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BC COVID-19: Omicron has peaked, hospitalizations to follow – Powell River Peak

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Transmission of the Omicron COVID-19 variant has likely peaked in B.C., according to data released by the provincial government.

Health officials released the data Friday, which suggested hospitalizations could peak in the province in a week or two. 

Case trends, test positivity rates and wastewater sampling all suggest virus spread is now on the downslope in the Lower Mainland, following similar trends in other urban centres in the U.S. and U.K.

The Omicron variant has taken over as the dominant strain of the virus in just a month, but fewer people are being hospitalized and for not as long.

When compared to the Delta variant, those with Omicron end up staying in hospital for about half as long and have a 60% less chance of ending up in critical care or dying. 

And while visits to emergency rooms for COVID-19 have surged to record levels, fewer of those people are actually being admitted to hospital.

Between Dec. 11 and Jan. 7, the unvaccinated were 12 times more likely to be hospitalized, 27 times more likely to be in critical care and 40 times more likely to die.

The provincial government will launch a new way to count hospitalizations on Friday, resulting in those figures climbing higher.

Moving forward, patients directly admitted to hospital for COVID, those who test positive incidentally while being in hospital for other reasons, and those who contract COVID during a hospital outbreak will all be counted.

Health officials revealed that until now, COVID hospitalization data did not include people involved in outbreaks or patients from out of province. The data stream was a “mishmash” of information from various sources that will now be standardized.

An audit of COVID cases and hospitalizations during the month of December in Vancouver Coastal Health found that of 7,989 PCR-confirmed cases in the community, 56 people were hospitalized.

About half of those hospitalized were directly there because of COVID, while the other half were “incidentally hospitalized” — they were tested for some other reason and found to have COVID. In the future, incidental hospitalization data will be released “periodically.” 

Health officials have stopped looking so closely at absolute case counts when predicting where the pandemic is heading in B.C., but say case figures are still valuable at tracking trends and patterns. 

And those patterns, for now, suggest transmission peaked in the Lower Mainland in the first week of January. The modelling shows hospitalizations will then peak sometime between Jan. 15 and 20.

The Interior Health region traditionally trends a few weeks behind the Lower Mainland.

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Some Ontario docs now offering RSV shot to infants with Quebec rollout set for Nov.

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Some Ontario doctors have started offering a free shot that can protect babies from respiratory syncytial virus while Quebec will begin its immunization program next month.

The new shot called Nirsevimab gives babies antibodies that provide passive immunity to RSV, a major cause of serious lower respiratory tract infections for infants and seniors, which can cause bronchiolitis or pneumonia.

Ontario’s ministry of health says the shot is already available at some doctor’s offices in Ontario with the province’s remaining supply set to arrive by the end of the month.

Quebec will begin administering the shots on Nov. 4 to babies born in hospitals and delivery centers.

Parents in Quebec with babies under six months or those who are older but more vulnerable to infection can also book immunization appointments online.

The injection will be available in Nunavut and Yukon this fall and winter, though administration start dates have not yet been announced.

This report by The Canadian Press was first published Oct. 21, 2024.

-With files from Nicole Ireland

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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Polio is rising in Pakistan ahead of a new vaccination campaign

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ISLAMABAD (AP) — Polio cases are rising ahead of a new vaccination campaign in Pakistan, where violence targeting health workers and the police protecting them has hampered years of efforts toward making the country polio-free.

Since January, health officials have confirmed 39 new polio cases in Pakistan, compared to only six last year, said Anwarul Haq of the National Emergency Operation Center for Polio Eradication.

The new nationwide drive starts Oct. 28 with the aim to vaccinate at least 32 million children. “The whole purpose of these campaigns is to achieve the target of making Pakistan a polio-free state,” he said.

Pakistan regularly launches campaigns against polio despite attacks on the workers and police assigned to the inoculation drives. Militants falsely claim the vaccination campaigns are a Western conspiracy to sterilize children.

Most of the new polio cases were reported in the southwestern Balochistan and southern Sindh province, following by Khyber Pakhtunkhwa province and eastern Punjab province.

The locations are worrying authorities since previous cases were from the restive northwest bordering Afghanistan, where the Taliban government in September suddenly stopped a door-to-door vaccination campaign.

Afghanistan and Pakistan are the two countries in which the spread of the potentially fatal, paralyzing disease has never been stopped. Authorities in Pakistan have said that the Taliban’s decision will have major repercussions beyond the Afghan border, as people from both sides frequently travel to each other’s country.

The World Health Organization has confirmed 18 polio cases in Afghanistan this year, all but two in the south of the country. That’s up from six cases in 2023. Afghanistan used a house-to-house vaccination strategy this June for the first time in five years, a tactic that helped to reach the majority of children targeted, according to WHO.

Health officials in Pakistan say they want the both sides to conduct anti-polio drives simultaneously.

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White House says health insurance needs to fully cover condoms, other over-the-counter birth control

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WASHINGTON (AP) — Millions of people with private health insurance would be able to pick up over-the-counter methods like condoms, the “morning after” pill and birth control pills for free under a new rule the White House proposed on Monday.

Right now, health insurers must cover the cost of prescribed contraception, including prescription birth control or even condoms that doctors have issued a prescription for. But the new rule would expand that coverage, allowing millions of people on private health insurance to pick up free condoms, birth control pills, or “morning after” pills from local storefronts without a prescription.

The proposal comes days before Election Day, as Vice President Kamala Harris affixes her presidential campaign to a promise of expanding women’s health care access in the wake of the U.S. Supreme Court’s decision to undo nationwide abortion rights two years ago. Harris has sought to craft a distinct contrast from her Republican challenger, Donald Trump, who appointed some of the judges who issued that ruling.

“The proposed rule we announce today would expand access to birth control at no additional cost for millions of consumers,” Health and Human Services Secretary Xavier Becerra said in a statement. “Bottom line: women should have control over their personal health care decisions. And issuers and providers have an obligation to comply with the law.”

The emergency contraceptives that people on private insurance would be able to access without costs include levonorgestrel, a pill that needs to be taken immediately after sex to prevent pregnancy and is more commonly known by the brand name “Plan B.”

Without a doctor’s prescription, women may pay as much as $50 for a pack of the pills. And women who delay buying the medication in order to get a doctor’s prescription could jeopardize the pill’s effectiveness, since it is most likely to prevent a pregnancy within 72 hours after sex.

If implemented, the new rule would also require insurers to fully bear the cost of the once-a-day Opill, a new over-the-counter birth control pill that the U.S. Food and Drug Administration approved last year. A one-month supply of the pills costs $20.

Federal mandates for private health insurance to cover contraceptive care were first introduced with the Affordable Care Act, which required plans to pick up the cost of FDA-approved birth control that had been prescribed by a doctor as a preventative service.

The proposed rule would not impact those on Medicaid, the insurance program for the poorest Americans. States are largely left to design their own rules around Medicaid coverage for contraception, and few cover over-the-counter methods like Plan B or condoms.

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