Health
Omicron symptoms mirror the flu and common cold. What should I do if I feel sick? – The Globe and Mail
Barb Richard spent two weeks in March 2020 in self-isolation in Toronto in an effort to do her part to plank the curve of COVID-19 infections. Now that the Omicron variant is coursing through Canada, many more people are having to self-isolate at home.Fred Lum/the Globe and Mail
In Canada, the seven-day rolling average of confirmed COVID-19 cases is up 107 per cent from the previous period, as the Omicron variant surges through the country ahead of the Christmas holidays.
Preliminary data say that Omicron is more transmissible than other variants, and spreading fast wherever it goes. Less hindered by vaccines, COVID-19 cases of the Omicron variant can also spread more easily through a vaccinated population than other variants, as The Globe’s science reporter Ivan Semeniuk reports.
Its transmissibility, rising case counts, and varied or inconsistent access to testing help fuel the spread of COVID-19. Staying home unless you are confident you don’t have the virus offers the best way to protect others and limit its spread.
Are my symptoms COVID-19, the flu or a cold?
COVID-19 symptoms are similar to those of the flu, so Health Canada says anyone experiencing flu-like symptoms should follow the same precautions for COVID-19. Some symptoms of the common cold are similar to those of COVID-19, and the flu.
Initial reports out of South Africa of the Omicron variant show newer symptoms, including scratchy throat, mild muscle aches, extreme tiredness, dry cough and night sweats. But these have not been identified in any cases by Canadian authorities.
Dr. Matthew Miller, an associate professor of biochemistry and biomedical sciences at McMaster University in Hamilton and one of the researchers behind the university’s inhaled COVID-19 vaccine, says that there isn’t any clear evidence yet that the Omicron variant symptoms are significantly different from any of the other variants. “Any changes that we’re seeing relative to earlier cases of COVID-19 throughout the pandemic are more likely a function of whether or not people have underlying immunity,” Dr. Miller says. “That can change the symptom profile. The data is showing that individuals who are vaccinated tend to be experiencing milder illness.”
Could I have COVID-19 and the flu at the same time?
Denys Khaperskyy, an assistant professor in the Department of Microbiology and Immunology at Dalhousie University in Halifax, says from a virologist’s point of view, there’s no technical reason this would be impossible, but it’s unlikely that it would happen.
Is my COVID-19 test accurate?
The accuracy of your COVID-19 test depends on a variety of factors, including when you are taking the test in relation to when you came in contact with COVID-19. Rapid tests provide a correct result between 50 to 95 per cent of the time. The variability in accuracy means individuals can test negative while being actively infected. This is called a false negative.
A PCR test, or polymerase chain reaction test, is a lab-based method that uses a deep nasal swab to determine if the coronavirus is present. It provides accurate results about 98 per cent of the time. Getting results back usually takes about 24 hours and can take longer as demand increases, as the test must be performed by trained technicians.
Some health units, like Ottawa Public Health, are still recommending people isolate after a negative rapid test if they have symptoms. In a letter to Ottawa Physicians, Nurse Practitioners, Travel and Walk-In Clinics, Ottawa Public Health said: “Symptomatic individuals must self-isolate even if they test negative on a rapid antigen test as these tests can produce false negative results.”
When should I use rapid tests?
For individuals who aren’t symptomatic or haven’t been in close contact with a confirmed positive case, rapid tests are a good screening tool, according to Dr. Miller. “The caveat is that you want to perform a couple tests a few days apart because sometimes very early after exposure, there’s not enough virus present for rapid tests to capture it,” he says. And if you plan on using rapid tests ahead of a small gathering, Dr. Miller says it’s also critical to do a test the day of the event.
Although rapid tests aren’t as sensitive as PCR test results, Dr. Miller says they’re still a good addition to your tool kit. “People can have rapid test negative outcomes and still test PCR positive, so it’s not perfect. But the good thing about rapid tests is that they directly look for virus, whereas PCR tests look for fragments of the virus, which can sometimes persist in individuals long after they’re infectious.”
What should I do if I have symptoms, test positive, or am a close contact of someone who tests positive?
