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Cystic fibrosis drug Trikafta, Keytruda for lung cancer to be funded – Stuff

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In 25 sleeps, New Zealanders with cystic fibrosis will be handed a chance at a future, according to a man with the condition, thanks to a landmark decision by Pharmac to fund the powerful drug Trikafta.

“I can’t wait to see what the cystic fibrosis community is going to do with their life,” Ed Lee, said.

“Maybe they’ll be doctors, maybe they’re going to be teachers, maybe they’ll cure cancer. They could be the CEO of a company that’s going to solve the climate crisis. We’ve now given these people a chance to live.”

Pharmac confirmed on Tuesday that Trikafta would be funded for eligible people over the age of 6 from April 1. It also said it would fund two new medicines – pembrolizumab (branded as Keytruda) and atezolizumab (branded as Tecentriq) – for people with locally advanced and metastatic non-small cell lung cancer, who meet certain eligibility criteria.

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Lower Hutt woman Chantelle De Kort, 33, said Trikafta would mean she can go on walks with her three children, work again and most importantly, wouldn’t have to relocate to Australia.

Without Trikafta, De Kort’s cystic fibrosis is a full-time job – she must use a nebuliser twice a day and do physiotherapy to clear mucus from her lungs and she would spend about a fortnight in hospital twice a year.

Supplied

Lower Hutt mum Chantelle de Kort, who has cystic fibrosis, with her daughters Charlie de Kort (left) and Ella de Kort, during a hospital stay. The family is celebrating news the life-changing drug Trikafta will be funded from April 1.

Now, she said: “I’m looking forward to having a job.

“Me and my husband can even have a conversation about retirement. Before, it wasn’t our future.”

Lee said: “It’s the fairest and right thing to happen. We don’t deserve to die. And now people can dream. They can live, they can have a family, they can go and study.”

Lee, along with the CF community, has been calling for “wonder drug” Trikafta to be funded for more than two years. Those wanting Trikafta in the meantime faced an annual price tag of $330,000, or a move to one of the 31 countries where it’s funded, such as Australia.

Kathryn George/Stuff

Pharmac on Tuesday announced it is funding Trikafta and two new medicines for lung cancer.

Pharmac announced its intention to fund the treatment (elexacaftor with tezacaftor and ivacaftor, branded as Trikafta) late last year, after initially receiving an application from supplier Vertex in July 2021.

This was welcomed by Cystic Fibrosis New Zealand’s Lisa Burns who, at the time, called it “literally a Christmas miracle”.

“It’s such a historic, incredible moment – I was just stunned,” she said at the time.

On Tuesday, Pharmac director of operations Lisa Williams said it was “thrilled to announce that Trikafta will be funded and available from next month”.

“This decision is a significant milestone. To have a medicine with this level of investment secured for our community is a big deal, and we are grateful to everyone who has been a part of this process.”

Andy MacDonald / Stuff

Trikafta is going to be a literal lifesaver for Oakura’s Brett Holdcroft. Brett’s mum Penny talks about finding out the drug is going to be funded.

The outcome does not provide a new funded medicine for everyone within the cystic fibrosis community, however.

“Our work in this space does not stop at this decision,” Williams said.

Consideration of wider access to ivacaftor, branded as Kalydeco, was already under way, and Pharmac had told Vertex it “would welcome a funding application” for other medicines, such as tezacaftor with ivacaftor, branded as Symdeko.

Cystic fibrosis causes lung function to decline over time and can lead to chronic lung infections, liver failure, cirrhosis of the pancreas, risk of diabetes, frequent stays in hospital and a life expectancy of mid- to late-30s.

While Trikafta is not a cure, it stops further lung damage, so the earlier those with the condition can access the drug, the greater their quality of life.

Sophie Harris/Stuff

Cystic Fibrosis New Zealand chief executive Lisa Burns earlier told Stuff that Pharmac’s proposal to fund Trikafta, announced in December, was a “historic, incredible moment”.

