An emergency room physician in British Columbia is warning of the misuse of a cooking tool that requires the use of nitrous oxide, more commonly known as laughing gas.
A statement from Vancouver Coastal Health says Dr. Matthew Kwok reports seeing patients at Richmond Hospital who have intentionally inhaled the gas and suffered drug-induced psychosis and neurological effects.
Nitrous oxide is used in medical and dental offices for sedation and pain, but it is also readily available in small canisters, called whippits, that are attached to a kitchen utensil used to whip cream.
Kwok says addiction to nitrous oxide is possible and non-medical use of the gas can be “extremely dangerous.”
In the December issue of the BC Medical Journal, Kwok reports that no single agency in Canada is tracking non-medical overdoses, despite the dangers posed by the gas which is easily purchased.
Kwok is calling for restricted access to nitrous oxide, safeguards to minimize harm and greater awareness by medical staff and the public about non-medical use of laughing gas.
“When people present at the emergency department with unexplained neurological symptoms it’s important for clinicians to consider nitrous oxide as a possible cause,” Kwok says in the statement.
The article in the BC Medical Journal outlines the case of a 20-year old woman who was hallucinating but had no history of psychiatric or medical illness, although she admitted to daily use of nitrous oxide, and had recently increased her dosage.
“It’s also important for users to know that using this product outside a supervised medical setting can cause serious health effects,” said Kwok.
Polio vaccine boosters offered to kids in London as virus linked to New York case detected – ABC News
Children in London are being offered polio vaccine boosters after sewage samples with the virus were found in multiple areas across the city.
The U.K. Health Security Agency announced Wednesday that all children between ages 1 and 9 across the British capital will be eligible to receive an inactivated polio vaccine booster.
“This will ensure a high level of protection from paralysis and help reduce further spread of the virus,” the agency said in a statement.
“While the majority of Londoners are protected from polio, the [National Health Service] will shortly be contacting parents of eligible children aged 1 to 9 years old to offer them a top-up dose to ensure they have maximum protection from the virus,” Jane Clegg, chief nurse for the NHS in London, added.
There are more than 1 million children between those ages who live in London as of mid-2020, the latest year for which data is available, according to the U.K. Office of National Statistics.
Between February 8 and July 5 of this year, poliovirus has been detected in 19 sewage samples across nine boroughs including at Beckton Sewage Treatment Works in London, which is the largest sewage treatment plant in the U.K.
Recently, a report indicated a polio case in New York was genetically linked to the samples found in the U.K.
Polio vaccines are part of routine immunizations for children. In the U.S., vaccinated children are not recommended to get a booster shot at this time.
According to the UKHSA, the booster program will begin in the areas where the virus has been detected and where vaccination rates are lowest before being rolled out across the city.
“The NHS in London will contact parents when it’s their child’s turn to come forward for a booster or catch-up polio dose — parents should take up the offer as soon as possible,” the agency’s statement read.
On July 21, health officials reported a case of polio was discovered in Rockland County in New York — just north of New York City — in a 20-year-old unvaccinated man.
The man contracted vaccine-derived polio, which means he was infected by someone who received the oral polio vaccine, which is no longer used in the U.S. or the U.K.
The oral vaccine uses a live weakened virus, which — in rare cases — can spread through fecal matter and infect unvaccinated individuals. Comparatively, the injectable polio vaccine, uses an inactivated virus.
As of Aug. 5, 11 samples were genetically linked to the Rockland County patient including six samples collected in June and July from Rockland County and five samples collected in July from nearby Orange County, health department data shows.
However, health officials have said the majority of the population is not at risk for polio because most were vaccinated as part of their regular childhood immunizations, but that it’s important for those who are unvaccinated to get their shots.
The New York State Health Department told ABC News its focus would be on ensuring immunizations.
“Our current focus is to ensure unvaccinated New Yorkers and children get immunized against polio and that they are up to date with their polio immunization schedule,” the department said.
