officials. Desjardins says community spread poses a risk for people living in seniors residences because they are generally more active than are residents of long-term care homes.

“We have a clientele that is much more autonomous, that move around, families coming to visit, workers coming to the residence,” Desjardins said in a recent interview. “The virus is circulating in the community, and we’re in the community.”

Health Minister Christian Dube has expressed concern about cases appearing in private seniors homes, known as RPAs. On Sept. 15, he tightened health directives in those facilities, mandating that masks be worn in common areas such as hallways and elevators.

“The RPAs, for me, that’s our next problem if we’re not careful,” he said on Sept. 15.

Seniors residences must record the names of guests, who are required to wear masks. Despite the rules, there have been some outbreaks.

The four seniors residences listed as critical are located in the Quebec City area and in the region to its south, called Chaudiere-Appalaches. The RPA called Villa Ste-Rose in Laval, north of Montreal, has seen cases jump from four to 18 in recent days.

Dube said this week that while some cases in seniors residences are unavoidable, public health is contacting each place to ensure infection-control measures are being followed.

Louis Demers, a professor at Quebec’s public administration school, known as Ecole nationale d’administration publique, says the province should be concerned.

By raising the salaries of orderlies in long-term care homes, he said the government may have lured people away from the public sector. That attempt to reverse critical staff shortages in long-term care has the potential to increase seniors residences’ dependence on employment agencies.

“If your personnel is insufficient, and you have to choose between not giving a woman a bath, or giving one by someone who might have the virus, what do you do?” he said in a recent interview.

A major issue that contributed to hundreds of deaths in long-term care homes in the spring was the fact employees worked in more than one facility, often carrying the virus with them to vulnerable and captive populations.

Desjardins said it’s nearly impossible to “100 per cent” ensure staff only work at one residence, especially when some health professionals come in and out to provide services.

He said, however, that owners of residences generally ask staffing agencies to ensure personnel don’t rotate between facilities. When it comes to professionals providing medical services, they are asked not to visit multiple places in the same day, he explained.

Both Demers and Desjardins said private seniors residences are better prepared to face a second wave than long-term care homes were prepared to face the first wave of the novel coronavirus last spring.

Owners have a set of clear guidelines explaining which measures to impose based on the alert levels in their regions, covering everything from visitors to cafeteria dining. Infection-control measures are now known and understood, and personal protective equipment such as masks are available, Desjardins said.

Demers said the population in seniors residences are healthier than in long-term care homes and generally live in their own small apartments, which makes distancing easier. They’re also less likely to suffer from cognitive problems such as dementia.

He believes the government’s biggest challenge when it comes to private seniors homes is to find the right balance of measures that will protect people from the virus while allowing them the social contact that’s essential to their mental health.

After witnessing the hardships caused by the restrictive measures placed on seniors homes last spring — such as including banning all visitors and limiting movement — there’s little appetite for another lockdown, he said.

This report by The Canadian Press was first published Sept. 25, 2020.

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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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