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Ottawa tightens rules for students in self-isolation to protect schools against virus variants – Ottawa Citizen

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Ottawa students who have been identified as being in close contact with someone who has COVID-19 associated with a variant of concern will now be required to stay home longer if they choose not to get tested for the virus, Ottawa Public Health said.

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Ottawa Public Health has strengthened rules protecting children in elementary and secondary schools from COVID-19 as more contagious variants of the virus spread across Ontario.

The change arrives as Jonathan Pitre elementary remains temporarily closed after variants were suspected among the 13 students and staff who have tested positive at the school in Riverside South.

Ottawa students who have been identified as being in close contact with someone who has COVID-19 associated with a variant of concern will now be required to stay home longer if they choose not to get tested for the virus, Ottawa Public Health said.

OPH advises close contacts who have been sent home to self-isolate to get tests, but it’s not mandatory. Close contacts must stay home for 14 days from the time they were exposed, regardless of whether they get tests.

Students cannot be required to show negative COVID-19 tests before being allowed to return to school, according to provincial guidance on control of COVID-19 in schools.

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The change means that close contacts associated with the virus variants will have to stay home for 24 days, instead of the usual 14, if they don’t get tested.

“If the children do not seek testing, they are added to a school Do Not Attend list for an additional 10 days after completing their 14-day incubation period,” OPH said in a statement.

The virus variants spread more easily and quickly.

The virus suspected among cases at Jonathan Pitre school contains markers associated with the variants circulating in Ontario that were originally found in Britain, South Africa and Brazil.

Genomic sequencing that takes two weeks is under way to confirm the variant and type. The variant that dominates in Britain, B.1.1.7, is the main one circulating in Ontario.

OPH said the new rules were warranted by the emerging variants. 

“Whereas previously OPH was seeing individuals associated to schools who tested positive for (variants of concern) who acquired the virus outside of school, we are now aware of situations in which (variants of concern) transmission is believed to have occurred within the school setting, leading to a modified and a strengthened approach, including school closures.”

The situation at schools reflects the rising rates of COVID-19 in Ottawa, which is headed back into the red zone of the province’s pandemic control measures.

Students at Jonathan Pitre have shifted to online learning. A pop-up testing clinic is scheduled to be held at the school Thursday.

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The school will remain closed until at least March 24, said a letter to parents from OPH.

The closure may last longer depending on results of the ongoing investigation, the letter added.

While the variants of concern are more contagious, officials say the same public health measures protect against all COVID-19, such as wearing a mask, hand-washing, maintaining distance and avoiding crowded or poorly ventilated spaces.

A case study by Toronto Public Health suggests pandemic protections now in place at schools can protect against the variants, Medical Officer of Health Eileen de Villa said.

She cited a study of two siblings in different classes who both developed COVID-10 linked to a variant of concern. Both students attended school while they were contagious, but before they had symptoms, de Villa told the Toronto Catholic District School Board in a presentation last week.

All 44 students and five staff who had been in classrooms with the two siblings were tested and were negative, she said.

The number of cases of COVID-19 connected to schools across Ontario is rising.

Students in Thunder Bay and the Sudbury area have temporarily shifted to remote learning from home because of high community rates of COVID-19.

In Ottawa, the number of active cases in schools has increased steadily since students returned to in-person learning on Feb. 1, but remains below the peak levels seen in mid-October.

There were 124 active cases of COVID-19 at the four Ottawa school boards as of Wednesday, which was double the number from March 1. (The results for the Ottawa Catholic School Board are based on Tuesday data because the board website had not been updated.)

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School closures in the Ottawa area

Jonathan Pitre Elementary, Ottawa: The school was closed March 11 after public health officials said they suspected some of the cases associated with the school were caused by variants of concern. The website of the Conseil des écoles catholiques du Centre-Est listed 11 active cases of COVID-19 and two resolved cases as of Wednesday. The school will remain closed until March 24 inclusive, and that may be extended.

Beckwith Public School, Leeds, Grenville & Lanark health unit: The school in the Upper Canada District School Board has had six cases of COVID-19, according to a news release Wednesday night. The school closed March 15. Due to “the evolving situation within the school and community, the local public health unit has decided that closing the school is a necessary precautionary measure to prevent further spread of COVID-19,” according to a letter to parents from the principal. Students have switched to remote learning and the situation will be reassessed on March 22.

Carleton Place High School: An outbreak of COVID-19 was declared at the school on March 8, but the closure was ordered by the principal, not by public health. Multiple cases of COVID-19 and people being asked to self-isolate caused a “significant staffing shortage, which has made it a challenge each day to keep our classes running and our students supervised,” the principal wrote in a March 11 letter that announced the school would close starting March 12. In addition, some students were staying away from school by choice “out of an abundance of caution,” the letter said. The situation will be reviewed on March 22 to determine when students can go back in person.