Across Canada, isolation and testing guidelines vary based on testing supply, severity of outbreak, health care system capacities and government policy. When in doubt, isolate until you can confirm you’re not carrying COVID-19. And don’t forget to take note of the date you first experience symptoms and the date of any tests. This will help you calculate how long you need to isolate for.
According to Dr. Miller, adhering to self-isolating guidelines has never been more important than at this current moment in the pandemic. “It’s the time of year when we’re used to gathering, so it’s tough to have the discipline to self-isolate,” says Dr. Miller. “But one could argue it’s never been more important in terms of trying to stem the rising tide of transmission.”
The rapid spike in cases over such a short period of time will challenge our hospital capacity, Dr. Miller says, so it’s critical that individuals self-isolate to avoid passing the virus on to more people.
If you need to self-isolate but live with other people, Dr. Miller says the ideal scenario is to limit your movements to a single floor, like a basement, or room, and use your own dedicated bathroom. If you need to share a bathroom, open windows and turn on the bathroom fan. “The virus is clearly airborne, so allow for good ventilation between the next person using the restroom,” he says. “It also doesn’t hurt to have Lysol wipes or bathroom spray on hand to wipe down high-touch surfaces like toilet handles and faucets, but air exchange is really key.”
Alberta
If you have symptoms: Alberta lists a set of “core symptoms,” including cough, fever, shortness of breath, runny nose, sore throat and loss of taste or smell for adults over 18. If you have any of these symptoms you need to get tested and isolate for at least 10 days from the start of symptoms, unless you receive a negative test result.
If you tested positive: You must isolate for a minimum of 10 days from the start of symptoms. If your symptoms persist after 10 days, you need to continue isolating until they resolve.
If you are a close contact of a COVID-19 case: Book a COVID-19 test right away, and if symptoms develop, isolate. Strong recommendation that people who are not vaccinated stay home for at least 14 days.
British Columbia
If you have symptoms: Start self-isolation right away at the onset of COVID-19 symptoms and use the B.C. COVID-19 self-assessment tool to see if you need to be tested.
If you test positive: Self isolate at home for at least 10 days since the start of your symptoms.
If you are a close contact of a COVID-19 case: Self-monitor for symptoms for 14 days after being exposed to someone with COVID-19 and get tested if you develop any COVID-19 symptoms.
Manitoba
If you have symptoms: Manitoba has two classifications of symptoms, and whether to self-isolate depends on how many and which symptoms you have. Use the COVID-19 screening tool for directions. People with symptoms not known to be exposed to COVID-19 can return to normal activities with a negative test, no fever and symptoms improving for 24 hours. People who have symptoms and were in contact with a known COVID-19 case must continue to isolate for 10 days, even after receiving a negative test result.
If you test positive: You must isolate for at least 10 days or until symptoms are improving.
If you are a close contact of a COVID-19 case: The province of Manitoba will no longer be contacting people who have come in contact with a positive case, ahead of anticipated surges in Omicron cases. Public Health is asking positive cases to notify their close contacts of their positive case. Most close contacts need to self-isolate after coming in contact with a confirmed COVID-19 case.
New Brunswick
If you have symptoms: New Brunswickers can use the self-assessment tool to sign up for a test. People with two or more symptoms must isolate while waiting for their test result.
If you test positive: You must isolate. New Brunswick Public Health will provide direction on isolation length.
If you are a close contact of a COVID-19 case: Vaccinated household contacts must self-isolate until receiving a negative PCR test five days after initial exposure. If negative, they no longer need to isolate, but require a second test on the 10th day. Close contacts must isolate and get a COVID-19 test. Close contacts without symptoms who are not fully vaccinated should pick up an at-home COVID-19 Rapid Point of Care Test, and do not need to isolate unless instructed by Public Health to do so. Fully vaccinated people should self-monitor for symptoms for 14 days, and get tested immediately if any develop.
Newfoundland and Labrador
If you have symptoms: Stay home, self-isolate immediately and complete the COVID-19 self-assessment tool.
If you test positive: You will get a call from Public Health telling you what to do next. Do not visit your family doctor’s office and only go to your Emergency Department if it is an emergency.
If you are a close contact of a COVID-19 case: Individuals who are identified as close contacts of a positive case are notified by Public Health. Contacts often require testing and/or to self-isolate.
