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London-area measles case prompts warning for passengers on Dec. 22 flight

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A baby from the London area tested positive for measles after arriving Dec. 22 in Toronto on a flight from Pakistan, prompting the Middlesex-London Health Unit to issue a warning Monday to people on the same flight.

The seven-month-old was diagnosed with the highly contagious disease after taking Pakistan International Airlines Flight 781 from Islamabad, Pakistan, that landed at Pearson International Airport at 7 p.m. on Dec. 22, Alex Summers, medical officer of health for Middlesex-London, said Monday.

The family drove from the airport to London in a private vehicle, and the child was taken to hospital for medical care shortly after showing symptoms, he said.

“They (family) came in touch with some other folks in those health care settings (through the process of getting medical care.) So we have been working directly with those people that might have been exposed to make sure they are aware and protected,” Summers said.

The child is stable but should stay in the hospital for an undetermined amount of time for monitoring, he said.

“We’re fortunate that in Middlesex-London, measles vaccination rates are very high, so the risk of community transmission is very low, but because it’s so infectious, we need to respond quickly,” Summers said.

The risk to passengers on the same flight as the baby is low, the health unit said, but anyone who thinks they may have been exposed is asked to:

  • check their immunization record, and ensure they and their family members are up to date with measles vaccination (MMR or MMRV on records). Two doses are recommended for anyone born after 1969
  • check with their health-care provider if they are unsure of their vaccination status. People born before 1970 are considered immune against the disease
  • contact their local public health unit if they are immunocompromised or were travelling with an unvaccinated infant to discuss post-exposure treatment
  • watch for signs and symptoms of measles that can appear up to 21 days after exposure, including high fever, cough or runny nose, sore eyes, sensitivity to light and a red rash lasting four to seven days
People who think they may have measles and are seeking treatment should call a clinic or hospital before going to inform them they may have been exposed to the disease, the health unit said, so staff can take the necessary precautions.

The current case is the second travel-associated measles case in Middlesex-London this year, the health unit said.

Measles is transmitted through the air from one person to another.

In Canada, measles rates are “very low” because of vaccination programs in place, but there are other parts of the world where measles is still endemic, which includes Pakistan, Summers said.

The risks of measles for children under the age of one are higher because they haven’t been vaccinated and can get infected with measles and develop respiratory symptoms such as pneumonia, and infection of the brain or the lining of the brain, he said.

“It’s very, very infectious,” Summers said. “Most people will have an illness that will self-resolve, so they’ll be sick, but then they’ll get better but sometimes it can cause pneumonia and make people really sick. That’s why we immunize, and we take it so seriously.”

The test for measles is similar to the type of swab used for COVID-19, through a nasal pharyngeal swab or through a urine test and blood test, Summers said. “And often we do a combination of those to try and confirm the diagnosis.”

Summers said it’s key to quickly identify travel-associated measles and the Middlesex-London Health Unit is following up with all the people who were directly exposed in the region.

“The purpose of the media release was to make sure that anybody who was on that flight was aware so that they could also monitor themselves for signs and symptoms,” he said.

The prior case of travel-associated measles in February the first in London and surrounding Middlesex County in nearly a decade. Public health officials followed up with at least 100 close contacts in Woodstock and London.

Officials believe the person contracted the virus during a trip to India, a part of the world where the vaccine-preventable disease still spreads, Summers said in February.

People with symptoms should stay home and not allow visitors for at least four days after the rash starts, officials say. They should also call their health care provider and, depending on where they live, contact the Middlesex-London Health Unit at 519-663-5317 ext. 2330 or 519-675-7523 after hours, or Southwestern Public Health at 1-800-922-0096.

 

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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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