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N.B. COVID-19 roundup: Province projects 5,500 new cases per day, 220 hospitalizations – CBC.ca

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About 5,500 New Brunswickers are expected to test positive for COVID-19 daily by the end of January if current trends hold and no changes are made, according to the province’s chief epidemiologist.

Hospitalizations could reach nearly 220, Mathieu Chalifoux told a technical briefing Tuesday.

A record high 88 people are now hospitalized because of the virus, he said, up from 86. That includes 14 people in intensive care, according to the COVID-19 dashboard.

Eleven people are on ventilators, an increase of one.

The virus has also claimed the life of another New Brunswicker — a person 90 or over in the Moncton region, Zone 1, Public Health said in a revised news release. This raises the pandemic death toll to 173.

“The next few weeks will be intense,” Chalifoux said.

The COVID-19 forecast for the province over the coming weeks if current trends continue. (Government of New Brunswick)

Not only will health-care services be affected by the forecast trajectory but also police, fire and other critical services, such as power, Chalifoux said, noting about 55,000 people could be isolating at any given moment during the projected peak before returning to current levels in about five to six weeks.

These projections could be cut by about one-third if people reduce their contacts either by seeing fewer people, distancing appropriately, or wearing well-fitted masks inside, then our peak may be cut by a third of what would happen without any changes in public behaviour. said Chalifoux.

This is the best way people can protect their family, reduce strain on the health-care system and protect the economy, he told the briefing.

A 10 per cent decrease in contacts by Jan. 14 could reduce the projected new daily cases to about 4,400, while a 20 per cent reduction in contacts could put the number below 3,500, graphics show.

Projected hospitalizations, meanwhile, could drop from 220 to 180 with a 10 per cent contact reduction and to about 150 with a 20 per cent cut.

“We need to assume that everyone we come in contact with could have it,” said Chalifoux.

The COVID-19 projections if people reduce their contacts by 10 per cent (pink line) or 20 per cent (blue line). (Government of New Brunswick)

Among the criteria for the province to consider moving from the current Level 2 of the COVID-19 winter plan to Level 3 is 100 active COVID-19 hospitalizations provincially or 50 COVID patients in intensive care.

The province is monitoring the situation “hour by hour,” but hopes to avoid a lockdown as it tries to balance the risks to the health-care system with the negative impacts of more restrictive measures, said Dr. Jennifer Russell, chief medical officer of health.

“This briefing today is really around what can the population of New Brunswick do right now, collectively and individually, to protect the health-care system to avoid having us go to Level 3.”

People should go to as few places as possible, with as few people as possible and not entertain in their home, Russell advised.

“If you don’t absolutely need to spend time with other people in any situation, then don’t do it,” she said.

Russell also urged people to make a plan to care for themselves and any family members who become sick. This includes having supplies on hand, such as tissues, a thermometer, pain relief medications, and easy-to-prepare meals, she said.

Dr. France Desrosiers, president and CEO of the Vitalité Health Network, and Dr. John Dornan, interim president and CEO of the Horizon Health Network, also participated in the briefing to provide an update on hospitals, which are at the red COVID alert level, providing emergency or urgent services only. No politicians took part.

“We are at the start of a very high tidal wave,” Dornan said. “It’s creeping up now, but in the next two or three weeks, it’s going to crash over us, like no one’s business.

“The worst is yet to come.”

A total of 377 health-care workers now have COVID-19, and many more are off isolating.

On Jan. 8, other provinces, such as Ontario and Quebec has hospitalizations rates that were two or three times higher than that of New Brunswick. ‘This provides a stark picture of where we are likely heading,’ said chief epidemiologist Mathieu Chalifoux. (Government of New Brunswick)

Horizon alone had 164 workers off Tuesday, said Dornan. Some hospitals are in crisis, he said, prompting infected workers to be called back to work sooner.

“In conventional times, we would say, ‘Stay home for 10 days, get a point of care test, then come back in again,” he said. 

“In all of our hospitals, we are at a contingency approach, which means that after five days of home isolation and you test negative, you can come into work.

“If we are shorter-staffed, and in some of our hospitals, some of our units currently, we are at a crisis level, where we are asking people to come back even earlier than five days.” He did not say how many days or whether a negative test is still required.

Of the 88 people in hospital with COVID, 35 tested positive after they were already admitted for other reasons, said Dornan.

The Saint John Regional Hospital has COVID outbreaks on six units, he said.

“We’re at a point now where we’re not able to contain all of our affected and close-contact patients in one or two areas.”

More than 360 Horizon surgeries have been cancelled in the past few weeks, said Dornan.

“We’ve used the term ‘elective’ in the past. There’s no ‘elective’ surgery. These are surgeries that need to be done to reduce pain, improve mobility, improve health.”

