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Monkeypox: Canada monitoring cases, transmission – CTV News


Canada’s Chief Public Health Officer Dr. Theresa Tam says the federal government is monitoring monkeypox cases and their chains of transmission after two cases were confirmed in this country.
Quebec’s health ministry announced Thursday evening there are two confirmed cases of monkeypox in the province, while 20 other suspected cases are still under investigation.
Speaking at a press briefing on Friday, Tam said health authorities are also following up with a couple of possible contacts in British Columbia.
“There are samples under processing at the national microbiology lab as we speak, so we might expect to hear more confirmations in the upcoming hours and days,” Tam said.
She added that officials don’t yet know the extent to which monkeypox has spread in Canada, but it is under “active investigation.”
“This is an unusual situation,” she said.
A growing number of countries, including Canada, the U.S., Spain, Portugal, and the U.K, are reporting an unusual outbreak of monkeypox. What makes these cases notable is the disease is relatively rare and there are no clear links between some of the infections, raising concerns about community spread and undetected cases.
The World Health Organization says no source of infection for the outbreak has been confirmed.
First discovered in 1958, monkeypox is a rare disease caused by a virus that belongs to the same family as the one that causes smallpox. The disease was first found in colonies of monkeys used for research.
The disease has primarily been reported in central and western African countries, with the first case outside the continent reported in 2003 in the United States.
Due to the unexpected nature of the current outbreak, Tam said health officials in Canada and abroad are looking at whether there are any changes from what was previously known about the rare illness, including incubation period and method of transmission.
“It’s unusual for the world to see this many cases reported in different countries outside of Africa and… we will let people know as soon as we get more information,” Tam said, adding that the current impact on Canada is unclear.
However, Tam said anyone who thinks they may have had or been experiencing symptoms of monkeypox should seek advice from their health-care provider.
The virus is transmitted through contact with an infected animal, human or contaminated material. Transmission between people is thought to primarily occur through large respiratory droplets, which generally do not travel far and would require extended close contact. Transmission from an animal can happen through bites or scratches, contact with an animal’s blood or body fluids.
Monkeypox symptoms are similar to those for the smallpox, but generally milder. The first signs are fever, headache, muscle aches, backaches, chills, and exhaustion. One distinguishing feature specific to monkeypox is that an infection also causes lymphadenopathy – the swelling of the lymph nodes.
The “pox” develops after the onset of a fever and usually occurs between one to three days later, sometimes longer. A rash usually begins on the face and spreads to other parts of the body, developing into distinct, raised bumps that then become filled with fluid or pus.
However, Tam warned that milder cases can go undetected and worries there may be asymptomatic transmission in Canada.
“I think at the beginning of any outbreak, we should cast the net wide to try and understand the transmission routes,” Tam said. “There’s probably been some hidden chains of transmission that could have occurred for quite a number of weeks, given the sort of global situation that we’re seeing right now, so we shouldn’t rule out new things that we might learn as we go along.”
Deputy Chief Public Health Officer Dr. Howard Njoo told reporters on Friday that while the overall risk of monkeypox to the general public is low, he said it is important to remember that everyone is susceptible.
“Some of the good practices that we’ve all learned with COVID-19 actually service us against a whole host of other diseases, including this one,” Njoo said.
He reminded Canadians to practice good hand hygiene, wear a mask if they feel sick or have a cough, and physical distancing.
Njoo added that health officials will further monitor the outbreak and how to best prevent transmission, providing updates as necessary.
“We’ll continue to examine and also develop guidance to help the health-care providers and others in terms of how to deal with this disease as it continues to evolve,” he said.
There is no proven treatment for the virus infection, but the smallpox vaccine is known to also protect against monkeypox, with a greater than 85 per cent efficacy. Because the smallpox vaccine eradicated the disease, however, routine smallpox immunization for the general population ended in Canada in 1972.
