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Doctor: "Way too early" to talk about ending China outbreak – OttawaMatters.com

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BEIJING — The number of new cases of the coronavirus in China dropped for a second straight day, health officials said Wednesday in a possible glimmer of hope amid the outbreak that has infected over 45,000 people worldwide and killed more than 1,100.

Dr. Mike Ryan, the head of emergencies for the World Health Organization, said it is “way too early to try to predict the beginning of the end” of the crisis in China. But he said: “The stabilization in cases in the last number of days is very reassuring and it is to a great extent the result of the huge public health operation in China.”

China has locked down an unprecedented 60 million people in an effort to curb the spread of the virus, which has hit hardest in the city of Wuhan and surrounding Hubei province.

The country’s National Health Commission said 2,015 new cases were counted on Tuesday, the second straight daily decline and down from nearly 3,900 a week ago. Commission spokesman Mi Feng said the situation is still grim but “we have seen some positive changes.”

WHO director-general Tedros Adhanom Ghebreyesus said in Geneva that the numbers “must be interpreted with extreme caution,” adding: “This outbreak could still go in any direction.” At the same time, he noted that the number of other countries reporting cases — about two dozen — has not changed since Feb. 4.

All but one of the deaths recorded so far have been in China, as have more than 99% of all reported infections in the world.

“In principle at the moment, there’s no evidence out there that this virus is out there causing efficient community transmission in other countries,” Ryan said. “We have a window of opportunity to shut this virus down.”

At the end of a two-day meeting aimed at speeding the development of new tests, drugs and vaccines for the new virus, WHO said scientists had agreed upon a set of global research priorities but warned it could still take considerable time before any licensed products might be available.

In other developments:

ECONOMIC FALLOUT

Chinese President Xi Jinping promised tax cuts and other aid to industry as the ruling Communist Party tries to limit the mounting damage to the economy.

The country is struggling to restart its economy after the annual Lunar New Year holiday was extended to try to keep people home and contain the virus. Traffic remained light in Beijing, and many people were still working at home.

Companies are facing increasing losses because of the closing of factories, offices, shops and other businesses in the most sweeping anti-disease measures ever imposed.

A large cluster of cases in Tianjin, a port city southeast of Beijing, has been traced to a department store, Chinese state media said. One-third of Tianjin’s 104 confirmed cases are in Baodi district, where the store is situated, the Xinhua News Agency reported.

A salesperson in the store’s home appliance section was the first diagnosed on Jan. 31, Xinhua said, and a series of cases followed. None of those infected had visited Wuhan recently, and with the exception of one married couple, they worked in different sections of the store and did not know one another.

Meanwhile, organizers of the world’s biggest mobile technology fair — the annual Mobile World Congress show, set for Feb. 24-27 in Barcelona, Spain — cancelled the event because of worries about the viral outbreak.

The decision came after dozens of tech companies and wireless carriers dropped out, including Nokia, Vodafone, Ericsson, Nokia, Sony, Amazon, Intel and LG. The extravaganza had been expected to draw more than 100,000 visitors from about 200 countries, including 5,000 to 6,000 from China.

Elsewhere around the world, DBS bank in Singapore cleared its office, telling 300 employees to work from home after it learned that an employee had been infected. The city-state has 50 confirmed cases. And a Formula One race in Shanghai in April was added to the list of cancelled events.

CITIZEN JOURNALIST DISAPPEARS

A citizen journalist reporting on the epidemic in Wuhan has disappeared, activists said, becoming the second to vanish in recent days amid tightening controls on information in China.

Fang Bin, a seller of traditional Chinese clothing, stopped posting videos or responding to calls and messages on Sunday, activists Gao Fei and Hua Yong said, citing Fang’s friends. His phone was turned off Wednesday.

Fang had posted videos of Wuhan’s overcrowded hospitals, including bodies in a van waiting to be taken to a crematorium. The last video he posted was of a piece of paper reading, “All citizens resist, hand power back to the people.”

Another citizen journalist, Chen Qiushi, vanished on Friday. Non-sanctioned reporting on the outbreak by actitivists is challenging the Communist Party’s tightly policed monopoly on information on an unprecedented scale.

CRUISE SHIP WOES

Passengers aboard a cruise ship that has been barred from docking by four governments may finally set foot on land again.

Holland America Line said the MS Westerdam will arrive Thursday morning in Sihanoukville, Cambodia. The ship has been turned away by the Philippines, Taiwan, Japan and Thailand, though its operator said no cases of the disease have been confirmed among the more than 2,200 passengers and crew.

And in Japan, 39 new cases were confirmed on a cruise ship quarantined at Yokohama, bringing the total to 174 aboard the Diamond Princess.

TWO RUSSIANS FLEE QUARANTINE

Two Russian women who were kept in isolation for possible inflection by the virus say they escaped from Russian hospitals because of unco-operative doctors, poor conditions and fear they would become infected.

Both women were hospitalized after returning from Hainan, a tropical island in China popular with Russian tourists. One said she jumped out of a hospital window to escape her quarantine, while the other broke out by disabling an electronic lock.

Two cases of the virus have been reported in Russia.

NO EVIDENCE YET OF MOTHER-TO-FETUS SPREAD

In a study published Wednesday in the journal Lancet, Chinese scientists reported there is no evidence so far to suggest the virus can be passed from mother to child in the womb.

The study looked at nine women who all had the COVID-19 virus and gave birth via cesarean section in a hospital in Wuhan. Scientists examined samples from the newborns, including the amniotic fluid, cord blood and throat swabs, and they all tested negative for the virus. But the researched acknowledged the study was small.

To date, two cases of the virus have been confirmed in babies, including a newborn diagnosed just 36 hours after birth. It is unknown how the child was infected.

___

Associated Press writers Mari Yamaguchi in Tokyo, Elaine Kurtenbach in Singapore, James Heintz in Moscow, Grant Peck in Bangkok, Kelvin Chan and Maria Cheng in London and Joe McDonald, Dake Kang, Yanan Wang and researcher Yu Bing in Beijing contributed to this report.

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Read all the AP stories about the coronavirus outbreak at https://apnews.com/VirusOutbreak

Ken Moritsugu, The Associated Press





















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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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