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Coronavirus in California US

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California officials said this week that they had bolstered efforts to confront the growing threat of the coronavirus, declaring that they were prepared and pursuing aggressive measures to thwart its spread.

Gov. Gavin Newsom said on Thursday that the state had pushed for improved and expanded testing, urging federal officials to alter a testing protocol that he considered “inadequate” to address the situation California faces. He also said officials were actively monitoring people who might have come into contact with the pathogen.

California has had more coronavirus cases than any other state and has also been the nucleus of quarantine efforts in the United States. The sense of concern became more heightened after officials confirmed what is believed to be the first documented case of community transmission, in Solano County.

The governor sought to strike a delicate note by quelling fears over the virus while acknowledging the seriousness of the situation. He told residents that the overall number of cases remained low and that the state government was well positioned to keep it that way.

“We have been in constant contact with federal agencies,” Mr. Newsom, a Democrat, said in a news conference on Thursday. “We have history and expertise in this space. We are not overreacting, but nor are we underreacting to the understandable anxiety that many people have as it relates to this novel virus.”

Mr. Newsom has resisted declaring a state of emergency, a step taken by some local officials largely in an effort to muster public health resources. But there are worries about the economic fallout, with events having already been changed or canceled. Both Facebook and Microsoft said they were pulling out of conferences scheduled for March and May.

Thirty-three people have tested positive for the virus in California, said Dr. Sonia Angell, the director of the California Department of Public Health. Out of that group, 24 were from repatriation flights, seven were related to the patients’ travel and one had contracted it from an infected spouse. The most recent case was the one involving community transmission, which was reported in Solano County.

Mr. Newsom said five people had moved out of the state after testing positive. In addition, at least 8,400 people who have returned from overseas are being monitored in 49 jurisdictions.

One confirmed coronavirus case that cropped up in Solano County, between San Francisco and Sacramento, is especially worrisome to health officials. The patient had not had contact with anyone known to be infected, and had not traveled recently to a country where the virus is known to be in circulation.

The Centers for Disease Control and Prevention said it was the first such case reported in the United States, and it raised the possibility that someone who is asymptomatic may be carrying the virus and infecting others without knowing it.

The Coronavirus Outbreak

  • Answers to your most common questions:

    Updated Feb. 26, 2020

    • What is a coronavirus?
      It is a novel virus named for the crownlike spikes that protrude from its surface. The coronavirus can infect both animals and people and can cause a range of respiratory illnesses from the common cold to more dangerous conditions like Severe Acute Respiratory Syndrome, or SARS.
    • How do I keep myself and others safe?
      Washing your hands frequently is the most important thing you can do, along with staying at home when you’re sick.
    • What if I’m traveling?
      The C.D.C. haswarned older and at-risk travelers to avoid Japan, Italy and Iran. The agency also has advised against all nonessential travel to South Korea and China.
    • Where has the virus spread?
      The virus, which originated in Wuhan, China, has sickened more than 80,000 people in at least 33 countries, including Italy, Iran and South Korea.
    • How contagious is the virus?
      According to preliminary research, it seems moderately infectious, similar to SARS, and is probably transmitted through sneezes, coughs and contaminated surfaces. Scientists have estimated that each infected person could spread it to somewhere between 1.5 and 3.5 people without effective containment measures.
    • Who is working to contain the virus?
      World Health Organization officials have been working with officials in China, where growth has slowed. But this week, as confirmed cases spiked on two continents, experts warned that the world was not ready for a major outbreak.

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The patient, a woman, became ill and was first treated in a hospital in Vacaville, then transferred to the UC Davis Medical Center. Doctors there suspected coronavirus and requested a test. But the C.D.C. did not perform the test for days, because it was restricting testing to sick people known to have been exposed to the virus. The day after her case was confirmed, the C.D.C. broadened its criteria to allow testing of people like her who appear to be ill from coronavirus but have no known point of exposure.

Solano County is also the location of Travis Air Force Base, where many Americans who were infected in Asia have been quarantined.

A government whistle-blower has filed a complaint saying that the federal health officials sent to interact with quarantined people at the base were not given proper training or protective gear, were not monitored or tested, and were allowed to move freely around and off the base — practices that potentially could have spread the virus into the community. The Department of Health and Human Services said it was looking into the complaint.

Similar things may have happened at Marine Corps Air Station Miramar near San Diego, another base where American coronavirus evacuees from Asia were taken to be quarantined, according to a person with direct knowledge of the efforts there.

California officials said on Thursday that the C.D.C. had promised to vastly expand the state’s ability to test patients for the coronavirus. Mr. Newsom repeatedly said the previous system had been “inadequate” to keep the virus from spreading.

Mr. Newsom said the director of the C.D.C. had promised him that physicians would have a much greater ability to test patients who were showing symptoms of the infection, changes the governor said “can’t happen soon enough.”

“Testing protocols have been a point of frustration for many of us,” Mr. Newsom said, referring to health officials in California and governors of other states. State officials said California had just 200 testing kits left.

Even as the governor resisted declaring a statewide emergency, officials in San Francisco and Orange County announced they were taking that step. But officials in both places stressed that the move was less an acknowledgment of an active crisis and more about mobilizing the resources to prevent one.

“This declaration of emergency is all about preparedness,” San Francisco’s mayor, London Breed, told reporters on Wednesday.

Nichole Quick, the health officer for Orange County, said the formal declaration there would enable local officials to be “more nimble and flexible” in their response.

“This is a rapidly evolving situation,” Ms. Quick said on Wednesday, according to The Orange County Register, which reported that there had been one confirmed case of the virus in the county.

State officials planned to move people infected with the virus to a state-owned facility in Costa Mesa, a city of more than 100,000 in Orange County. But city leaders are fighting to keep them out.

The authorities in California selected the site after the Defense Department informed them that patients who tested positive for the virus could no longer stay at Travis Air Force Base.

Federal officials had planned to move the patients to a government facility in Alabama, court documents said, but officials in California thought that moving the group, most of them said to be residents of the state, would be detrimental to their health and well-being.

Instead, state officials said the people would be moved from the base in Solano County to the facility in Southern California, where they would remain in isolation while recovering.

But the decision touched off a legal fight with Costa Mesa. A federal judge issued a temporary restraining order to stop the move. The judge said she would reconsider the issue after state and federal authorities provide more details about how they plan to protect the health of the community, as well as the people with the coronavirus. The judge set a hearing for March 2.

“This is a new one in terms of claiming a right not to have infectious disease introduced into your community,” said Polly Price, a professor of law and global public health at Emory University. Although cities and towns once claimed “an absolute right” to guard against disease, she said, state-level control over isolation and quarantine has been the norm for more than a century.

Blair Zong, 33, was among hundreds of Americans who were evacuated on flights arranged by the U.S. government and have had to wait through mandatory 14-day quarantines on military bases.

Ms. Zong, who lives in San Jose, Calif., was visiting her mother and grandparents in Wuhan, China, where she grew up, when the coronavirus outbreak became an epidemic.

She agreed to keep a daily journal of her time in quarantine at Marine Corps Air Station Miramar in San Diego.

Reporting was contributed by Patrick J. Lyons, Sean Plambeck, Roni Caryn Rabin, Farah Stockman, Louis Keene, Emily Cochrane, Margot Sanger-Katz and Noah Weiland.

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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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