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HIV diagnoses hit 10-year high in Montreal, cases more than double between 2021-22

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Montreal public health officials recorded 310 new HIV diagnoses in the city and its on-island suburbs in 2022, a 120 per cent increase from 2021 — the highest number of new reported cases in 10 years.

The local surge in HIV diagnoses well outpaced the national average increase of 24.9 per cent, according to the Public Health Agency of Canada.

During its update on HIV cases to mark World AIDS Day on Dec. 1, Montreal public health said the sharp increase in new reported cases in 2022 could be due, in part, to a catch-up in testing after the pandemic, when the number of HIV diagnoses fell. There were 116 new reported cases in 2020 and 141 in 2021.

The rise could also be tied to an increase in immigrants to the city from countries where the virus is endemic, the agency said, adding that the number of new reported cases in that population jumped 394 per cent — to 158 from 32 — between 2021 and 2022 and accounted for slightly more than half — 51 per cent — of all diagnoses. Ninety-two per cent of the people from such countries who received a new, positive HIV diagnosis in 2022 arrived in Canada that year.

Men represented 230, or 74 per cent, of the 310 new cases reported in Montreal last year. And 108 cases, or 35 per cent of the total, involved men who have sex with men.

Montreal and its on-island suburbs accounted for 74 per cent of Quebec’s HIV diagnoses in 2022, up from a usual proportion of around 60 per cent.

Alex Filiatrault, CEO of the Canadian Foundation for AIDS Research, expects HIV diagnoses to continue to increase nationally as testing rates rise after a drop of what he says was as much as 60 per cent in some areas of the country during the COVID-19 pandemic.

“So as testing levels begin to get back to pre-pandemic levels, we’re going to be seeing an increase in cases that were otherwise missed because routine testing wasn’t happening as often,” he explained in an interview.

He couldn’t say, however, whether newcomers from countries with higher HIV rates than Canada are contributing to increases in diagnoses outside Montreal. The number of new HIV cases differs from region to region, he said, making it difficult to draw conclusions.

But he cautioned against pointing the finger at individual populations. “HIV is very opportunistic,” he said. “Anyone can get HIV. So it’s not just one population that is driving, necessarily, across-Canada increases.”

“We can’t focus on just one population. We have to look at Canada as a whole.”

Filiatrault called for greater nationwide access to HIV prevention tools, such as the medication known as PrEP, which reduces the risk of infection, and greater education on the virus.

The Montreal health authority is encouraging residents to get tested for HIV and all sexually transmitted infections.

“A person living with HIV will not necessarily transmit it,” the agency said in its Dec. 1 news release. “In fact, rapid treatment leads to better health outcomes for all. Treatment reduces the viral load of HIV and makes it undetectable. If the virus is undetectable, it cannot be transmitted.”

 

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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.

The Canadian Press. All rights reserved.

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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.

The Canadian Press. All rights reserved.

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Bizarre Sunlight Loophole Melts Belly Fat Fast!

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