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British Columbians could see 'safe six' by end of February: Dr. Henry – BC News – Castanet.net

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British Columbians could expand their social bubble to their ‘safe six’ by the end of February, said Provincial Health Officer Dr. Bonnie Henry Friday, but easing restrictions will all depend on the trajectory of COVID-19 transmissions.

And with new variants doubling in the last week, Henry said any explosion in cases would sink such hopes.

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“I’m not putting an end to the orders we have now,” she said at Friday’s press conference. “I don’t want people to start thinking about, ‘Yeah, we’re out of this, we’re back to normal.’”

To date, 28 cases across the province have been identified as ‘variants of concern.’ That includes 14 cases of the U.K. variant linked to people with a history of travel to the U.K, Ireland and Dubai, among other countries. Another five have been associated to close contacts with a history of travel.

The U.K. variant, or B.1.1.7, is a highly contagious form of the coronavirus that can spread at least 50% faster than the current predominant strain in B.C.

But when it comes to the South African variant, or B.1.351, data coming out in the last week suggests it causes more severe illness, something Henry said “is worrisome.”

“If we start to see one of these variants take off, all bets are off,” she said.

Across B.C., public health is working to ramp up its surveillance of the new variants, a plan which looks to establish a system of markers that would flag positive COVID-19 tests and target samples for full genome sequencing.

Henry said laboratories are looking to screen thousands of samples per week, up from roughly 750 conducted now, and eventually covering every molecular test in the province.

At the same time, Henry said B.C.’s capacity for full genome sequencing will also be increased, and public health workers will be moving to target suspect outbreaks, whether in schools or surrounding recent travel.

For example, while close contacts aren’t usually tested until symptoms develop, that will change with the targeted testing of certain outbreaks involving a highly contagious variant.

The good news: long-term case data from the BC Centre for Disease Control indicates the virus is plateauing in many of the province’s hardest-hit regions, like Fraser Health, after a peak in November.

Whereas contact tracers were heavily strained to keep up with peak November caseloads, that pressure has been eased across the Fraser Valley and Lower Mainland, while caseloads in the north, Interior and Sea-to-Sky regions of the province are still putting a heavy burden on smaller public health teams. In Whistler, for example, 547 cases have been identified between Jan. 1 and Feb. 2.

Henry said public health workers have been unable to trace the source in about 20% of cases across B.C.

Transmissions across the province are now being driven by people between the age of 20 and 49, with younger groups passing on the virus in social settings and older generations primarily spreading COVID-19 in workplaces.

Scientists and health officials have repeatedly painted the current status of the pandemic as a race between the emergence of new highly contagious variants and the roll-out of vaccines.

But on Friday, Henry said cases of COVID-19 among British Columbians over age 80 have come down significantly due to vaccinations across the province’s long-term care homes.

“We’re now seeing that it’s helping us to stop those outbreaks rapidly,” said Henry, adding 55 people have had a severe negative reaction to a vaccine, mostly due to an allergy.

The long-term trajectory of vaccine rollouts is less certain.

In B.C., across Canada and in many other countries, delivery of currently approved vaccines have faced significant delays as manufacturers work to ramp up their manufacturing capacity and meet contracts with dozens of countries.

In floating the possibility of easing current public health restrictions by the end of February, Henry pointed to a slow and limited increase in social interactions.

That could mean limited faith services and the resumption of group activities, though Henry did not go into detail.

Currently, British Columbians are reducing social contacts by 40% to 50% compared to pre-pandemic levels, she said.

“We are in a place of a little bit more uncertainty. We need to buy some time to understand if these positive things that we’re seeing are going to allow us to take away some of the restrictions we have in place now, and be able to do that safely,” Henry said.

“That’s why I’m leaving it open-ended.”

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COVID-19 and flu activity in Manitoba drops again

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COVID-19 and influenza activity is on a steady decline in Manitoba, with hospital admissions and new cases dropping significantly for the third straight week.

There were seven people hospitalized for COVID-19 from Jan. 15-21, the latest provincial surveillance data says. The previous reporting week had 28 hospitalizations.

Admissions to intensive care units, due to severe cases, also went down from six to three in that same span.

The total number of deaths related to the virus increased by 15 in the most recent surveillance report, compared to nine the previous week and 25 the week before that.

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There were just 59 new COVID-19 cases detected in the latest report, a more than 50 per cent decline from the 122 in the Jan. 8–14 report. Those numbers, though, are considered significant undercounts due to limited testing offered by Public Health. The province does not track results from home tests.

The weekly test positivity rate for COVID-19 went down to 11.3 per cent from 12.3 per cent in the previous report.

Flu test positivity falls below 1%

As for Influenza A, the primary flu strain this season, the number of cases detected in the current surveillance week is 10, versus 18 the prior week.

A total of two people were admitted to hospital for flu symptoms, with no ICU cases, which is identical to the previous week. Two additional deaths were attributed to the flu in the report for Jan. 15-21, compared to one the previous week.

The current weekly test positivity for Influenza A is 0.8 per cent, whereas it was 1.9 per cent a week ago.

The national rate is 1.3 per cent.

Other respiratory viruses continue to circulate as well, but the test positivity rate for and detection of respiratory syncytial virus (RSV) have both decreased as well.

The number of detected RSV cases in the latest report is 105 (down from 131) and the test positivity rate is 8.3 per cent (down from 8.7).

Wastewater surveillance data indicates sustained activity of COVID-19 in Winnipeg and Brandon but at lower levels.

The next reporting date is Feb. 3.

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Study Establishes Connections Between Emotional Maltreatment, Psychiatric Disorders

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New study results published in Child Maltreatment have found links between emotional maltreatment, also known as psychological violence, and psychiatric disorders in childhood and adolescence.

