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Omicron is filling up Canada’s hospitals. Your health issue might not qualify, doctors say – Global News

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Five-year-old Rossy Hipkin was just one week away from a surgery that could have changed his life, according to his mom. That surgery might have, for the first time, allowed him to use his arms.

Then came the email: his Nov. 25 operation was cancelled because of COVID-19, a doctor wrote.

“It was hard. We’d been building him up, … telling him, ‘You’re going to get muscles’ and ‘You’re going to be able to use your arms,’ and things like that,” said Corina Heppner, Rossy’s mom.

“And then we have to say, ‘Well, you’re not going to get your muscle.’”

Facebook/Corina Heppner

Over a month later, Rossy still hasn’t had his surgery. And he’s not alone.

Hospitals across Canada have been forced to cancel and delay surgeries as COVID-19 cases fill up hospital beds and strain resources, according to doctors working on the front lines. There’s a risk that if Omicron cases keep trending upwards, emergency care — a hospital’s ability to quickly respond to everything from a sprained wrist to a heart attack — could be impacted too, according to Dr. Gerald Evans, an infectious disease specialist at Queen’s University in Kingston, Ont.

Read more:

Omicron FAQ: Everything you need to know about the COVID-19 variant

“We’re all afraid that our ability to continue to do that emergent care is really, really being taxed by the staff absences and of course, the large influx of patients with Omicron.”

What does an overwhelmed hospital look like?

When hospital capacity gets strained, one of the first actions hospitals can take is to cancel or delay what they describe as “non-urgent” surgeries. It’s a step that provinces like Ontario, British Columbia, Quebec and Alberta have taken to help reckon with the Omicron wave.

But just because an operation isn’t seen as “urgent,” doesn’t mean it’s not essential for someone’s quality of life, according to medical experts. Elective surgery “simply means that the surgery can be scheduled in advance,” Johns Hopkins Medicine says, and it “does not always mean it is optional.”

“Even stuff that is deemed non-essential is still important,” said Dr. Christopher Labos, a cardiologist and epidemiologist.

“If you’re somebody who’s waiting for a hip replacement and that just keeps getting delayed and delayed and delayed, you’re going to be living with chronic pain for months, if not years.”






2:05
COVID-19: Overcapacity Quebec hospitals to transfer patients to CHSLDs


COVID-19: Overcapacity Quebec hospitals to transfer patients to CHSLDs

Over half a million fewer surgeries were performed across Canada during the first 16 months of the COVID-19 pandemic compared to previous years, according to a report from the Canadian Institute for Health Information (CIHI), published last month. The bulk of that decline happened in the early months of the pandemic.

In Ontario alone, there were 34 per cent fewer adult cancer surgeries, 44 per cent fewer cardiac surgeries, and 93 per cent fewer pediatric surgeries during the first month of the pandemic, according to a letter Ontario Health CEO Matthew Anderson wrote to hospital CEOs on June 15, 2020.

But the latest wave is still having a real impact on non-urgent procedures, Evans said.

“A lot of things that people require for their health that may be not-urgent or not-emergent tend to be a little bit more difficult to accommodate when there are large numbers of patients in the hospital,” he explained.

That includes surgeries like Rossy’s bid to gain the use of his arms. Rossy suffers from Arthrogryposis Multiplex Congenita, which limits his joints and range of motion. He can’t use his arms from the shoulder down, but surgery would have moved some muscle from his leg to his arm, and that could have helped him regain some movement.

“The hardest part is when you hear, ‘Well, it only affects the vulnerable’ or ‘Only the high risk and the vulnerable are dying,’” said Heppner, Rossy’s mom.

“To us, that sounds like you’re telling us that our kids don’t matter.”

Read more:

Tens of thousands of non-urgent procedures expected to be delayed in Ontario in coming weeks

As children like Rossy wait for non-urgent — but life-changing — surgery, doctors like Evans are worried that the rising Omicron cases could start to impact emergency medicine, too. Emergency care can be “as simple as a sprained ankle” or “complicated, like a heart attack or a stroke.”

