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Health Authorities Are Now Expecting COVID-19 to Spread in The US – ScienceAlert

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American health authorities said Tuesday they ultimately expect the novel coronavirus to spread in the United States and are urging local governments, businesses, and schools to develop plans like canceling mass gatherings or switching to teleworking.

Officials are also worried the outbreak poses a threat to the the security of the US drug supply chain because a high proportion of ingredients used to make medicine is made in China, where the virus was first identified.

“Ultimately, we expect we will see community spread in this country,” Nancy Messonnier, a senior official with the Centers for Disease Control and Prevention (CDC) said during a briefing.

“It’s not so much a question of if this will happen anymore, but rather more a question of exactly when this will happen, and how many people in this country will have severe illness.”

The comments mark a significant escalation in the level of threat being conveyed to the US public and come amid fears of a pandemic, as the disease has taken root in several countries outside China, including Iran, Italy, Japan, Singapore, South Korea, Taiwan and Thailand.

COVID-19 has killed more than 2,600 people and infected almost 80,000 others, mainly in China. There are so far 57 recorded cases in the United States.

In the absence of a vaccine or any form of treatment for COVID-19, authorities are relying on non-pharmaceutical interventions.

“For schools, options include dividing students into smaller groups, or in a severe pandemic closing schools and using internet-based teleschooling.

“For adults, businesses can replace in-person meetings with video and telephone conferences and increase teleworking options,” she continued, adding that on a larger scale, cities may need to cancel mass gatherings.

In the case of hospitals, it may mean delaying elective procedures and increasing telephone consultations.

“You should ask your children’s school about their plans for school dismissal or school closures. Ask about teleschooling. I contacted my local school superintendent this morning with exactly those questions.”

Drug supply chain

At a separate briefing, Food and Drug Administration (FDA) Commissioner Stephen Hahn admitted his agency is “keenly aware that the outbreak will likely affect the medical product supply chain, including potential disruptions to supply or shortages of critical medical products in the US.”

He said the agency was reaching out to hundreds of drug makers to gather information about their supply chain, but “it’s important to note that FDA is not aware of any medical product shortages at this time.”

He added personal protective equipment, such as face masks, respirators and gowns were among products at risk.

Hahn’s comments came amid reports that the prolonged shutdown of drug makers in China’s Hubei province had boosted India’s IOL Chemicals and Pharmaceuticals Ltd, the world’s biggest producer of ibuprofen, as some Indian drug makers expect to benefit from China’s losses.

On Monday, the White House sent a request to Congress to make at least US$2.5 billion in funding available for preparedness and response, including developing treatments and vaccines and buying equipment for a strategic national stockpile.

Vaccine effective in mice

On the vaccine front, Tony Fauci of the National Institutes of Health (NIH) said that a candidate being made by Moderna had proved effective in mice and would begin human trials “within a month and a half.”

If all goes to plan, it could be available on the market in about a year and a half, ready in case the coronavirus outbreak continues until the next flu season.

The NIH has also begun its first randomized clinical trial to investigate the safety and efficacy of the antiviral remdesivir in treating COVID-19.

The first trial participant is an American who was repatriated after being quarantined on the Diamond Princess cruise ship that docked in Yokohama, Japan and who is being treated at the University of Nebraska Medical Center in Omaha.

The trial’s organizers said it will be adapted to enroll participants at other sites in the US and worldwide, eventually including nearly 400 people, and would also investigate other treatments.

© Agence France-Presse

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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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