Northwest Territories
If you have symptoms: Anyone with COVID-19 symptoms, regardless of travel and vaccination status, should isolate immediately and arrange for testing.
If you test positive: Your health care provider will contact you with your results. If you test positive for COVID-19, they will advise on what to do. For most, this means isolating at home. The NWT Office of the Chief Public Officer is also advising those who test positive to stay close to community centres while isolating, in case access to health care services is required.
If you are a close contact of a COVID-19 case: A health care provider will contact you and give you instructions on what you need to do next.
Nova Scotia
If you have symptoms: If in the past 48 hours you’ve had or you currently have a new or worsening cough or two of the following symptoms – fever, headache, runny nose or nasal congestion, sore throat, shortness of breath – you need to self-isolate and complete a COVID-19 self-assessment.
If you test positive: A positive test result on a rapid antigen test no longer requires verification with a PCR test. If you take a PCR test and it is positive, Public Health will call you. Self-isolate right away, and ask your household contacts to self-isolate right away, too. You will need to self-isolate until you’re no longer considered infectious, which is typically 10 days after symptoms have started and you are feeling better. For individuals who are immunocompromised or have severe disease, this period can be longer. Nova Scotia is currently experiencing a backlog in contact tracing, so all positive cases must reach out to their close contacts.
If you are a close contact of a COVID-19 case: If you are fully vaccinated, self-isolate immediately regardless of whether you have any symptoms. Then book a PCR lab test at least 72 hours after the last exposure and continue to self-isolate until you receive a negative test result. If you are not fully vaccinated, self-isolate immediately and book a PCR test. You will need to complete a second PCR test six or seven days after the last exposure. If the second test is negative and you have no symptoms, you can stop isolating.
Nunavut
If you have symptoms: Self-isolate and follow up with your health care professional. If you develop a fever, cough or difficulty breathing in the next 14 days, call your health care provider or local public health authority.
If you test positive: Stay at home until the public health authority advises that you are no longer at risk of spreading the virus to others.
If you are a close contact of a COVID-19 case: You will be contacted by your health centre and notified of what steps you need to take.
Ontario
If you have symptoms: Get tested at a COVID-19 assessment centre, and stay home and self-isolate. Contact those with whom you were in close physical contact (less than two metres away in the same room, workspace or area) in the 48 hours before your symptoms began so that they can monitor their health and to self-isolate.
If you test positive: If you have symptoms, self-isolate for 10 days after your symptoms first started. After 10 days, you can stop self-isolating if your fever has stopped on its own and your symptoms have improved for at least 24 hours. If you do not have symptoms, you must self-isolate for 10 days from the day after you were tested.
If you are a close contact of a COVID-19 case: If you are fully vaccinated and have symptoms, you should self-isolate and get tested right away. If your test is positive, you must self-isolate for 10 days. If it’s negative, you can stop self-isolating once symptoms have been improving for at least 24 hours. If you are fully vaccinated and have no symptoms, you are likely not required to self-isolate but should get tested.
If you are not fully vaccinated, you should self-isolate and get tested right away. If your test is negative, you are recommended to retest seven days later. If your household members are fully vaccinated, they don’t need to self-isolate. If they are not, they should also self-isolate and get tested.
Prince Edward Island
If you have symptoms: PEI urges anyone experiencing symptoms of COVID-19 to get tested for the virus and self-isolate until the results come back. Results should be available online within 72 hours of getting tested.
If you test positive: The province uses a PCR test to determine if you are positive for COVID-19, which can also see if someone is infected with a variant. If the test is positive, the province’s Chief Public Health Officer will be in contact with your directly, and you must self-isolate and follow public health advice.
If you are a close contact of a COVID-19 case: You must self-isolate and follow public health advice.
Quebec
If you have symptoms: If you have symptoms, you must self-isolate immediately and complete the COVID-19 self-assessment.
If you test positive: Anyone who tests positive for COVID-19 needs to self-isolate for 10 days from the onset of symptoms, or from the date of a COVID-19 test if they do not have symptoms. For self-isolation to end, individuals must not have had a fever for 48 hours without taking medication and have improvement in symptoms for at least 24 hours.
