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BC ready to vaccinate thousands of children when Health Canada gives OK: top doctor – Turtle Island News

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By Camille Bains

THE CANADIAN PRESS

VANCOUVER- British Columbia’s top doctor has issued an order requiring children five and older to wear masks in public spaces, expanding a mandate for those aged 12 and up as the province prepares to vaccinate younger kids pending Health Canada approval.

Dr. Bonnie Henry said Tuesday that about 340,000 children 11 and under would be eligible to get vaccinated when the policy is announced as early as next month.

Henry said priority would be given to those in the northern region, where COVID-19 transmission rates are highest due to lower vaccine uptake.

The quick spread of COVID-19 in the north is causing serious illness, including among younger residents, as hospitals are “pushed to the limit,” she said.

“There are some communities, particularly in the northwest, Haida Gwaii, for example, Prince Rupert, where vaccination rates are really high and we’re not seeing that type of transmission. But there are other communities where things are not going as well,” Henry said.

“I will caution as well we know that influenza spreads really easily among younger children, especially infants and young babies.

But it can also cause severe illness in school-aged children and can spread really rapidly. So, these are things that we need to start thinking about right now as we move into the fall.”

Henry said public health officials are working with the Northern Health authority to determine if more regional measures are needed to prevent transmission, including booster doses as a way to manage outbreaks.

Private gatherings, including ceremonies, funerals and celebrations, are a source of transmission that can spread as people travel from one community to another, she said.

Health Minister Adrian Dix said 55 critically ill people have been transferred from parts of the north to intensive care units elsewhere in the province and that 43 of them were infected with COVID-19. Only one of them was fully vaccinated, he added.

B.C. recorded 2,090 cases of COVID-19 over the last four days, along with 28 deaths, for a total of 2,029 fatalities.

A public health order requiring staff at long-term care and assisted living facilities to be vaccinated with at least one dose as a condition of their employment came into effect on Tuesday, with a similar order coming later this month for health-care workers in acute and community care settings.

Nearly 49,000 people are employed at 546 long-term and assisted-living homes in B.C. and 93 per cent of them have been fully vaccinated, Dix said, adding the province is working with health authorities to ensure residents continue to receive care if workers decide not to get vaccinated.

He said vaccine uptake went to 96 per cent from 90 per cent for first doses after Henry announced the mandate, but that still meant the province had to provide additional support at some facilities like in the north.

“We’re also preparing, of course, for a significantly larger challenge in terms of sheer numbers of workers, three times the number of workers, who are still to come in the broader mandate for all health-care workers,” he said.

“If a long-term care or assisted-living worker refused to be vaccinated, they will be in breach of the provincial health officer’s residential care preventive measures order, the Public Health Act and employer policy. They will be subject to progressive discipline, up to and including termination.”

Terry Lake, CEO of the BC Care Providers Association, said staff at some facilities have been called in when they hoped to be on vacation, while others are working more overtime or at other homes to fill in for those who did not get vaccinated.

“With all those mitigation strategies in place, the worst-case scenarios have been avoided. And a big part of that is allowing people to continue working with their first dose and giving them more time to get their second dose,” he said.

While most of the long-term care facilities in the north are operated by the local health authority, Lake said the association has seen more of a challenge with workers in the Interior region choosing not to get vaccinated.

“We have a site in Kamloops, for instance, that had at least five staff members put on unpaid leave today, and one site in Kelowna with seven staff members put on unpaid leave.”

Workers can return to work seven days after their first dose, with precautions in place, and Lake said he’s hopeful many will decide to take that route.

“What we do know is that some people have taken early retirement rather than comply with the vaccine mandate,” he said

Lake said it’s up to the province and the federal government to come up with a strategy to deal with a critical staffing shortage that existed in long-term care facilities before the pandemic struck.

This report by The Canadian Press was first published Oct. 12, 2021.

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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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