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Nearly 3 in 4 infants live where low vaccine coverage drives measles outbreaks: UN

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More children were left out of critical vaccination drives for diseases such as diphtheria, tetanus and whooping cough last year as a rise in conflicts across the globe hindered the supply of life-saving shots mostly in strife-torn regions, the United Nations said on Monday.

About 14.5 million children worldwide failed to get vaccinated in 2023, compared with 13.9 million a year earlier, according to UN estimates. The number, however, was lower than during the COVID-19 pandemic, when about 18 million children missed out on vaccination.

The UN also said that an additional 6.5 million children failed to receive more than a single dose, meaning they were not fully protected.

The estimates are based on how many children received either the first dose or all three doses of the DTP vaccine, a staple shot that protects against diphtheria, tetanus and pertussis, also known as whooping cough.

In total, 84 per cent of infants globally received their full course last year, below the necessary level to prevent disease outbreaks.

Major measles outbreak expected without better vaccination rates, modelling shows

 

Quebec has launched measles vaccination clinics as officials fear a major outbreak would put thousands of children at risk of getting very sick or even dying. The number of confirmed cases in Canada in 2024 has already exceeded the total for 2023, and modelling shows it could quickly get out of hand if vaccination rates don’t increase.

War-hit countries in particular saw a big jump in the number of children who were not immunized in 2023, the United Nations Children’s Fund (UNICEF) and the World Health Organization (WHO) said at a press conference last week, ahead of releasing the data.

Falling coverage in conflict zones

The biggest fall in vaccination coverage globally was in Sudan, which has been decimated by 15 months of civil war. It saw coverage rates fall to 57 per cent in 2023 from 75 per cent in 2022.

That meant nearly 701,000 children in Sudan were not vaccinated at all against killer diseases such as measles and diphtheria.

The data also suggested that vaccination rates against the deadly measles disease stalled, leaving nearly 35 million children with no or only partial protection.

In 2023, only 83 per cent of children worldwide received their first dose of the measles vaccine through routine health services, while the number of children receiving their second dose modestly increased from the previous year, to 74 per cent of children. To prevent outbreaks of measles, 95 per cent vaccination coverage is needed.

The number of children who failed to get immunized in the occupied Palestinian territories rose to 17,000 for the first nine months last year, based on data available until September, from 1,000 in 2021, the agencies said.

Sudan, Yemen and Afghanistan were all new entrants on the list of the 20 countries with the most unvaccinated — or “zero-dose” — children in 2023.

More than half of the world’s unvaccinated children live in countries with fragile, conflict-affected or vulnerable settings, although these nations only make up 28 per cent of the global birth cohort, UNICEF said.

There were some positives in the UN report. For example, there were around 600,000 fewer zero-dose children across the African region in 2023 than in 2022, and coverage of the HPV vaccine, which protects against cervical cancer, also improved globally. Ukraine also saw an improvement despite its war with Russia.

 

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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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Canada to donate up to 200,000 vaccine doses to combat mpox outbreaks in Africa

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The Canadian government says it will donate up to 200,000 vaccine doses to fight the mpox outbreak in Congo and other African countries.

It says the donated doses of Imvamune will come from Canada’s existing supply and will not affect the country’s preparedness for mpox cases in this country.

Minister of Health Mark Holland says the donation “will help to protect those in the most affected regions of Africa and will help prevent further spread of the virus.”

Dr. Madhukar Pai, Canada research chair in epidemiology and global health, says although the donation is welcome, it is a very small portion of the estimated 10 million vaccine doses needed to control the outbreak.

Vaccine donations from wealthier countries have only recently started arriving in Africa, almost a month after the World Health Organization declared the mpox outbreak a public health emergency of international concern.

A few days after the declaration in August, Global Affairs Canada announced a contribution of $1 million for mpox surveillance, diagnostic tools, research and community awareness in Africa.

On Thursday, the Africa Centres for Disease Control and Prevention said mpox is still on the rise and that testing rates are “insufficient” across the continent.

Jason Kindrachuk, Canada research chair in emerging viruses at the University of Manitoba, said donating vaccines, in addition to supporting surveillance and diagnostic tests, is “massively important.”

But Kindrachuk, who has worked on the ground in Congo during the epidemic, also said that the international response to the mpox outbreak is “better late than never (but) better never late.”

“It would have been fantastic for us globally to not be in this position by having provided doses a much, much longer time prior than when we are,” he said, noting that the outbreak of clade I mpox in Congo started in early 2023.

Clade II mpox, endemic in regions of West Africa, came to the world’s attention even earlier — in 2022 — as that strain of virus spread to other countries, including Canada.

Two doses are recommended for mpox vaccination, so the donation may only benefit 100,000 people, Pai said.

Pai questioned whether Canada is contributing enough, as the federal government hasn’t said what percentage of its mpox vaccine stockpile it is donating.

“Small donations are simply not going to help end this crisis. We need to show greater solidarity and support,” he said in an email.

“That is the biggest lesson from the COVID-19 pandemic — our collective safety is tied with that of other nations.”

This report by The Canadian Press was first published Sept. 13, 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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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.

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