If you are a close contact of a COVID-19 case: The province defines close contact as being within less two metres of a confirmed positive case for at least 15 minutes. Close contacts must self-isolate. For those who are not “adequately protected against COVID-19,″ a close contact must self-isolate 10 days after the last contact with a COVID-positive person. Those who are “adequately protected” do not need to self-isolate, but should monitor their symptoms for 14 days and get tested between day three and five after exposure.
Saskatchewan
If you have symptoms: Even if you have the mildest symptoms, the province recommends you get tested.
If you test positive: Anyone who tests positive for COVID-19 must self-isolate for 10 days after receiving a positive test result.
If you are a close contact of a COVID-19 case: Saskatchewan’s public health say it lacks capacity to notify all close contacts of a positive COVID-19 case. If you are not fully vaccinated, get tested and self-isolate for at least 14 days from the date of last exposure. If you are fully vaccinated, call 811 if COVID-19 symptoms develop. You do not need to self-isolate unless symptomatic. All contacts who develop symptoms should seek testing immediately.
Yukon
If you have symptoms: Self-isolate, and then do a self-assessment test. Also contact your health care provider or local health centre and follow the advice provided.
If you test positive: Continue to self-isolate. A nurse from Yukon Communicable Disease Control (YCDC) will call you within 48 hours. Most people will need to self-isolate for 10 days, but some people may need to isolate longer.
If you are a close contact of a COVID-19 case: If you’re fully vaccinated, self-monitor for symptoms for 14 days after the date of your last exposure to the person with whom you’ve been in contact. If you start developing symptoms, self-isolate and arrange to get tested. If you’re not fully vaccinated, self-isolate for 10 days after the date of your last exposure and then self-monitor for symptoms for an additional four days. If you develop any symptoms, no matter how mild, arrange to get tested.
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NEWS RELEASE
SOUTHLAKE REGIONAL HEALTH CENTRE
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This Cancer Awareness Month, Southlake is adding advanced technologies to detect and treat breast cancer and other women’s cancers thanks to generous community donor support, most recently through the HERE is Where Cancer Meets its Match campaign. New cancer care technology, including new mammography machines, the MyoSure System and the MOLLI 2® System will make a measurable impact in diagnosing and treating women’s cancers in the communities Southlake serves.
Southlake is installing three new mammography machines to expand its breast cancer screening program to 1,500 more women each year. Two of these machines have new biopsy capabilities that will reduce the number of cancelled exams due to equipment failure, ensuring timely care for women. Women ages 40 to 49 years old will be able to self-refer for publicly funded mammograms through the Ontario Breast Screening Program starting this fall.
“Early detection is critical when treating breast cancer and other women’s cancers,” said Lorrie Reynolds, Director, Regional Cancer Program at Southlake. “We treat more than 1,700 breast cancer patients at Southlake every year. By adding advanced technology, like the new mammography machines, we’re ensuring women have the best experience at Southlake.”
Southlake is also introducing the MyoSure System, an innovative technology that can help detect female reproductive cancers. Damaged tissue in a woman’s uterus such as fibroids and polyps can now be removed in a precise, minimally invasive procedure that leaves the rest of the uterus intact. This will improve the overall patient experience by supporting faster recovery, reducing the risk of infection and giving more women the option to have children. An estimated 200 women per year will benefit from the MyoSure System.
The new mammography machines and the MyoSure System build on Southlake’s recent investment in the MOLLI 2® System, a made-in-Canada wire-free breast localization technology. This technology is considerably less invasive and more accurate when compared to wire-guided localization, resulting in a better patient experience and improved cosmetic outcomes. More than 200 women each year will benefit from this innovative medical device as they are treated for breast cancer at Southlake.
“As a clinician caring for women with cancer in our community, I’m incredibly proud of the work Southlake is doing to advance women’s health and improve patient experiences,” said Sara Temple, MD, Surgical Oncologist and Chief of Surgery at Southlake. “Women who visit Southlake can be confident that they are receiving leading edge care, close to home when they need it most.”
The World Health Organization anticipates a 77 per cent increase in cancer diagnoses by 2050. Southlake serves some of the fastest growing communities in Canada and anticipates that the number of patients requiring cancer care will grow. By investing in new technology, Southlake is ensuring that women in the communities it serves have access to leading edge cancer care. All of these investments were funded with support from community donors who generously gave to Southlake to support investments into women’s health at the hospital.
