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Growing concerns for back-to-school as data shows rising COVID-19 cases in B.C. – CBC.ca

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A grassroots group of health professionals are calling for British Columbia to reinstate mask mandates in schools and hospitals to prevent a repeat “tripledemic” of COVID-19, RSV and influenza infections that pushed the province’s hospitals to the brink last fall.

And with data showing rising COVID-19 cases in B.C. and two new viral subvariants on the horizon, Protect Our Province B.C. says the province should act sooner rather than later.

The group is composed of more than a dozen doctors, nurses, researchers, teachers and professionals who advocate for evidence-based pandemic policies.

“We know from last year kids and schools were hit hard and if the goal is to keep kids learning in school we need to do what we can to prevent virus spread this fall,” said Dr. Lyne Filiatrault, a retired emergency room physician in Vancouver and a member of the group.

Masks should be required in schools and health-care settings, Protect Our Province B.C. said in an August 8 open letter, and the province should prioritize air filters and ventilation in classrooms to reduce the chance of transmission. 

“If really, the goal is to keep kids learning in school then we need to do everything we can to prevent viral spread both of COVID and other airborne viruses this fall,” Filiatrault said.

WATCH | COVID-19 cases expected to rise:

Late-summer, early fall COVID-19 wave likely

9 days ago

Duration 2:00

Experts say signs including wastewater testing and hospital admissions are pointing to the start of a COVID-19 wave in Canada heading into the fall.

While new data from the Canadian Centre for Health Information shows COVID-19 sends fewer people to the ICU this year compared with 2022, hospitalizations rose nearly 20 per cent between April 2022 and March 2023 compared with the previous year.

And wastewater data reported by the B.C. Centre for Disease Control on Aug. 23 shows viral concentrations declining since January have levelled off across the province and appear to be rising in the Lower Mainland and Vancouver Island, as well as in other regions across Canada.

“It does look like cases are going to go up and we are going into the fall when kids are going to go back to school and more people are at work,” said Dr. Christopher Labos, a cardiologist in Montreal with a degree in epidemiology.

“And with hospitals becoming overwhelmed [last year], it’s not unreasonable to think that a very similar thing could happen again this year.”

But with the vast majority of the population at least somewhat protected by either vaccination or a previous COVID-19 infection, it’s not yet clear whether new variants EG.5 and BA.2.86 could cause infections to explode the way the original Omicron variant did. 

Early evidence about EG.5 doesn’t show it causes more severe illness, but it could be more transmissible that previous Omicron subvariants circulating in B.C.

It made up about 28 per cent of cases across Canada during the week of Aug. 6, according to the Public Health Agency of Canada, however the World Health Organization says the global risk level is “low.”

But less is known about the highly mutated BA.2.86 variant, which has been identified in just a handful of countries in recent weeks but not yet in Canada.

Infectious disease experts say a high number of mutations may make BA.2.86 more severe, but that can’t be known this early and with so few identified cases.

WATCH | Subvariants continue to spread:

New COVID-19 subvariant on the rise in U.S.

8 months ago

Duration 1:47

A new COVID subvariant, XBB 1.5, is surging in the U.S. with health officials predicting it will make up close to 40 per cent of cases soon. Though its mutations make it easier to catch and spread, experts are cautioning people not to panic.

Protective measures can help: experts

Labos said it would make sense to require masks in schools and and health-care settings as cases rise and we learn more about the new variants.

“It’s not just the properties of the virus or the variant, it’s also the environmental situation that we put the virus in and how easily we allow it to spread, and if we have any public health measures in place to stop it from spreading,” Labos said.

University of Toronto infectious disease specialist Dr. Isaac Bogoch stressed that parents should keep themselves and their children home from school and work if they are sick, whether or not a test says they have COVID-19.

“It doesn’t matter what the virus is, just let’s prevent illness in the community by doing that simple measure,” Bogoch said.

Bogoch, Labos and Filiatrault also encouraged parents to get their children vaccinated for COVID-19 and influenza, as vaccination rates for children under 12 lag far behind rates for teens and adults in B.C.

Adults should also get boosted themselves, said Filitrault, particularly once the updated vaccines tailored toward more recent Omicron strains become available later this fall. 

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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.

The Canadian Press. All rights reserved.

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