'Likely COVID': Saskatchewan emergency rooms seeing more children under 5 - CBC.ca | Canada News Media
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'Likely COVID': Saskatchewan emergency rooms seeing more children under 5 – CBC.ca

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Saskatchewan is seeing a spike in emergency room visits among children between the ages of one and four who are showing up with respiratory-like illnesses. 

Chief medical health officer, Dr. Saqib Shahab, said it’s likely COVID-19, because there’s little influenza transmission in the province and vaccines against the virus have not yet been approved for children under five.

“Any COVID-like illness presentation in emergency rooms — where even you may not have been screened in every case — it’s likely COVID-19,” Shahab said in a recent interview with The Canadian Press. 

The latest data from the Ministry of Health, dated Feb. 19, showed preschoolers were visiting emergency rooms at a weekly rate of 110 patients per 1,000. That was higher than the average rate — 87.5 patients per 1,000 visits — in the previous six weeks for the same age group. 

Children between one and four years old were almost three times more likely to visit the emergency room compared to all age groups combined. 

Saskatchewan no longer publishes daily COVID-19 data, but releases a weekly epidemiology report that includes COVID-like illnesses in emergency rooms. 

Shahab said it’s a way to track how much transmission is in the community, since Saskatchewan no longer does extensive testing and limits PCR lab tests to people with specific risk factors.  

“It’s a good idea of how much respiratory illness is out there. Right now it’s moderate throughout the province,” Shahab said.

He added that any child under the age of five who has a fever, rapid breathing, or is not eating properly should be taken in for emergency care.

“That remains important.”

Dr. Ayisha Kurji, a pediatrician based in Saskatoon, said the Omicron variant has been affecting the airways of children and, in some cases, can trigger diabetes or cause pancreatitis. 

“Most kids (who get COVID-19) still do well, that is true. But not all kids,” Kurji said. “Sometimes previously healthy kids are still ending up in the emergency room or come to the hospital to get admitted.”

She said children are showing up at hospitals with diarrhea, vomiting and croup — an infection of the upper airway that obstructs breathing and causes a characteristic barking cough.

How long they stay varies. Some children are coming in for oxygen to help with breathing, while some end up in intensive care.

Kurji recommended parents take their children to the hospital if they are dehydrated or not urinating regularly, breathing fast or having difficulty breathing, and are especially sleepy or fussy.

“Don’t think of it in terms of COVID or not … but look at the symptoms,” Kurji said. 

“The big thing is you know your child, so if you’re worried about your child, and your instincts are saying you should go, it’s always better to be safe and go get it checked out.”

Saskatchewan has said it will continue to monitor COVID-like illnesses throughout the spring and fall. 

“We know kids under five aren’t vaccinated yet, so we can’t give them the same protection that we can give ourselves and that we can give older kids,” Kurji said.

“It’s important to know what’s happening with them, and is something that we need to maybe make some different decisions to keep them protected.”

Saskatchewan lifted all of its public health orders Monday, including a requirement to self-isolate if positive for the virus.

Kurji said people can keep themselves and others at risk safe by continuing to wear a mask and getting fully vaccinated, including a booster shot. 

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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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