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COVID-19: Ontario home-care providers push for expanded services to fight pandemic – OrilliaMatters

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TORONTO — Four major home-care providers are asking the Ontario government to increase support for their sector, saying it would reduce pressure on a health-care system burdened by COVID-19.

The companies — Bayshore HealthCare, Closing the Gap Healthcare, VON Canada, and SE Health — say bolstering home care will allow long-term care homes and hospitals to operate more efficiently.

The group has launched a campaign today on their call for support.

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The CEO of Closing the Gap Healthcare says COVID-19 transmission rates in home-care settings are much lower than in congregate care.

Leighton McDonald says by focusing on community-care, the province can help keep more people safe from the virus.

According to provincial data through the height of the first wave of COVID-19 until the end of May, there were 235 virus cases related to home care, compared to 4,518 in long-term care homes.

“What didn’t happen early in the pandemic was home care wasn’t seen as a as a critical alternative to much of the institutional care” McDonald said.

“Had that happened, we would have seen many more people cared for outside of settings that could have been potentially hazardous.”

McDonald said the coalition is hoping to build public support for increased wages and stability for workers in the home-care sector, who he said are often paid less than their colleagues in hospitals and long-term care.

“We’d like to see more people on full time salaries, and have stable employment, so that they can actually earn a living and work with one employer,” he said.

Dr. Samir Sinha, the director of geriatrics at Sinai Health System and the University Health Network, has been advocating for an overhaul for the home-care system for years.

Sinha said more than 38,000 Ontarians are on wait lists to get into long-term care because there isn’t enough access to home care.

But the cost to care for someone in long-term care is $180 a day, compared to $103 a day in the home care system, he said.

“When we don’t actually have enough home and community care available it puts incredible pressures on our hospitals and it also creates incredible pressure on a nursing home system, which is expensive to run,” he said.

Sinha said keeping people out of congregate care settings, where COVID-19 has killed more than 1,830 people during the pandemic is an important strategy and will help the province address capacity issues in long-term care and hospitals.

Hamilton resident Barbara Weigelt and her 78-year-old husband accessed home-care services and support the calls to boost the sector.

Weigelt said her husband had a series of health problems over several years including a heart surgery and a stroke. With the support of a registered nurse at home, and on-call after-hours care, they were able to manage.

“I consider it a lifesaver,” she said. “If we hadn’t had that opportunity I don’t think we could have managed.”

This report by The Canadian Press was first published Oct. 1, 2020.

Shawn Jeffords, The Canadian Press

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RCMP warn about benzodiazepine-laced fentanyl tied to overdose in Alberta – Edmonton Journal

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Grande Prairie RCMP issued a warning Friday after it was revealed fentanyl linked to a deadly overdose was mixed with a chemical that doesn’t respond to naloxone treatment.

The drugs were initially seized on Feb. 28 after a fatal overdose, and this week, Health Canada reported back to Mounties that the fentanyl had been mixed with Bromazolam, which is a benzodiazepine.

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Mounties say this is the first recorded instance of Bromazolam in Alberta. The drug has previously been linked to nine fatal overdoses in New Brunswick in 2022.

The pills seized in Alberta were oval-shaped and stamped with “20” and “SS,” though Mounties say it can come in other forms.

Naloxone treatment, given in many cases of opioid toxicity, is not effective in reversing the effects of Bromazalam, Mounties said, and therefore, any fentanyl mixed with the benzodiazepine “would see a reduced effectiveness of naloxone, requiring the use of additional doses and may still result in a fatality.”

Photo of benzodiazepine-laced fentanyl seized earlier this year by Grande Prairie RCMP after a fatal overdose. edm

From January to November of last year, there were 1,706 opioid-related deaths in Alberta, and 57 linked to benzodiazepine, up from 1,375 and 43, respectively, in 2022.

Mounties say officers responded to about 1,100 opioid-related calls for service, last year with a third of those proving fatal. RCMP officers also used naloxone 67 times while in the field, a jump of nearly a third over the previous year.

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CFIA continues surveillance for HPAI in cattle, while sticking with original name for disease – RealAgriculture

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The Canada Food Inspection Agency will continue to refer to highly pathogenic avian influenza in cattle as HPAI in cattle, and not refer to it as bovine influenza A virus (BIAV), as suggested by the American Association of Bovine Practitioners earlier this month.

Dr. Martin Appelt, senior director for the Canadian Food Inspection Agency, in the interview below, says at this time Canada will stick with “HPAI in cattle” when referencing the disease that’s been confirmed in dairy cattle in multiple states in the U.S.

The CFIA’s naming policy is consistent with the agency’s U.S. counterparts’, as the U.S. Animal and Plant Health Inspection Service has also said it will continue referring to it as HPAI or H5N1.

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Appelt explains how the CFIA is learning from the U.S. experience to-date, and how it is working with veterinarians across Canada to stay vigilant for signs of the disease in dairy and beef cattle.

As of April 19, there has not been a confirmed case of HPAI in cattle in Canada. Appelt says it’s too soon to say if an eventual positive case will significantly restrict animal movement, as is the case with positive poultry cases.

This is a major concern for the cattle industry, as beef cattle especially move north and south across the U.S. border by the thousands. Appelt says that CFIA will address an infection in each species differently in conjunction with how the disease is spread and the threat to neighbouring farms or livestock.

Currently, provincial dairy organizations have advised producers to postpone any non-essential tours of dairy barns, as a precaution, in addition to other biosecurity measures to reduce the risk of cattle contracting HPAI.

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Toronto reports 2 more measles cases. Use our tool to check the spread in Canada – Toronto Star

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Canada has seen a concerning rise in measles cases in the first months of 2024.

By the third week of March, the country had already recorded more than three times the number of cases as all of last year. Canada had just 12 cases of measles in 2023, up from three in 2022.

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