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Canada Report: Flu cases on the rise as battle with COVID continues

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Canada is officially in the midst of a flu epidemic while continuing to battle COVID, with a possible return of a mask-wearing mandate.

The rapid rise in influenza cases prompted Health Canada, the government agency, to say “at the national level, influenza activity has crossed the seasonal threshold, indicating the start of an influenza epidemic.”

“All surveillance indicators are increasing and most are above-expected levels typical of this time of year,” the report said, while advocating everyone should get a flu shot, especially to protect youngsters as hospitals are operating above capacity.

A positivity rate of 11.7% crossed the threshold of 5% positivity after two years of lower numbers while dealing with the pandemic.

Doctors are urging people to get their COVID booster shots at the same time as flu vaccines and suggest people should again wear mask protection, especially indoors and places with poor air circulation but provincial governments remain uncommitted to take the unpopular step of a mandate.

Toronto, Ontario educators remain on strike

Students and their parents are again left wondering if Toronto and Ontario schools will open on Monday in the midst of ongoing strike protests by educational support staff seeking a new contract.

After a five-day walkout last week, negotiations resumed but broke down again, with the union threatening the resumption of a strike on Monday.

Reports say the staff rejected the province’s offer of a $1 an hour raise in each year of a new contract for the lowest-paid workers in the group said to be earning $39,000 a year for mostly part-time work.

This includes educational assistants, librarians, custodians and other classroom-support positions.

The affected schools are switching to virtual teaching online at home with computers provided by the school boards.

In brief

  • A week after temperatures reaching near 60 degrees, Toronto and parts of central Canada across Lake Erie from snow-burdened Buffalo, N.Y. are getting hammered this weekend with off-the-lake blizzards with heavy snow of up to three feet and near-zero visibility in some areas. Environment Canada gave the grim warning of prolonged snow squalls and urged people to consider postponing non-essential travel during the storm.
  • The Canadian government is moving ahead with a pledge to provide no-cost national dental care coverage for children up to age 12 and other measures to “act on affordability issues,” Prime Minister Justin Trudeau said. These include a top up to a housing benefit for lower-income renters, and a doubling of the federal sales GST rebate.

Facts and figures

  • The Canadian dollar is higher at 75 U.S. cents while the U.S. dollar returns $1.38 in Canadian funds, before exchange fees.
  • The Bank of Canada’s key interest rate is steady at 3.75% while the prime lending rate at commercial banks is 5.95%.
  • Canadian stock markets are lower, with the Toronto index at 19,937 points while the TSX Venture index is 577 points.
  • The average price for gas in Canada is lower at $1.63 a liter or $6.19 for a U.S. gallon in Canadian funds.
  • Lotto Max: (Nov. 15) 9, 12, 13, 22, 25, 35 and 47; bonus 24. (Nov. 11) 5, 23, 34, 35, 46, 47 and 50; bonus 10.
  • Lotto 6/49: (Nov. 16) 4, 6, 12, 20, 41and 44; bonus 31. (Nov. 12) 1, 20, 24, 32, 36 and 37; bonus 5).

Regional briefs

  • David Eby has become the premier of British Columbia, succeeding John Horgan who had led the provincial government since July 2017. Among the challenges Eby said he faces are the health-care system, global economy and managing public safety.
  • Alberta Premier Danielle Smith and Health Minister Jason Copping announced plans to reform the province’s health-care system, saying an administrator will take over in place of the now-disbanded Health Services board. “The current process isn’t working fast enough, so we need to do something different,” Smith said. “I promised Albertans that I’d address the decades-long issue that we have in our health-care system and that I would do it without delay.”

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Some Ontario docs now offering RSV shot to infants with Quebec rollout set for Nov.

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Some Ontario doctors have started offering a free shot that can protect babies from respiratory syncytial virus while Quebec will begin its immunization program next month.

The new shot called Nirsevimab gives babies antibodies that provide passive immunity to RSV, a major cause of serious lower respiratory tract infections for infants and seniors, which can cause bronchiolitis or pneumonia.

Ontario’s ministry of health says the shot is already available at some doctor’s offices in Ontario with the province’s remaining supply set to arrive by the end of the month.

Quebec will begin administering the shots on Nov. 4 to babies born in hospitals and delivery centers.

