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AIDS conference: Experts criticize global monkeypox response – CTV News Montreal

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A panel of scientists and activists at the AIDS 2022 conference in Montreal urged worldwide governments over the weekend to ramp up resources to handle the monkeypox outbreaks.

The plea came as international experts gathered on Sunday to discuss the necessity to avoid reproducing mistakes made during the early HIV response.

Marina Klein, research director and professor of medicine at the division of infectious diseases and chronic viral illnesses service at McGill University in Que., said Montreal could set an example as it becomes crucial to improve the monkeypox global response.

“There was a very rapid response in Montreal to address the rising infections, with the implementation of a very liberal and open, accessible vaccine,” Klein said in an interview on Sunday.

Montreal was the initial epicentre of outbreaks in Canada, with about 360 confirmed cases as of July 29. There are now more than 800 confirmed cases of monkeypox in the country.

But the rate of infections has started to stabilize and hit a plateau in Montreal, Klein said.

“Part of that has come directly from the Public Health Department but also with the involvement of the community, which has been the key to educating about the importance of the vaccine,” she said.

Klein, however, said she worries other provinces, in particular Saskatchewan, won’t have the same ease to connect with vulnerable communities.

“Although there are only two cases as far as identified … we know that in Saskatchewan there’s been many challenges, both with HIV and sexually transmitted infections, especially among vulnerable populations including Indigenous communities,” Klein said.

She stressed the importance of community engagement and having a vaccine response ready to go, but also the need to study the extent of monkeypox transmission.

“We did respond rapidly, but nowhere in the world responded rapidly enough to address this and get rid of this in the short time frame that we needed to,” she said.

“Now we are going to have to switch our gear and think about how do we control this over the long term.”

Her criticisms were echoed by several other speakers at Sunday’s conference.

Keletso Makofane, a public health researcher at Harvard University, called the monkeypox global response “worse than the initial HIV response.”

Over 19,000 cases of monkeypox have been reported over the last few months from 78 countries, mostly among men who have sex with other men.

“We knew enough to have done a lot better to have contained this thing,” Makofane said in an interview, adding that the general fatigue from fighting COVID-19 made the monkeypox response slower than it should have been.

Makofane also decried thousands of vaccine doses sitting in Denmark while the number of cases continues to climb.

Unlike the numerous companies that made COVID-19 vaccines, Denmark’s Bavarian Nordic is the only maker of the vaccine used against monkeypox.

“It’s scandalous and it’s worse than HIV in the sense that we have the tools to respond,” Makofane said.

Dr. Meg Doherty, director of the World Health Organization’s global HIV, hepatitis and STIs programs, told the attendees an equitable approach is crucial to ensure the tools are available not only to wealthier countries, but also in Africa where monkeypox is traditionally found.

“Thirty-five countries have been accessing or asking to have access to the vaccines … is there a risk that countries who are putting in (requests) for access are coming from rich countries? That’s quite a possible risk,” Doherty said on Sunday.

“We want equity. We can’t have a monkeypox response that is only responding to the U.K., Canada and the United States.”

The international AIDS 2022 conference — from July 29 to Tuesday — is expected to attract more than 9,000 delegates from around the world, with another 2,000 registered to participate remotely.

This report by The Canadian Press was first published July 31, 2022.

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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.

The Canadian Press. All rights reserved.

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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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