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More provinces preparing to loosen COVID-19 restrictions – The Record (New Westminster)

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OTTAWA — Justin Trudeau will take a break today and tomorrow from his COVID-19 briefings to spend some long weekend time with his family at the Harrington Lake prime ministerial retreat in Gatineau, Que.

The briefings will resume on Tuesday as some provinces begin loosening restrictions that have locked down their economies for two months to try to slow the spread of the novel coronavirus.

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Ontario will enter its first stage of reopening on May 19 by lifting restrictions on certain retail businesses and the construction industry. Some surgeries will also resume.

British Columbia’s government will allow a partial reopening of the province’s economy starting Tuesday. However, the reopenings are contingent on organizations and businesses having plans that follow provincial guidelines to control the spread of COVID-19.

In New Brunswick, licensed daycares can begin reopening Tuesday. And while children will not have to wear masks they will be separated into small groups as a safety precaution.

Meanwhile, Alberta welcomed the arrival of the Victoria Day weekend by increasing the limit for outdoor gatherings to 50 people — up from 15.

This report by The Canadian Press was first published May 17, 2020.

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Rise of acute hepatitis among kids: Find out what is causing it, symptoms to note and all about the role of vaccines – Times of India

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Besides the adenovirus 41, scientists continue to investigate COVID-19 as a potential underlying cause of the rise in recent cases of acute hepatitis in children.

An Indian study conducted by a team of researchers from the Bundelkhand Medical College (BMC), Sagar, Madhya Pradesh and the Post Graduate Institute of Medical Research, Chandigarh found that of 475 children, who tested positive for COVID-19 from April-July in 2021, 37 were diagnosed with COVID Acquired Hepatitis (CAH).

“We observed a peculiar rise in hepatitis cases. Usually, the beginning of monsoon marks a rise in hepatitis cases. Last year (2021) we started to see this in April, or summer, in covid positive children who were part of follow-up. Most of them in fact had recovered from their covid,” said Sumit Rawat, Associate Professor, Microbiology, BMC, and one of the authors of the study.

“Hepatitis A and E are specific to certain villages or regions, B is present through the year and D is usually from a parent or from a blood transfusion. Last year, following the Delta wave we saw these cases from all over the state, defying the usual histories,” he added.

Another recent case study suggested a possible link between liver disease and COVID-19.

The study published in the Journal of Pediatric Gastroenterology and Nutrition observed a previously healthy three-year-old girl who developed acute liver failure a few weeks after recovering from a mild COVID infection.

Dr. Anna Peters, a pediatric gastroenterologist at the Cincinnati Children’s Hospital Medical Center and the lead author of the study said, “”The patient had liver biopsy findings and blood testing consistent with a type of autoimmune hepatitis which may have been triggered by COVID infection.”

“I think it’s important for physicians to be aware that this is a rare condition that may happen during or after COVID infection. It’s important to check liver tests in patients who aren’t improving as expected,” she added.

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About 11 per cent of admitted COVID patients return to hospital or die within 30 days: study – CTV News

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A new study offers a closer look at possible factors that may lead to some hospitalized COVID-19 patients being readmitted within a month of discharge.

At roughly nine per cent, researchers say the readmission rate is similar to that seen for other ailments, but socio-economic factors and sex seem to play a bigger role in predicting which patients are most likely to suffer a downturn when sent home.

Research published Monday in the Canadian Medical Association Journal looked at 46,412 adults hospitalized for COVID-19 in Alberta and Ontario during the first part of the pandemic. About 18 per cent — 8,496 patients — died in hospital between January 2020 and October 2021, which was higher than the norm for other respiratory tract infections.

Among those sent home, about nine per cent returned to hospital within 30 days of leaving, while two per cent died.

The combined rate of readmission or death was similar in each province, at 9.9 per cent or 783 patients in Alberta, and 10.6 per cent or 2,390 patients in Ontario.

For those wondering if the patients were discharged too soon, the report found most spent less than a month in hospital and patients who stayed longer were actually readmitted at a slightly higher rate.

