'Hardship is not a new thing:' Nunavut fights COVID-19 as cases continue to rise - KitchenerToday.com | Canada News Media
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'Hardship is not a new thing:' Nunavut fights COVID-19 as cases continue to rise – KitchenerToday.com

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IQALUIT — It has been just over two weeks since Nunavut declared its first case of COVID-19, but it’s still unknown how 109 people were infected so quickly in the territory.

Nunavut is home to about 39,000 people. Its 25 fly-in only communities are spread over three time zones.

Arviat, on the western shore of Hudson Bay where about 2,800 people live, had 80 cases as of Saturday. Dr. Michael Patterson, the territory’s chief public health officer, says it’s the only place where there’s evidence of transmission from household to household within the community.

There are also 13 cases in nearby Rankin Inlet, 14 in Whale Cove and two in Sanikiluaq, although the territory reported on Saturday the Sanikiluaq cases had recovered. But those cases are all within the same households.

John Main, who represents Arviat-North and Whale Cove in Nunavut’s legislative assembly, says it’s “hard to see” how housing issues wouldn’t have contributed in some way to COVID-19’s rapid spread. 

“It’s no secret that we’re in a housing crisis. We’ve had issues around housing for many, many years … Things like multiple generations of families living in one unit, people sleeping in areas that are not meant to be bedrooms,” Main says.

But Main says it’s not just housing that makes Nunavut more vulnerable to COVID-19. Food insecurity, a high unemployment rate and low educational attainment levels are all contributing factors, he says.

“We know that there’s all these things that are working against us, these things we have to battle alongside COVID now.” 

Nunavut Housing Corp. figures show 56 per cent of Nunavut Inuit live in overcrowded homes. A recent report on Nunavut’s infrastructure gap from Nunavut Tunngavik Inc. also notes 41 per cent of homes need major repairs.

Cynthia Carr, an epidemiologist and health policy expert based in Winnipeg, says with a long incubation period, usually four to six days, it’s easy for an asymptomatic person to spread the virus without knowing they’re infected.

“All it takes is one case to get in,” she says. “When you’ve got many people close together within a building, that’s exactly the risk factors for spread.” 

Last week, Nunavut ordered a territory-wide two-week lockdown to control the spread. Carr says looking at other countries, it usually takes 18 or 19 days to see the effects of a lockdown.

“It will be interesting to see if it’s different for Nunavut,” she says. 

The territory’s only hospital, Qikiqtani General Hospital in Iqaluit, is more than 1,200 kilometres from Arviat. It has 25 beds, but no intensive care unit. Rankin Inlet has a health centre with six beds.

Patterson says if someone needs to be hospitalized because of COVID-19, they would be brought to Rankin Inlet or transferred to the South.

“If anybody is in a situation where they need ongoing fluid, oxygen, or life support, they obviously can’t stay in a health centre and will need to go to a southern hospital,” Patterson says. 

Typically, Nunavummiut who need medical care not available in the territory are flown to Edmonton, Winnipeg or Ottawa. But with cases rising in Southern Canada and hospitals in Manitoba reaching full capacity, Patterson says his team is looking at other options. 

Last week, Patterson said the territory’s capacity to respond to its COVID-19 outbreak is “stretched” and the federal government is ready to step in if necessary.

Main says although cases in Arviat continue to rise, he’s confident Nunavummiut will “get through this,” as they’ve done before. 

“Elders have been sharing their life lessons putting things in context, the younger generations need to keep this in mind,” Main says. 

“Hardship is not a new thing and it’s not something that will beat us.” 

This report by The Canadian Press was first published Nov. 21, 2020.

___

This story was produced with the financial assistance of the Facebook and Canadian Press News Fellowship 

Emma Tranter, The Canadian Press

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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.

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