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As spread slows slightly, OPH wants Ottawans to fine tune their physical distancing – CBC.ca

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While the rate of COVID-19 transmission in Ottawa has declined over the last two weeks, Ottawa Public Health is calling on residents to take further measures — albeit small ones — to combat the respiratory virus.

At a virtual news conference on Tuesday, Dr. Vera Etches, the medical officer of health with Ottawa Public Health (OPH), said the virus takes advantage of moments where people let their guard down. Despite the messages about the importance of physical distancing, wearing masks and hand hygiene, Etches said there are situations where people seem to forget themselves. 

What’s more, these are often situations where government enforcement doesn’t have jurisdiction — such as in private homes where mandatory mask bylaws don’t apply or at gatherings small enough to be permitted under provincial regulations. Etches referred to these situations as “blind spots.”

“One blind spot is gathering with extended family and larger friend circles and thinking that the risk of COVID-19 isn’t there,” she said. “Another one is socializing before or after a team sport.”

Close contact with people outside your household always poses a risk of transmission, said Etches, no matter who you are.

“People don’t think of these settings like carpooling or meeting up with extended family in the same way they might in terms of going to a gym or going to a bar. So we’re just trying to expand people’s risk assessment.”

Lunch at work often a problem 

One of the most common opportunities for COVID-19 transmission is during lunch breaks between colleagues, said Etches.

Coworkers may spend the entire work day safely distancing and wearing a mask, only to sit together and remove their mask to sip coffee or eat lunch, and inadvertently spread the virus. 

“Employees having lunch together seems to come up over and over,” she said. “Whether it’s in a health-care setting or a school or a workplace … it is what gives the virus an opportunity to spread.”

Dr. Vera Etches, medical officer of health, says Ottawa’s numbers are dropping, though people are still gathering with extended family or socializing before and after team sports. 0:52

Etches said “it’s no one’s fault,” reiterating the virus is often present before people feel sick.

One simple solution is if people have to remove their masks to eat lunch, they ensure they stay at least two metres away from others, she said. 

Case numbers in Ottawa improving

While much of September and October was overshadowed by a rise of the second wave, Etches said on Tuesday, there are signs to be hopeful about.

“I want to say congratulations to the people of Ottawa. There are some encouraging indications that we’re having some success,” she said.

Etches said local health officials are still working on their recommendations for the province as to whether they think Ottawa is ready to relax measures.

The province’s Stage 2 modified measures in Ottawa went into effect Oct. 10 and are set to expire by next month. Health Minister Christine Elliott would not say whether the Ottawa will be allowed to transition to Stage 3 or whether the increased restrictions, on things like indoor dining or gyms, will continue.

As Halloween approaches, Etches still recommends families cancel trick-or-treating and parties and opt for virtual celebrations and walks with household members only to see neighbourhood decorations. 

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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.

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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