“We initially wondered, ‘Were people being sent home too early?’ … and there was no association between length of stay in hospital and readmission rates, which is reassuring,” co-author Dr. Finlay McAlister, a professor of general internal medicine at the University of Alberta, said from Edmonton.

“So it looked like clinicians were identifying the right patients to send home.”

The report found readmitted patients tended to be male, older, and have multiple comorbidities and previous hospital visits and admissions. They were also more likely to be discharged with home care or to a long-term care facility.

McAlister also found socio-economic status was a factor, noting that hospitals traditionally use a scoring system called LACE to predict outcomes by looking at length of stay, age, comorbidities and past emergency room visits, but “that wasn’t as good a predictor for post-COVID patients.”

“Including things like socio-economic status, male sex and where they were actually being discharged to were also big influences. It comes back to the whole message that we’re seeing over and over with COVID: that socio-economic deprivation seems to be even more important for COVID than for other medical conditions.”

McAlister said knowing this could help transition co-ordinators and family doctors decide which patients need extra help when they leave the hospital.

On its own, LACE had only a modest ability to predict readmission or death but adding variables including the patient’s neighbourhood and sex improved accuracy by 12 per cent, adds supporting co-author Dr. Amol Verma, an internal medicine physician at St. Michael’s Hospital in Toronto.

The study did not tease out how much socio-economic status itself was a factor, but did look at postal codes associated with so-called “deprivation” indicators like lower education and income among residents.

Readmission was about the same regardless of neighbourhood, but patients from postal codes that scored high on the deprivation index were more likely to be admitted for COVID-19 to begin with, notes Verma.

Verma adds that relying on postal codes does have limitations in assessing socio-economic status since urban postal codes can have wide variation in their demographic. He also notes the study did not include patients without a postal code.

McAlister said about half of the patients returned because of breathing difficulties, which is the most common diagnosis for readmissions of any type.

He suspected many of those problems would have been difficult to prevent, suggesting “it may just be progression of the underlying disease.”

It’s clear, however, that many people who appear to survive COVID are not able to fully put the illness behind them, he added.

“Looking at readmissions is just the tip of the iceberg. There’s some data from the (World Health Organization) that maybe half to two-thirds of individuals who have had COVID severe enough to be hospitalized end up with lung problems or heart problems afterwards, if you do detailed enough testing,” he said.

“If you give patients quality of life scores and symptom questionnaires, they’re reporting much more levels of disability than we’re picking up in analyses of hospitalizations or emergency room visits.”

The research period pre-dates the Omicron surge that appeared in late 2021 but McAlister said there’s no reason to suspect much difference among today’s patients.

He said that while Omicron outcomes have been shown to be less severe than the Delta variant, they are comparable to the wild type of the novel coronavirus that started the pandemic.

“If you’re unvaccinated and you catch Omicron it’s still not a walk in the park,” he said.

This report by The Canadian Press was first published May 16, 2022.

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Bird flu continues to spread among domestic, wild animals throughout North America – Just The News

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Strains of H5N1 avian influenza continue to pop up in birds around the country, with authorities reporting infections in both domestic and wild animals, including some wild mammals.

Officials in Washington state late this week confirmed two more outbreaks among flocks of birds there, stating that the infections were found in non-commercial backyard flocks of poultry. 

Michigan’s Department of Natural Resources, meanwhile, said the infection had been detected in three wild baby red foxes which subsequently died from the illness. 

“At this point, it is unclear how the fox kits became infected, but it’s possible that they were exposed by consuming infected birds, such as waterfowl,” DNR Veterinarian Megan Moriarty told media.

Moriarty predicted additional infections in mammals in the state but said “they likely will be isolated cases.”

Another baby fox reportedly died in Minnesota after testing positive for avian flu, as did two in Ontario, Canada. 

Three wild red foxes in Wisconsin also reportedly tested positive for the virus, with officials stating that they likely ate infected birds in the wild. 

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