Tam said there are discussions happening in Canada and abroad about reviewing smallpox vaccines and their efficacy in relation to monkeypox.
Earlier this month, the Public Health Agency of Canada placed an order for 500,000 vials of the smallpox vaccine Imvamune, which also gives protection against monkeypox. However, these doses won’t be delivered until April 2023.
Tam said Canada currently has a “limited supply” of this vaccine, but could not disclose the exact number due to “security reasons.” Because of the limited supply, the vaccines are not available to the general public and are reserved for those determined to be at high risk for exposure.
With files from The Canadian Press and CTVNews.ca’s Solarina Ho
News
India tells Canada to remove 41 of its 62 diplomats: official
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OTTAWA –
Canada needs diplomats in India to help navigate the “extremely challenging” tensions between the two countries, Prime Minister Justin Trudeau said Tuesday in response to demands that Ottawa repatriate dozens of its envoys.
India reportedly wants 41 of 62 Canadian diplomats out of the country by early next week — a striking, if largely anticipated, deepening of the rift that erupted last month following Trudeau’s explosive allegations in the House of Commons.
The prime minister bluntly spoke of “credible” intelligence linking the Indian government to the shooting death in June of Hardeep Singh Nijjar, a 45-year-old Sikh leader India has long assailed as a terrorist.
The demand, first reported by the Financial Times, comes less than two weeks after the Indian government first called on Canada to establish “parity in strength and rank equivalence in our diplomatic presence.”
Canada has a much larger diplomatic corps in India, owing in part to the fact it’s a country of 1.4 billion people, compared to 40 million in Canada — about 1.3 million of whom are of Indian origin.
Trudeau would not confirm the reports Tuesday, nor did he sound inclined to acquiesce to India’s request.
“Obviously, we’re going through an extremely challenging time with India right now,” Trudeau said on his way to a caucus meeting on Parliament Hill.
“That’s why it’s so important for us to have diplomats on the ground, working with the Indian government, there to support Canadians and Canadian families.”
Canada, he continued, is “taking this extremely seriously, but we’re going to continue to engage responsibly and constructively with the government of India.”
Foreign Affairs Minister Melanie Joly said largely the same thing.
“In moments of tension, because indeed there are tensions between both our governments, more than ever it’s important that diplomats be on the ground,” Joly said.
“That’s why we believe in the importance of having a strong diplomatic footprint in India. That being said, we are in ongoing conversations with the Indian government.”
During Tuesday’s daily briefing at the State Department, deputy spokesperson Vedant Patel was at pains to avoid exacerbating tensions any further.
“We are — and continue to be — deeply concerned about the allegations referenced by Prime Minister Trudeau and we remain in regular contact with our Canadian partners,” Patel said, a message the U.S. has had on repeat for weeks.
“It’s critical that Canada’s investigation proceed and the perpetrators be brought to justice. We also have … publicly and privately urged the Indian government to co-operate in the Canadian investigation and co-operate in those efforts.”
Patel also demurred on the potential impact of an escalating tit-for-tat exchange of diplomatic staff on the U.S. Indo-Pacific strategy, a key element of U.S. efforts to mitigate China’s growing geopolitical influence.
“I certainly don’t want to get into hypotheticals,” he said. “As it relates to our Indo-Pacific strategy and the focus that we continue to place on the region, that effort and that line of work is going to continue.”
David Cohen, the U.S. ambassador to Canada, has already confirmed that the allegations were buttressed in part on intelligence gathered by a key ally from the Five Eyes security alliance, which includes the U.S., the U.K., Australia and New Zealand, along with Canada.
Subrahmanyam Jaishankar, India’s external affairs minister, confirmed last week that the subject came up in his meetings in Washington, D.C., with Secretary of State Antony Blinken and Jake Sullivan, the U.S. national security adviser.
Trudeau’s allegation “was not consistent with our policy,” Jaishankar told a panel discussion Friday hosted by the Hudson Institute.
