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Ottawa Public Health reports no patients with COVID-19 in Ottawa area hospital ICUs – CTV Edmonton

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OTTAWA —
Ottawa Public Health is reporting five new cases of COVID-19 in Ottawa on Thursday, one of the lowest one-day increases in cases since last August.

No new deaths linked to the virus were reported.

Since the first case of COVID-19 in Ottawa on March 11, 2020, there have been 27,676 laboratory-confirmed cases of COVID-19 in Ottawa, including 591 deaths.

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The five new cases follows 11 new cases on Wednesday. Ottawa Public Health reported minus one new cases on Tuesday due to a data clean-up. The open data COVID-19 report from OPH showed one new case reported in Ottawa on Tuesday.

The five new cases on Thursday is one of the lowest one day case counts since Ottawa Public Health reported three new cases of COVID-19 back on August 16, 2020.

Meantime, there are currently no patients with COVID-19 related illnesses admitted to emergency rooms in Ottawa hospitals. There are three patients in hospital with COVID-19 related illnesses.

According to Ottawa Public Health’s open data, it’s the first time since Dec. 21 there have been zero patients in the ICU with COVID-19.

Public Health Ontario did not issue a COVID-19 report for Ontario on Canada Day.

OTTAWA’S KEY COVID-19 STATISTICS

Step Two of Ontario’s Roadmap to Reopen plan began at 12:01 a.m. June 30.

Ottawa Public Health data:

  • COVID-19 cases per 100,000 (June 23 to June 29): 5.8 (down from 6.3)
  • Positivity rate in Ottawa (June 23 to June 29): 0.7 per cent (down from 0.9 per cent June 21-27)
  • Reproduction number (seven day average): 0.89

Reproduction values greater than 1 indicate the virus is spreading and each case infects more than one contact. If it is less than 1, it means spread is slowing.

COVID-19 VACCINES IN OTTAWA

Ottawa Public Health updates vaccine numbers on Mondays, Wednesdays and Fridays.

As of June 30:

  • Ottawa residents with 1 dose (12+): 728,195 (+5,652)
  • Ottawa residents with 2 doses (12+): 302,943 (+34,054) 
  • Share of population 12 and older with at least one dose: 79 per cent
  • Share of population 12 and older fully vaccinated: 33 per cent
  • Total doses received in Ottawa: 976,570 (+53,820 Pfizer, +33,320 Moderna)

*Total doses received does not include doses shipped to pharmacies and primary care clinics, but statistics on Ottawa residents with one or two doses includes anyone with an Ottawa postal code who was vaccinated anywhere in Ontario.

ACTIVE CASES OF COVID-19 IN OTTAWA

The number of known active cases of COVID-19 in Ottawa is the lowest it’s been since July 8, 2020.

There are 76 active cases of COVID-19 in Ottawa on Thursday, down from 81 active cases on Wednesday.

OPH reported that eight more people recovered after testing positive for COVID-19. The total number of resolved cases of coronavirus in Ottawa is now 27,009.

The number of active cases is the number of total laboratory-confirmed cases of COVID-19 minus the numbers of resolved cases and deaths. A case is considered resolved 14 days after known symptom onset or positive test result.

HOSPITALIZATIONS IN OTTAWA

Ottawa Public Health reported three people in Ottawa hospitals with COVID-19 related illnesses on Wednesday.

There are no patients in the intensive care unit.

Hospitalizations (and ICU admissions) by age category:

  • 0-9: 0 
  • 10-19: 0
  • 20-29: 0
  • 30-39: 0
  • 40-49: 0
  • 50-59: 0
  • 60-69: 1
  • 70-79: 1
  • 80-89: 1
  • 90+: 0

These data are based on figures from Ottawa Public Health’s COVID-19 dashboard, which refer to residents of Ottawa and do not include patient transfers from other regions.

