COVID transmission is still high, so weigh the risks, urges Gardner - OrilliaMatters | Canada News Media
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COVID transmission is still high, so weigh the risks, urges Gardner – OrilliaMatters

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With very few public health restrictions remaining and a return to full capacity for indoor settings, the region’s medical officer of health is urging people to weigh the risk before attending a large gathering or public event. 

Dr. Charles Gardner, medical officer of health for Simcoe Muskoka District Health Unit said without capacity limits, the risks go up. 

Gardner said it’s up to individuals to decide what level of risk they’re comfortable with.

Though the doctor would have liked to see a slower lifting of public health restrictions in Ontario, he acknowledged the provincial decision was made based on a balance of factors from public health risk to the economy.

“People need to be aware there is still quite a high transmission rate and they need to decide for themselves the level of risk they are going to take on,” said Gardner. “One way to reduce personal risk is to be very judicial about choosing what you’re going to do.”

Though the province’s chief medical officer of health, Dr. Kieran Moore, has indicated the potential for mask requirements to also be lifted in March, Gardner said he’d like to see those mandates stay in place. 

“Mask use is important because it is relatively easy to do without a cost to businesses, and it significantly reduces the risk of transmission,” said Gardner. “It’s safe and easy to do … I would be advocating that it continue.” 

Proof of vaccination requirements, as they existed until March 1, may have run their course according to the local medical officer of health. 

“I believe that was very helpful to us when we had the Delta wave … because you had a high degree of protection against transmission with two doses of vaccine at that time,” said Gardner. 

However, the Omicron variant proved able to spread even among the double vaccinated with little interference from immunization. Though the vaccines appeared to offer higher levels of protection against severe outcomes such as hospitalization and death.

Both Moore and Gardner have said the proof of vaccination rules in place during Omicron did help protect unvaccinated people by preventing them from accessing more high-risk settings where they might contract COVID-19 and face severe symptoms. 

“That is certainly an important goal, but it isn’t the same as the other goals achieved formerly,” said Gardner. “Reducing transmission … I don’t believe was being achieved.” 

He said the province could have made the proof of vaccination requirement for three doses, but anticipated that would have been a difficult move given only about half the eligible population has received three doses of COVID vaccines. 

“It’s really important people continue with a multi-layer approach,” said Gardner. Noting that includes self-monitoring and staying home when sick, vaccination including a booster shot, wearing a mask, and carefully considering the size of groups you socialize with while indoors. 

“We still have a significant amount of transmission happening in our communities,” said Gardner. 

Week-over-week case counts have been declining or at least plateauing with 695 cases reported in the region for the week of Feb. 13-19 and 568 cases reported during the week of Feb. 20-26. 

Case counts, however, are underestimated because not everyone is eligible for a provincial lab test, even if they have symptoms of COVID. 

Hospitalization and ICU rates have been the highest ever for the region during the Omicron wave, according to Gardner. 

Recent wastewater surveillance from Collingwood indicated a jump in SARS-COV-2 RNA, the virus that causes COVID-19, in local wastewater, but it’s unclear if that indicates an actual increase in transmission or if it is an outlier.

“We get samples once a week, and we’ll be looking at the next sample to see if that jump is repeated or not,” said Gardner. 

In the other communities – Barrie, Orillia, and Midland – wastewater samples have shown a plateau in the presence of the virus that’s lower than the height of the Omicron wave in January, but high compared to the rest of the pandemic. 

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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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