Parents in Quebec with babies under six months or those who are older but more vulnerable to infection can also book immunization appointments online.

The injection will be available in Nunavut and Yukon this fall and winter, though administration start dates have not yet been announced.

This report by The Canadian Press was first published Oct. 21, 2024.

-With files from Nicole Ireland

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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Polio is rising in Pakistan ahead of a new vaccination campaign

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ISLAMABAD (AP) — Polio cases are rising ahead of a new vaccination campaign in Pakistan, where violence targeting health workers and the police protecting them has hampered years of efforts toward making the country polio-free.

Since January, health officials have confirmed 39 new polio cases in Pakistan, compared to only six last year, said Anwarul Haq of the National Emergency Operation Center for Polio Eradication.

The new nationwide drive starts Oct. 28 with the aim to vaccinate at least 32 million children. “The whole purpose of these campaigns is to achieve the target of making Pakistan a polio-free state,” he said.

Pakistan regularly launches campaigns against polio despite attacks on the workers and police assigned to the inoculation drives. Militants falsely claim the vaccination campaigns are a Western conspiracy to sterilize children.

Most of the new polio cases were reported in the southwestern Balochistan and southern Sindh province, following by Khyber Pakhtunkhwa province and eastern Punjab province.

The locations are worrying authorities since previous cases were from the restive northwest bordering Afghanistan, where the Taliban government in September suddenly stopped a door-to-door vaccination campaign.

Afghanistan and Pakistan are the two countries in which the spread of the potentially fatal, paralyzing disease has never been stopped. Authorities in Pakistan have said that the Taliban’s decision will have major repercussions beyond the Afghan border, as people from both sides frequently travel to each other’s country.

The World Health Organization has confirmed 18 polio cases in Afghanistan this year, all but two in the south of the country. That’s up from six cases in 2023. Afghanistan used a house-to-house vaccination strategy this June for the first time in five years, a tactic that helped to reach the majority of children targeted, according to WHO.

Health officials in Pakistan say they want the both sides to conduct anti-polio drives simultaneously.

The Canadian Press. All rights reserved.

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White House says health insurance needs to fully cover condoms, other over-the-counter birth control

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WASHINGTON (AP) — Millions of people with private health insurance would be able to pick up over-the-counter methods like condoms, the “morning after” pill and birth control pills for free under a new rule the White House proposed on Monday.

Right now, health insurers must cover the cost of prescribed contraception, including prescription birth control or even condoms that doctors have issued a prescription for. But the new rule would expand that coverage, allowing millions of people on private health insurance to pick up free condoms, birth control pills, or “morning after” pills from local storefronts without a prescription.

The proposal comes days before Election Day, as Vice President Kamala Harris affixes her presidential campaign to a promise of expanding women’s health care access in the wake of the U.S. Supreme Court’s decision to undo nationwide abortion rights two years ago. Harris has sought to craft a distinct contrast from her Republican challenger, Donald Trump, who appointed some of the judges who issued that ruling.

“The proposed rule we announce today would expand access to birth control at no additional cost for millions of consumers,” Health and Human Services Secretary Xavier Becerra said in a statement. “Bottom line: women should have control over their personal health care decisions. And issuers and providers have an obligation to comply with the law.”

The emergency contraceptives that people on private insurance would be able to access without costs include levonorgestrel, a pill that needs to be taken immediately after sex to prevent pregnancy and is more commonly known by the brand name “Plan B.”

Without a doctor’s prescription, women may pay as much as $50 for a pack of the pills. And women who delay buying the medication in order to get a doctor’s prescription could jeopardize the pill’s effectiveness, since it is most likely to prevent a pregnancy within 72 hours after sex.

If implemented, the new rule would also require insurers to fully bear the cost of the once-a-day Opill, a new over-the-counter birth control pill that the U.S. Food and Drug Administration approved last year. A one-month supply of the pills costs $20.

Federal mandates for private health insurance to cover contraceptive care were first introduced with the Affordable Care Act, which required plans to pick up the cost of FDA-approved birth control that had been prescribed by a doctor as a preventative service.

The proposed rule would not impact those on Medicaid, the insurance program for the poorest Americans. States are largely left to design their own rules around Medicaid coverage for contraception, and few cover over-the-counter methods like Plan B or condoms.

The Canadian Press. All rights reserved.

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