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N.B. COVID-19 roundup: 15 new cases reported Monday, and another death – CBC.ca

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Public Health is reporting 15 new cases of COVID-19 on Monday, and another death.

Eleven of the new cases are in the Saint John region (Zone 2), three are in the Moncton region (Zone 1) and one in the Fredericton region (Zone 3), Dr. Jennifer Russell, New Brunswick’s chief medical officer of health, said at a news conference.

All 15 of the cases have been “identified and are isolating,” Russell said.

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Seven people in New Brunswick have now died of the disease since the pandemic started. Russell did not say where the latest death occurred.

She urged residents to “please, wear a mask” and keep their close contacts low.

“We must all remain vigilant, there has never been a time when the risk was zero,” she said.

Enforcement of rules, and frustration with non-compliance

Premier Blaine Higgs said Monday that police and peace offers were enforcing compliance with the single-household bubble, mask-wearing, physical distancing and other rules in the orange zones on the weekend.

Thirty tickets were issued, he said, and at least one business in southeastern New Brunswick has been shut down after not following guidelines “for some time.”

Higgs also singled out for criticism those who are deliberately ignoring the rules.

“It is disappointing to hear that some people have not been giving their real names and contact information” when at businesses, he said.

“You’re not ‘beating the system,’ ” he later added. “You’re jeopardizing the health and welfare of maybe your neighbour, maybe your grandparents, maybe your parents.”

Atlantic bubble bursts

The Atlantic bubble has come to an end for now.

Both Newfoundland and Labrador and P.E.I announced Monday that they were leaving the bubble for at least two weeks as COVID-19 cases rise in parts of the region.

New Brunswick isn’t following suit, although Premier Blaine Higgs is asking people to be cautious about travel outside the province.

Higgs said during Monday’s news conference that he spoke with the P,E.I and Newfoundland and Labrador premiers Sunday night and the decision to leave the bubble was a “shared decision.” He expects it will be “a two-week closure.”

New Brunswick tightened restrictions in Moncton and Saint John last week as cases rose, and the province reported its highest ever single-day case count on Saturday with 23 new cases. As of Sunday, the province had a total of 77 active cases. 

Employee tests positive at Stan Cassidy Centre

Horizon Health Network and New Brunswick Public Health are investigating a potential COVID-19 exposure at Horizon’s Stan Cassidy Centre for Rehabilitation in Fredericton.

As this is a high-risk situation, Horizon is declaring an outbreak at the Centre.

As of Monday morning, Horizon is restricting all visitors at the Centre and cancelling scheduled appointments until further notice after an employee tested positive for COVID-19 on Saturday.

The employee is self-isolating, Horizon said in a statement.

Patients who were in contact with the employee when the employee may have been infectious had rapid testing for the respiratory virus Sunday.

 Horizon said all affected patients have been isolated. And all staff who were in contact have had COVID-19 testing. 

“As a precautionary measure, all other employees at the Centre will be tested for COVID-19.”

Effective Monday morning, all staff and physicians at the Centre will participate in active screening for COVID-19 symptoms.

Horizon Health said affected patients and families have also been notified.

Employee and 3 residents test positive for COVID-19 at Shannex

A Shannex official says the Parkland Saint John facility has activated its pandemic plan after one employee and three residents tested positive for COVID-19.

Clinical practice director and infection control specialist Lisa Snodgrass says all 371 residents and employees were tested.

And she’s been told those four were the only positive cases.

“We’re not sure how it got in,” she said. “But we are sure of what we can do to help prevent the spread and that’s what we’re focusing on right now.

Public health says the outbreak is at Tucker Hall.

Snodgrass says that’s a 90-bed licensed long-term care home on the Parkland Saint John campus.

Snodgrass said all residents are self-isolating as well as some employees – she declined to say how many.

Residents can normally move freely between the buildings, but under pandemic restrictions, she says most of the movement is limited to health care team members.

She says the investigation into cause of the outbreak is ongoing.

What to do if you have a symptom

People concerned they might have COVID-19 symptoms can take a self-assessment test online

Public Health says symptoms shown by people with COVID-19 have included:

  • A fever above 38 C.

  • A new cough or worsening chronic cough.

  • Sore throat.

  • Runny nose.

  • Headache.

  • New onset of fatigue, muscle pain, diarrhea, loss of sense of taste or smell.

  • Difficulty breathing.

In children, symptoms have also included purple markings on the fingers and toes.

People with one of those symptoms should:

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Whooping cough cases up slightly in N.L., as officials warn about risks to infants – CBC.ca

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Newfoundland and Labrador’s top doctor is warning people to stay up to date on whooping cough vaccinations after a small increase in cases this year.

