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Everything you need to know about masks and working out: Your COVID-19 questions answered – CBC.ca

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We’re breaking down what you need to know about the pandemic. Send us your questions via email at COVID@cbc.ca and we’ll answer as many as we can. We’ll publish a selection of answers every weekday on our website, and we’re also putting some of your questions to the experts on the air during The National and on CBC News Network. So far we’ve received more than 49,000 emails from all corners of the country.

Gyms are open. But are they safe? 

As restrictions continue to ease across the country, more gyms and fitness centres are opening their doors to Canadians who might be looking to lose their so-called quarantine fifteen.

But just because the gym is open, doesn’t mean everyone is rushing back in. Flo C. wrote us to ask if fitness centres are safe, and how to handle mask-wearing when working out. 

First, it’s important to remember that gyms must adhere to their local public health guidelines for safety during the pandemic, but despite measures to reduce the spread of infection, experts say gyms still carry a real risk.

“[Gyms] are slightly higher risk because people are producing more droplets with the force of their breathing,” said Dr. Zain Chagla, an infectious disease physician at St. Joseph’s Healthcare Hamilton. “As opposed to a casual setting where you might just be having a conversation.”

GoodLife Fitness, one of Canada’s largest fitness chains, says they’re making their clubs safer by focusing on physical distancing, reduced capacity levels, and enhanced cleaning and sanitization practices.

With some exceptions, you’ll also see staff and clients required to wear masks.

Wait. You mean I have to wear a mask the whole time?

Not necessarily.

Despite mandatory mask rules in some areas of the country, some cities, like Toronto and Calgary, have said you don’t have to wear them indoors when you’re “engaging in athletic or fitness activity.” 

GoodLife has also stated they are only requiring masks when exercise is not taking place. But you’ll still have to wear one when “entering and exiting the club and in change rooms, washrooms, and other common areas,” said Jason Sheridan, senior vice-president of operations at GoodLife Fitness.

There is no danger in keeping your mask on the whole time, experts said, though it might not be comfortable at first.

Watch | Going to the gym during the pandemic: What to expect:

With more gyms and fitness facilities opening up across the country, The National’s Andrew Chang walks through what to expect if you go for a workout during the pandemic. 1:41

“We’re obviously not used to a lot of mask wearing while working out,” said Chagla. “As long as the materials are breathable and people feel comfortable with them on, there shouldn’t be an issue with wearing a mask at a gym.”

But pay attention to how you’re feeling. As long as you’re not feeling overwhelmed, short of breath or overheating, then Chagla said “there’s no medical reason why not to wear a mask at the gym.”

Colin Furness, an infection control epidemiologist and assistant professor at the University of Toronto, agreed that it’s safe to wear a mask while working out, unless you “refuse to clean and it gets coated in bacteria.”  

He acknowledged that not everyone will be able to tolerate the feeling.

“[The mask] impedes your breathing a little bit and different people may react to that differently,” he said.

Furness suggests starting at a low intensity and building up from there. If you are feeling light headed, then slow down.  

“People have not been into the gym in four months, so I think just lowering the intensity and working back up to it would be a good thing to do for your entire body, not just your breathing.”

As far as the type of masks you should use, make sure it’s made of the most breathable fabric.

Both Furness and Chagla suggested cotton.

What about all that heavy breathing in my yoga class?

While working out with others may be motivating, group yoga or exercise classes can be really risky, especially “in a room full of people where there’s no ventilation,” Furness warned. 

“I would call that downright dangerous.”

A small room, large number of people, and poor ventilation all contribute to the increase in risk, Furness explained.

And make sure there are no large, plug-in fans turned on.

Watch | Why some Toronto businesses are betting improved ventilation will cut the risk of COVID-19:

The owner of United Boxing Club in Toronto’s west end is already taking steps to cut the risk of infection inside his gym prior to opening his doors again. 2:43

“Moving air around the room is not only not helpful, but it’s probably actively harmful,” said Furness. 

“If the fan is pushing air around, that two-metres no longer matters all that much.”

A safer workout would take place outside.

“There’s no better ventilation than the good old outdoors,” he said.

But if you still want to do indoor group fitness, Furness said you should look for classes with:

Wearing masks in this environment should also be a given, said Furness. 

“I would not walk into the room — let alone do a yoga class —if i didn’t see everyone wearing a mask.”

Can I use the gym’s sauna or steam room?

While the virus that causes COVID-19 doesn’t do well in hot and humid conditions, Furness said that doesn’t mean you can let your guard down in the sauna.

The benefits of heat and humidity are negated by the fact that you’re sitting in an enclosed space, close to other people for a significant period of time. 

Chagla said it doesn’t really matter whether it’s hot or cold if you’re sitting close to someone with COVID-19.

Furness agreed, and said if it’s a really small space, the droplets could probably go from someone else’s mouth into your mouth “very quickly” before the virus could be deactivated by the heat.

If you’re going for steam or a sauna, Furness recommends going alone, or with people in your bubble.

Is it safe to get massage and physiotherapy? 

It’s probably OK to get that kink worked on.

Services from registered massage therapists and physiotherapists are “relatively low risk,” said Furness.

“They have very clear directions from their regulated colleges about safety,” said Furness, who’s had both services since reopening.  

“I trust them in terms of their protocols and because it’s one-on-one.”  

Most physiotherapy and massage therapy clinics have also made adjustments to the way they offer their services, including having fewer clients in their offices at the same time, stringent cleaning and a requirement to wear masks from both parties. 

And of course, you should reschedule your appointment if you’re not feeling well.

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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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