Emotional maltreatment can be challenging to recognize and record, both in research and in practice. Navigating that challenge resulted in an elaborate study conducted by researchers at the Faculty of Medicine in the University of Leipzig, with the goal of understanding the psychological effects that abuse, neglect, and emotional maltreatment have on children and adolescents.

Examples of emotional abuse include when parents subject their children to extreme humiliation, threaten to put them in foster care, or blame children for their own psychological distress or suicidal thoughts. Physical violence also plays a crucial role in the development of psychiatric disorders.

“Our study findings clearly show that emotional maltreatment is not only a very common form of maltreatment, but also one with psychiatric consequences that are similar to or even more severe than other forms of maltreatment,” said study leader and last author Lars White, PhD, in a press release.

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In their study of 778 children, researchers found that 80% of the children and adolescents who reported having been mistreated had also experienced emotional maltreatment. This makes emotional maltreatment the most common form of child abuse.

Additionally, the investigators were able to show that of all forms of maltreatment, psychological violence had the strongest effects on the psyche of the children and adolescents, even in comparison with forms of maltreatment that generally receive more attention, such as physical abuse. In younger children between 3 and 8 years of age, emotional maltreatment led primarily to behavioral problems, whereas in older children it was more likely to lead to depression and anxiety disorders.

To conduct the study, family data were collected with extensive interviews and the researchers analyzed files from youth welfare offices for evidence of maltreatment experiences. The sample consisted of 306 children and adolescents with an experience of maltreatment and 472 participants without these experiences. Among other sources, participants were recruited via the residents’ registration offices, daycare centers, child and youth psychiatry centers, and youth welfare offices in Leipzig and Munich.

“We are particularly grateful for the support of the youth welfare offices because this enabled us to recruit families for the study who have had extremely difficult experiences and who are otherwise difficult to reach for research projects,” said lead author Jan Keil, DrPhil, in the press release.

The findings illustrate that the risk of developing psychiatric disorders after maltreatment is already heightened in early and middle childhood, which underlines the need for early intervention. The authors said emotional maltreatment should be understood as a dimension of abuse unto itself and should be a key focus in both research and treatment efforts.

“We need to educate parents so that they take the child’s perspective more often,” White said in the press release. “As recently as 30 years ago, the commonly held view was that children should be left to cry and that what they experience in childhood they forget anyway. But increasingly, there is a complete shift in attitudes and an appreciation that we need to reach out to the youngest children when they are showing difficult emotions, such as being angry or sad.”

REFERENCE

From emotional maltreatment to psychiatric disorders in childhood and adolescence. News release. EurekAlert; January 12, 2023. Accessed January 17, 2023. https://www.eurekalert.org/news-releases/976487

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Leaders in discovery: five USask researchers honoured with top provincial health awards

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“Dr. Gerdts’ scientific and leadership accomplishments throughout his illustrious career make him most deserving of this award and recognition. We are grateful for his leadership of VIDO, particularly during the challenging times of the COVID-19 pandemic. He was able to grow and strengthen Canada’s pandemic response and was an integral part in creating Canada’s Centre for Pandemic Research,” said USask Vice-President Research Baljit Singh. “We are grateful for his ongoing commitment to our One Health Signature Area of Research and for inspiring the next generation of scientific leaders.”

Beyond his impressive professional achievements of publications and citations, Gerdts has been a mentor and leader in One Health, which recognizes the integral connections between human, animal, and environmental health. At the institutional level, he has been a champion for One Health as a signature area of research at USask. On the international stage, he co-led the Natural Sciences and Engineering Research Council of Canada (NSERC)-funded Integrated Training Program in Infectious Diseases, Food Safety and Public Policy, training more than 200 young researchers from 15 countries.

“This award is recognition of the many colleagues and collaborators I have worked with over the years, including an outstanding group of individuals here at VIDO,” said Gerdts. “I am excited to continue to develop solutions for emerging diseases of humans and animals. The support from SHRF and other funders over the years has helped to make this vision reality.”

With 91 grants totaling more than $117 million as principal investigator, more than $79 million as co-applicant and over $10 million in contract research, Gerdts has led the development of several vaccines and novel adjuvants—ingredients that help create a stronger immune response—for people and animals.

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His work helped to develop a universal protocol for vaccination of pregnant women to improve the health of newborn babies, and as a result, pregnant women now routinely receive the pertussis (whooping cough) vaccine to protect their newborns against the disease. Gerdts’ research focusing on the fetal immune system development was published in Nature Medicine, and his work on a single-immunization vaccine platform for neonates continues with research into a vaccine for pertussis and respiratory syncytial (RSV), which is undergoing production optimization so it can be ready for production in VIDO’s manufacturing facility and used in human clinical trials.

Under his leadership VIDO has experienced enormous growth, including the completion of its vaccine manufacturing facility that strengthens Canada’s production capacity, positioning VIDO as Canada’s Centre for Pandemic Research. He has also played an integral role in drawing top talent from around the globe to work and live in Saskatchewan, while at the same time elevating the province’s scientific reputation.

Since the beginning of the pandemic, Gerdts has demonstrated creative thinking and a keen ability to successfully bring together funders and interdisciplinary collaborators. His over 250 media interviews and presentations about COVID-19 are examples of his skills as a trusted scientific communicator.

Gerdts is among five USask researchers recognized by the provincial funding agency as part of its annual Santé Awards honouring health research excellence in Saskatchewan.

“We are proud of our researchers who have received these prestigious awards,” said Singh. “They are confronting the world’s greatest challenges head on through creativity and collaboration. Their collective impact includes discoveries for improved mental health and wellness, hope for new treatments for drug-resistant infections, and the expertise that will influence how our decision-makers will shape an accessible and culturally responsive healthcare system for the people of Saskatchewan.”

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