Health unit probes whether COVID-19 variant behind 2nd Ontario long-term care home outbreak - CBC.ca | Canada News Media
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Health unit probes whether COVID-19 variant behind 2nd Ontario long-term care home outbreak – CBC.ca

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The Simcoe Muskoka District Health Unit is investigating whether an outbreak at a long-term care home in the town of Bradford West Gwillimbury is due to the variant first detected in the United Kingdom.

At a news conference on Sunday, the health unit said a person linked to the Bradford Valley Care Community has tested positive for the variant. This person has had close contact with another person who is a part of the outbreak at that home, it said.

Dr. Charles Gardner, medical officer of health for the Simcoe Muskoka District Health Unit, said the Public Health Ontario Laboratory told the health unit about the positive case late Saturday.

“Given this situation, we are working together in partnership with the residence to implement additional measures to contain the spread while pursuing the necessary tests to determine if it is the U.K. variant of COVID-19 that is the cause of this outbreak,” Gardner said in a new release.

The health unit said it is investigating “all other connections” to the person who tested positive. Gardner said the person worked in a retail setting in Simcoe County that offered curbside pickup, and two COVID-19 cases are linked to this setting.

The news comes after the health unit said the variant is behind a deadly outbreak at Roberta Place Long Term Care in Barrie, Ont., on Saturday. Genome sequencing on six COVID-19 samples from the home have been identified as the highly contagious variant.

An outbreak at Roberta Place, first declared on Jan. 8, has resulted in the deaths of 40 residents and one essential caregiver as of Sunday.

There are 127 resident and 86 staff cases of COVID-19 at Roberta Place. Six residents are also in hospital with COVID-19. 

The body of a deceased resident of Roberta Place Long Term Care in Barrie, Ont., is removed on Jan. 18. (Evan Mitsui/CBC)

The outbreak at Bradford Valley Care Community, meanwhile, was declared on Jan. 14. As of Sunday, six residents out of 230 and three staff out of 260 have tested positive for COVID-19.

The health unit said more testing will be done to determine whether the outbreak is due to the variant. It added that the outbreak is “well under control at this time with a relatively low case count,” but the possibility that it may be due to the variant must be assessed and managed. 

Dr. Andrea Moser, chief medical officer for Sienna Senior Living, which owns and operates the facility, said in a news release on Sunday that staff members at the home are working to contain the outbreak.

“We are being extremely vigilant in our monitoring for signs and symptoms of COVID-19 and are taking all of the necessary steps to protect the safety of our residents and team members,” Moser said.

“We are working proactively with public health and community partners, as fighting the virus will require everyone’s expertise and teamwork.”  

Staff at home implementing measures to control outbreak

Moser said case and contact measures are being undertaken, including:

  • Extending the length of isolation for cases and close contacts.
  • More readily identifying close contacts.
  • Quarantining all household contacts of confirmed or probable cases as quickly as possible.

The health unit said its staff vaccinated most of the residents in Bradford Valley Care Community on Jan. 15 as a protective measure against COVID-19. 

As of Jan. 16, all residents of long-term care homes in Simcoe Muskoka have been offered their first dose of immunization against COVID-19, the health unit added.

Moser said about 60 per cent of staff members and 96 per cent of residents at Bradford Valley Care Community have received the first dose of the Pfizer-BioNTech vaccine.

“We appreciate all the efforts from our partners in the community with the rollout of the vaccine and will continue working closely with them as additional doses are available for deployment,” she said.

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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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