No new cases of measles detected in N.S. since initial infection reported Friday | Canada News Media
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No new cases of measles detected in N.S. since initial infection reported Friday

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There have been no new cases of measles detected in Nova Scotia since Nova Scotia Health issued exposure warnings after a case was detected Friday.

The health authority issued multiple exposure warnings on Friday after a confirmed case of measles was detected in the Halifax Regional Municipality.

Potential exposure sites were listed in Bedford, Lower Sackville and Halifax.

Symptoms of measles may develop as early as eight days after exposure and as late as 21.

Symptoms may include fever, cough, runny nose, red eyes, a blotchy rash on the face that can spread to the body, and small white spots on the inside of the mouth and throat.

The majority of people recover in a couple of weeks, but measles can have serious complications among higher-risk groups.

According to Dr. Cristin Muecke, the regional medical officer of health for the northern zone, a notice has been issued to health-care providers to increase their awareness for measles despite no new cases being reported

Muecke told CBC on a video call the authority will be monitoring closely for any new cases in the next few weeks.

That conversation has been condensed and edited for clarity and length.

Dr. Cristin Muecke is the medical officer of health for northern zone of Nova Scotia Health. (CBC)

Have you had many calls from people who were in vulnerable groups who are afraid they may have been exposed to measles?

We’ve approached notification to the public in a couple of different ways.

We’ve issued a public service announcement with the details of the exposure dates and times so that we can capture people that way.

We’ve also been working hard internally, through lists of individuals we’ve received, those who might be at higher risk.

We have been reaching out to those individuals directly through phone and we have a dedicated phone line that people can call into as well.

Is measles as easily contracted as COVID-19?

Measles is actually one of the most highly infectious diseases that we know of, so it is quite infectious.

The good news is though, at the risk of the to the general public, is quite low.

Almost all Nova Scotians have been immunized against measles in childhood, it doesn’t normally circulate in our province. And, when it does appear, it tends to be single cases that appear as a result of travel from outside of Canada.

So, the vast majority of people are well protected.

However, when there are exposures because of the contagiousness of the disease, we do take it quite seriously and make lots of efforts to follow up with individuals.

In some cases, we may provide additional protection through vaccination, or something called immune globulin, if we’re able to catch people within the right time window.

We also are looking for people who may have been exposed to watch themselves very closely for symptoms.

If an individual has developed signs and symptoms and they were in one of the exposure locations, we ask that they reach out right away either to 811 or to public health.

If they are feeling really ill, if they could call ahead before going to any healthcare provider, we can ensure that the right infection control measures are in place.

You mentioned that most Nova Scotians have been immunized against measles and since the 1970s most people have had two doses? What about before the 1970s and do the two doses give you a lifetime of protection?

For individuals who are born before 1970, measles was circulating in Canadian communities at that time, so most of those people are generally considered to be naturally immune.

They would have been exposed or infected through exposure in the community rather than through vaccination

Those born in the ’70s, ’80s and early ’90s would have typically had one dose, and there’s been many efforts since then to catch those folks up with a second dose.

Anyone since probably about the mid 1990s would have been receiving two doses in childhood.

So, it’s not like COVID-19 where you have booster doses that we’re all used to at this point?

If you’ve had two two doses of measles, mumps, rubella vaccine, then you’re considered protected.

In terms of people who are in a vulnerable position, people who are immune-compromised and other examples of groups, what are the dangers of measles poses for them?

We’re particularly concerned with people who may have immune-compromising conditions or are taking immune-suppressive medications, pregnant women and young children.

There can be quite a few potential complications of measles including things as serious as encephalitis which is an inflammation of the brain. It can cause seizures, it can cause other long-term complications.

It’s definitely something that we that we’re looking to avoid in our communities and, in fact, it is quite rare

Is there anything else we should know about measles?

Although it’s quite rare, it is possible for individuals who are vaccinated, typically with partial vaccination, to develop measles if they’ve been exposed significantly enough.

And the reason I mentioned that is because sometimes when those folks develop symptoms, they are milder and the rash is not as extensive. If  folks have had partial vaccination and they develop mild symptoms or a partial rash. They should still ensure that they reach out to public health or 811.

 

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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.

The Canadian Press. All rights reserved.

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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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