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Brain-eating amoeba may be from sinus rinse

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A person in Charlotte County, Florida, has died after being infected with the rare brain-eating amoeba Naegleria fowleri.

The infection possibly resulted from “sinus rinse practices utilizing tap water,” according to a news release from the Florida Department of Health in Charlotte County. The release was issued in February to alert the public about the infection.

On Thursday, the department confirmed that the infected person has died and officials are continuing to investigate the case.

“An Epidemiological investigation is being conducted to understand the unique circumstances of this infection. I can confirm the infection unfortunately resulted in a death, and any additional information on this case is confidential to protect patient privacy,” Jae Williams, press secretary for the Florida Department of Health, said in an emailed statement.

Infection with Naegleria fowleri “can only happen when water contaminated with amoebae enters the body through the nose,” according to the department’s news release.

The Florida Department of Health in Charlotte County warned residents to only use distilled or sterile water when making sinus rinse solutions. Tap water should be boiled for at least a minute and cooled before using it for sinus rinsing, which typically involves a neti pot.

Tap water that has not been sterilized isn’t safe to use as a nasal rinse since it’s not adequately filtered or treated, and so it may contain low levels of microorganisms, such as bacteria and protozoa, including amoebas, according to the U.S. Food and Drug Administration’s website. Yet people cannot be infected by drinking tap water, as stomach acid typically kills those organisms.

WHAT IS THE BRAIN-EATING AMOEBA?

Naegleria fowleri is an amoeba, a single-celled living organism, that can be found in soil and warm freshwater, such as lakes, rivers and hot springs throughout the United States. Commonly called the “brain-eating amoeba,” it can cause brain infections, which typically happens when amoeba-containing water travels up through the nose, such as while swimming.

According to the U.S. Centers for Disease Control and Prevention, about three people in the United States get infected each year, and these infections are usually deadly.

From 1962 to 2021, only four out of 154 people in the United States survived a brain-eating amoeba infection, according to the CDC. Just last year, a boy died who was infected after swimming at Lake Mead, another child in Nebraska died who was infected after swimming, and a Missouri resident died with the infection after visiting a beach in Iowa.

Signs and symptoms of infection are initially severe headaches, fever, nausea and vomiting and they can progress to a stiff neck, seizures, hallucinations, and coma. The infection is treated with a combination of drugs, including the antibiotic azithromycin, the antifungal fluconazole, the antimicrobial drug miltefosine and the corticosteroid dexamethasone.

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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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