St. John Catholic Elementary, Perth: As of March 14, the school had five cases of COVID-19 and was to be closed until March 19, according to the website of the Catholic District School Board of Eastern Ontario.

jmiller@postmedia.com

twitter.com/JacquieAMiller

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Health Canada approves updated Moderna COVID-19 vaccine

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TORONTO – Health Canada has authorized Moderna’s updated COVID-19 vaccine that protects against currently circulating variants of the virus.

The mRNA vaccine, called Spikevax, has been reformulated to target the KP.2 subvariant of Omicron.

It will replace the previous version of the vaccine that was released a year ago, which targeted the XBB.1.5 subvariant of Omicron.

Health Canada recently asked provinces and territories to get rid of their older COVID-19 vaccines to ensure the most current vaccine will be used during this fall’s respiratory virus season.

Health Canada is also reviewing two other updated COVID-19 vaccines but has not yet authorized them.

They are Pfizer’s Comirnaty, which is also an mRNA vaccine, as well as Novavax’s protein-based vaccine.

This report by The Canadian Press was first published Sept. 17, 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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These people say they got listeria after drinking recalled plant-based milks

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TORONTO – Sanniah Jabeen holds a sonogram of the unborn baby she lost after contracting listeria last December. Beneath, it says “love at first sight.”

Jabeen says she believes she and her baby were poisoned by a listeria outbreak linked to some plant-based milks and wants answers. An investigation continues into the recall declared July 8 of several Silk and Great Value plant-based beverages.

“I don’t even have the words. I’m still processing that,” Jabeen says of her loss. She was 18 weeks pregnant when she went into preterm labour.

The first infection linked to the recall was traced back to August 2023. One year later on Aug. 12, 2024, the Public Health Agency of Canada said three people had died and 20 were infected.

The number of cases is likely much higher, says Lawrence Goodridge, Canada Research Chair in foodborne pathogen dynamics at the University of Guelph: “For every person known, generally speaking, there’s typically 20 to 25 or maybe 30 people that are unknown.”

The case count has remained unchanged over the last month, but the Public Health Agency of Canada says it won’t declare the outbreak over until early October because of listeria’s 70-day incubation period and the reporting delays that accompany it.

Danone Canada’s head of communications said in an email Wednesday that the company is still investigating the “root cause” of the outbreak, which has been linked to a production line at a Pickering, Ont., packaging facility.

Pregnant people, adults over 60, and those with weakened immune systems are most at risk of becoming sick with severe listeriosis. If the infection spreads to an unborn baby, Health Canada says it can cause miscarriage, stillbirth, premature birth or life-threatening illness in a newborn.

The Canadian Press spoke to 10 people, from the parents of a toddler to an 89-year-old senior, who say they became sick with listeria after drinking from cartons of plant-based milk stamped with the recalled product code. Here’s a look at some of their experiences.

Sanniah Jabeen, 32, Toronto

Jabeen says she regularly drank Silk oat and almond milk in smoothies while pregnant, and began vomiting seven times a day and shivering at night in December 2023. She had “the worst headache of (her) life” when she went to the emergency room on Dec. 15.

“I just wasn’t functioning like a normal human being,” Jabeen says.

Told she was dehydrated, Jabeen was given fluids and a blood test and sent home. Four days later, she returned to hospital.

“They told me that since you’re 18 weeks, there’s nothing you can do to save your baby,” says Jabeen, who moved to Toronto from Pakistan five years ago.

Jabeen later learned she had listeriosis and an autopsy revealed her baby was infected, too.

“It broke my heart to read that report because I was just imagining my baby drinking poisoned amniotic fluid inside of me. The womb is a place where your baby is supposed to be the safest,” Jabeen said.

Jabeen’s case is likely not included in PHAC’s count. Jabeen says she was called by Health Canada and asked what dairy and fresh produce she ate – foods more commonly associated with listeria – but not asked about plant-based beverages.

She’s pregnant again, and is due in several months. At first, she was scared to eat, not knowing what caused the infection during her last pregnancy.

“Ever since I learned about the almond, oat milk situation, I’ve been feeling a bit better knowing that it wasn’t something that I did. It was something else that caused it. It wasn’t my fault,” Jabeen said.

She’s since joined a proposed class action lawsuit launched by LPC Avocates against the manufacturers and sellers of Silk and Great Value plant-based beverages. The lawsuit has not yet been certified by a judge.

Natalie Grant and her seven year-old daughter, Bowmanville, Ont.

