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'Cancer doesn’t stop during COVID': Pandemic leading to worse outcomes for some breast cancer patients – Ottawa Citizen

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Patients have had both screening and surgeries delayed because of the pandemic. Renée Langman is among them.

The Embrun woman was scheduled to undergo surgery to remove a small cancerous tumour in her breast at The Ottawa Hospital on March 25. On March 23, after the province went into lockdown, she received a call telling her it was being postponed, like other surgeries across the province considered non-urgent.

She spent almost six weeks waiting and worrying.

Langman, who is 64, says she was terrified she would contract COVID-19 while she waited, which could delay things further. Finally, at the beginning of June, she received word that the surgery would go ahead on June 3.

By then, her tumour had nearly doubled in size from eight millimetres when she was diagnosed, to 15 millimetres.

Still, Langman considers herself lucky.

The cancer had not spread to her lymph nodes, which could mean lengthy chemotherapy and a more serious prognosis.

In addition to the surgery, she underwent 15 days of radiation and is taking tamoxifen, a hormonal therapy that blocks the effect of estrogen in breast tissue. In certain breast cancers, estrogen can promote cell growth.

Langman said the weeks of not knowing when she would have surgery were stressful and worrisome.

“It is one thing to live with cancer but another thing not knowing when they are going to do something for me.”

Her experience has underscored for her the importance of doing everything possible to catch breast cancer early. She encourages others who might have missed screening appointments during the pandemic not to wait.

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Island Health COVID-19 cases fluctuate back to near record high – Nanaimo News NOW

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There’s currently 267 active cases within Island Health, according to the BC CDC. Roughly two thirds of all Island Health cases remain in the central Vancouver Island area.

There is a slight discrepancy between the BC CDC and the Island Health dashboard regarding active cases, a difference of three.

The number of hospitalizations within Island Health doubled to 14, with five people receiving intensive care.

Dr. Henry said restrictions on essential travel to and from Island Health, with BC Ferries crews checking cars and travellers, aren’t on the horizon.

“It’s very much a challenge for workers at BC Ferries to take on that role and I don’t believe it’s their responsibility to,” she told reporters. “I think it is all our responsibility to each other about whether what we’re doing is for our own needs and recreation or whether we can postpone this travel.”

Dr. Henry announced 834 new COVID-19 cases across B.C.

Nearly 340 people are in hospital with 79 in ICU.

The number of new fatalities was in the double digits for the ninth day in a row, with 12 passing away in the last 24 hours.

Dr. Henry announced additional restrictions against indoor team sports, with further details expected in a published order.

She said these events are proving to be a source of COVID-19 transmission.

It’s hoped restrictions can ease for youth and children team sports with the implementation of stronger defenses against the virus.

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12 more lives lost to COVID-19 in B.C., as 834 new cases confirmed – CBC.ca

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Another 12 people have died of COVID-19 in B.C. and 834 new cases have been confirmed, Provincial Health Officer Dr. Bonnie Henry announced Wednesday.

There are now 8,941 active cases across the province, and the number of patients in hospital has risen to another new high of 337, including 79 in critical care.

Henry acknowledged that many British Columbians are feeling worn down by the pandemic and feeling fatigued by months of restrictions on daily life.

“COVID-19 is taking a toll on all of us,” she said. “I am asking you all to continue and do a little bit more.”

To date, there have been 34,728 confirmed cases of the disease in B.C., including 469 people who have died. A total of 10,201 people are currently in isolation because of contact with known cases of the virus.

Wednesday’s update included two new community outbreaks — one at the Cove Shelter in Surrey and another at Millennium Pacific Greenhouses.

There are also three new outbreaks in the health-care system, including two hospital outbreaks announced by Island Health on Tuesday. Currently, there are 54 active outbreaks in long-term care and assisted living and seven in hospitals.

Though case numbers remain highest in B.C.’s Lower Mainland, the pandemic has caught up to the rest of the province

In the past three weeks, COVID-19 cases have stayed steady in Vancouver Coastal Health and doubled in Fraser Health  — but they’ve gone up by nearly 500 per cent in the rest of B.C.

‘I’m asking you to stay home’

As B.C.’s caseload continues to grow and hospitalizations creep ever higher, Henry said everyone needs to stay within their local communities when it comes to sports and recreational travel.

“I cannot order you not to get into a car or get onto a plane, but I’m asking you to stay home,” she said.