VARIANTS OF CONCERN

Ottawa Public Health data*:

  • Total Alpha (B.1.1.7) cases: 6,633 (+1)
  • Total Beta (B.1.351) cases: 369
  • Total Gamma (P.1) cases: 33 
  • Total Delta (B.1.617.2) cases: 23 (+1)
  • Total variants of concern/mutation cases: 7,681 (+16)
  • Deaths linked to variants/mutations: 86 

*OPH notes that that VOC and mutation trends must be treated with caution due to the varying time required to complete VOC testing and/or genomic analysis following the initial positive test for SARS-CoV-2. Test results may be completed in batches and data corrections or updates can result in changes to case counts that may differ from past reports.

COVID-19 CASES IN OTTAWA BY AGE CATEGORY

  • 0-9 years old: Two new cases (2,282 total cases)
  • 10-19 years-old: One new case (3,556 total cases)
  • 20-29 years-old: One new case (6,222 total cases)
  • 30-39 years-old: Zero new cases (4,230 total cases)
  • 40-49 years-old: Zero new cases (3,631 total cases)
  • 50-59 years-old: One new case (3,323 total cases)
  • 60-69-years-old: Zero new cases (1,958 total cases)
  • 70-79 years-old: Zero new cases (1,092 total cases)
  • 80-89 years-old: Zero new cases (858 total cases)
  • 90+ years old: Zero new cases (520 total cases)
  • Unknown: Zero new cases (3 cases total)  

INSTITUTIONAL OUTBREAKS

Ottawa Public Health is reporting COVID-19 outbreaks at institutions in Ottawa, including long-term care homes, retirement homes, daycares, hospitals and schools.

Active community outbreaks are:

  • Workplace – Hotel/Bed and Breakfast: One outbreak
  • Workplace – Retail: One outbreak

The schools and childcare spaces currently experiencing outbreaks are:

  • Portia Learning Centre (June 15)

The long-term care homes, retirement homes, hospitals, and other spaces currently experiencing outbreaks are:

  • Shelter A-18110 (June 13)

As of April 7, two cases of COVID-19 in a resident or staff member of a long-term care home, retirement home with an with an epidemiological link, within a 14-day period, where at least one case could have reasonably acquired their infection in the facility is considered an outbreak in a long-term care home or retirement home. One laboratory-confirmed case of COVID-19 in a staff member or resident of other institutions such as shelters, group homes, is considered an outbreak. In childcare settings, two children or staff or household member cases of laboratory-confirmed COVID-19 within a 14-day period where at least one case could have reasonably acquired their infection in the childcare establishment is considered an outbreak in a childcare establishment. 

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Toronto reports 2 more measles cases. Use our tool to check the spread in Canada – Toronto Star

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Canada has seen a concerning rise in measles cases in the first months of 2024.

By the third week of March, the country had already recorded more than three times the number of cases as all of last year. Canada had just 12 cases of measles in 2023, up from three in 2022.

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Cancer Awareness Month – Métis Nation of Alberta

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Cancer Awareness Month

Posted on: Apr 18, 2024

April is Cancer Awareness Month

As we recognize Cancer Awareness Month, we stand together to raise awareness, support those affected, advocate for prevention, early detection, and continued research towards a cure. Cancer is the leading cause of death for Métis women and the second leading cause of death for Métis men. The Otipemisiwak Métis Government of the Métis Nation Within Alberta is working hard to ensure that available supports for Métis Citizens battling cancer are culturally appropriate, comprehensive, and accessible by Métis Albertans at all stages of their cancer journey.

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Receiving a cancer diagnosis, whether for yourself or a loved one, can feel overwhelming, leaving you unsure of where to turn for support. In June, our government will be launching the Cancer Supports and Navigation Program which will further support Métis Albertans and their families experiencing cancer by connecting them to OMG-specific cancer resources, external resources, and providing navigation support through the health care system. This program will also include Métis-specific peer support groups for those affected by cancer.