The 842 new positive rapid test cases are based on results submitted to the Department of Health by citizens and ‘are not intended to be taken as a true representation of the total number of cases in the province,’ Public Health said. (CBC News)

On Monday night, Premier Blaine Higgs told CBC’s Power & Politics New Brunswick may revisit the issue of mandatory COVID-19 vaccines.

“I think it’s something that will get further discussion in New Brunswick, and probably across the country,” he said.

There are 7,347 active cases of COVID-19 across the province, based on PCR (polymerase chain reaction) lab tests, including the 191 new cases reported Tuesday.

But that’s not an accurate picture of the virus’s spread because PCR tests are now being limited to groups considered at the highest risk of being hospitalized because of the virus, including people over 50.

If people aged two to 49 have symptoms, they are asked to take a rapid test, which is now being treated as confirmatory. If they test positive, they are asked to register their results online.

An additional 842 positive rapid test results were submitted, Public Health said in a news release.

If current trends continue, the peak of new COVID-19 cases will hit at the end of January, early February, and levels will return to where they are today in about five to six weeks’ time, said the province’s chief epidemiologist. (Government of New Brunswick)

“While we are encouraging everyone to register their positive rapid-test result, we recognize that not everyone will do so,” Russell said in a statement. “We need to keep in mind that this data is self-reported and will only give us an idea of the actual number of positive cases.”

The COVID-19 dashboard has been updated to include rapid-test results. “Further enhancements will be made to the dashboard during the coming weeks,” according to the news release.

A total of 642,145 PCR tests have been conducted to date, including 2,657 tests on Monday. That puts the positivity rate at 7.2 per cent.

As of Tuesday, 26.5 per cent of eligible New Brunswickers have received a booster dose, up from 26 per cent, 83.2 per cent have received two doses, unchanged, and 90.8 per cent have received one dose, also unchanged.

New Brunswick has had 20,890 PCR-confirmed cases of COVID-19, with 13,368 recoveries so far.

Booster doses

More than 17,500 people have booked a COVID-19 booster dose appointment since Monday, when eligibility was expanded to include all New Brunswickers 18 and older, as long as five months have passed since their second dose, according to Public Health.

Of the 88 people hospitalized with COVID-19 Tuesday, 24 per cent of them had received their booster, said Dr. Jennifer Russell, chief medical officer of health.

“So it’s not that it eliminates the risk, but it diminishes it greatly,” she said.

The other 76 per cent of the people hospitalized are either unvaccinated, partially vaccinated, or it has been six months since their last dose, Russell said.

People 30 and older will be given the Moderna vaccine for their booster, regardless of which vaccine they received for previous doses.

The limited national supply of Pfizer-BioNTech vaccine will be reserved for those aged 12 to 29 “because the risk of complications in this age group, while very small, is reduced with the Pfizer vaccine,” Public Health said in a news release Monday.

“There is no difference in risks between Moderna and Pfizer for people over 30,” it said.

People who are eligible for a booster can book an appointment through a regional health network clinic or through a participating pharmacy.

Public Health seeks volunteers

Public Health is seeking volunteers in Fredericton and Saint John to “support immediate needs over the next four months,” according to an advisory issued Monday by the University of New Brunswick to students and faculty.

Volunteers are needed, it says, to:

  • Administer vaccines and boosters 
  • Assist at the assessment and testing centres
  • Help with administrative duties and tasks, as needed

“We sincerely thank you for your immediate attention to this urgent call for help. Thank you for doing your part in keeping our community safe.”

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Health Canada approves updated Moderna COVID-19 vaccine

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TORONTO – Health Canada has authorized Moderna’s updated COVID-19 vaccine that protects against currently circulating variants of the virus.

The mRNA vaccine, called Spikevax, has been reformulated to target the KP.2 subvariant of Omicron.

It will replace the previous version of the vaccine that was released a year ago, which targeted the XBB.1.5 subvariant of Omicron.

Health Canada recently asked provinces and territories to get rid of their older COVID-19 vaccines to ensure the most current vaccine will be used during this fall’s respiratory virus season.

Health Canada is also reviewing two other updated COVID-19 vaccines but has not yet authorized them.

They are Pfizer’s Comirnaty, which is also an mRNA vaccine, as well as Novavax’s protein-based vaccine.

This report by The Canadian Press was first published Sept. 17, 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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These people say they got listeria after drinking recalled plant-based milks

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TORONTO – Sanniah Jabeen holds a sonogram of the unborn baby she lost after contracting listeria last December. Beneath, it says “love at first sight.”

Jabeen says she believes she and her baby were poisoned by a listeria outbreak linked to some plant-based milks and wants answers. An investigation continues into the recall declared July 8 of several Silk and Great Value plant-based beverages.

