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China says virus that killed 4 can spread between people. Here's what we know about the outbreak – CNBC

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Medical staff members carry a patient into the Jinyintan hospital, where patients infected by a mysterious SARS-like virus are being treated, in Wuhan in China’s central Hubei province on January 18, 2020.

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The outbreak of a new coronavirus stemming from Wuhan, China has killed four people with confirmed cases totaling more than 200 ahead of the massive Lunar New Year holiday during which hundreds of millions of people are expected to travel.

Late Monday, China’s authorities confirmed that the virus can pass from person to person.

The outbreak could hit the economy, experts warned as they called back to the fallout from the deadly Severe Acute Respiratory Syndrome (SARS) crisis in 2003.

The Wuhan virus — what it is and where it started

The coronavirus, which causes a type of pneumonia, was thought to have first originated at a wholesale seafood market in the Chinese city of Wuhan. It was first reported in late December.

The World Health Organization said it appears the outbreak began in an animal source.

On Sunday, China’s National Health Commission said the source of the virus remains unknown and that its transmission path hasn’t been completely traced.

As of Monday evening, the number of confirmed cases in China stood at 218 — with 198 in Wuhan — and four known deaths. Authorities also confirmed five cases in Beijing, and one case in Shanghai, and 14 in the Guangdong province.

Cases have also been reported in Thailand, South Korea and Japan. Symptoms include a fever and difficulty in breathing, and there is no vaccine for this new virus yet.

The outbreak comes ahead of the Lunar New Year holiday period this week, when millions of Chinese will travel domestically and overseas — heightening the risk of more transmissions.

The WHO said it will convene an emergency committee on the virus on Wednesday.

Comparison with SARS

The outbreak has sparked alarm because the disease is in the same family of viruses as SARS.

SARS, a severe epidemic which emerged in China in 2002, killed nearly 800 people worldwide. It hit Asian cities such as Hong Kong, Singapore, Taipei and Beijing the hardest and triggered a severe downturn in the region.

“I remember the SARS outbreak very, very clearly and the impact it had. These things have an enormous hit on economies,” said Rob Carnell, Dutch bank ING’s chief economist, adding that some countries even slipped into recession.

“It is not inconceivable that if Wuhan becomes more widely spread, and starts to claim more lives, that it will result in a similar response,” added Carnell.

At the time, the rapid spread of SARS was blamed on a lack of transparency by the Chinese authorities. In an opinion editorial published Sunday, state tabloid Global Times wrote, “In the early moments of SARS, there was concealment in China. This must not be repeated.”

This time, however, experts say China has moved more rapidly to deal with the crisis and also said that the virus appears to be less fatal than SARS.

Chinese President Xi Jinping said on Monday that containing the spread of the coronavirus should be a “top priority,” according to state media.

“Government and World Health Organization reports indicate that the virus is both less virulent and less deadly than SARS. The response from Beijing is also far faster this time than it was in 2002-04,” said Rory Green, economist for China and South Korea at research firm TS Lombard.

Impact on economy

ING’s Carnell warned that if consumers get spooked, the impact on the economy could be significant.

“Things like this … stop people from undertaking economic activity. You don’t go out. You don’t travel. You don’t eat out … You don’t even need lots of people to die or even get sick. You just need people to be worried about that to have a very very massive impact, and potentially quite a long-lasting impact, ” he warned.

He pointed to SARS as an example: Tourists stopped traveling to places where there were outbreaks, commuters stopped taking public transport and worked from home instead, and consumers stayed away from malls and restaurants.

At the peak of SARS, TS Lombard’s Green noted, domestic tourist growth in the second quarter of 2003 fell 45% year-on-year, and revenue from that activity plunged 64%.

He said, however, that the impact this time round should be less than that of SARS, given that it seems to be less virulent.

“Given the Wuhan coronavirus is less serious and the government response has been faster and stronger, the impact on the economy will certainly be less than SARS,” he added. “At present our outlook is for the disease to drag on retail sales and tourism but for consumption growth to remain on trend at 7%.”

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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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