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Case of human plague confirmed in Colorado

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Colorado health officials on Tuesday confirmed a case of human plague in that state.

The infection—which occurred in Pueblo County, in the southern part of the state—was first reported Friday based on preliminary test results, while the source of the infection is still being tracked down.

“Plague can be treated successfully with antibiotics, but an infected person must be treated promptly to avoid serious complications or death,” Alicia Solis, program manager of the Office of Communicable Disease and Emergency Preparedness at the Pueblo Department of Public Health and Environment, said in a news release announcing the case.

“We advise all individuals to protect themselves and their pets from ,” she added.

This is not the first case of plague that Colorado has seen: The state had 67 reported cases between 1970 and 2022, according to the U.S. Centers for Disease Control and Prevention. In the United States as a whole, an average of seven human plague cases are reported each year.

Worldwide, 3,248 human plague cases were reported between 2010 and 2015, the World Health Organization says.

Unfortunately, “a is no longer available in the United States,” the CDC notes. “New plague vaccines are in development, but are not expected to be commercially available in the immediate future.”

Caused by the bacterium Yersinia pestis, the plague is an infectious disease typically spread by fleas. Once known as “The Black Death,” which killed millions in Europe during the Middle Ages, the plague circulates naturally among wild rodents and rarely infects humans today.

Anyone who develops symptoms of plague should see their doctor immediately, the CDC says. Typical symptoms include sudden fever and chills, severe headache, muscle aches, nausea, vomiting and, commonly, swollen lymph nodes with pain.

What can people do to avoid infection?

One way is to eliminate places where wild rodents can exist close to humans such as brush, rock piles, trash and piles of lumber around homes, garages, sheds and recreation areas, according to Colorado .

Taking precautions around pets can also reduce risk of transmission. Health officials suggest treating dogs and cats for fleas, keeping pet food in rodent-proof containers and not letting pets roam in rodent areas or sleep in bed with you.

More information:
The U.S. Centers for Disease Control and Prevention has more on the plague.

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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.

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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.

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