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Coronavirus case counts in Toronto are 'horrific,' top health official says – CP24 Toronto's Breaking News

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Public health officials in three COVID-19 hotspots, including Toronto and Peel, are calling on the Ford government to issue a provincewide stay-at-home order similar to the one that was introduced during the peak of the second wave of the pandemic in January.

The medical officers of health for Toronto, Peel and Ottawa sent a joint letter to Chief Medical Officer of Health Dr. David Williams over the weekend asking him to consider putting the order in place amid surging COVID-19 case counts and hospitalization rates that have been driven by the prevalence of the B.1.1.7 variant.

“A stay-at-home order issued by the Province through an Emergency Order is necessary to prevent and mitigate large scale morbidity and mortality and irreparable strain on the health care system,” they say in the letter. “Stricter lockdowns have been shown to be effective in other countries to control transmission while vaccine campaigns progressed to achieve sufficient population coverage to suppress transmission.”

The province’s science table released modelling last week that suggested that the province could reduce daily COVID-19 case counts to between 1,000 and 1,500 by the end of April but only if they were to implement a month-long stay-at-home order.

The province, however, has resisted taking the advice and last week Health Minister Christine Elliott said that the government wouldn’t replicate the stay-at-home order from the second wave because of the “tremendous ill effect” it had on residents and the need for people to enjoy the outdoors as the weather improves.

Instead, the province issued its so-called “emergency brake” to bring all 34 public health units under enhanced restrictions.

In their letter, Toronto’s Medical Officer of Health Dr. Eileen de Villa, Peel Region’s Medical Officer of Health Dr. Lawrence Loh and Ottawa’s Medical Officer of Health Dr. Vera Etches did welcome the “additional province-wide public health measures” announced last week but they warn that “stronger measures will be required to reverse the surge” in case counts being experienced in their communities.

In addition to the stay-at-home order they also want Williams to reconsider the long list of businesses and services that are deemed essential in Ontario and to implement staffing limits of no more than 50 per cent for essential businesses and services.

They are also asking that the province consider imposing travel restrictions between regions in Ontario and move schools to “online or hybrid learning where local jurisdictions’ school outbreaks are significant and capacity to manage is stretched.”

“While continued expansion of vaccine administration remains a critical component of our long-term pandemic response, public health measures are needed immediately to reverse, as quickly as possible, the concerning trends we are seeing in our health units,” they say.

Intensive care units swell with COVID-19 patients

The request from de Villa, Loh and Etches comes with Ontario’s rolling seven-day average of new cases sitting at 2,758, up from 2,094 just one week ago.

The number of people in intensive care units with COVID-19 also continues to reach new highs and is now at 494.

In a statement provided to CTV News Toronto on Monday, a spokesperson for Minister of Health Christine Elliott conceded that Ontario is very much in the midst of a third wave of the pandemic and said that “immediate action is required to help turn the tide.”

But the spokesperson said that the province already took action by invoking its emergency brake and needs to wait to see what impact, if any, that has on infection rates.

“It’s critical to point out that after applying public health measures it takes time for the intended effects of the measures to be realized due to the incubation period of the virus,” the spokesperson said. “Our government will continue act on the advice of the Chief Medical Officer of Health who will review the science, data and trends along with collaborating with local medical officers of health and our team of expert health officials on if and when public health measure can be loosened or strengthened.”

De Villa calls case counts ‘horrific’

The rapid rise in cases in Ontario over the last few weeks came as the Ford government loosened some restrictions, only to re-impose them with the invoking of the emergency brake.

De Villa was asked about the situation while touring a new mass vaccination clinic at the Hangar in North York on Monday morning and said that there “is no question the case counts are horrific.”

De Villa also said there are “measures that promote distance whether taken at a policy level or taken by us as individuals that will help reduce transmission” but stopped short of providing specifics.

For his part, Mayor John Tory said that he would be open to having “a discussion about what more might need to be done in order to wrestle this to the ground.”

“The fact is people around the world are searching for the right thing to do and looking at additional things we can do in workplaces, in the community, I think has proven more often than not to be as successful as anything else in addition to keeping distance and wearing masks,” he said.

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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.

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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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