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'Extra' variant vigilance needed to avoid third wave: PM, health officials warn – CTV News

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OTTAWA —
Federal health officials and Prime Minister Justin Trudeau issued consecutive stark warnings on Friday: now is the time for “extra” vigilance around the new coronavirus variants as a continued spread could spark a third wave in Canada.

While the national COVID-19 curve is bending, with more cases of novel coronavirus variants being detected across Canada, now is not the time to ease up on public health restrictions, Chief Public Health Officer Dr. Theresa Tam said Friday.

“These past weeks have been very challenging, but we’ve made great progress and are now almost two-thirds of the way down this curve… But we’ll need to keep putting the brakes on the spread of new virus variants of concern in Canada,” Tam said during a briefing on the current COVID-19 situation on Friday morning.

Echoing this, Trudeau said that while it is a “positive sign” that cases are going down across the country, people need to remain cautious as some modelling is indicating an increase in variant spread could spark a third wave.

“Nobody wants a third wave to start, particularly not one comprised of new more communicable variants that can cause real challenges.”

On Friday, the federal government announced a new $53 million “variants of concern strategy,” to increase capacity to research, find, track and sequence the three prominent variants of concern: B.1.1.7 which originated in the U.K., B.1.351 which originated in South Africa, and P.1 which originated in Brazil.

“You might be worried about these new strains… we’re putting our best experts on it,” Trudeau said adding that: “Canada is ready” to handle the variants, though at present, the surveillance strategy for testing positive cases to detect these strains, varies across the country.

The new strategy includes a partnership between the Public Health Agency of Canada’s National Microbiology Laboratory, Health Canada, Genome Canada, and the Canadian Institutes of Health Research. The group of epidemiology, immunology and virology experts will advise on drug therapy and vaccine effectiveness, as well as broader public health measures.

The strategy will also implement standardized data sharing across the country.

Tam said that part of the fight against the variants will also be through the ongoing vaccine rollout, though at present, mass vaccinations aren’t set to begin until April, meaning for the next month and a half the immunization campaign will continue prioritizing front-line health care workers, seniors, and other vulnerable populations.

As a result, most Canadians will have to continue to increase their vigilance with measures like physical distancing, mask wearing and hand washing to do their part.

On Friday Trudeau confirmed that by the end of March Pfizer will have sent its promised total of four million vaccine doses, and as part of the Phase 2 of the vaccine rollout the pharmaceutical giant will be sending 10.8 million doses between April and June.

“This is a really delicate period,” Tam said. “Look at the European countries, they give us a clue as to what might happen if variants circulating and we let our guard down,” she said, adding that if that happens Canada could see a “massive acceleration” leading to a “third resurgence.”

Deputy Chief Public Health Officer Dr. Howard Njoo said during Friday’s briefing that, as early as next week, federal health officials will be presenting updated national modelling that will factor in the potential impact these variants will have on the country’s epidemic curve.

SHOULD PROVINCES REOPEN?

There are now eight provinces that have reported having cases of at least one of the variants of concern.

These warnings come as some provinces are mulling easing lockdowns once again, including in Ontario where there have been cases of all three variants. On Thursday, modelling experts in that province reported that the case count will “likely rise” in Ontario if these new highly contagious variants spread further into communities.

Asked whether he thinks the threat variants pose merits evoking the Emergencies Act or if further intervention would be required to dissuade provinces from easing up on certain restrictions, Trudeau wouldn’t comment directly on the approaches of the provinces but said all Canadians need to be “extra vigilant.”

“As certain restrictions are perhaps eased by certain provinces, and people get to go out a little bit more, all the more reason,” Trudeau said, suggesting it’s an opportune time to download the federal COVID Alert exposure notification app and refrain from gathering with others.

He also noted the billions of dollars sent to the provinces to help them support their citizens when they have to make decisions like keeping sectors closed to keep case counts down.

“We make our decisions based on the best recommendations of our health officials and as a federal government we will be there to support and encourage the right decisions by the provinces,” Trudeau said.

As of Friday afternoon there are more than 36,000 active COVID-19 cases Canada-wide. To date there have been more than 819,000 cases and more than 21,100 people have died in this country.

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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.

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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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