The Centers for Disease Control and Prevention is the organization in the U.S. that makes vaccine recommendations, but has not suggested any such move to add a fifth dose of polio vaccine to the current vaccine schedule underway.
The CDC did not immediately respond to a request for comment from ABC News.
The agency recently told ABC News the U.S. health agency is deploying a team to New York to investigate the case in Rockland County. The team will also administer vaccines in the county.
“These efforts include ongoing testing of wastewater samples to monitor for poliovirus and deploying a small team to New York to assist on the ground with the investigation and vaccination efforts,” the agency said in a statement.
Monkeypox: Manitoba's top doctor gives vaccine update | CTV News – CTV News Winnipeg
Manitoba will be offering more vaccination appointments for monkeypox.
A news release from the province Thursday confirmed that additional appointments will be available “soon,” but no dates were listed.
Appointments can be made online or by calling Health Links-Info Santé at 204-788-8200 or toll-free at 1-888-315-9257.
Manitoba recently expanded eligibility for the monkeypox vaccine, but on Monday, tweeted all appointments were booked.
To date, no monkeypox cases have been found in Manitoba.
Dr. Brent Roussin, Manitoba’s chief provincial public health officer, said the province has a “scarce resource” of the monkeypox vaccine.
“It has to be stored properly, and it’s scarce because there are outbreaks happening in other jurisdictions,” he said. “We want to do whatever we can to avoid any wastage.”
While infections have primarily been reported in the gay, bisexual, and other men who have sex with men (gbMSM) population, Roussin said it is important to avoid stigmatizing populations.
“There is a balance between risk communication and doing whatever we can to avoid stigmatizing those populations,” he said.
Roussin added the province will be releasing data on total monkeypox vaccines administered next week.
Canada to start testing some wastewater for polio 'as soon as possible' – CBC News
After new reports of polio cases abroad, and virus samples in the wastewater of several other developed countries, Canada intends to start testing wastewater from a number of cities “as soon as possible,” CBC News has learned.
The Public Health Agency of Canada (PHAC) already works to monitor polio activity around the world, a spokesperson said in an email response to CBC News questions.
Currently, PHAC’s National Microbiology Laboratory in Winnipeg does have the diagnostic tools available to test samples for poliovirus. Any suspected positive Canadian samples of poliovirus will be sent to that lab for further laboratory analysis and confirmation, with results shared with the respective local health authorities “so appropriate public health measures can be taken if necessary.”
According to the statement, PHAC has been communicating with national and international partners who are experts in this field to finalize a wastewater testing strategy. It will be testing wastewater samples that were collected earlier this year from “key high-risk municipalities” to determine if polio was present prior to the reported international cases.
PHAC will also be sending samples to the U.S. Centers for Disease Control and Prevention for additional confirmation.
“However, it is important to acknowledge that accurately testing wastewater for poliovirus is a developing science,” the statement continued. “For example, wastewater detections can be affected by extreme precipitation events, such as flooding in a community.”
Reports of polio in U.S., U.K., Israel
On Wednesday, British health authorities announced they will offer a polio booster dose to children aged one to nine in London, after finding evidence the virus has been spreading in multiple regions of the capital.
The agency said it was working closely with health authorities in the U.S. and Israel, as well as the World Health Organization, to investigate the links between polio viruses detected in those two countries.
In July, Israel announced a recent outbreak of polio infections appeared to be under control, after multiple people became infected, including a Jerusalem girl who was paralyzed and now requires rehabilitation, according to the Jerusalem Post.
More recently, in the state of New York, one unvaccinated young adult suffered paralysis after a polio infection in Rockland County — an area known for low vaccination rates — which marked the first case reported in the U.S. in nearly a decade.
Outbreaks also remain common in Afghanistan, Pakistan, and parts of Africa — areas of the world where vaccination efforts have not yet eradicated the virus.
Polio can often be asymptomatic, but in some cases, the viral infection can lead to paralysis or death.
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