“That’s the kind of care that you can’t defer,” Evans said.

“That person needs immediate attention.”

How is Omicron overwhelming hospitals?

The Omicron variant of COVID-19 is spreading fast around the world, including in Canada.

On Tuesday, Canada reported over 34,000 new COVID cases and 74 deaths, for a total of over 400,000 active cases. But a number of provinces have restricted their COVID-19 testing as they drown in demand, prompting the Public Health Agency of Canada to warn that daily case counts are likely underestimating the true burden of disease.

As of Jan. 3, 4,106 of these COVID-19 patients were reportedly being cared for in Canadian hospitals — more than double the 1,919 patients reported just one week prior on Dec. 27.






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Omicron cases pushing Ontario hospitals to the brink on both capacity and staffing


Omicron cases pushing Ontario hospitals to the brink on both capacity and staffing

According to Health Canada, 640 of these patients were in intensive care units as of Jan. 3, while 274 were mechanically ventilated.

New data also indicates that 46 per cent of people currently in Ontario hospitals with COVID-19 were admitted for other reasons, meaning their COVID infection isn’t what put them in the hospital — it was just discovered when they arrived.

“It’s pretty clear that as hospitalizations go up and up and up, there will come a point where the hospital system becomes overwhelmed,” Labos said.

“We have to be aware of the fact that unless we can bend the curve in a significant way, we’re going to start to have a major issue in the very next little while.”

It’s not just hospital admissions, either. With the highly transmissible Omicron variant ripping through Canadian communities, health-care workers are getting sick, too.

“As health-care workers get sick and you have less personnel, sometimes you have to close beds simply because you don’t have the personnel to actually staff them,” Labos explained.

“So as more and more people are waiting for fewer and fewer beds that are available, that creates longer lines — and so you may end up waiting in the emergency room to get a bed for days, frankly.”

How do we prevent COVID from overwhelming hospitals?

The main thing Canadians can do to prevent COVID-19 from overwhelming hospitals right now is to follow public health advice: reduce their contacts and get vaccinated.

“If we can keep cases down, it means staffing levels can be maintained at hospitals. It means we will not be stressing out the hospitals as much with COVID admissions. That’s the big thing that we can do at the moment,” Evans said.

“Public health measures, getting third shots into people, are all important parts of it, as well as some of the measures that have been put into place to reduce social contact. And that’s working.”

Read more:

Don’t treat Omicron COVID-19 variant like the flu, WHO warns

Canadians can greatly reduce their risk of overwhelming the hospitals if they get their vaccines, according to government data. In its Tuesday epidemiological update, the government reported that compared to unvaccinated cases, fully vaccinated cases were “79 per cent less likely to be hospitalized” and “71 per cent less likely to die as a result of their illness.”

It’s something Dr. Michel Haddad, the chief of staff at Bluewater Health in Sarnia, has witnessed firsthand.

“About 60 per cent of our admitted hospitalized patients are unvaccinated, which is more than the provincial (rate) and 90 per cent of ICU are unvaccinated, which is also much more than the provincial (rate),” he said.






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Alberta health minister says 15,000 surgeries delayed during 4th wave of COVID-19


Alberta health minister says 15,000 surgeries delayed during 4th wave of COVID-19 – Nov 4, 2021

Heppner, who is still waiting for her son’s surgery, says Canadians “shouldn’t wait until COVID affects them directly” before they take steps to protect others, like getting vaccinated or following public health advice.

“I feel like it’s the bare minimum that we can do to possibly help others,” Heppner said.

“Not just my child, but other children.”

© 2022 Global News, a division of Corus Entertainment Inc.

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Virginia Democrats advance efforts to protect abortion, voting rights, marriage equality

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RICHMOND, Va. (AP) — Democrats who control both chambers of the Virginia legislature are hoping to make good on promises made on the campaign trail, including becoming the first Southern state to expand constitutional protections for abortion access.