“I don’t even have the words. I’m still processing that,” Jabeen says of her loss. She was 18 weeks pregnant when she went into preterm labour.

The first infection linked to the recall was traced back to August 2023. One year later on Aug. 12, 2024, the Public Health Agency of Canada said three people had died and 20 were infected.

The number of cases is likely much higher, says Lawrence Goodridge, Canada Research Chair in foodborne pathogen dynamics at the University of Guelph: “For every person known, generally speaking, there’s typically 20 to 25 or maybe 30 people that are unknown.”

The case count has remained unchanged over the last month, but the Public Health Agency of Canada says it won’t declare the outbreak over until early October because of listeria’s 70-day incubation period and the reporting delays that accompany it.

Danone Canada’s head of communications said in an email Wednesday that the company is still investigating the “root cause” of the outbreak, which has been linked to a production line at a Pickering, Ont., packaging facility.

Pregnant people, adults over 60, and those with weakened immune systems are most at risk of becoming sick with severe listeriosis. If the infection spreads to an unborn baby, Health Canada says it can cause miscarriage, stillbirth, premature birth or life-threatening illness in a newborn.

The Canadian Press spoke to 10 people, from the parents of a toddler to an 89-year-old senior, who say they became sick with listeria after drinking from cartons of plant-based milk stamped with the recalled product code. Here’s a look at some of their experiences.

Sanniah Jabeen, 32, Toronto

Jabeen says she regularly drank Silk oat and almond milk in smoothies while pregnant, and began vomiting seven times a day and shivering at night in December 2023. She had “the worst headache of (her) life” when she went to the emergency room on Dec. 15.

“I just wasn’t functioning like a normal human being,” Jabeen says.

Told she was dehydrated, Jabeen was given fluids and a blood test and sent home. Four days later, she returned to hospital.

“They told me that since you’re 18 weeks, there’s nothing you can do to save your baby,” says Jabeen, who moved to Toronto from Pakistan five years ago.

Jabeen later learned she had listeriosis and an autopsy revealed her baby was infected, too.

“It broke my heart to read that report because I was just imagining my baby drinking poisoned amniotic fluid inside of me. The womb is a place where your baby is supposed to be the safest,” Jabeen said.

Jabeen’s case is likely not included in PHAC’s count. Jabeen says she was called by Health Canada and asked what dairy and fresh produce she ate – foods more commonly associated with listeria – but not asked about plant-based beverages.

She’s pregnant again, and is due in several months. At first, she was scared to eat, not knowing what caused the infection during her last pregnancy.

“Ever since I learned about the almond, oat milk situation, I’ve been feeling a bit better knowing that it wasn’t something that I did. It was something else that caused it. It wasn’t my fault,” Jabeen said.

She’s since joined a proposed class action lawsuit launched by LPC Avocates against the manufacturers and sellers of Silk and Great Value plant-based beverages. The lawsuit has not yet been certified by a judge.

Natalie Grant and her seven year-old daughter, Bowmanville, Ont.

Natalie Grant says she was in a hospital waiting room when she saw a television news report about the recall. She wondered if the dark chocolate almond milk her daughter drank daily was contaminated.

She had brought the girl to hospital because she was vomiting every half hour, constantly on the toilet with diarrhea, and had severe pain in her abdomen.

“I’m definitely thinking that this is a pretty solid chance that she’s got listeria at this point because I knew she had all the symptoms,” Grant says of seeing the news report.

Once her daughter could hold fluids, they went home and Grant cross-checked the recalled product code – 7825 – with the one on her carton. They matched.

“I called the emerg and I said I’m pretty confident she’s been exposed,” Grant said. She was told to return to the hospital if her daughter’s symptoms worsened. An hour and a half later, her fever spiked, the vomiting returned, her face flushed and her energy plummeted.

Grant says they were sent to a hospital in Ajax, Ont. and stayed two weeks while her daughter received antibiotics four times a day until she was discharged July 23.

“Knowing that my little one was just so affected and how it affected us as a family alone, there’s a bitterness left behind,” Grant said. She’s also joined the proposed class action.

Thelma Feldman, 89, Toronto

Thelma Feldman says she regularly taught yoga to friends in her condo building before getting sickened by listeria on July 2. Now, she has a walker and her body aches. She has headaches and digestive problems.

“I’m kind of depressed,” she says.

“It’s caused me a lot of physical and emotional pain.”

Much of the early days of her illness are a blur. She knows she boarded an ambulance with profuse diarrhea on July 2 and spent five days at North York General Hospital. Afterwards, she remembers Health Canada officials entering her apartment and removing Silk almond milk from her fridge, and volunteers from a community organization giving her sponge baths.

“At my age, 89, I’m not a kid anymore and healing takes longer,” Feldman says.

