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Human-to-human transmission confirmed in China coronavirus – CNBC

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A man leaves the Wuhan Medical Treatment Centre, where a man who died from a respiratory illness was confined, in the city of Wuhan, Hubei province, on January 12, 2020.

Noel Celis | AFP | Getty Images

The head of a Chinese government expert team said Monday that human-to-human transmission has been confirmed in an outbreak of a new coronavirus, a development that raises the possibility that it could spread more quickly and widely.

Team leader Zhong Nanshan, a respiratory expert, said two people in Guangdong province in southern China caught the virus from family members, state media said. Some medical workers have also tested positive for the virus, the English-language China Daily newspaper reported.

The late-night announcement capped a day in which authorities announced a sharp uptick in the number of confirmed cases to more than 200, and China’s leader called on the government to take every possible step to combat the outbreak.

“The recent outbreak of novel coronavirus pneumonia in Wuhan and other places must be taken seriously,” President Xi Jinping said in his first public statement on the crisis. “Party committees, governments and relevant departments at all levels should put people’s lives and health first.”

Xi’s remarks were reported by state broadcaster CCTV on its main 7 p.m. evening news broadcast.

In Geneva, the World Health Organization announced it would convene an Emergency Committee meeting on Wednesday to determine whether the outbreak warrants being declared a global health crisis.

Such declarations are typically made for epidemics of severe diseases that threaten to cross borders and require an internationally coordinated response. Previous global emergencies have been declared for crises including the ongoing Ebola outbreak in Congo, the emergence of Zika virus in the Americas in 2016 and the West Africa Ebola outbreak in 2014.

The spread of the viral pneumonia comes as the country enters its busiest travel period, when millions board trains and planes for the Lunar New Year holidays. The outbreak is believed to have started late last month when people picked it up at a fresh food market in Wuhan, a city in central China.

Wuhan health authorities said Monday an additional 136 cases have been confirmed in the city, raising the total to 198. Three have died.

Authorities elsewhere also announced cases in other Chinese cities for the first time.

Five individuals in Beijing and 14 in Guangdong have also been diagnosed with the new coronavirus, CCTV reported Monday evening. A total of seven suspected cases have been found in other parts of the country, including in Sichuan and Yunnan provinces in the southwest and in Shanghai.

Zhong said the two people in Guangdong had not been to Wuhan but fell ill after family members had returned from the city, the China Daily said.

The outbreak has put other countries on alert as millions of Chinese travel for Lunar New Year. Authorities in Thailand and in Japan have already identified at least three cases, all involving recent travel from China.

South Korea reported its first case Monday, when a 35-year-old Chinese woman from Wuhan tested positive for the new coronavirus one day after arriving at Seoul’s Incheon airport. The woman has been isolated at a state-run hospital in Incheon city, just west of Seoul, the Korea Centers for Disease Control and Prevention said in a statement.

At least a half-dozen countries in Asia and three U.S. airports have started screening incoming airline passengers from central China.

Videos posted online show people in protective suits checking one-by-one the temperatures of plane passengers arriving in Macao from Wuhan. A man surnamed Yang who works for the Macao Health Bureau confirmed over the phone that such checks are taking place in the southern Chinese region.

Canada’s Chief Medical officer, Dr. Theresa Tam, said additional signage will be in place in the coming days at airports in Toronto, Montreal and Vancouver. There will also be additional screening questions at electronic kiosks at customs asking people if they have traveled to areas where coronavirus is and if they have flu like symptoms.

“The Chinese lunar year is coming so out of abundance precaution that’s why we are putting out additional information for travelers,” Tam said.

Many of the initial cases of the coronavirus were linked to a seafood market in Wuhan, which was closed as authorities investigated.

Since hundreds of people who came into close contact with diagnosed patients have not gotten sick, the municipal health commission maintains that the virus is not easily transmitted between humans.

China’s National Health Commission said experts have judged the current outbreak to be “preventable and controllable.”

“However, the source of the new type of coronavirus has not been found, we do not fully understand how the virus is transmitted, and changes in the virus still need to be closely monitored,” the commission said in a statement Sunday.

Coronaviruses cause diseases ranging from the common cold to SARS, or severe acute respiratory syndrome. SARS first infected people in southern China in late 2002 and spread to more than two dozen countries, killing nearly 800. The Chinese government initially tried to conceal the severity of the SARS epidemic, but its cover-up was exposed by a high-ranking physician.

“In the early days of SARS, reports were delayed and covered up,” said an editorial in the nationalistic Global Times. “That kind of thing must not happen again in China.”

“We have made great strides in medicine, social affairs management and public opinion since 2003,” the editorial said.

Xi instructed government departments Monday to promptly release information on the virus and deepen international cooperation.

China has notified and maintained close communication with the World Health Organization and other relevant countries and regions, Chinese Foreign Ministry spokesman Geng Shuang said at a regular news briefing.

Wuhan has also adopted measures to control the flow of people leaving the city, Geng said.

The virus causing the current outbreak is different from those previously identified, Chinese scientists said earlier this month. Initial symptoms of the novel coronavirus include fever, cough, tightness of the chest and shortness of breath.

On the Weibo social media platform, which is widely used in China, people posted prevention advice such as wearing masks and washing hands. State broadcaster CCTV recommended staying warm, increasing physical activity, eating lightly and avoiding crowded places. Some people said they had canceled their travel plans and were staying home for Lunar New Year.

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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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