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Yes, you can have COVID-19 and the flu at the same time. Here's what that could do to your body – CTV News

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As doctors worry about a coronavirus-and-flu “twin-demic” that could overwhelm the health care system, Americans must contend with another possibility: fighting both viruses at the same time.

“You can certainly get both the flu and Covid-19 at the same time, which could be catastrophic to your immune system,” said Dr. Adrian Burrowes, a family medicine physician in Florida.

In fact, getting infected with one can make you more vulnerable to getting sick with the other, epidemiologist Dr. Seema Yasmin said.

“Once you get infected with the flu and some other respiratory viruses, it weakens your body,” said Yasmin, director of the Stanford Health Communication Initiative.

“Your defenses go down, and it makes you vulnerable to getting a second infection on top of that.”

On their own, both Covid-19 and the flu can attack the lungs, potentially causing pneumonia, fluid in the lungs or respiratory failure, the Centers for Disease Control and Prevention said.

Each illness can also cause sepsis, cardiac injury and inflammation of the heart, brain or muscle tissues.

Having both illness simultaneously “would increase the risk of longer-term effects of any of those organ systems,” said Dr. Michael Matthay, a professor of medicine and a critical care specialist at the University of California, San Francisco.

But it’s too early to know exactly how much worse that double whammy could be, compared to having each virus on its own.

That’s because Covid-19 didn’t spread across the US until near the end of the last flu season, Matthay said. So there’s not a lot of data yet on people who get both illnesses at the same time.

But Matthay suspects the potential for pneumonia would be greater if the body is infected with both the flu and coronavirus.

“The two (viruses) together definitely could be more injurious to the lungs and cause more respiratory failure,” he said.

Respiratory failure doesn’t necessarily mean your lungs stop working. It means the lungs can’t get enough oxygen into the blood.

“Acute respiratory failure can be a life-threatening emergency,” the National Heart, Lung, and Blood Institute says. “Respiratory failure may cause damage to your lungs and other organs, so it is important to get treated quickly.”

HOW CAN I TELL IF I HAVE COVID-19 OR THE FLU (OR BOTH)?

“Symptoms of influenza and Covid-19 are pretty similar, so it’s difficult to distinguish the two,” said Dr. Leonard Mermel, medical director for the Department of Epidemiology and Infection Control at Rhode Island Hospital.

Both the flu and Covid-19 can give you a fever, cough, shortness of breath, fatigue, sore throat, body aches and a runny or stuffy nose, the CDC said.

“Some people may have vomiting and diarrhea, though this is more common in children than adults,” the CDC said.

But unlike the flu, Covid-19 can cause a loss of taste or smell.

And about half of coronavirus transmissions happen between people who don’t show any symptoms. (Many of those people are pre-symptomatic and are more contagious before they start showing symptoms.)

So the best way to know if you have the novel coronavirus or the flu (or both) is to get tested.

The CDC has created a test that will check for both viruses, to be used at CDC-supported public health labs. The agency said it is continuing to manufacture and distribute these tests.

HOW CAN I AVOID THIS FLU-COVID-19 DOUBLE WHAMMY?

Wear a mask and keep physical distancing. Health officials have stressed the importance of masks and physical distancing if Americans want to control Covid-19 — and get the economy back on track.

With the imminent flu season, such precautions can “doubly protect us from both of those viruses,” Yasmin said.

In the Southern Hemisphere, which is just ending its winter months and flu season, several countries have reported astonishingly low flu numbers as people wear masks and social distance.

In Australia, for example, the number of lab-confirmed flu cases plummeted from 61,000 in August 2019 to 107 cases this August.

But in the US, some people are getting lax about mask wearing and social distancing. And that’s a big problem, said Dr. Jeanne Marrazzo, director of the Division of Infectious Diseases at the University of Alabama at Birmingham.

She said there could be a “perfect storm of accelerated Covid-19 activity, as people gather more — inside, in particular — as they become continually fatigued with the mask wearing, the social distancing and the hand hygiene, and as they are exposed to seasonal influenza.”

Get a flu vaccine. This may sound obvious. Yet about half of all Americans don’t get vaccinated against the flu, including most children who die from the flu.

Even if you get a flu shot and still catch the flu later, the symptoms are usually less severe than if you got no flu vaccine at all.

And since no Covid-19 vaccine is publicly available yet, the flu shot is the only way you can help inoculate yourself against having both viruses at the same time.

Pediatricians say it’s important for children 6 months and older to get the flu vaccine, ideally before the end of October. “Timely influenza vaccination is particularly important” this flu season, the American Academy of Pediatrics wrote this week.

Getting a flu shot can also help many more people than just yourself, said immunologist Dr. Susan Bailey, president of the American Medical Association.

“Since hospitals and doctors’ offices are going to be very busy caring for Covid-19 patients, a flu vaccine can help decrease burdens on the health care system and make sure that those who need medical care are able to get it,” Bailey said.

About 140,000 to 810,000 Americans get hospitalized with the flu each year, according to the CDC. And the number of Covid-19 hospitalizations are expected to surge more than 150 per cent between now and December 1, according to the University of Washington’s Institute for Health Metrics and Evaluation.

“Every year, many patients get severe influenza with respiratory failure,” Matthay said. Among patients who get severe pneumonia from the flu, “the vast majority of those patients have not had their flu vaccine that year.”

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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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