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Health Experts Prepared to Deal with Coronavirus Epidemic – VOA Learning English

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The World Health Organization (WHO) said on Monday that the world has nearly 17,400 confirmed cases of the Novel Coronavirus. More than 99 percent of those cases were reported in China.

Compare that to the number of people infected with influenza in the United States. The U.S. Centers for Disease Control and Prevention (CDC) estimates the flu has sickened between 19,000,000 and 26,000,000 people since October 1.

CDC officials also report that up to 25,000 people have died because of an infection during the four-month period. Officials note that, in an average year, the flu kills up to 56,000 people nationwide.

As of Sunday, there were 360 deaths from the coronavirus, mostly in China. There are currently 11 confirmed cases in the United States, but no deaths from the virus.


An aerial view shows the newly completed Huoshenshan Hospital, a dedicated hospital built in 8 days to treat coronavirus patients, in Wuhan, Hubei province, China February 2, 2020. China Daily via REUTERS

Experts are well prepared

Last October, the Johns Hopkins Center for Health Security held an exercise to help prepare health experts for what is happening today. It was called Event 201. Johns Hopkins University worked in partnership with the World Economic Forum and the Bill and Melinda Gates Foundation to organize the event.

Event 201 brought together government experts, business leaders and representatives of non-governmental organizations. The purpose was to talk about how the world would react to a serious epidemic.


Crystal R. Watson, DrPH, Senior Associate at the Johns Hopkins Center for Health Security and Assistant Professor in the Department of Environmental Health and Engineering.

Crystal R. Watson is a doctor and an Assistant Professor at the Johns Hopkins Bloomberg School of Public Health. She said the event was meant to help leaders prepare for what is happening now.

“The purpose of the exercise…was to raise issues of preparedness and response for those leaders so they could start working on making sure that we can develop medical countermeasures, drugs and vaccines, quickly in a severe outbreak, that we can respond and take care of the people who become sick.”

Life goes on in China and elsewhere

News stories about the coronavirus note some of the steps governments and health officials have planned for many years.

People flying to the United States from China now have to stop at one of seven airports. CDC workers are measuring the temperature of each passenger and looking for signs of breathing problems.

Travelers who are coughing or have other symptoms may be taken to a hospital for more testing.

One person who recently returned from China is Nick Caputo. He works for Sunrise International Education. He directs camps in China for students to learn about debate.

Caputo was hoping to stay in China longer. But when the travel restrictions were announced, his company decided that he should return to the U.S. at once. He said, “That way I would have time to go through a self-quarantine and make sure I wasn’t infected before I ran my program here.”


A cancer patient and her mother coming from Hubei province cross a checkpoint at the Jiujiang Yangtze River Bridge in Jiujiang, Jiangxi province, China, as the country is hit by an outbreak of a new coronavirus, February 1, 2020.

Schedule change for university life in China

Craig Blacklock teaches English at Wenzhou-Kean University in Wenzhou, China. He says the university has changed the beginning of its spring term from February 9 to March 1. He said the school also is helping its teachers and employees get much-needed supplies and food.

Blacklock told VOA that people around Wenzhou are taking temperatures and following the advice of the government to reduce the spread of the virus.

How to protect yourself and others

While governments are taking steps to limit travel and reduce infections, Crystal Watson thinks there are things private citizens can do.

“The average person should also be just taking general measures to prevent infection with respiratory diseases. We are in the middle of cold and flu season as well and so – just good practices of covering your cough and sneeze, washing your hands very frequently, avoiding people who have a cough – and just trying to stay well in the midst of cold and flu season.”


Officials from Health Department of Bangladesh screen arriving passengers from abroad in Hazrat Shahjalal International Airport in Dhaka on January 22, 2020

Serious cases get the most attention at first

With the novel coronavirus, one that did not affect people until now, doctors often pay more attention to the serious cases.

“We are still learning a lot about this new virus…one thing that happens early on in an outbreak, a novel outbreak like this is that you see there’s a bias toward seeing the more severe cases and death. So we’re seeing those now. But as we go through and gather more…data, we’re going to find that there are many more mild cases that are not being now detected. So we anticipate that that fatality rate will decrease significantly as this continues to spread.”

The world is better prepared now

Crystal Watson says that the world is better prepared now than it was over 15 years ago when faced with Severe Acute Respiratory Syndrome, known as SARS.

“There are definitely very important steps that the world has taken over the last 10 years to get better prepared. We can always do more, but I think people are taking this very seriously and responding in the best way that we can.”

I’m Jill Robbins.

Jill Robbins reported on this story for Learning English. George Grow was the editor.

________________________________________________________________

Words in This Story

epidemic – n. a large number of cases of an infectious disease in a community

symptom – n. a sign of a disease or disorder

quarantine – n. a period of time in isolation from others to prevent the spread of infection

practice – n. the expected way of doing something

noveladj. new and different from what has been known before

biasn. to have a strong and often unfair influence on (someone or something)

detectv. to discover or notice the presence of (something that is hidden or hard to see, hear or taste)

anticipatev. to think of (something that will or might happen in the future)

What do you think of the reaction to the coronavirus outbreak? We want to hear from you. Write to us in the Comments Section.

Health care experts at the CDC say that there are simple steps you can take at home, school, or work to protect yourself and others against viruses.

To protect yourself

  • Wash your hands often or use hand-cleaning gel
  • Clean frequently touched surfaces and objects
  • Be prepared and informed

To protect others when you have an infection

  • Stay at home when you are sick
  • Avoid close contact with people who are sick
  • Cover your coughs and sneezes

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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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