With funding from the Canadian Partnership Against Cancer (CPAC) we have also developed the Métis Cancer Care Course to ensure that Métis Albertans have access to culturally safe and appropriate cancer services. This course is available to cancer care professionals across the country and provides an overview of who Métis people are, our culture, our approaches to health and wellbeing, our experiences with cancer care, and our cancer journey.

Together, we can make a difference in the fight against cancer and ensure equitable access to culturally safe and appropriate care for all Métis Albertans. Please click on the links below to learn more about the supports available for Métis Albertans, including our Compassionate Care: Cancer Transportation program.

I wish you all good health and happiness!

Bobbi Paul-Alook
Secretary of Health & Seniors

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Type 2 diabetes is not one-size-fits-all: Subtypes affect complications and treatment options – The Conversation

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You may have heard of Ozempic, the “miracle drug” for weight loss, but did you know that it was actually designed as a new treatment to manage diabetes? In Canada, diabetes affects approximately 10 per cent of the general population. Of those cases, 90 per cent have Type 2 diabetes.

This metabolic disorder is characterized by persistent high blood sugar levels, which can be accompanied by secondary health challenges, including a higher risk of stroke and kidney disease.

Locks and keys

In Type 2 diabetes, the body struggles to maintain blood sugar levels in an acceptable range. Every cell in the body needs sugar as an energy source, but too much sugar can be toxic to cells. This equilibrium needs to be tightly controlled and is regulated by a lock and key system.

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In the body’s attempt to manage blood sugar levels and ensure that cells receive the right amount of energy, the pancreatic hormone, insulin, functions like a key. Cells cover themselves with locks that respond perfectly to insulin keys to facilitate the entry of sugar into cells.

Unfortunately, this lock and key system doesn’t always perform as expected. The body can encounter difficulties producing an adequate number of insulin keys, and/or the locks can become stubborn and unresponsive to insulin.

All forms of diabetes share the challenge of high blood sugar levels; however, diabetes is not a singular condition; it exists as a spectrum. Although diabetes is broadly categorized into two main types, Type 1 and Type 2, each presents a diversity of subtypes, especially Type 2 diabetes.

These subtypes carry their own characteristics and risks, and do not respond uniformly to the same treatments.

To better serve people living with Type 2 diabetes, and to move away from a “one size fits all” approach, it is beneficial to understand which subtype of Type 2 diabetes a person lives with. When someone needs a blood transfusion, the medical team needs to know the patient’s blood type. It should be the same for diabetes so a tailored and effective game plan can be implemented.

This article explores four unique subtypes of Type 2 diabetes, shedding light on their causes, complications and some of their specific treatment avenues.

Severe insulin-deficient diabetes: We’re missing keys!

In severe insulin-deficient diabetes, beta cells limit production of the keys that unlock cells to allow entry of sugar from the blood.
(Lili Grieco-St-Pierre, Jennifer Bruin/Created with BioRender.com)

Insulin is produced by beta cells, which are found in the pancreas. In the severe insulin-deficient diabetes (SIDD) subtype, the key factories — the beta cells — are on strike. Ultimately, there are fewer keys in the body to unlock the cells and allow entry of sugar from the blood.

SIDD primarily affects younger, leaner individuals, and unfortunately, increases the risk of eye disease and blindness, among other complications. Why the beta cells go on strike remains largely unknown, but since there is an insulin deficiency, treatment often involves insulin injections.

Severe insulin-resistant diabetes: But it’s always locked!

A diagram of three closed locks and lots of keys

In severe insulin-resistant diabetes, the locks start ignoring the keys, triggering the beta cells to produce even more keys to compensate.
(Lili Grieco-St-Pierre, Jennifer Bruin/Created with BioRender.com)

In the severe insulin-resistant diabetes (SIRD) subtype, the locks are overstimulated and start ignoring the keys. As a result, the beta cells produce even more keys to compensate. This can be measured as high levels of insulin in the blood, also known as hyperinsulinemia.

