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COVID-19 spread shifts to seniors as outbreaks rise in long-term care homes: Tam – iNFOnews

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Chief Public Health Officer Theresa Tam looks at a slide projected on a screen during a news conference in Ottawa, Friday, Oct. 9, 2020.
Image Credit: THE CANADIAN PRESS/Adrian Wyld

October 10, 2020 – 9:00 PM

Canada’s chief public health officer says the spread of COVID-19 is shifting towards seniors, adding to the mounting signs suggesting a second wave could hit just as hard as the first.

In a statement Saturday, Dr. Theresa Tam said that while the summer saw cases concentrated in the 20 to 39 age range, infection rates are now accelerating in older populations.

Reports of outbreaks in long-term care centres and retirement homes have been rising in recent weeks, but seem to be more contained than the eruption of cases that overwhelmed several facilities in April and May, said Tam.

It’s a troubling trend given the heightened health risks the virus poses to older Canadians, said Tam, warning that we’ve already seen how spread in care homes can have deadly consequences.

“We all have a shared responsibility to help protect those at highest risk,” Tam said in a statement. “When spread of COVID-19 is kept to low levels in the community this decreases the risk of exposure for older Canadians.”

Meanwhile, some of the hardest-hit provinces are scrambling to prevent such a worst-case scenario by introducing new restrictions to rein in the surge in regional hot spots.

Ontario reported 809 new cases on Saturday, including 358 in Toronto, 123 in the Peel Region and 94 in Ottawa.

The numbers come on the first day of the province’s new measures to curb the consistent climb of cases in those areas, including closing gyms, movie theatres and casinos and suspending indoor dining at bars and restaurants.

The government also reported seven new deaths related to the virus. In total, 213 people are hospitalized in Ontario because of COVID-19; 47 people are in intensive care and 29 are on ventilators.

The picture wasn’t any prettier in Quebec, which reported another 1,097 new cases on Saturday — the sixth day out of the last seven that the province surpassed 1,000 new cases.

Quebec also reported 14 additional deaths. Hospitalizations rose by 11 to 444, and six more people were in intensive care, for a total of 73.

In response, the province was set to expand restrictions in nearly all the regions along the St. Lawrence River between Montreal and Quebec City on Saturday night.

Bars, restaurant dining rooms and gyms in so-called “red zones” must be closed, sports are limited and private citizens are not allowed to gather in private homes with anyone outside their household, with few exceptions.

In Manitoba, health officials reported two more deaths from COVID-19, as well as 97 new cases.

The province said in its daily pandemic update on Saturday that two women in Winnipeg — one in her 80s and another in her 90s — had died since the last update on Friday.

Public health officials also reminded people that residents of personal care homes are especially vulnerable to COVID-19, and that any visits over the Thanksgiving weekend should be planned with caution.

Even the Atlantic bubble seems to have been perforated by the pandemic’s second wave.

There were 20 new cases of COVID-19 in New Brunswick on Saturday, bringing the province’s total number of active cases to 57.

The province’s chief medical officer of health said 12 of the new cases are in the Moncton region and seven are in the Campbellton region. Both regions remain in the “orange” level of restrictions under the province’s COVID-19 plan.

Newfoundland and Labrador and Nova Scotia each reported three new cases on Saturday.

This report by The Canadian Press was first published Oct. 10, 2020.
News from © The Canadian Press, 2020

News from © The Canadian Press, 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.

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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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