The province usually sees three to four cases of the disease annually. Up to 10 cases have been reported already since January, however, prompting the province’s chief medical officer to raise the issue publicly.

The increase “generally means there’s a little bit more circulating in the community than what’s presenting for care and testing,” Dr. Janice Fitzgerald said Tuesday.

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While officials aren’t overly concerned about a future spike in cases, Fitzgerald said, higher infection rates place infants in particular at risk.

Children under the age of one aren’t yet old enough for the whooping cough vaccine and don’t have immunity to the disease, Fitzgerald said. Infections in small children can be more severe and lead to pneumonia, neurological issues and hospitalization. 

Fitzgerald said parents, grandparents and caregivers should check to ensure their vaccinations are up to date.

Whooping cough, also known as pertussis, causes a persistent nagging cough that’s sometimes severe enough to cause vomiting. Vaccines for the disease are offered in early childhood, during high school and in adulthood. Booster shots should be given 10 years after the high school dose, Fitzgerald said.

“Immunity can wane over time,” she said. “Pertussis does circulate on a regular basis in our community.”

The small increase in cases isn’t yet ringing alarm bells for undervaccination within the general population, she added, noting the province still has a vaccination rate over 90 per cent. 

Download our free CBC News app to sign up for push alerts for CBC Newfoundland and Labrador. Click here to visit our landing page.

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Supervised consumption sites urgently needed, says study – Sudbury.com

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A study in the Canadian Medical Association Journal (CMAJ) said the opioid drug crisis has reached such a critical level that a public safety response is urgently required and that includes the need for expanded supervised consumption sites.

The report was published by the medical journal Monday and was authored by Shaleesa Ledlie, David N. Juurlink, Mina Tadrous, Muhammad Mamdani, J. Michael Paterson and Tara Gomes; physicians and scientists associated with the University of Toronto, Sunnybrook Research Institute and the Li Ka Shing Knowledge Institute at St. Michael’s Hospital.

“The drug toxicity crisis continues to accelerate across Canada, with rapid increases in opioid-related harms following the onset of the COVID-19 pandemic,” the authors wrote. “We sought to describe trends in the burden of opioid-related deaths across Canada throughout the pandemic, comparing these trends by province or territory, age and sex.”

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The study determined that across Canada, the burden of premature opioid-related deaths doubled between 2019 and 2021, representing more than one-quarter of deaths among younger adults. The disproportionate loss of life in this demographic group highlights the critical need for targeted prevention efforts, said the study.

The researchers found that the death rate increased significantly as fentanyl was introduced to the mix of street drugs that individuals were using, in some cases, unknowingly.  

The authors said this demonstrates the need for consumption sites, not only as overwatch as people with addictions consume their drugs, but also to make an effort to identify the substances and inform those people beforehand. 

“The increased detection of fentanyl in opioid-related deaths in Canada highlights the need for expansion of harm-reduction programs, including improved access to drug-checking services, supervised consumption sites, and treatment for substance use disorders,” the authors wrote. 

The study said a more intense public safety response is needed. 

“Given the rapidly evolving nature of the drug toxicity crisis, a public safety response is urgently required and may include continued funding of safer opioid supply programs that were expanded beginning in March 2020, improved flexibility in take-home doses of opioid agonist treatment, and enhanced training for health care workers, harm reduction workers, and people who use drugs on appropriate responses to opioid toxicities involving polysubstance use.

In conclusion, the authors wrote that during the height of the COVID pandemic in 2020 and 2021, the burden of premature death from accidental opioid toxicities in Canada dramatically increased, especially in Alberta, Saskatchewan, and Manitoba. 

“In 2021, more than 70 per cent of opioid-related deaths occurred among males and about 30 per cent occurred among people aged 30–39 years, representing one in every four deaths in this age group. The disproportionate rates of opioid-related deaths observed in these demographic groups highlight the critical need for the expansion of targeted harm reduction–based policies and programs across Canada,” said the study.

The full text of the report can be found online here.

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Business Plan Approved for Cancer Centre at NRGH – My Cowichan Valley Now

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A business plan for a new BC Cancer Centre at Nanaimo Regional General Hospital has been approved by the province. 

 

Health Minister Adrian Dix  says the state-of-the-art cancer facility will benefit patients in Nanaimo and the surrounding region through the latest medical technology.
 

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The facility will have 12 exam rooms, four consultation rooms and space for medical physicists and radiation therapists, medical imaging and radiation treatment of cancer patients. 

 

The procurement process is underway, and construction is expected to begin in 2025 and be complete in 2028. 

 

Upgrades to NRGH have also been approved, such as a new single-storey addition to the ambulatory care building and expanded pharmacy. 

 

Dix says Nanaimo’s population is growing rapidly and aging, and stronger health services in the region, so people get the health care they need closer to home. 

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