“If his government had anything relevant and specific they would like us to look into, we were open to looking at it. That’s where that conversation is at this point of time.”
Jaishankar went on to note that the issue of Sikh separatists living in Canada had long been “an issue of great friction,” notably after the 1985 bombing of Air India flight 182, the worst terrorist attack in Canadian history.
“In the last few years, it has come back very much into play, because of what we consider to be a very permissive Canadian attitude towards terrorists, extremists, people who openly advocate violence,” Jaishankar said.
“They have been given operating space in Canada because of the compulsions of Canadian politics.”
This report by The Canadian Press was first published Oct. 3, 2023.
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With files from Mickey Djuric in Ottawa.




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In the news today: Regimental funeral today for B.C. Mountie, NDP victory in Manitoba – National Post
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All Flesh Redux


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Director’s Notes, Stacey Christodoulou
MONTREAL October, 2023 – Combining polyphonic singing, dance, and theatre, All Flesh REDUX is a poetic journey through time and space. Part sing-a-long, Dadaist performance piece as well as a love letter to our planet, the work enfolds the public in an intimate theatre-in-the-round setting where humour, music, storytelling and movement reign. Bringing together the worlds of medieval composers Guillaume de Machaut, Hildegard von Bingen and modern composer John Cage, the company’s creation contemplates the unknowable past and the unimaginable future, and asks what acts of faith are possible in an uncertain world. October 13-22, seating is limited.
Director Stacey Christodoulou: “We could never imagine that the themes we spoke about in 2019 would become reality. In a certain way the show was prophetic. However, I believe that the message of creating beauty as a form of resistance is even more important now. The weaving of medieval song, contemporary dance and text continues our company’s interdisciplinary approach and reminds us that throughout history people have responded to turmoil with innovation and art.”
With: ENSEMBLE ALKEMIA (Jean-François Daignault, Dorothéa Ventura and Leah Weitzner), Stéphanie Fromentin, Erin Lindsay, Vanessa Schmit-Craan, Lael Stellick
Musical direction by Jean-François Daignault; scenograpy by Amy Keith; sound by Debbie Doe; costumes by Cathia Pagotto; lighting by David Perreault Ninacs and technical stage coordination by Birdie Gregor.
All Flesh REDUX
Studio Jean Valcourt du Conservatoire
4750, avenue Henri-Julien
Dates: Friday, Oct., 13, Saturday, Oct. 14 at 8pm; Sunday Oct. 14 at 3pm
Wednesday, October 18-Saturday, Oct. 21 at 8pm; Sunday, Oct. 22 at 3pm
Tickets/514 873-4032: $20, Students/Seniors: $15
Seating is limited
othertheatre.com/all-flesh-redux-en/
Website: othertheatre.com Instagram: @othertheatremtl Facebook: othertheatre
About THE OTHER THEATRE
Formed in 1991 by Artistic Director Stacey Christodoulou, The Other Theatre is devoted to contemporary creation. Working bilingually, their award-wining work has included adaptations, installations, theatre texts, and collectively written material performed in numerous venues in Montreal and abroad, including theatres, galleries, as well as a moving elevator.
Drawing inspiration from art forms other than theatre – dance, cinema, science, architecture, and the visual arts – the company presents evocative performances, grounded by thought-provoking texts. From a creole Macbeth, to sci-fi with polyphonic singing, to the horror of H.P. Lovecraft, their original creations are thrilling and visually striking. They have also presented the work of International and Canadian writers, giving them their French-language premieres in Quebec. Exploring the large existential issues of the time, The Other Theatre aims to move audiences to greater emotional connection and reflection, bridging communities and languages to create a hybrid theatre that is reflective of the cultural richness of Montreal. They value and foster artistic exchange, both locally and internationally and share their artistic process in Canada, the US, Europe and Mexico, through mentorships, workshops and cultural mediation in local communities and schools.
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