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Ontario's 7th wave of COVID-19 is already hitting long-term care homes – CBC.ca

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Jodie McConnell said as soon as she heard there was another COVID-19 outbreak at her mom’s long-term care home she panicked.

“I was scared this outbreak would be like the previous ones,” she told CBC News.

So far, the outbreak at St. Joseph’s Villa in Sudbury, Ont., where her mom, Jean, lives, is affecting 12 residents. Across the province there were 65 long-term care homes reporting outbreaks as of last weekend, according to Public Health Ontario data, as well as 51 retirement homes as of July 2.

This week, Ontario’s top doctor confirmed the province is now in its seventh wave of COVID-19, with those aged 80-plus seeing the sharpest increase in case rates. The wave, which is already hitting many staff and long-term care residents hard, has some doctors and experts calling for a greater push for fourth doses and a reinstatement of vaccine mandates for long-term care staff.

Professor Vivian Stamatopoulos, a long-term care advocate and researcher, says more needs to be done to prevent outbreaks in the sector, including a return to vaccine mandates for staff. (Submitted by: Vivian Stamatopoulos)

Dr. Samir Sinha, Director of Geriatrics at Mount Sinai and the University Health Network Hospitals in Toronto, says fourth doses of COVID-19 vaccine, which seniors are eligible for, are essential in preventing deaths. But, he said, “we need to do a much better job getting our residents, staff and their families access to these vaccines.”

In his view the return of a vaccine mandate for staff is critical in protecting the older populations they serve.

Professor Vivian Stamatopoulos, a long-term care advocate and researcher, says the removal of the vaccine mandate for workers in long-term care homes, which occurred in the spring, means “it’s still a very precarious situation, arguably, more so now than at any time before.”

She said the arrival of the seventh wave should trigger a vaccine mandate reinstatement.

More staffing shortages ‘devastating’

Terry Crystal’s mother, Marjorie, lives at Southlake Residential Care Village in Newmarket, Ont., a home with some of the highest case counts of this seventh wave so far. The facility is currently reporting 20 health care workers with COVID-19, a figure that was as high as 29 a few days ago.

There were also 15 residents reported as having the virus as of a report submitted Wednesday, but that’s down from 47 at the beginning of the week.

Her mother has Parkinson’s and dementia and the limited social interaction from lockdowns is making her depressed and causing stress and anxiety, Crystal said.

“I am afraid she will lose her will to live,” she said.

Terry Crystal worries for her mother’s mental health amid another outbreak at Southlake Residential Care Village where her mother, Marjorie, lives. (Submitted by Terry Crystal)

Ian Da Silva, national director of operations for the Ontario Personal Support Workers Association, which represents nearly 50,000 of these workers, says health-care workers being out with COVID-19 in this seventh wave is compounding the short-staffing challenges already present in the field.

“We’re talking about staffing that’s already stretched to the breaking point now and to add an infection on top of that, even one or two staff … it would be it would be devastating.”

The association is getting reports of PSWs being responsible for 30 to 40 people in their wings, he says.

“If one of those goes down with the COVID, then you can quickly do the math to see how that impacts the remaining residents. They’re simply not getting care. It’s just simply not possible.”

That’s a concern shared by Julie Perl, who is the primary caregiver for a dear friend living at Villa Colombo Homes for the Aged in Toronto, where at least six health-care workers have COVID-19.

Perl says even losing one health-care worker makes a difference to care her friend, who is bed-ridden, receives.

She says her friend, who is completely cognitive, tells her he uses the call button but it takes some time to get help.

“If he needs to be changed or repositioned, he could wait for over an hour,” she said. “For him being in a soiled diaper? He should be changed immediately.”

Family hires private personal support worker

Jean McConnell’s family made the decision to hire a private support worker during the seventh wave. (Submitted by: Jodie McConnell)

Worried about what the outbreak at St. Joseph’s Villa could mean for Jean’s well-being, the McConnell family made a more drastic move to ensure Jean has the support she needs during this wave.

The family has hired a private support worker for Jean, but the decision is coming at a cost. A couple of hours of care, delivered three times a week, will cost the family over $1,000 a month, McConnell said. 

Other families may be considering similar options, especially if the outbreaks continue or get larger.

At the Hellenic Centre for Seniors in Toronto and the Tilbury Nursing Home in Windsor-Essex, for example, more than a quarter of residents have COVID-19, while several staff members are out as well. 

CBC News provided the opportunity to the Minister of Long-Term Care to discuss the outbreaks, but was told he was unavailable.

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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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