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Optimism, relief as Alberta's long-term care centres see significant drop in COVID-19 cases – CBC.ca

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After months of worrying about the risk of COVID-19 in long-term care homes, Nicole Bugeaud is finally feeling some relief.

Bugeaud’s sister, Dominique, has Down Syndrome and lives at Centre de Santé Saint-Thomas, a supportive living facility in Edmonton.

The past year has been a rollercoaster for Nicole and her family, but now that her sister has received both doses of the vaccine, she says things are getting better.

“It was a difficult year in the sense that things were evolving very quickly, cases were erupting everywhere, protocols were put in place limiting visitations,” Bugeaud said.

“Trying to explain to her that what was going on wasn’t easy. But in the last couple of months, things have gone better. Cases have gone down, two-shot vaccinations were completed for all residents and things seem to be calming down a lot more.”

Nicole Bugeaud is feeling a sense of relief now that her sister, Dominique, who lives in Centre de Santé Saint-Thomas, has received both doses of a COVID-19 vaccine. (Francois Joly/CBC News)

This relief is being felt by many long-term care residents, their families and staff, as Alberta is reporting a steep decline in active COVID-19 cases in long-term care facilities.

According to the province, active cases have fallen 92 per cent in long-term care since hitting a peak of 776 on Dec. 27. The decline coincides with the province’s COVID-19 vaccine rollout, all long-term care and designated supportive living facility residents have been vaccinated.

On Monday, Dr. Deena Hinshaw, Alberta’s chief medical officer of health, said two of every three deaths linked to COVID-19 in the province came from long-term care or supportive living facilities.

Hinshaw said the decline in cases shows strict public health measures to reduce community spread have worked, and exemplifies the protective effect of the COVID-19 vaccines.

“Every one of us should take pride in this turnaround, as it is the result of not only our immunization campaign, but also of our collective efforts to bring our new case numbers down,” Hinshaw said on Monday.

Hinshaw added that the number of active long-term care outbreaks had dropped from 74 on Dec. 20 to five as of Feb. 16.

In designated supportive-living facilities, a peak of 1,300 active cases on Christmas Day has since fallen by 88 per cent.

Dr. Lynora Saxinger, an infectious disease specialist at the University of Alberta, said it’s been remarkable to see the high rates of infection and deaths in long-term care centres decline. She said the decline is affirming as proof of the vaccine’s effectiveness.

“I think that everyone can look at this example and say that they’re reassured that even in this frail population, the vaccines are safe and effective,” Saxinger said. “That’s just a great message for everybody to focus on.”

Now that there’s more protection for long-term care residents, Saxinger said she wouldn’t be surprised to see some restrictions eased to make it easier for visitors to see loved ones, while still protecting people who haven’t been vaccinated.

But she added she hopes current restrictions hold steady while until the province better understands the risk of COVID-19 variants. If variant transmission takes off, it could necessitate much longer and more severe restrictions, Saxinger said.

Michael Dempsey, a vice-president with the Alberta Union of Provincial Employees, said there’s a lot of relief among long-term care staff that case numbers have dropped. He said he’s heard many workers worked double-shifts and as long as 16-hour days.

“There was a lot of angst and anxiety as well as fatigue, because of course if a member has to book off sick then they’re off for a couple of weeks,” Dempsey said.

He added that there’s still some residual anger among AUPE members about the province not implementing stricter health measures sooner as the province entered its second wave of COVID-19.

Bugeaud said it’s been difficult for her sister at Saint-Thomas dealing with isolation in the past year. Her sister often doesn’t recognize family members when they’re wearing masks and video calls are difficult because she isn’t very verbal, Bugeaud said.

She hopes that with the recent decline, her family will be able to visit her sister more often.

“COVID has made us all think of what we want in our lives, how we want to live our lives,” Bugeaud said.

“My brothers and sisters are most or all retired. Certainly, they have the time to come and spend with her, but the limitations were holding them back.”

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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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