Henry said she knows some sports teams have ignored her order against travelling, and that ended with an old timers’ hockey team in the Interior bringing back the virus from games in Alberta, resulting in dozens of cases in their local community.

Henry declined to identify the community, but said the returned players infected family members and co-workers. She also said that the situation is not unique in B.C.

All community events and social gatherings involving anyone outside someone’s immediate household remain banned as well.

The current orders restricting social interactions, recreational activities and events are set to expire on Dec. 7. Henry said health officials will be reviewing them and looking at the evidence right up until the deadline to determine if they need to continue.

However, she signalled that new restrictions on adult indoor team sports are on the way, describing those activities as high risk.

Despite the grim news on the pandemic coming out of every daily briefing on COVID-19, Henry pointed to the U.K.’s approval of the Pfizer vaccine as a sign of hope.

“This is, of course, very exciting news for all of us … but it’s going to be some time before we get there,” she said.

She added that while approved vaccines may arrive in Canada within weeks, in the meantime, B.C. continues to lose people to the disease every day and transmission is unchecked.

Asked about whether the vaccine should be mandatory, particularly for those who work in the health-care system, Henry said Canada has never had mandatory vaccinations and that isn’t going to change because of COVID-19.

However, she said that anyone thinking of working in health who doesn’t believe in vaccines or objects to immunizations should choose a different career.

She was also asked about recent demonstrations by those who believe COVID-19 is a hoax and say she is hiding the truth. Henry said that those people represent a small minority in B.C., but it does make her angry to hear those things.

“This is very real. Ask anyone who has lost a loved one how real it is,” she said.

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Winnipeg testing site for first responders trying out rapid COVID-19 test – CBC.ca

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A new Winnipeg testing site for first responders is collaborating with provincial scientists to gather data on the accuracy of a recently-approved rapid test for COVID-19.

“We’re excited that this has gone through its first week,” said Jay Shaw, assistant chief of emergency management for the City of Winnipeg, on Wednesday.

“It’s a really good program and it’s going to make a difference.”

The city opened its dedicated first-responder testing site at the Winnipeg Fire Paramedic Service academy on Nov. 20. The site is staffed by licensed paramedics who aren’t working in the field, and completed 93 COVID-19 tests on municipal and provincial first responders in its first week.

In addition to traditional nasopharyngeal swab tests, people who get tested at the site will be given a test using the Abbott Laboratories ID NOW rapid response testing device. The rapid test was approved by Health Canada in September.

People will receive results based on the traditional test, Shaw said. But results from the rapid test will be compared to the traditional ones, to help scientists at Cadham Provincial Laboratory determine its accuracy as part of a validity study.

Shaw said nearly everyone tested at that site will receive both tests, unless they aren’t eligible for the rapid test based on certain eligibility criteria.

“The validity of that test is very strong in terms of the positive result, but not so much on the negative, and that’s why we’re working with the province of Manitoba to do some studying,” Shaw said.

The testing device is a “great machine, has a lot of great purposes for the right use,” he said.

“[We’re] very happy to work with the province on this, and very happy to work with our paramedics and our team to be able to make sure that we have this service so that we can get quick testing for all of our responders, so we can keep our continuity going.”

Extra WFPS funding for counselling proposed

Like many other departments, the Winnipeg Fire Paramedic Service has seen increased absenteeism and overtime since the pandemic started, officials said Tuesday.

“That’s one of the reasons why we initiated dialogue with federal and provincial officials about the first-responder testing site,” Mayor Brian Bowman said at the news conference.

“It’s to minimize the amount of time that our first responders need to be in line if they need to get a test. It also frees up some space for the rest of us if we need to get a test.”

The city also proposed an extra $250,000 for counselling and other supports to first responders in its preliminary 2021 budget update Wednesday.

The additional funding, if approved, would go toward helping front-line members of the Winnipeg Fire Paramedic Service cope with the added trauma and stress of the pandemic.

“Trauma psychologically hurts and injures, and this investment will support emotional health services for WFPS members during this difficult time,” said Coun. Sherri Rollins (Fort Rouge-East Fort Garry), who chairs the city’s protection, community services and parks committee, in a written release Wednesday.

“The stress of working in the WFPS goes beyond battling fires and attending medical calls. Seriously distressing issues like abuse, car accidents and suicides take an emotional toll, causing trauma and real injury to our members.”  

The proposal comes in addition to other suggested funding that would see the WFPS operating budget increase by six per cent over three years, rising from $204.3 million in 2020 to $216.9 million in 2023.

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