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Health officials continue to monitor monkeypox cases in Europe and North America – CBC News

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The World Health Organization (WHO) does not have evidence that the monkeypox virus has mutated, a senior executive at the United Nations agency said in a briefing on Monday morning, noting the infectious disease that has been endemic in West and Central Africa has tended not to change.

Dr. Rosamund Lewis, head of the smallpox secretariat, which is part of the WHO Emergencies Program, told the briefing that mutations tend to be typically lower with the monkeypox virus, although genome sequencing of cases will help inform understanding of the current outbreak.

Most of the more than 100 suspected and confirmed cases in a recent outbreak in Europe and North America have not been severe, said Maria Van Kerkhove, the WHO’s emerging diseases and zoonoses lead, and technical lead on COVID-19.

“This is a containable situation,” she said, particularly in Europe. “But we can’t take our eye off the ball with what’s happening in Africa, in countries where it’s endemic.”

WATCH | WHO officials on monkeypox:

Monkeypox outbreaks a ‘containable situation,’ WHO says

15 hours ago

Duration 0:42

Most monkeypox cases observed in Europe, North America not severe, says the WHO’s Maria Van Kerkhove.

Outbreaks described as atypical

On Monday, Denmark announced its first case, Portugal revised its total upwards to 37, Italy reported one further infection and Britain added 37 more cases.

The outbreaks are atypical, according to the WHO, occurring in countries where the virus does not regularly circulate. Scientists are seeking to understand the origin of the cases and whether anything about the virus has changed. Monkeypox has not previously triggered widespread outbreaks beyond Africa, where it is endemic in animals.

The WHO is asking dermatology and primary health-care clinics, as well as sexual health clinics, to be alert to potential cases. Van Kerkhove said she expected more cases to be identified as surveillance expands.

Dr. David Heymann, a leading adviser to the WHO and former head of the WHO’s emergencies department, told The Associated Press that the unprecedented outbreak of monkeypox in Europe and North America was a “random event.” The leading theory to explain the spread of the disease was sexual transmission at raves held in Spain and Belgium, he said.

In a separate briefing held Monday afternoon by the U.S. Centers for Disease Control and Prevention (CDC), health officials said some of the cases being seen in North America, however, predate the events in Europe. They stressed the outbreak is still in its early stages.

U.S. health officials said Monday that they knew of one confirmed case, in the state of Massachusetts, and four probable cases — two in Utah, one in Florida and one in New York City. All were men who had travelled outside the U.S. Many — but not all — of the people who have been diagnosed in the current monkeypox outbreak have been men who had sex with men

“Remember, infectious diseases don’t care about borders or social networks,” said Dr. John Brooks, a medical epidemiologist with the CDC. “Some groups may have a greater chance of exposure right now, but by no means is the current risk of exposure to monkeypox exclusively to the gay and bisexual community in the U.S.”

CDC officials said that the U.S. is in the process of releasing some doses of the Jynneos vaccine for use in monkeypox cases, noting there are more than 1,000 doses in the national stockpile. They also said they expect that level to ramp up very quickly in the coming weeks.

Virus spread through close contact

The virus does not usually spread easily between people, but it can be passed through close person-to-person contact or contact with items used by a person who has monkeypox, such as clothes, bedding or utensils.

“By nature, sexual activity involves intimate contact, which one would expect to increase the likelihood of transmission, whatever a person’s sexual orientation and irrespective of the mode of transmission,” said Dr. Mike Skinner, a virologist at Imperial College London. 

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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.

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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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