COVID-19: Tools to combat Omicron remain unchanged as province shifts pandemic strategy, expert says - Vancouver Sun | Canada News Media
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COVID-19: Tools to combat Omicron remain unchanged as province shifts pandemic strategy, expert says – Vancouver Sun

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Wear a mask and distance in indoor public spaces, wash your hands often and stay home if you’re sick. Ventilation of indoor spaces is also important.

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B.C. has changed its strategy on how it will manage COVID-19, shortening isolation times, tightening eligibility for testing and doing away with contact tracing.

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The changes are taking place as the rapidly transmissible Omicron variant has exploded in B.C., but with evidence that it causes less severe illness in most people and a belief that the latest wave peaked earlier in January.

The changes have caused some confusion.

Dr. Brian Conway, president and medical director of the Vancouver Infectious Diseases Centre, say, however, that in the face of these changes, the tools to provide protection from infection have changed little.

Wear a mask and distance in indoor public spaces, wash your hands often and stay home if you’re sick. Ventilation of indoor spaces is also important.

If you’re not vaccinated for COVID, get vaccinated.

“I think the vaccination piece is going to continue to be key,” says Conway.

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While vaccination rates are high in B.C., there are still several hundred thousand people who have chosen not get vaccinated, noted Conway.

And there are blank spots, he said.

As part of the work the infectious disease centre does, it canvassed a single room occupancy hotel in the Downtown Eastside where it found that 30 of 100 residents hadn’t been vaccinated even though health authorities believed they had very good coverage.

More than 10.3 million jabs have been delivered in the province, with 90 per cent of those 12 and older fully vaccinated with two doses.

“It’s a tremendous success but what we need is 15 million,” said Conway.

On Friday, in the province’s latest COVID briefing, provincial health officials noted that they continue to see a decrease and slowdown in coronavirus cases and “tentatively” a slowing down in hospital admissions.

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However, officials noted that cases and hospitalizations remain high relative to previous levels during the pandemic.

A similar scenario is playing out in other provinces in Canada, including Ontario, and in some countries such as South Africa and the U.K.

B.C. modelling presented earlier this month showed hospitalizations dropping off to a handful of cases a day by mid-February.

As a result of Omicron, the province has made a number of changes in how it will manage the pandemic. Those include dropping contract tracing because of the variant’s shorter incubation period, dispensing with testing to anyone with symptoms and reducing to five the number of days people who have COVID should isolate unless symptoms persist.

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Only those who are in high-risk groups — such as those 70-years-or-older or people who have compromised immune systems — are priority candidates for testing, provincial health officials have explained.

The latest data available shows Omicron  accounts for more than 96 per cent of cases, overtaking the previous Delta variant.

“I absolutely recognize this is a shift, and it means we have to change our way of thinking that we have been working on so intently together for the last two years,” says Dr. Bonnie Henry, the province’s health officer.

COVID will now be managed much more like other respiratory illnesses such as the flu or even the common cold, said Henry.

Conway noted COVID hasn’t yet moved from the pandemic stage to an endemic illness were transmission level is lower, predictable and doesn’t overwhelm the health-care system.

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There may be a better idea of when the endemic level might happen by the summer, said Conway.

He cautioned, however, that the worldwide vaccination rate is nowhere near where it needs to be to prevent new variants from emerging.

In Africa, most of the countries have rates of less than 20 per cent for at least one dose of vaccine. In India, for example, only about half of the population is fully vaccinated.

Conway said that this reality underscores the need for those who aren’t vaccinated in B.C. to do so.

ghoekstra@postmedia.com

twitter.com/gordon_hoekstra


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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.

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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