Ontario urged to expand COVID testing in schools in wake of 'scary' results at Thorncliffe Park - Toronto Star | Canada News Media
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Ontario urged to expand COVID testing in schools in wake of 'scary' results at Thorncliffe Park – Toronto Star

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Ontario is being urged to expand testing of staff and students — especially in hot spots — after the first site in Toronto uncovered some 19 cases at one elementary school.

“When it comes to our schools and the safety of our students … we need a robust, fully staffed in-school testing program,” said New Democrat MPP Marit Stiles, her party’s education critic and a former trustee for the Toronto District School Board.

“Why, after all these months, is the government still reacting to this virus instead of listening to the experts, planning ahead and investing the resources necessary to keep our schools open and our students safe?”

Last week, Education Minister Stephen Lecce announced the voluntary, asymptomatic testing program for four areas in the province with high numbers of COVID-19 cases — Toronto, Peel, York and Ottawa — leaving it up to boards and their local public health units to determine how to conduct the testing and where.

Toronto’s public and Catholic boards have announced initial locations for the testing, which began last Thursday at Thorncliffe Park elementary, where the 19 cases, including 18 students and one staff member, were found on that first day. Testing was to continue this week.

The board and public health have said the school does not need to be shut down because the cases were not transmitted in the school but rather the community, which has a much higher positivity rate.

Stiles said the province “has asked businesses to close, people have been asked to spend more and more time away from their families, and we owe it to staff and students and their families to test as much as possible.”

And, she added, “to me, the issue is protecting staff and students by knowing the extent” of COVID-19 cases, especially after the holiday break. “If we are going to have a safe and orderly return to class this New Year, we need to know exactly how many students have COVID.”

Liberal Leader Steven Del Duca said the 19 cases found at Thorncliffe Park is a “scary number” and shows the government should have started sooner.

“This will give parents a lot of anxiety,” he told reporters. “Ontario’s not been testing the way that we should be … this government’s really late to the game.”

Green Leader Mike Schreiner said the result at Thorncliffe Park “highlights the need for additional testing, particularly in hot spot areas.”

In York Region, public health is working with the two local boards — public and Catholic — on school-based testing and hopes to reach about 4,000 students over the next three weeks, said Scott Cholewa, manager of infectious disease control.

It has designated 30 schools to target, and will be holding testing after school hours in local high schools. Some will be areas with recent or current cases, and some in areas where schools have had no cases — which it will use as a control group of sorts to “get a sense of baseline, asymptomatic positive level” — and areas that are “testing deserts” in the region, notably King Township and Georgina.

High schools were chosen as testing locations because “they have gyms, and have outside access or are larger and can accommodate people, and the structure can allow one way in, one way out, and no mixing of individuals who come in for testing,” Cholewa said, but both elementary and secondary students will be eligible.

Saliva testing will be used, “which is a less intrusive form of testing” then the typical nasopharyngeal swab, but with comparable accuracy, he added.

He said two different school testing sites will be set up this week, two the following week and the week before the holidays will have three sites.

Lecce said the provincial testing program is already working, given the findings at Thorncliffe Park school.

“Identifying COVID cases, isolating them or moving them from the school, so we don’t have spreaders within the school. That is what the program is designed to do. It is what is taking place,” he said.

As well, he added “part of the benefit of having asymptomatic testing in those high-risk communities … is to provide us with more data to better understand not just where the risk is, but how we could further counter it.”

Stiles said she and MPP France Gélinas, her party’s health care critic, urged a province-wide school surveillance program in the summer and “it never happened.”

She said she can’t understand what took the government so long to act.

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Lecce, however, noted that “there are 86 per cent of schools in this province that have no active case at all” and that the province continues to announce “additional surge funding” for schools in areas with growing COVID cases.

Provincial statistics released Monday show that 670 or 14 per cent of the 4,828 schools have known cases of COVID-19, but the Thorncliffe results are throwing that statistic into question.

Four schools in Ontario are now closed because of outbreaks.  

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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.

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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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