Canada now has 10 confirmed cases of severe hepatitis in kids. Here’s what to watch for - Global News | Canada News Media
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Canada now has 10 confirmed cases of severe hepatitis in kids. Here’s what to watch for – Global News

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The Public Health Agency of Canada (PHAC) has confirmed 10 cases of acute severe hepatitis in children.

The agency posted an update on their website Friday, confirming three cases in Alberta, two in Manitoba, four in Ontario, and one in Quebec.

The children, who are between one and 13 years old, became sick between November 3, 2021 and April 23, 2022, according to PHAC.

Read more:

Adenovirus leading hypothesis for severe hepatitis in children, CDC says

All of the diagnosed children were hospitalized. Two of them needed liver transplants. No deaths have been reported so far.

Hepatitis is an inflammation of the liver. Depending on the cause, the agency says the disease can be sudden and progress to liver failure over a few days to weeks.

“Some types of hepatitis can be treated and most cases recover. Acute, severe hepatitis in children is a rare condition in Canada, and in many cases, an underlying or contributing cause is not known,” the website states.

What is causing severe acute hepatitis in children?

The health agency says that the exact cause for this illness is not yet known, and investigators are still considering the possible causes of acute hepatitis.

However, one possible cause being explored is adenovirus, a common virus, which is known to cause cold or flu-like illness or gastroenteritis in children who are infected.

Investigators are also looking into other possible contributing factors such as exposure to toxins or other infections.






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Health Matters: World Family Doctor Day and what’s causing severe hepatitis cases among children?


Health Matters: World Family Doctor Day and what’s causing severe hepatitis cases among children?

Could COVID-19 be the cause of hepatitis in kids?

COVID-19 may be behind the severe hepatitis cases in children according to a report posted last Saturday on medRxiv ahead of peer review.

Children with COVID-19 are at significantly increased risk for liver dysfunction afterward, the report said.

But most of the children with acute hepatitis did not report a previous COVID-19 infection. Instead, the majority were found to be infected with an adenovirus called 41F, which is not known to attack the liver.

READ MORE: Canada detects severe hepatitis of ‘unknown origin’ cases in kids. What is it?

It is possible that affected children, many of whom were too young to be vaccinated, may have had mild or asymptomatic COVID infections that went unnoticed, a separate team of researchers suggested in The Lancet Gastroenterology & Hepatology.

If that’s true, lingering particles of the coronavirus in the gastrointestinal tract in these children could be priming the immune system to overreact to adenovirus-41F with high amounts of inflammatory proteins that ultimately damage the liver, the researchers theorized.

Side effects from COVID-19 vaccines however, are not suspected since the vast majority of the affected children were too young to receive COVID-19 shots, according to the World Health Organization.

What are the symptoms?

The government has provided a list of symptoms parents should look for in their kids on their website.

They include yellowing of the skin or eyes, abdominal pain, nausea, vomiting, dark urine, light-colored stools, loss of appetite, fever, and fatigue.

The government is also advising parents to encourage children to wash their hands often, avoid people who are sick, and avoid touching their eyes, nose or mouth.

What is Canada’s health agency doing?

The PHAC says it’s working with provinces, territories and international partners to investigate any reported cases of acute severe hepatitis in children not caused by known hepatitis viruses.

“All provinces and territories are working to identify and report potential cases to PHAC. This will help to further define the national scope in Canada, and help determine if cases in Canada are related to other cases reported around the world,” the agency stated.

READ MORE: 348 probable cases of acute hepatitis in children reported globally: WHO

At this time, the agency does not know if there has been a spike in acute severe hepatitis cases in children “not caused by known hepatitis viruses.”

“We are analyzing Canadian hospitalization data to determine the number of cases that we would normally see in Canada over time. This baseline information will allow us to determine if we are seeing an increase in cases reported,” the agency said.






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WHO says at least 228 probable cases of child hepatitis reported, more under investigation


WHO says at least 228 probable cases of child hepatitis reported, more under investigation – May 3, 2022

Severe hepatitis cases around the world

Reuters reported on May 20 that at least 600 children in at least 34 countries have developed cases of sudden severe liver inflammation or acute hepatitis.

As of May 18, at least 175 children in the UK and 180 in the United States have become sick since October 2021, the majority of them younger than five-years-old.






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7 probable cases of severe acute hepatitis in kids reported at Toronto’s SickKids Hospital


7 probable cases of severe acute hepatitis in kids reported at Toronto’s SickKids Hospital – May 10, 2022

In the United States, more than 90 per cent of affected children have been hospitalized. Most have recovered, but at least five died, according to the U.S. Center for Disease Control and Prevention. Worldwide, more than two dozen children have needed liver transplants.

Most cases have been reported since April.

—With files from Reuters 

© 2022 Global News, a division of Corus Entertainment Inc.

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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.

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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