In a statement, Vertex said it was “delighted” Pharmac confirmed New Zealanders as young as 6 living with CF would be able to access Trikafta from next month.

Pharmac on Tuesday also announced it will fund two new immunotherapy medicines – pembrolizumab (branded as Keytruda) and atezolizumab (branded as Tecentriq) – for people with locally advanced and metastatic non-small cell lung cancer, who meet certain eligibility criteria.

Williams said lung cancer is the leading cause of cancer-related mortality in New Zealand, so “we’re really pleased with the outcome of having two new treatment options available”.

The funding decision would have a “substantial impact” on those affected and their whānau, she said.

Lucy Elwood from the Cancer Society said funding these treatments would “lead to massive improvements in cancer outcomes for lung cancer patients”.

Roche Products (New Zealand) general manager Alex Muelhaupt said some big benefits likely to arise are improving outcomes for Māori, and changing the social stigma of lung cancer.

“We hope better treatment will reduce the stigma associated with the disease, alleviating some of the less visible burden on patients.”

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Health Canada approves updated Moderna COVID-19 vaccine

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TORONTO – Health Canada has authorized Moderna’s updated COVID-19 vaccine that protects against currently circulating variants of the virus.

The mRNA vaccine, called Spikevax, has been reformulated to target the KP.2 subvariant of Omicron.

It will replace the previous version of the vaccine that was released a year ago, which targeted the XBB.1.5 subvariant of Omicron.

Health Canada recently asked provinces and territories to get rid of their older COVID-19 vaccines to ensure the most current vaccine will be used during this fall’s respiratory virus season.

Health Canada is also reviewing two other updated COVID-19 vaccines but has not yet authorized them.

They are Pfizer’s Comirnaty, which is also an mRNA vaccine, as well as Novavax’s protein-based vaccine.

This report by The Canadian Press was first published Sept. 17, 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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These people say they got listeria after drinking recalled plant-based milks

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TORONTO – Sanniah Jabeen holds a sonogram of the unborn baby she lost after contracting listeria last December. Beneath, it says “love at first sight.”

Jabeen says she believes she and her baby were poisoned by a listeria outbreak linked to some plant-based milks and wants answers. An investigation continues into the recall declared July 8 of several Silk and Great Value plant-based beverages.

“I don’t even have the words. I’m still processing that,” Jabeen says of her loss. She was 18 weeks pregnant when she went into preterm labour.

The first infection linked to the recall was traced back to August 2023. One year later on Aug. 12, 2024, the Public Health Agency of Canada said three people had died and 20 were infected.

The number of cases is likely much higher, says Lawrence Goodridge, Canada Research Chair in foodborne pathogen dynamics at the University of Guelph: “For every person known, generally speaking, there’s typically 20 to 25 or maybe 30 people that are unknown.”

The case count has remained unchanged over the last month, but the Public Health Agency of Canada says it won’t declare the outbreak over until early October because of listeria’s 70-day incubation period and the reporting delays that accompany it.

Danone Canada’s head of communications said in an email Wednesday that the company is still investigating the “root cause” of the outbreak, which has been linked to a production line at a Pickering, Ont., packaging facility.

Pregnant people, adults over 60, and those with weakened immune systems are most at risk of becoming sick with severe listeriosis. If the infection spreads to an unborn baby, Health Canada says it can cause miscarriage, stillbirth, premature birth or life-threatening illness in a newborn.

The Canadian Press spoke to 10 people, from the parents of a toddler to an 89-year-old senior, who say they became sick with listeria after drinking from cartons of plant-based milk stamped with the recalled product code. Here’s a look at some of their experiences.

Sanniah Jabeen, 32, Toronto

Jabeen says she regularly drank Silk oat and almond milk in smoothies while pregnant, and began vomiting seven times a day and shivering at night in December 2023. She had “the worst headache of (her) life” when she went to the emergency room on Dec. 15.

