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Health officials searching for passengers after Toronto’s coronavirus patient showed symptoms on his flight

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Toronto public health officials are tracking down almost 30 passengers who sat within a two-metre radius of a man who had coronavirus symptoms while travelling by plane to Toronto.

“It’s just a little under 30,” said Dr. Eileen de Villa, Toronto’s medical officer of health, when asked by the Star for the number of passengers her office is contacting. She added that some of those passengers are likely somewhere outside of the city.

The passengers are being contacted by phone, informed that they may have been exposed to the coronavirus, told of the health symptoms to look for, and to seek medical treatment if necessary, de Villa said in a phone interview.

The 50-year-old man presumed to be infected with the coronavirus experienced dry coughing and muscle aches while on the flight from China to Pearson airport, she said. News that he had symptoms of the illness while travelling to Toronto was revealed earlier Sunday by Canada’s chief public health officer.

“Based on the latest information, the patient had symptoms on the plane,” Dr. Theresa Tam told an Ottawa news conference, which included federal Health Minister Patty Hajdu.

The man arrived Wednesday on China Southern Airlines flight CZ311. He flew from Wuhan, the epicentre of the coronavirus outbreak, to Guangzhou and from there directly to Toronto.

Protocols implemented at international airports in Toronto, Vancouver and Montreal instruct passengers to inform border officials if they are experience flu-like symptoms, including fever, coughing and shortness of breath. But Dr. Rita Shahin, Toronto’s associate medical officer of health, told the Star the infected man arrived in Toronto the day before those protocols were implemented at Pearson.

“Screening was not yet in place when that flight came in,” Shahin said. “Screening started the following day.”

 

Asked why the screening wasn’t in place earlier at the airport, Shahin said that’s a question best answered by federal authorities. But neither Tam or Hajdu seemed to realize protocols weren’t in place when they held their news conference Sunday morning.

Tam told reporters that airport protocols were followed when the man landed. She explained that arrival screens instruct passengers to inform border service officers if they’re sick after travelling to coronavirus affected areas. Health screening questions are also asked when using electronic customs kiosks at the three airports.

A passenger who reports symptoms after travelling to an infected area is quarantined and medically assessed, Tam said, adding she did not currently see the need for more extreme airport protocols.

“The system is working,” she said, referring to the patient’s example. “The person obviously got the information that they needed to enter the health system in a safe and responsible manner.”

But asked repeatedly if the man had reported to Pearson airport authorities that he was experiencing symptoms, Tam suggested she didn’t know, noting the information about symptoms on the plane had been newly received Sunday morning after an interview with the patient.

“This patient may have had some mild symptoms, certainly not something that would have been particularly obvious,” Tam said, adding her agency had received no report about the patient when he came through Pearson airport.

Toronto Public Health now says the protocols weren’t in place, so the patient likely didn’t know he had to tell border officials about his symptoms, or that he had been to Wuhan.

Tam said passengers who weren’t within the two-metre radius with the patient on the plane “should not be overly concerned.”

“For the rest of the plane, if you don’t get a call from public health authorities it means you were not right next to that two-metre radius,” Tam said, adding that passengers who are not contacted “should remain calm.” Two metres is about the distance that infected droplets from a cough would travel.

Tam’s deputy, Dr. Howard Njoo, said it’s possible some passengers who were seated close to the patient live in provinces outside of Ontario.

In a statement Sunday, de Villa said passengers have been showing up at local hospital emergency departments without symptoms.

“While we appreciate that people may have concerns, and that people may worry about their health, we encourage people who were on this flight and who do not have signs of illness to continue with their routine activities and we ask that these people do not present to the health care system,” de Villa said.

After landing in Toronto, the infected man was taken from the airport in a private vehicle and authorities say he had little contact with anyone since his arrival outside of his immediate family. The patient called 911 the day after his arrival, was taken by ambulance to hospital Thursday, and is in stable condition.

De Villa said in an interview that only one member of the man’s family was in close contact with him. The family member has no symptoms and is doing well.

China’s health minister, Ma Xiaowei, told reporters in Beijing Sunday that an infected person can spread the coronavirus to others before experiencing symptoms. That’s different than the SARS coronavirus, which couldn’t be spread during incubation. The SARS outbreak began in China in 2002 and killed almost 800 people worldwide. The current coronavirus so far seems less dangerous than SARS. But de Villa cautioned that the virus was identified less than a month ago and the situation is “evolving.”

Hajdu stressed that “the risk is extremely low for Canadians,” noting the virus is spread only through close contact. “There is no need for Canadians to be alarmed,” she said, adding health authorities have learned much since SARS killed 44 people in Toronto.

Given global travel patterns, Tam said she expects more coronavirus cases will be “imported into Canada in the near term.” And she urged people participating in large public gatherings to take typical winter time precautions — “wash your hands, don’t cough towards someone, cough into a tissue or into your sleeve and discard the tissue properly. And stay home if you’re sick.”

The United States government is sending a charter plane to fly its consular staff out of Wuhan. Hajdu said the Canadian government is not currently planning a similar airlift for Canadians citizens there. But the government will assist Canadians who want help leaving Wuhan if they reach out to Global Affairs, she added.

The man believed to be infected was taken by ambulance to Toronto’s Sunnybrook hospital Thursday with a fever and cough. Tests came back positive for coronavirus on Saturday and the man is now being treated in isolation in a “negative pressure” room at the hospital. Dr. Jerome Leis, Sunnybrook’s medical director of infection prevention and control, said Sunday the patient remains in stable condition, and will only be released when he’s no longer a contagion risk. Leis said the patient’s presence at the hospital is not affecting care being given to other patients.

Tam said she expects laboratory confirmation on the presumed coronavirus infection within 24 hours.

Toronto Public Health is investigating every place the patient may have visited and any people he came in contact with, said Dr. Eileen de Villa, Toronto’s medical officer of health, at a separate press conference on Saturday.

Health officials around the world are working to contain the coronavirus, known as 2019-nCoV, which as of Sunday had infected nearly 2,000 people and led to 56 deaths in China, where it originated. Despite its rapid spread, the virus had not been declared an international public health emergency by the World Health Organization.

In central China’s Hubei province, some 51 million in 16 cities are essentially quarantined and under a travel ban.

 

Aside from China and Canada, cases have been reported in the U.S., Japan, South Korea, Thailand, Singapore, Vietnam and Hong Kong.

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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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