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Local health unit reports Ontario's second COVID-19 death as cases spike – Ottawa Citizen

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Ontario Premier Doug Ford makes an announcement declaring a state of emergency for the province, at the Ontario Legislature in Toronto on Tuesday, March 17, 2020.


Frank Gunn / THE CANADIAN PRESS

TORONTO — A local health unit reported a second death in Ontario linked to COVID-19 on Thursday, saying it may be a case of community transmission, as the premier strongly urged people to practise social distancing and self-isolation.

Ontario Health Minister Christine Elliott wasn’t immediately able to confirm the death, but Halton Region Public Health said the man in his 50s also had an underlying health condition.

The man did not travel outside of Canada recently, nor does he have a known link to another confirmed COVID-19 case, said Halton Region’s medical officer of health.

“The indication is there is local transmission,” said Dr. Hamidah Meghani, though she cautioned the investigation is in its early stages.

“This is the tragic proof that we need to work together to slow down the spread of COVID-19…. Do your part and do it now. We only have one shot at this.”

Elliott said it is still unknown whether COVID-19 was the cause of death in the first linked fatality in the province, or if that 77-year-old man died from another cause while also having the novel coronavirus.

Ontario reported 43 new COVID-19 cases Thursday — the largest single-day increase — bringing the total in the province to 257, including the one earlier death and five resolved cases.

Peter Bethlenfalvy, president of the Treasury Board of Ontario, also announced Thursday that he developed mild symptoms associated with COVID-19 and has been tested.

“I’ve been in isolation since, working from home, and will advise when my test results are known,” he said on Twitter.

Dr. Barbara Yaffe, Ontario’s associate chief medical officer of health, said the increase in cases Thursday reflects the province’s labs catching up on a backlog of tests and more people coming home from travel outside of Canada.

Currently, 22 people known to have COVID-19 are in hospitals across Ontario, with half those patients in Toronto facilities, according to that city’s chief medical officer of health.

“I don’t think this has caused any undue pressure on the (hospital) system at this point,” Yaffe said. “But certainly, the system is preparing for that.”

Premier Doug Ford stressed it is “critical” that everyone practise social distancing to slow the spread of the novel coronavirus.

“We must do everything possible to avoid a situation where we see a sudden and dramatic spike in the number of cases and as a result add to the already significant burden on our health-care system,” he said.

Telehealth Ontario — the service Ontarians are asked to call if they have COVID-19 symptoms — is swamped with calls.

Technical difficulties from Wednesday after 300 new lines were added have now been addressed, and the province has since added 1,300 more lines. The Ministry of Health said there were 13,500 calls made to Telehealth on Wednesday alone.

Told of reports that people are going into work after travelling, Ford urged people to follow public health advice and self-isolate for 14 days upon returning from outside the country.

“Does it come to public shaming by your neighbours or your co-workers? Folks, we’re in a critical situation right now,” he said.

“Do not go into work. Do not go into public spaces. Do not be selfish and go out. Stay isolated for two weeks as we require. We don’t have the resources and the police to be knocking on everyone’s door and saying, ‘Are you staying in?”‘

Ontario’s chief medical officer of health, Dr. David Williams, said the same will apply to any health care workers who are returning from travel outside of Canada. They too must self-isolate and not return to work immediately.

“Of course, if they develop any illness in that time, they would need to do the same process as everybody else,” he said.

The Ontario government passed emergency legislation Thursday afternoon aimed at protecting workers forced to stay home due to the COVID-19 pandemic.

Ford said it will apply to employees under investigation, supervision or treatment for the disease caused by the novel coronavirus.

Workers in isolation or in quarantine and those who need to provide care to someone related to COVID-19, including for a school or daycare closure, would also be protected.

The bill passed with rare all-party support in just over an hour of debate during a special session of the legislature.

Given social distancing, only 26 members were in the house: 13 governing Progressive Conservatives, eight New Democrats, two Liberals, one Green, one Independent, and the Speaker.

The politicians sat spread across the chamber at Queen’s Park, with several desks between each member.

Ford acknowledged the unprecedented situation and thanked all of the opposition politicians for work with his government to speed up passage of the bill.

“This is about coming together as a united group,” he said. “Representing all of the people of Ontario and doing what is best to protect their health and to make sure we protect the economy.”

A bill that creates temporary exemptions allowing municipal councils to meet via teleconference and to waive noise bylaws to allow grocery deliveries 24 hours a day was also passed.

The government also extended the validation periods for things like drivers licences, health cards and Commercial Vehicle Operators certificates to keep people from coming to Service Ontario locations in-person.

The extension will remain in place until health officials advise the situation has improved, the government said.

The legislature will now be suspended until March 25, two days later than it was previously set to return after March break. Finance Minister Rod Phillips is set to deliver a scaled-back economic forecast that day instead of the planned full budget.

This report by The Canadian Press was first published March 19, 2020.

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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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