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Nearly one-third of Greater Sudbury's COVID-19 cases have been in the last week – Sudbury.com

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The city’s top doc spoke to Greater Sudbury city council on Nov. 10, exactly eight months to the day since the city’s first positive case of COVID-19.

Fast forward to Tuesday evening, the health unit had confirmed five more cases, including a pair of outbreaks bringing the total number of cases since March 10 to 186.

“Almost one-third of all of our local cases have been reported in the last week alone,” said Dr. Penny Sutcliffe, chief medical officer of health, Public Health Sudbury and Districts. “So we are very suddenly thrust into the second wave of COVID-19 locally.”

Statistics presented by Sutcliffe showed a sharp spike in test positivity, with a rate of 1.3 per cent and a case rate of 26 per 100,000 people.

“In the previous seven days we were seeing a rate of about one per 100,000,” said Sutcliffe. “The tip of the iceberg is the cases and underneath the iceberg is all the additional work around contacts and careful followup and investigation. We are seeing about 12 contacts per case, some are more some are less but on an average (of 12).”

Highlighted by Sutcliffe on Tuesday was the age groups where cases seem to be becoming more frequent, as the health unit has seen more frequent cases among people in their 20s.

“We’re seeing more younger people, people in their 20s, and this is maybe not unexpected or unusual, this has been seen in other parts of the province that hit this part of the wave sooner than we did,” said Sutcliffe. “It really speaks to, I think, the need for young people to be social and to have connections, but also to make sure that they’re aware of how to do that in a way that is safe.”

The city’s top doctor stressed the importance of following public health direction in order to limit community spread of the virus, and while she didn’t recommend more strict enforcement at the municipal level, Sutcliffe cautioned that a lockdown could be necessary if the case numbers continue to climb.

“Really there’s no one incident or smoking gun, but multiple incidents that arguably are preventable,” said Sutcliffe. “Not preventable by high tech or really restrictive measures, but really preventable by very simple precautions that we’ve been talking about for the last eight months and that we’ve been practicing. Not a big lockdown, but of course that could be necessary if we don’t get this better under control.”

Ward 7 coun. Mike Jakubo raised the question of what level of enforcement does the health unit hold, should it be found that people who have been told to self-isolate due to a possible contact with COVID-19 choose not to do so.

“Is the health unit issuing an order to self-isolate and if so, how enforceable is that and how is that being followed up on?” asked Jakubo.

Sutcliffe said that there has been a tremendous level of cooperation when speaking with contacts and those who come in for COVID tests.

“People who we contact are forthcoming, they comply if we ask them to self-isolate, to get tested, share with us their contact information. We have not had a need to resort to what would be an order under the Health Protection and Promotion Act, but make no mistake I would not hesitate to do that if necessary to protect the health of our community,” said Sutcliffe.

Jakubo questioned if enough was being done to get the messaging out to Greater Sudbury youth and educating them on how to prevent and protect themselves from the spread of COVID-19.

Sutcliffe was blunt in stating that not enough was being done at this time and that the health unit is currently working to improve their communication with Greater Sudbury youth.

“Are we doing everything we can? We are not and we need to do more; having said that we have done a lot through our social media, a lot through our work with schools, we have additional provincal and federally-funded public health nurses in schools and they’re working closely on messaging,” said Sutcliffe.

“We are in the midst and nearing the end of development of a program aimed at post-secondary and secondary aged youth and although there will be an aspect of it that is fear-based, it’s factual-based in terms of relaying what the risks and the fears are because this is not only seriously impacting the health of older populations but can also have a very serious and sometimes deadly impact on younger populations.”

One of the key messages from the program being developed by PHSD however, is strength-based and informing youth of what is in their control when it comes to the fight against COVID-19.

“Don’t just tell them what not to do, but tell them how to do things in a way that will reduce their risk,” said Sutcliffe. “It’s not telling them not to do stuff, but if they are going to do something, here are key strategies that they can use.”

Those strategies and more are among the myriad of talking points that are circulating the table at the Community Control Group (CCG) that was established in January and has been meeting regularly throughout the course of the pandemic. 

The CCG, which includes Mayor Brian Bigger and leaders from the city, Health Sciences North, Public Health Sudbury & Districts, and the Greater Sudbury Police Service, reviews the local status of the virus, assesses response and takes action. Their role is to establish coordinated emergency action plans in Greater Sudbury.

For the past several months, the CCG has used scenario planning to develop a pandemic response strategy for the fall/winter. To develop the plan, the team used each of the three scenarios established by the Public Health Agency of Canada and the World Health Organization:

  • Peaks and valleys: continuous waves throughout 2020 and 2021, with clusters of COVID cases in places like schools and workplaces.
  • Fall peak: a large wave in the fall or winter followed by successive waves.
  • Slow burn: ongoing spread of the virus through periodic cases, with no specific pattern.

The CCG determined objectives and key areas of focus for the four agencies, which will be used to monitor and act on these potential virus scenarios throughout the fall and winter. The objectives for fall/winter include:

  • Hospital and long-term care capacity
  • Community strategies for health, wellness and equity
  • Human resources support
  • Critical services at City, hospital, Public Health and police
  • Supply chains and PPE
  • Economy preservation and recovery
  • Public order and safety
  • Governance and finance
  • Communications

“Close cooperation and awareness continue to be needed as winter approaches and the risk of COVID remains in our community,” said Ed Archer, Chief Administrative Officer, City of Greater Sudbury

“We are in an emergency situation that continues to evolve. I thank city staff and our community partners for their ongoing commitment to responding thoughtfully, and keeping the health and safety of our community top of mind.”

The areas of focus for fall/winter include:

  • Testing, resources to perform effective contact tracing and clearing people to return to work and school 
  • Keep people healthy and at work
  • Provide community supports
  • Increase uptake of flu vaccine
  • Provide protection in long-term care
  • Monitor supply chains
  • Plan for other potential emergencies

“Early in this pandemic, we recognized the importance of having a coordinated, city-wide response guided by the experts at Public Health. That collaboration, paired with our community’s commitment to following public health advice, helped us make it through the first wave with relatively low case numbers and manageable hospitalization rates,” said Joseph Nicholls, General Manager of Community Safety, City of Greater Sudbury.

“As the case numbers hit record highs, we need to go back to following those simple rules. They will keep us going for the long haul.”

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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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