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Manitoba unveils colour-coded COVID-19 system to allow restrictions by community, region, business – CBC.ca

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Manitoba unveiled a new colour-coded system Wednesday that will allow the government to roll out COVID-19 restrictions targeting specific regions, communities or industries in the province.

The new system has four risk levels, with each triggering possible measures that public health officials can take to limit spread of the virus.

“Our pandemic response system was established to ensure that all Manitobans have the most current information so they can plan, they can prepare, they can keep themselves safe,” Premier Brian Pallister said at a noon-hour news conference on Wednesday, along with Chief Provincial Public Health Officer Dr. Brent Roussin.

With this new system, the province hopes to focus restrictions on specific areas or sectors, rather than rolling them out across the province and impacting the broader economy.

“We need to find a way to live with this virus without requiring widespread shutdowns,” Roussin said.

Using the colours green, yellow, orange and red, the system lays out a range of responses broken down by sectors, such as schools, restaurants, child-care centres and community gatherings.

Manitoba at ‘yellow’ level

The four risk levels and their accompanying restrictions can be applied across the province, in a region or community, across a sector, or even at a specific site. Regional restrictions may not correspond to the boundaries of existing health regions, and restrictions can be scaled up or down. 

As risk levels rise in a community or region, the province could impose additional restrictions, such as reducing the size of gatherings or restricting travel in and out of an area.

Information about current risk levels and restrictions will be available on the province’s website.

Manitoba as a whole is currently under the yellow “caution” risk level, meaning community transmission of COVID-19 is considered to be at low levels.

The yellow level includes many restrictions Manitobans are already familiar with, such as limits on gathering sizes, restrictions on people returning from out of province, and directions to practise good hygiene and physical distancing.

The orange, or “restricted,” level is intended to be used when health officials see evidence of community transmission, but new clusters can be contained with self-isolation, and the health-care system is able to handle the caseloads.

The highest risk level, red or “critical,” means there is extensive community transmission and clusters of COVID-19 that are not contained, and the cases are putting strain on the health system. 

In order to reach the lowest level — green, or “limited risk” — spread of COVID-19 would have to be broadly contained and a vaccine or viable treatment for the disease would have to be available. 

Risk levels higher than “yellow” are already either in effect, or being considered, in some areas within the province.

Health officials are closely watching the city of Brandon, where a cluster has grown to include dozens of COVID-19 cases, with some evidence of community spread. The risk level could be raised to orange, or “restricted,” in Manitoba’s second-largest city, Roussin said.

Also, the Bethesda Place personal care home in Steinbach, Man., is listed as red, or “critical,” after one person tested positive there earlier this week. The province has declared an outbreak there, and additional visitor restrictions are in place. Under normal circumstances, public health officials require more than one case to declare an outbreak, but the decision was made in this case due to the severity of the COVID-19. 

Multiple factors considered

In creating Manitoba’s pandemic response system, health officials looked at similar tools in places like New Brunswick, Newfoundland and Labrador, and the United Kingdom. The Manitoban system was modelled after other risk communication systems, such as the one in place for wildfire conditions.

Generally speaking, no one indicator will be used to determine whether restrictions should be increased or eased, Pallister and Roussin said. There are multiple factors health officials will consider.

For example, a test-positivity rate — a rolling five-day average of how many COVID-19 tests come back positive — of two or three per cent would be considered higher risk. 

Other factors that could indicate higher or lower risk include rapidly increasing case numbers, and whether contact tracing links new cases to known clusters or community transmission.

Cases of the disease caused by the new coronavirus have increased sharply in Manitoba over the last month, with rising numbers of infections in multiple communities across the province, including a cluster of more than 60 cases in Brandon.

The new system builds on efforts by the provincial government to make their response to the pandemic more focused and tailored to local conditions.

Last week, the province updated its online dashboard to show more details on where cases have been identified, broken into 68 districts across Manitoba: 13 in the Prairie Mountain Health region, 24 in the Southern Health region, 14 in the Interlake-Eastern region and 15 in the Northern region, plus the Winnipeg district.

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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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