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Condoms and COVID tests paired for weekend crowds in downtown Halifax – CBC.ca

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Call it an example of hitting two birds with one stone.

While COVID-19 has been the focus of Dr. Lisa Barrett’s work since the pandemic began in Nova Scotia, it isn’t the only infectious disease she keeps an eye on. 

Barrett has previously worked on the study and prevention of HIV, hepatitis C and other sexually transmitted infections, which is why her latest public health initiative pairs a COVID-19 test with a condom.

Since the end of September, volunteers have been roaming the streets of downtown Halifax on weekends between the hours of 10 p.m. and 1 a.m., handing out what Barrett has dubbed “protection packs.” Each sealed package contains one take-home rapid antigen test and one condom.

“Play safe!” reads the label, which also includes stylized graphics of the test and condom to be found inside, and the cheeky captions, “Going Out” and “Going In.”

Each protection pack is labelled with a stylized graphic encouraging people to ‘Play Safe’ whether ‘Going Out’ or ‘Going In.’ (Submitted by Barb Goodall)

“As we get more social in certain situations, people are going to be out there getting back together,” Barrett said in an interview. 

“If we’re going to give a COVID test, wouldn’t it be a great opportunity to add some extra protection layers to our community and make sure that people have access to condoms?”

Barrett said she thinks the condoms help reduce the stigma of picking up a COVID-19 testing kit.

“There’s a heck of a lot more endorsement of getting a protection pack than there is to getting a COVID test when you’re out having fun,” she said.

Volunteers hand out ‘protection packs’ containing a COVID-19 rapid antigen test and a condom on Argyle Street in downtown Halifax. (Submitted by Barb Goodall)

Barrett has become well known in Nova Scotia over the past year for organizing and promoting rapid COVID-19 testing through volunteer-run pop-ups. The testing took off last fall along with the province’s second wave, which was spreading primarily among young, socially active people going to downtown bars and restaurants.

A similar trend has emerged in the ongoing fourth wave, with community spread happening in the 20- to 40-year-old subset of Halifax, hence Barrett’s chosen location for distributing the protection packs.

She said she hopes to continue with the packs for as long as the current trend in COVID-19 spread persists, supplies last and volunteers are available to hand them out.

Dr. Lisa Barrett at a pop-up rapid testing site on the Dalhousie University campus in 2020. (CBC)

 

Jessica Wood, a researcher with the Sex Information and Education Council of Canada, said she hasn’t seen a COVID-19 and sexual health mashup quite like this one before, but she’s hoping to see more like it. 

“During the pandemic and as we come out of the pandemic, safer sex should include COVID-19 risk reduction strategies,” Wood said in an interview.

“This was an initiative that did a good job of pairing COVID risk reduction strategies with safer sex strategies, and I think that’s a really good step for normalizing both.” 

Wood said it could go even further by including additional sexual health information — something she said has been limited by the pandemic, especially for young people who have experienced school disruptions because of lockdowns.

Fewer options for sexual health care

The pandemic has also limited access to sexual health care.  

In Nova Scotia, STI testing has been suspended several times over the past 19 months as resources have been redeployed to COVID-19 efforts. 

Wood said that’s true of many jurisdictions, in addition to reductions in access to some sexual health treatments, reproductive health services and HPV vaccination.

Barrett said that while those suspensions were necessary, they likely mean rates of STIs in Nova Scotia are slightly higher than health officials know — all the more reason to ensure people have access to protection, she said.

In the first weekend of distributing the protection packs, Barrett said more than 600 were handed out.

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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.

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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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