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COVID-19 likely spread by building ventilation, say Canadian researchers working on an HVAC fix – SaltWire Network

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The outbreak of COVID-19 at a restaurant in the southern Chinese city of Guangzhou was a puzzle.

The suspected index patient was a visitor from the coronavirus’s epicentre in Wuhan. But the eight other customers who later tested positive were not sitting close enough for droplet transmission, and most of the patrons and staff avoided infection altogether.

A team of local scientists eventually came to an eye-opening conclusion about the episode: tiny particles of virus had hitched a ride on currents created by the eatery’s air-conditioning.

For a group of civil engineers at the University of Alberta, the finding was no surprise. In their world, they say, it’s well known that building ventilation systems are efficient discriminators of virus and other pathogens, and believe the COVID-19 bug is no exception.

Aided by a $440,000 federal-government grant , they’re now working on ways that buildings could change their HVAC set-ups to curb the risk of infection, what the researchers call a “non-pharmaceutical” intervention against the disease.

We want to save lives, let’s cut right to the chase

“We want to save lives, let’s cut right to the chase,” said Prof. Brian Fleck, part of the project. “There are so many, many, many buildings … This effects absolutely everybody. Billions of people. If we are able to cut down the transmission rate by a per cent, that’s a lot of people.”

The engineers’ belief in the importance of building ventilation as a transmitter of the COVID-19 virus is not universally held.

The World Health Organization and other public-health bodies , citing the science to date, say the pathogen is spread almost entirely by droplets, heavier particles emitted mostly when infected people cough or sneeze, and which fall down within a short distance. Hence the two-metre rule for social distancing.

“The HVAC systems in most non-medical buildings play only a small role in infectious disease transmission, including COVID-19,” argued the American Society of Heating, Refrigerating, and Air-Conditioning Engineers last month.

But Chinese and Australian air-quality experts, citing in part the experience with SARS, another coronavirus, argued in a paper earlier this month that as droplets from an infected person start to evaporate, the resulting smaller particles can indeed become airborne.

They point to evidence that passengers confined to their cabins on cruise ships like the Diamond Princess were infected through the vessels’ air ducts.

“It is highly likely that the SARS-CoV-2 virus also spreads by air,” they conclude, urging “all possible” action in response, including modifications to ventilation systems. “We predict that … failure to immediately recognize and acknowledge the importance of airborne transmission and to take adequate actions against it will result in additional cases.”

Then there was the Guangzhou restaurant case, detailed in a U.S. Centers for Disease Control online journal recently. Researchers concluded flow from an air conditioner moved over three tables, carrying virus from the infected patron at the middle one to the far table, then back to the diners closest to the air conditioner.

Heating, ventilation and air conditioning (HVAC) engineers have long known that tiny particles of pathogen can be carried in the air that is circulated, heated and cooled in modern buildings, said Fleck. He pointed to Legionnaires disease, a bacterial pneumonia first traced to a hotel’s air-conditioning system.

The particle can stay airborne long enough to go all the way through the system and then pop out in somebody else’s office

“This has been on people’s radar for quite a while,” he said. “Somebody on a different floor sneezes …The particle can stay airborne long enough to go all the way through the system and then pop out in somebody else’s office.”

There are various ways that risk can be lessened, including use of filters that catch a greater number of those particles, and drawing more fresh air into a system. It also is likely that higher levels of humidity – a factor that only some Canadian buildings can adjust – will help kill off the virus, said Fleck.

But each of those changes carries a cost. Adding more fresh air can require additional heat or air conditioning. Heavier filters means more energy is needed to push the air through them. And more humidity can lead to mould, he noted.

“This will make for difficult decision making.”

Funded by the Canadian Institute for Health Research, the University of Alberta project is led by engineering professor Lexuan Zhong and also involves pediatrics professor Lisa Hartling. It consists of three phases: systematically reviewing literature on air circulation and viruses, determining what strategies would be effective and then carrying out a detailed audit of all the buildings on the Edmonton campus to create a real-world model of what should be done.

The team hopes to have solid results by the summer of 2021, said Fleck.

Copyright Postmedia Network Inc., 2020

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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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