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BCCDC study finds schizophrenia was heat dome risk factor

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New research from the B.C. Centre for Disease Control suggests people with schizophrenia were particularly susceptible to the deadly heat dome that struck the province in June 2021.

The study, which was published last week in the journal GeoHealth, compared deaths that occurred in B.C. during the heat dome with deaths that occurred on the same dates in previous years. It found roughly three times as many people with schizophrenia died during the heat dome as would have been expected during a “normal” weather pattern.

In a news release announcing the findings, the BCCDC posited several factors that may help explain why schizophrenia, in particular, was such a risk factor.

Mental illnesses, generally, were among the conditions that left people most susceptible to death during the heat dome, the centre said, adding that schizophrenia’s psychotic symptoms – such as hallucinations, delusions, thought disorders and cognitive losses – likely play a role in the increased risk for people with the condition.

“Many people living with schizophrenia also suffer from anosognosia or lack of insight into their own illness,” the BCCDC said in its release.

“Schizophrenia may also lead to social isolation and lower socioeconomic status, and both are risk factors for death during extreme hot weather. In addition, some medications used to treat schizophrenia can play a role in overheating.”

The researchers said their findings suggest people with schizophrenia, their families and support networks should take extra precautions during extreme heat events.

“Because individuals living with schizophrenia are more susceptible to heat-related illness, it is essential that families and caregivers are aware of the increased risk, identify potential risk factors and take prompt action to help their loved one during a heat wave,” said Faydra Aldridge, CEO of the B.C. Schizophrenia Society, in the BCCDC release.

“Educating ourselves to recognize symptoms of heat-related illness and take emergency cooling measures will help ensure everyone’s safety during heat waves.”

The study looked at 26 chronic conditions, including schizophrenia, and found several others that correlated with increased risk of death, including substance use, chronic kidney disease, ischemic heart disease and chronic obstructive pulmonary disease.

Most of these are “well-recognized risk factors during extreme heat,” the BCCDC said.

“This study was conducted to understand who is most at risk, so we can prepare for future heat events, which will be more frequent and more severe in the coming decades because of climate change,” said Michael Lee, the study’s lead author and an epidemiologist with Environmental Health Services at the BCCDC, in the release.

“Climate change has real impacts on our health, and we can help limit those impacts when we know what they are and how to prepare.”

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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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Bizarre Sunlight Loophole Melts Belly Fat Fast!

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