“The generosity of our donor community and the impact they have made for women receiving cancer diagnosis and treatment at Southlake is something we can all take great pride in,” said Jennifer Ritter, President and CEO of Southlake Foundation. “From our Women’s Health Initiative donors supporting new mammography machines, to the Ladies in Philanthropy for Southlake funding the MOLLI 2 System, to our long-standing partners The Edge Benefits and Pheasant Run Golf Club enabling the introduction of MyoSure System through their joint annual charity golf tournament, we are incredibly lucky to share a vision of access to exceptional care for everyone who depends on Southlake when they need us most. Thank you, to every donor who contributed to these important upgrades to care for women.”
Southlake Foundation’s HERE is Where Cancer Meets its Match campaign supports the Stronach Regional Cancer Centre at Southlake. For more information or to make a donation, visit: southlake.ca/HERE.
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The U.S. Food and Drug Administration says that samples of pasteurized milk have tested positive for remnants of the bird flu virus that has infected dairy cows.
The agency stressed that the material is inactivated and that the findings “do not represent actual virus that may be a risk to consumers.” Officials added that they’re continuing to study the issue.
“To date, we have seen nothing that would change our assessment that the commercial milk supply is safe,” the FDA said in a statement on Tuesday.
The announcement comes nearly a month after an avian influenza virus that has sickened millions of wild and commercial birds in recent years was detected in dairy cows in at least eight states. The Agriculture Department (USDA) says 33 herds have been affected to date.
FDA officials didn’t indicate how many samples they tested or where they were obtained. The agency has been evaluating milk during processing and from grocery stores, officials said. Results of additional tests are expected in “the next few days to weeks.”
WATCH | Bird flu spread in U.S. cows:
For the first time ever, avian influenza, or H5N1 bird flu, was detected in roughly a dozen dairy cow herds across the U.S. About That producer Lauren Bird explores why scientists and public health officials are concerned about the cross-species transmission and whether humans are now at higher risk.
The polymerase chain reaction (PCR) lab test the FDA used would have detected viral genetic material even after live virus was killed by pasteurization, or heat treatment, said Lee-Ann Jaykus, an emeritus food microbiologist and virologist at North Carolina State University
“There is no evidence to date that this is infectious virus, and the FDA is following up on that,” Jaykus said.
Officials with the FDA and the USDA had previously said milk from affected cattle did not enter the commercial supply. Milk from sick animals is supposed to be diverted and destroyed. Federal regulations require milk that enters interstate commerce to be pasteurized.
Tests for viable virus underway, agency says
Because the detection of the bird flu virus known as Type A H5N1 in dairy cattle is new and the situation is evolving, no studies on the effects of pasteurization on the virus have been completed, FDA officials said. But past research shows that pasteurization is “very likely” to inactivate heat-sensitive viruses like H5N1, the agency added.
The agency said it has been evaluating milk from affected animals, in the processing system and on the shelves. It said it is completing a large, representative national sample to understand the extent of the findings.
Matt Herrick, a spokesperson for the International Dairy Foods Association, said that time and temperature regulations for pasteurization ensure that the commercial U.S. milk supply is safe. Remnants of the virus “have zero impact on human health,” he wrote in an email.
Scientists confirmed the H5N1 virus in dairy cows in March after weeks of reports that cows in Texas were suffering from a mysterious malady. The cows were lethargic and saw a dramatic reduction in milk production. Although the H5N1 virus is lethal to commercial poultry, most infected cattle seem to recover within two weeks, experts said.
To date, two people in the U.S. have been infected with bird flu. A Texas dairy worker who was in close contact with an infected cow recently developed a mild eye infection and has recovered. In 2022, a prison inmate in a work program caught it while killing infected birds at a Colorado poultry farm. His only symptom was fatigue, and he recovered.
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The U.S. Food and Drug Administration said Tuesday that samples of pasteurized milk had tested positive for remnants of the bird flu virus that has infected dairy cows.
The agency stressed that the material is inactivated and that the findings “do not represent actual virus that may be a risk to consumers.” Officials added that they’re continuing to study the issue.
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