“I just wasn’t functioning like a normal human being,” Jabeen says.

Told she was dehydrated, Jabeen was given fluids and a blood test and sent home. Four days later, she returned to hospital.

“They told me that since you’re 18 weeks, there’s nothing you can do to save your baby,” says Jabeen, who moved to Toronto from Pakistan five years ago.

Jabeen later learned she had listeriosis and an autopsy revealed her baby was infected, too.

“It broke my heart to read that report because I was just imagining my baby drinking poisoned amniotic fluid inside of me. The womb is a place where your baby is supposed to be the safest,” Jabeen said.

Jabeen’s case is likely not included in PHAC’s count. Jabeen says she was called by Health Canada and asked what dairy and fresh produce she ate – foods more commonly associated with listeria – but not asked about plant-based beverages.

She’s pregnant again, and is due in several months. At first, she was scared to eat, not knowing what caused the infection during her last pregnancy.

“Ever since I learned about the almond, oat milk situation, I’ve been feeling a bit better knowing that it wasn’t something that I did. It was something else that caused it. It wasn’t my fault,” Jabeen said.

She’s since joined a proposed class action lawsuit launched by LPC Avocates against the manufacturers and sellers of Silk and Great Value plant-based beverages. The lawsuit has not yet been certified by a judge.

Natalie Grant and her seven year-old daughter, Bowmanville, Ont.

Natalie Grant says she was in a hospital waiting room when she saw a television news report about the recall. She wondered if the dark chocolate almond milk her daughter drank daily was contaminated.

She had brought the girl to hospital because she was vomiting every half hour, constantly on the toilet with diarrhea, and had severe pain in her abdomen.

“I’m definitely thinking that this is a pretty solid chance that she’s got listeria at this point because I knew she had all the symptoms,” Grant says of seeing the news report.

Once her daughter could hold fluids, they went home and Grant cross-checked the recalled product code – 7825 – with the one on her carton. They matched.

“I called the emerg and I said I’m pretty confident she’s been exposed,” Grant said. She was told to return to the hospital if her daughter’s symptoms worsened. An hour and a half later, her fever spiked, the vomiting returned, her face flushed and her energy plummeted.

Grant says they were sent to a hospital in Ajax, Ont. and stayed two weeks while her daughter received antibiotics four times a day until she was discharged July 23.

“Knowing that my little one was just so affected and how it affected us as a family alone, there’s a bitterness left behind,” Grant said. She’s also joined the proposed class action.

Thelma Feldman, 89, Toronto

Thelma Feldman says she regularly taught yoga to friends in her condo building before getting sickened by listeria on July 2. Now, she has a walker and her body aches. She has headaches and digestive problems.

“I’m kind of depressed,” she says.

“It’s caused me a lot of physical and emotional pain.”

Much of the early days of her illness are a blur. She knows she boarded an ambulance with profuse diarrhea on July 2 and spent five days at North York General Hospital. Afterwards, she remembers Health Canada officials entering her apartment and removing Silk almond milk from her fridge, and volunteers from a community organization giving her sponge baths.

“At my age, 89, I’m not a kid anymore and healing takes longer,” Feldman says.

“I don’t even feel like being with people. I just sit at home.”

Jasmine Jiles and three-year-old Max, Kahnawake Mohawk Territory, Que.

Jasmine Jiles says her three-year-old son Max came down with flu-like symptoms and cradled his ears in what she interpreted as a sign of pain, like the one pounding in her own head, around early July.

When Jiles heard about the recall soon after, she called Danone Canada, the plant-based milk manufacturer, to find out if their Silk coconut milk was in the contaminated batch. It was, she says.

“My son is very small, he’s very young, so I asked what we do in terms of overall monitoring and she said someone from the company would get in touch within 24 to 48 hours,” Jiles says from a First Nations reserve near Montreal.

