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Fraser Health's COVID-19 reproductive rate goes over one and into the danger zone – Vancouver Sun

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B.C. has less than 17,000 doses of COVID-19 vaccine on hand

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The COVID-19 reproductive rate has risen above the troubling “one” mark in the Fraser Health region, the provincial health officer warned on Tuesday.

Dr. Bonnie Henry said that over the past week there have been, on average, more than one additional infection for each case of the virus in B.C.’s most populous health region — so the disease is spreading exponentially there.

This comes as most of the 91 school exposures reported on Monday and Tuesday were in the Fraser Health region.

“The fact that we’re seeing an increase in the reproductive number means that we’re not having those safe interactions as much as we need to be,” Henry said. “We need to reduce the transmission events that are happening in our community.”

She said 40 per cent of all school exposures are related to social gatherings outside of school.

“What we’ve started to see in the last week is the seven-day rolling average of numbers of cases has started to creep up, particularly in Fraser Health,” Henry said.

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“We know that when we start to have transmission from multiple people to multiple people, it grows what we call exponentially. That means if I pass it on to two people, each of them passes it on to two people. Very quickly we get to four, we get to 16, we get to 256 within two generations.”

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There were 1,533 cases of COVID-19 reported in B.C. over the past four days and 26 deaths. There are 4,189 active cases, of which 231 are in hospital including 74 in intensive care.

B.C. is the only Canadian province that does not provide daily COVID-19 updates during the weekend or over long weekends.

The George Derby Centre long-term care outbreak, where 33 residents have died, continues. Three health-care outbreaks were reported and three declared over. There are now 15 active outbreaks in long-term care home and six in acute care settings.

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Henry said there were 8,773 doses of COVID-19 vaccine administered from last Friday to Monday – an average of 2,193 a day.

Based on B.C. Centre for Disease Control data, the province has 16,745 doses of COVID-19 vaccine on hand as of Tuesday. The B.C. Ministry of Health has distributed 188,000 doses of vaccine and 171,755 have been injected.

B.C., and all Canadian provinces and territories, have experienced cuts in the promised vaccine supplies from Pfizer and Moderna since the last week of January.

Henry said that an expected vaccine delivery next week from Moderna would be less that earlier promised, but Moderna has promised increased supplies in April.

Pfizer is increasing supplies to its North American air-hub in Kentucky – which closed for a day on Monday due to extreme winter weather – after three weeks of smaller deliveries.

“I qualify everything because, as we know with a large global production like this, there’s always snags, whether it’s the weather, whether it’s the production facility, whether it’s access to the supplies that we need — the low dead space syringes, for example,” Henry said, adding there were more vaccines in the pipeline that would be easier to administer than the Pfizer and Moderna vaccines, and they could be available within months.

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There has been one case of a Nigerian COVID-19 variant found in B.C. – that was detected before the World Health Organization added it to the variant-of-concern list, Henry said.

There have been 60 variants of concern detected in B.C. so far – 40 of the U.K. variant, 19 of the South African variant and one of the Nigerian variant. There is also a Brazilian variant that has not been detected in B.C.

Health minister Adrian Dix said a report on COVID-19 immunizations in care homes would be presented on Thursday.

dcarrigg@postmedia.com


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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.

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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