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Manitoba looking to improve COVID-19 variant screening – CTV Edmonton

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WINNIPEG —
Manitoba is looking into the steps involved in discovering and confirming COVID-19 variant cases in the province, after 18 days passed between the initial positive test to when the case of the B117 variant, which was first observed in the United Kingdom, was reported to the public.

The traveller arrived in Winnipeg on January 19th.

The province said in the bulletin reporting the case that on January 22, the initial test results from the traveller were received and the sample was sent to the National Microbiology Laboratory for DNA sequencing.

A spokesperson for the National Microbiology Lab told CTV News that it didn’t receive the sample until February 4. Two of the four days the sample was processed on fell on a weekend, and the results were known on February 8. The variant case was reported to the public on Feb. 9.

On Friday, Dr. Brent Roussin, Manitoba’s Chief Provincial Public Health Officer, said the whole process from sample collection to transport is being looked at.

“Just like any of our ongoing quality improvement that we do continually, we’ll look at all those factors,” said Dr. Roussin.

Roussin also said the province has since added the ability to screen for variants of concern at Cadham Provincial Lab, and the initial goal is to have that process complete within 48 hours of receiving a sample.

University of Manitoba biological sciences professor Jeffrey Marcus said in his experience, genetic sequencing can take six days to two weeks – depending on if the samples need to be transported to a different lab.

He said would expect better when dealing with a highly contagious virus.

“You would expect that everybody would be particularly diligent and do everything that they can to remove all the delays from the system,” Marcus said.

However, Marcus’ greater concern is the province isn’t tapping to the expertise and equipment available on university and college campuses to scale up the screening and sequencing abilities.

“It’s unfortunate, we have this sort of war on COVID and we are not treating it like a war,” he said. “We are not marshalling all (of) our resources we have available to achieve our goals.”

A part of this pattern, he said, is the 18 days it took to screen, sequence and report the first B117 variant case in the province. He said nothing involved with sequencing genetic material should take that long.

He also said Cadham Lab and the National Microbiology Lab are less than one block apart, so transport should not be a big issue.

“Which leads me to believe it was sitting in a freezer for about a week,” he said. 

Right now in Manitoba, about five per cent of screened samples are being sequenced for the three known variants of concern and the province is planning to do more.

When asked if the province would partner with universities or colleges, Roussin said that the Canadian COVID-19 Genomic Network has been up and running for quite some time.

“It is at par with any place in the world with the sequencing it does,” Roussin explained. “It’s a collaboration throughout the world, so the province has that expertise, and that expertise has been utilized.”

Roussin also noted the traveller in this first B117 case was returning from international travel.

“They had to isolate for 10 days,” he said. “And so that was done, it was done appropriately in this case, and we haven’t seen secondary transmission of it.”

Roussin said all of the close contacts for the case have since been tested twice; none have come back positive.  

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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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