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Canada could move to more active surveillance of COVID-19. Here’s what that means. – Global News

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With cases of COVID-19 appearing in an ever-growing list of countries, health officials are considering stepping up Canada’s surveillance of the novel coronavirus disease.

“We’re talking with experts on how we might expand our surveillance, how we might expand our testing. We’re doing that right now,” said Dr. David Williams, Ontario’s chief medical officer of health at a press conference Thursday.


READ MORE:
Coronavirus spread risk is now ‘very high’ — what does that mean for Canadians?

Right now, he said, doctors generally decide whether to get a patient tested on the basis of their symptoms, as well as their travel history.

However, if they believe it’s warranted, Ontario doctors have the discretion to get a test even if someone hasn’t visited an affected country.

But with nearly 60 countries reporting cases, and outbreaks in Iran, South Korea, Italy and China, the methods might change, he said.

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“The fact is that we are identifying more and more travel, more and more issues.”

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“So that’s our concern: are we moving into a new phase? Do we have to be attentive? Can we do a wider surveillance to say, maybe there are some out there, how are we going to know that?” Williams said.

“Let’s do a wider check and see.”






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COVID-19: WHO official says outbreak not at stage to declare pandemic


COVID-19: WHO official says outbreak not at stage to declare pandemic

The federal government is looking into this, too.


READ MORE:
Canadian coronavirus cases linked to Iran rise, experts question country’s response

“We are actively having conversations right now with provinces and territories on some of the next steps,” said Canada’s chief public health officer, Dr. Theresa Tam, on Thursday.

Plans haven’t been finalized yet, Williams said, but Ontario is consulting with experts. Currently, the provincial lab can handle about 1,000 tests per day, but they’re looking at increasing that number.

So far, about 700 tests have been performed, he said.

Having more active surveillance might be a good idea, according to Amy Greer, an infectious disease epidemiologist at Guelph University. Partly, it’s about data collection.

“The goal is to identify people who have those symptoms, who do not seek medical attention for various reasons,” she said. “If we were to start to have community transmission, you’re going to have people who have more mild illness who are not going to get captured in the health care system.”

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Canada already has a national surveillance system for flu, which uses reports from “sentinel” doctors and patients to estimate the prevalence of flu in Canada and spot outbreaks in different populations and locations. Something similar could be used for COVID-19, Greer said.

“The key reasons for doing these sorts of studies, it’s really to determine to get a better sense of the true population at risk.”

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That information can then be used to guide decisions, she said — like, for example, whether schools should be closed because the data shows that kids seem to transmit the virus fairly easily.

Williams said that while the province is ramping up testing and surveillance programs, he doesn’t think that everyone with flu-like symptoms should be tested, as there are many different illnesses that could be the cause.


READ MORE:
Hunting a virus — How doctors trace an outbreak

And while he said health authorities remain vigilant, there is no cause for fear in the general public.

The data from China shows that most of the spread has been to close contacts, most infected people have fairly mild and short-lived symptoms — particularly younger people — and the deaths have been in older people with underlying health conditions, he said.

“Before there’s widespread panic and that kind of stuff, look at the evidence,” Williams said, noting the mortality rate is less than that of the flu.

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“I think you have to — instead of [acting] on speculation and fear — go back to the data, look at the information [and] ask your authorities on what the risk is. It’s still low,” Williams said.

“But does that mean we’re going to sit back and not do more surveillance? We’re going to do more surveillance.”

— with files from the Canadian Press

© 2020 Global News, a division of Corus Entertainment Inc.

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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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