“I never got a call back. I never got an email”

At home, her son’s fever broke after three days, but gas pains stuck with him, she says. It took a couple weeks for him to get back to normal.

“In hindsight, I should have taken him (to the hospital) but we just tried to see if we could nurse him at home because wait times are pretty extreme,” Jiles says, “and I don’t have child care at the moment.”

Joseph Desmond, 50, Sydney, N.S.

Joseph Desmond says he suffered a seizure and fell off his sofa on July 9. He went to the emergency room, where they ran an electroencephalogram (EEG) test, and then returned home. Within hours, he had a second seizure and went back to hospital.

His third seizure happened the next morning while walking to the nurse’s station.

In severe cases of listeriosis, bacteria can spread to the central nervous system and cause seizures, according to Health Canada.

“The last two months have really been a nightmare,” says Desmond, who has joined the proposed lawsuit.

When he returned home from the hospital, his daughter took a carton of Silk dark chocolate almond milk out of the fridge and asked if he had heard about the recall. By that point, Desmond says he was on his second two-litre carton after finishing the first in June.

“It was pretty scary. Terrifying. I honestly thought I was going to die.”

Cheryl McCombe, 63, Haliburton, Ont.

The morning after suffering a second episode of vomiting, feverish sweats and diarrhea in the middle of the night in early July, Cheryl McCombe scrolled through the news on her phone and came across the recall.

A few years earlier, McCombe says she started drinking plant-based milks because it seemed like a healthier choice to splash in her morning coffee. On June 30, she bought two cartons of Silk cashew almond milk.

“It was on the (recall) list. I thought, ‘Oh my God, I got listeria,’” McCombe says. She called her doctor’s office and visited an urgent care clinic hoping to get tested and confirm her suspicion, but she says, “I was basically shut down at the door.”

Public Health Ontario does not recommend listeria testing for infected individuals with mild symptoms unless they are at risk of developing severe illness, such as people who are immunocompromised, elderly, pregnant or newborn.

“No wonder they couldn’t connect the dots,” she adds, referencing that it took close to a year for public health officials to find the source of the outbreak.

“I am a woman in my 60s and sometimes these signs are of, you know, when you’re vomiting and things like that, it can be a sign in women of a bigger issue,” McCombe says. She was seeking confirmation that wasn’t the case.

Disappointed, with her stomach still feeling off, she says she decided to boost her gut health with probiotics. After a couple weeks she started to feel like herself.

But since then, McCombe says, “I’m back on Kawartha Dairy cream in my coffee.”

This report by The Canadian Press was first published Sept. 16, 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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B.C. mayors seek ‘immediate action’ from federal government on mental health crisis

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VANCOUVER – Mayors and other leaders from several British Columbia communities say the provincial and federal governments need to take “immediate action” to tackle mental health and public safety issues that have reached crisis levels.

Vancouver Mayor Ken Sim says it’s become “abundantly clear” that mental health and addiction issues and public safety have caused crises that are “gripping” Vancouver, and he and other politicians, First Nations leaders and law enforcement officials are pleading for federal and provincial help.

In a letter to Prime Minister Justin Trudeau and Premier David Eby, mayors say there are “three critical fronts” that require action including “mandatory care” for people with severe mental health and addiction issues.

The letter says senior governments also need to bring in “meaningful bail reform” for repeat offenders, and the federal government must improve policing at Metro Vancouver ports to stop illicit drugs from coming in and stolen vehicles from being exported.

Sim says the “current system” has failed British Columbians, and the number of people dealing with severe mental health and addiction issues due to lack of proper care has “reached a critical point.”

Vancouver Police Chief Adam Palmer says repeat violent offenders are too often released on bail due to a “revolving door of justice,” and a new approach is needed to deal with mentally ill people who “pose a serious and immediate danger to themselves and others.”

This report by The Canadian Press was first published Sept. 16, 2024

The Canadian Press. All rights reserved.

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