The House Privileges and Elections Committee advanced three proposed constitutional amendments Wednesday, including a measure to protect reproductive rights. Its members also discussed measures to repeal a now-defunct state constitutional ban on same-sex marriage and ways to revise Virginia’s process to restore voting rights for people who served time for felony crimes.

“This meeting was an important next step considering the moment in history we find ourselves in,” Democratic Del. Cia Price, the committee chair, said during a news conference. “We have urgent threats to our freedoms that could impact constituents in all of the districts we serve.”

The at-times raucous meeting will pave the way for the House and Senate to take up the resolutions early next year after lawmakers tabled the measures last January. Democrats previously said the move was standard practice, given that amendments are typically introduced in odd-numbered years. But Republican Minority Leader Todd Gilbert said Wednesday the committee should not have delved into the amendments before next year’s legislative session. He said the resolutions, particularly the abortion amendment, need further vetting.

“No one who is still serving remembers it being done in this way ever,” Gilbert said after the meeting. “Certainly not for something this important. This is as big and weighty an issue as it gets.”

The Democrats’ legislative lineup comes after Republican Governor Glenn Youngkin, to the dismay of voting-rights advocates, rolled back a process to restore people’s civil rights after they completed sentences for felonies. Virginia is the only state that permanently bans anyone convicted of a felony from voting unless a governor restores their rights.

“This amendment creates a process that is bounded by transparent rules and criteria that will apply to everybody — it’s not left to the discretion of a single individual,” Del. Elizabeth Bennett-Parker, the patron of the voting rights resolution, which passed along party lines, said at the news conference.

Though Democrats have sparred with the governor over their legislative agenda, constitutional amendments put forth by lawmakers do not require his signature, allowing the Democrat-led House and Senate to bypass Youngkin’s blessing.

Instead, the General Assembly must pass proposed amendments twice in at least two years, with a legislative election sandwiched between each statehouse session. After that, the public can vote by referendum on the issues. The cumbersome process will likely hinge upon the success of all three amendments on Democrats’ ability to preserve their edge in the House and Senate, where they hold razor-thin majorities.

It’s not the first time lawmakers have attempted to champion the three amendments. Republicans in a House subcommittee killed a constitutional amendment to restore voting rights in 2022, a year after the measure passed in a Democrat-led House. The same subcommittee also struck down legislation supporting a constitutional amendment to repeal an amendment from 2006 banning marriage equality.

On Wednesday, a bipartisan group of lawmakers voted 16-5 in favor of legislation protecting same-sex marriage, with four Republicans supporting the resolution.

“To say the least, voters enacted this (amendment) in 2006, and we have had 100,000 voters a year become of voting age since then,” said Del. Mark Sickles, who sponsored the amendment as one of the first openly gay men serving in the General Assembly. “Many people have changed their opinions of this as the years have passed.”

A constitutional amendment protecting abortion previously passed the Senate in 2023 but died in a Republican-led House. On Wednesday, the amendment passed on party lines.

If successful, the resolution proposed by House Majority Leader Charniele Herring would be part of a growing trend of reproductive rights-related ballot questions given to voters. Since 2022, 18 questions have gone before voters across the U.S., and they have sided with abortion rights advocates 14 times.

The voters have approved constitutional amendments ensuring the right to abortion until fetal viability in nine states: Arizona, California, Colorado, Maryland, Michigan, Missouri, Montana, Ohio and Vermont. Voters also passed a right-to-abortion measure in Nevada in 2024, but it must be passed again in 2026 to be added to the state constitution.

As lawmakers debated the measure, roughly 18 members spoke. Mercedes Perkins, at 38 weeks pregnant, described the importance of women making decisions about their own bodies. Rhea Simon, another Virginia resident, anecdotally described how reproductive health care shaped her life.

Then all at once, more than 50 people lined up to speak against the abortion amendment.

“Let’s do the compassionate thing and care for mothers and all unborn children,” resident Sheila Furey said.

The audience gave a collective “Amen,” followed by a round of applause.

___

Associated Press writer Geoff Mulvihill in Cherry Hill, New Jersey, contributed to this report.

