Kid's got a runny nose? COVID-19 testing no longer required under Ontario screening rules - CBC.ca | Canada News Media
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Kid's got a runny nose? COVID-19 testing no longer required under Ontario screening rules – CBC.ca

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Ontario’s updated COVID-19 screening protocols for children could relieve what child-care providers have described as a significant and unnecessary burden.

The provincial government on Thursday afternoon revealed an amended COVID-19 screening policy for children attending schools and child-care centres.

The new regulations feature a shorter list of symptoms that would require a child to be tested for COVID-19. The province said the new rules reflect the latest evidence and were made in consultation with pediatric infectious disease experts.

“This will ensure that our children are able to attend school or child care as much as possible while minimizing the risk of COVID-19 transmission,” said Ontario’s Associate Medical Officer of Health Dr. Barbara Yaffe.

Notably, children will no longer be removed from school or child care and advised to go for testing if they have a runny nose, headache, sore throat, fatigue or diarrhea. Children displaying any one of those symptoms will now be asked to go home for at least 24 hours and return only “when they feel well enough to do so.”

However, if a child has two or more of those symptoms, they will be asked to isolate and contact a health-care provider for further advice.

Those symptoms are “commonly associated with many other illnesses,” Yaffe said.

Children experiencing a fever, persistent cough, chills or a loss of taste or smell will still need to isolate and get medical advice, which includes the possibility that a child may need to be tested for COVID-19.

Leigh Anne Jacques, co-owner of Beaches Montessori School, said more than half of the children at her facility have not been allowed to attend since reopening, primarily due to runny noses. (Zoom)

Dr. Yaffe said the updated regulations will give parents and family doctors a greater ability to assess a child’s health. In some cases a health-care provider may be able to provide an alternate diagnosis, bypassing the need for COVID-19 testing entirely.

“Schools and daycares should not be requiring a negative COVID test; in fact, they shouldn’t even require a doctor’s note,” Yaffe said during a Thursday news conference.

Abdominal pain and pinkeye have also been removed from the list of possible COVID-19 symptoms entirely.

‘Almost all of them had a runny nose’

Toronto child-care operators said they had been struggling for weeks under the previous rules.

Leigh Anne Jacques, the co-owner of Beaches Montessori School, said more than half of the children at her centre have been either sent home or barred from attending since the school reopened in September.

“That’s a really high number of children to be excluded from school for illness,” said Jacques.

“Unfortunately, in our toddler classroom, almost all of them had a runny nose in the first couple weeks of school.”

Amy O’Neil, director of Treetop Children’s Centre, also raised concerns about the previous screening policy, saying that it burdened parents by requiring them to take time off work and take their child for testing.

“It’s just not a model that will work on an ongoing basis,” she said, noting Ontario’s ongoing issues around long lineups and wait times for test results.

O’Neil estimated that her centre has also sent home around half of its children over what she would consider mild symptoms. She described spending up to three hours on the phone per day calling Toronto Public Health, the Ministry of Health and the parents of symptomatic children.

“Typically in September we would never be calling parents unless symptoms were really bad,” she said. “In child care we’re very used to runny noses, coughs, diarrhea, the usual childhood symptoms.”

Education Minister Stephen Lecce indicated last week that the province would consider revising its list of symptoms requiring a COVID-19 test after a similar move by British Columbia health officials.

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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.

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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