This resistance to insulin is particularly prominent in individuals with higher body weight. Patients with SIRD have an increased risk of complications such as fatty liver disease. There are many treatment avenues for these patients but no consensus about the optimal approach; patients often require high doses of insulin.

Mild obesity-related diabetes: The locks are sticky!

Illustration of a lock and key

In mild obesity-related diabetes, the locks are ‘sticky,’ making it difficult for the keys to open the locks.
(Lili Grieco-St-Pierre, Jennifer Bruin/Created with BioRender.com)

Mild obesity-related (MOD) diabetes represents a nuanced aspect of Type 2 diabetes, often observed in individuals with higher body weight. Unlike more severe subtypes, MOD is characterized by a more measured response to insulin. The locks are “sticky,” so it is challenging for the key to click in place and open the lock. While MOD is connected to body weight, the comparatively less severe nature of MOD distinguishes it from other diabetes subtypes.

To minimize complications, treatment should include maintaining a healthy diet, managing body weight, and incorporating as much aerobic exercise as possible. This is where drugs like Ozempic can be prescribed to control the evolution of the disease, in part by managing body weight.

Mild age-related diabetes: I’m tired of controlling blood sugar!

Illustration of a lock and a beta cell

In people with mild age-related diabetes, both the locks and the beta cells that produce keys are tired, resulting in fewer keys and stubborn locks.
(Lili Grieco-St-Pierre, Jennifer Bruin/Created with BioRender.com)

Mild age-related diabetes (MARD) happens more often in older people and typically starts later in life. With time, the key factory is not as productive, and the locks become stubborn. People with MARD find it tricky to manage their blood sugar, but it usually doesn’t lead to severe complications.

Among the different subtypes of diabetes, MARD is the most common.

Unique locks, varied keys

While efforts have been made to classify diabetes subtypes, new subtypes are still being identified, making proper clinical assessment and treatment plans challenging.

In Canada, unique cases of Type 2 diabetes were identified in Indigenous children from Northern Manitoba and Northwestern Ontario by Dr. Heather Dean and colleagues in the 1980s and 90s. Despite initial skepticism from the scientific community, which typically associated Type 2 diabetes with adults rather than children, clinical teams persisted in identifying this as a distinct subtype of Type 2 diabetes, called childhood-onset Type 2 diabetes.




Read more:
Indigenous community research partnerships can help address health inequities


Childhood-onset Type 2 diabetes is on the rise across Canada, but disproportionately affects Indigenous youth. It is undoubtedly linked to the intergenerational trauma associated with colonization in these communities. While many factors are likely involved, recent studies have discovered that exposure of a fetus to Type 2 diabetes during pregnancy increases the risk that the baby will develop diabetes later in life.

Acknowledging this distinct subtype of Type 2 diabetes in First Nations communities has led to the implementation of a community-based health action plan aimed at addressing the unique challenges faced by Indigenous Peoples. It is hoped that partnered research between communities and researchers will continue to help us understand childhood-onset Type 2 diabetes and how to effectively prevent and treat it.

A mosaic of conditions

Illustration of different subtypes of Type 2 diabetes

Type 2 diabetes is a mosaic of conditions, each with its own characteristics.
(Lili Grieco-St-Pierre, Jennifer Bruin/Created with BioRender.com)

Type 2 diabetes is not uniform; it’s a mosaic of conditions, each with its own characteristics. Since diabetes presents so uniquely in every patient, even categorizing into subtypes does not guarantee how the disease will evolve. However, understanding these subtypes is a good starting point to help doctors create personalized plans for people living with the condition.

While Indigenous communities, lower-income households and individuals living with obesity already face a higher risk of developing Type 2 diabetes than the general population, tailored solutions may offer hope for better management. This emphasizes the urgent need for more precise assessments of diabetes subtypes to help customize therapeutic strategies and management strategies. This will improve care for all patients, including those from vulnerable and understudied populations.

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