“I don’t even feel like being with people. I just sit at home.”

Jasmine Jiles and three-year-old Max, Kahnawake Mohawk Territory, Que.

Jasmine Jiles says her three-year-old son Max came down with flu-like symptoms and cradled his ears in what she interpreted as a sign of pain, like the one pounding in her own head, around early July.

When Jiles heard about the recall soon after, she called Danone Canada, the plant-based milk manufacturer, to find out if their Silk coconut milk was in the contaminated batch. It was, she says.

“My son is very small, he’s very young, so I asked what we do in terms of overall monitoring and she said someone from the company would get in touch within 24 to 48 hours,” Jiles says from a First Nations reserve near Montreal.

“I never got a call back. I never got an email”

At home, her son’s fever broke after three days, but gas pains stuck with him, she says. It took a couple weeks for him to get back to normal.

“In hindsight, I should have taken him (to the hospital) but we just tried to see if we could nurse him at home because wait times are pretty extreme,” Jiles says, “and I don’t have child care at the moment.”

Joseph Desmond, 50, Sydney, N.S.

Joseph Desmond says he suffered a seizure and fell off his sofa on July 9. He went to the emergency room, where they ran an electroencephalogram (EEG) test, and then returned home. Within hours, he had a second seizure and went back to hospital.

His third seizure happened the next morning while walking to the nurse’s station.

In severe cases of listeriosis, bacteria can spread to the central nervous system and cause seizures, according to Health Canada.

“The last two months have really been a nightmare,” says Desmond, who has joined the proposed lawsuit.

When he returned home from the hospital, his daughter took a carton of Silk dark chocolate almond milk out of the fridge and asked if he had heard about the recall. By that point, Desmond says he was on his second two-litre carton after finishing the first in June.

“It was pretty scary. Terrifying. I honestly thought I was going to die.”

Cheryl McCombe, 63, Haliburton, Ont.

The morning after suffering a second episode of vomiting, feverish sweats and diarrhea in the middle of the night in early July, Cheryl McCombe scrolled through the news on her phone and came across the recall.

A few years earlier, McCombe says she started drinking plant-based milks because it seemed like a healthier choice to splash in her morning coffee. On June 30, she bought two cartons of Silk cashew almond milk.

“It was on the (recall) list. I thought, ‘Oh my God, I got listeria,’” McCombe says. She called her doctor’s office and visited an urgent care clinic hoping to get tested and confirm her suspicion, but she says, “I was basically shut down at the door.”

Public Health Ontario does not recommend listeria testing for infected individuals with mild symptoms unless they are at risk of developing severe illness, such as people who are immunocompromised, elderly, pregnant or newborn.

“No wonder they couldn’t connect the dots,” she adds, referencing that it took close to a year for public health officials to find the source of the outbreak.

“I am a woman in my 60s and sometimes these signs are of, you know, when you’re vomiting and things like that, it can be a sign in women of a bigger issue,” McCombe says. She was seeking confirmation that wasn’t the case.

Disappointed, with her stomach still feeling off, she says she decided to boost her gut health with probiotics. After a couple weeks she started to feel like herself.

But since then, McCombe says, “I’m back on Kawartha Dairy cream in my coffee.”

This report by The Canadian Press was first published Sept. 16, 2024.

Canadian Press health coverage receives support through a partnership with the Canadian Medical Association. CP is solely responsible for this content.

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B.C. mayors seek ‘immediate action’ from federal government on mental health crisis

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VANCOUVER – Mayors and other leaders from several British Columbia communities say the provincial and federal governments need to take “immediate action” to tackle mental health and public safety issues that have reached crisis levels.

Vancouver Mayor Ken Sim says it’s become “abundantly clear” that mental health and addiction issues and public safety have caused crises that are “gripping” Vancouver, and he and other politicians, First Nations leaders and law enforcement officials are pleading for federal and provincial help.

In a letter to Prime Minister Justin Trudeau and Premier David Eby, mayors say there are “three critical fronts” that require action including “mandatory care” for people with severe mental health and addiction issues.

The letter says senior governments also need to bring in “meaningful bail reform” for repeat offenders, and the federal government must improve policing at Metro Vancouver ports to stop illicit drugs from coming in and stolen vehicles from being exported.

Sim says the “current system” has failed British Columbians, and the number of people dealing with severe mental health and addiction issues due to lack of proper care has “reached a critical point.”

Vancouver Police Chief Adam Palmer says repeat violent offenders are too often released on bail due to a “revolving door of justice,” and a new approach is needed to deal with mentally ill people who “pose a serious and immediate danger to themselves and others.”

This report by The Canadian Press was first published Sept. 16, 2024

The Canadian Press. All rights reserved.

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