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Mpox in Toronto: Four new cases detected in 24-hour period

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Toronto Public Health is reminding residents at risk of catching mpox to get vaccinated “as soon as possible” after four new cases of the viral illness were reported over a 24-hour period last week.

The cluster of new cases reported on Jan. 27 comes after months without any new infections in Toronto.

In fact, the most recent report released by Public Health Ontario showed that there were no new cases of mpox, previously known as monkeypox, reported in the province from the end of October until Dec. 13.

Public Health Ontario has since discontinued regular reporting, citing the “steady decline in mpox cases.”

“After a period of no reported MPOX cases in Ontario, four new cases in a single day is concerning,” Dane Griffiths, director of the Gay Men’s Sexual Health Alliance, said in a news release. “Last summer, our community mobilized, got a first vaccine dose, and slowed the spread of MPOX. Let’s finish what we started and get the second vaccine dose, especially before travelling this winter.”

Ontario’s Chief Medical Officer of Health Dr. Kieran Moore previously said that mpox activity peaked in the province in July and had been trending down.

However, it its release Toronto Public Health pointed out that “the virus continues to circulate.”

In order to be eligible for vaccination in Ontario, residents must identify as transgender, part of the LGBTQ2S+ community, or as a man who has sex with other men as well as meet certain other criteria.

Toronto Public Health said in a news release that while anyone can get MPOX “gay, bisexual and other men who have sex with men have been most affected” during the current outbreak.

The most recent statistics show that all but six of the 691 cases detected in Ontario to date have involved men.

Speaking with CP24 on Thursday morning, infectious disease specialist Dr. Isaac Bogoch said that the recent cluster of cases in Toronto isn’t a major cause for concern but should serve as a reminder that “mxpox hasn’t gone away.”

“We can expect to see occasional cases from time to time and it’s notable that there are four cases after such a prolonged period where we had very few cases,” he said. “So it’s extremely important that if people were eligible for vaccination that they receive their mpox vaccine and that includes a second dose. There was a lot of uptake on the first doses, but we didn’t get the same degree of uptake on second doses.”

The most commonly reported symptoms following an mpox infection include rash, oral/genital lesions, swollen lymph nodes, headache, fever, chills and fatigue.

So far only 20 cases in Ontario have led to hospitalization. Two of those cases have resulted in individuals requiring treatment in an intensive care unit.

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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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