___

Olivia Diaz is a corps member for The Associated Press/Report for America Statehouse News Initiative.

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Vancouver Canucks winger Joshua set for season debut after cancer treatment

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Vancouver Canucks winger Dakota Joshua is set to make his season debut Thursday after missing time for cancer treatment.

Head coach Rick Tocchet says Joshua will slot into the lineup Thursday when Vancouver (8-3-3) hosts the New York Islanders.

The 28-year-old from Dearborn, Mich., was diagnosed with testicular cancer this summer and underwent surgery in early September.

He spoke earlier this month about his recovery, saying it had been “very hard to go through” and that he was thankful for support from his friends, family, teammates and fans.

“That was a scary time but I am very thankful and just happy to be in this position still and be able to go out there and play,,” Joshua said following Thursday’s morning skate.

The cancer diagnosis followed a career season where Joshua contributed 18 goals and 14 assists across 63 regular-season games, then added four goals and four assists in the playoffs.

Now, he’s ready to focus on contributing again.

“I expect to be good, I don’t expect a grace period. I’ve been putting the work in so I expect to come out there and make an impact as soon as possible,” he said.

“I don’t know if it’s going to be perfect right from the get-go, but it’s about putting your best foot forward and working your way to a point of perfection.”

The six-foot-three, 206-pound Joshua signed a four-year, US$13-million contract extension at the end of June.

This report by The Canadian Press was first published Nov. 14, 2024.

The Canadian Press. All rights reserved.

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Trump chooses anti-vaccine activist Robert F. Kennedy Jr. as health secretary

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NEW YORK (AP) — President-elect Donald Trump says he will nominate anti-vaccine activist Robert F. Kennedy Jr. to lead the Department of Health and Human Services, putting him in charge of a massive agency that oversees everything from drug, vaccine and food safety to medical research and the social safety net programs Medicare and Medicaid.

“For too long, Americans have been crushed by the industrial food complex and drug companies who have engaged in deception, misinformation, and disinformation when it comes to Public Health,” Trump said in a post on his Truth Social site announcing the appointment. Kennedy, he said, would “Make America Great and Healthy Again!”

Kennedy, a former Democrat who ran as an independent in this year’s presidential race, abandoned his bid after striking a deal to give Trump his endorsement with a promise to have a role in health policy in the administration.

He and Trump have since become good friends, with Kennedy frequently receiving loud applause at Trump’s rallies.

The expected appointment was first reported by Politico Thursday.

A longtime vaccine skeptic, Kennedy is an attorney who has built a loyal following over several decades of people who admire his lawsuits against major pesticide and pharmaceutical companies. He has pushed for tighter regulations around the ingredients in foods.

With the Trump campaign, he worked to shore up support among young mothers in particular, with his message of making food healthier in the U.S., promising to model regulations imposed in Europe. In a nod to Trump’s original campaign slogan, he named the effort “Make America Healthy Again.”

It remains unclear how that will square with Trump’s history of deregulation of big industries, including food. Trump pushed for fewer inspections of the meat industry, for example.

Kennedy’s stance on vaccines has also made him a controversial figure among Democrats and some Republicans, raising question about his ability to get confirmed, even in a GOP-controlled Senate. Kennedy has espoused misinformation around the safety of vaccines, including pushing a totally discredited theory that childhood vaccines cause autism.

He also has said he would recommend removing fluoride from drinking water. The addition of the material has been cited as leading to improved dental health.

HHS has more than 80,000 employees across the country. It houses the Food and Drug Administration, the Centers for Disease Control and Prevention, the Medicare and Medicaid programs and the National Institutes of Health.

Kennedy’s anti-vaccine nonprofit group, Children’s Health Defense, currently has a lawsuit pending against a number of news organizations, among them The Associated Press, accusing them of violating antitrust laws by taking action to identify misinformation, including about COVID-19 and COVID-19 vaccines. Kennedy took leave from the group when he announced his run for president but is listed as one of its attorneys in the lawsuit.

__ Seitz reported from Washington.

The Canadian Press. All rights reserved.

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