Natalie Grant says she was in a hospital waiting room when she saw a television news report about the recall. She wondered if the dark chocolate almond milk her daughter drank daily was contaminated.

She had brought the girl to hospital because she was vomiting every half hour, constantly on the toilet with diarrhea, and had severe pain in her abdomen.

“I’m definitely thinking that this is a pretty solid chance that she’s got listeria at this point because I knew she had all the symptoms,” Grant says of seeing the news report.

Once her daughter could hold fluids, they went home and Grant cross-checked the recalled product code – 7825 – with the one on her carton. They matched.

“I called the emerg and I said I’m pretty confident she’s been exposed,” Grant said. She was told to return to the hospital if her daughter’s symptoms worsened. An hour and a half later, her fever spiked, the vomiting returned, her face flushed and her energy plummeted.

Grant says they were sent to a hospital in Ajax, Ont. and stayed two weeks while her daughter received antibiotics four times a day until she was discharged July 23.

“Knowing that my little one was just so affected and how it affected us as a family alone, there’s a bitterness left behind,” Grant said. She’s also joined the proposed class action.

Thelma Feldman, 89, Toronto

Thelma Feldman says she regularly taught yoga to friends in her condo building before getting sickened by listeria on July 2. Now, she has a walker and her body aches. She has headaches and digestive problems.

“I’m kind of depressed,” she says.

“It’s caused me a lot of physical and emotional pain.”

Much of the early days of her illness are a blur. She knows she boarded an ambulance with profuse diarrhea on July 2 and spent five days at North York General Hospital. Afterwards, she remembers Health Canada officials entering her apartment and removing Silk almond milk from her fridge, and volunteers from a community organization giving her sponge baths.

“At my age, 89, I’m not a kid anymore and healing takes longer,” Feldman says.

“I don’t even feel like being with people. I just sit at home.”

Jasmine Jiles and three-year-old Max, Kahnawake Mohawk Territory, Que.

Jasmine Jiles says her three-year-old son Max came down with flu-like symptoms and cradled his ears in what she interpreted as a sign of pain, like the one pounding in her own head, around early July.

When Jiles heard about the recall soon after, she called Danone Canada, the plant-based milk manufacturer, to find out if their Silk coconut milk was in the contaminated batch. It was, she says.

“My son is very small, he’s very young, so I asked what we do in terms of overall monitoring and she said someone from the company would get in touch within 24 to 48 hours,” Jiles says from a First Nations reserve near Montreal.

“I never got a call back. I never got an email”

At home, her son’s fever broke after three days, but gas pains stuck with him, she says. It took a couple weeks for him to get back to normal.

“In hindsight, I should have taken him (to the hospital) but we just tried to see if we could nurse him at home because wait times are pretty extreme,” Jiles says, “and I don’t have child care at the moment.”

Joseph Desmond, 50, Sydney, N.S.

Joseph Desmond says he suffered a seizure and fell off his sofa on July 9. He went to the emergency room, where they ran an electroencephalogram (EEG) test, and then returned home. Within hours, he had a second seizure and went back to hospital.

His third seizure happened the next morning while walking to the nurse’s station.

In severe cases of listeriosis, bacteria can spread to the central nervous system and cause seizures, according to Health Canada.

“The last two months have really been a nightmare,” says Desmond, who has joined the proposed lawsuit.

When he returned home from the hospital, his daughter took a carton of Silk dark chocolate almond milk out of the fridge and asked if he had heard about the recall. By that point, Desmond says he was on his second two-litre carton after finishing the first in June.

“It was pretty scary. Terrifying. I honestly thought I was going to die.”

Cheryl McCombe, 63, Haliburton, Ont.

The morning after suffering a second episode of vomiting, feverish sweats and diarrhea in the middle of the night in early July, Cheryl McCombe scrolled through the news on her phone and came across the recall.

A few years earlier, McCombe says she started drinking plant-based milks because it seemed like a healthier choice to splash in her morning coffee. On June 30, she bought two cartons of Silk cashew almond milk.

“It was on the (recall) list. I thought, ‘Oh my God, I got listeria,’” McCombe says. She called her doctor’s office and visited an urgent care clinic hoping to get tested and confirm her suspicion, but she says, “I was basically shut down at the door.”

Public Health Ontario does not recommend listeria testing for infected individuals with mild symptoms unless they are at risk of developing severe illness, such as people who are immunocompromised, elderly, pregnant or newborn.

“No wonder they couldn’t connect the dots,” she adds, referencing that it took close to a year for public health officials to find the source of the outbreak.

“I am a woman in my 60s and sometimes these signs are of, you know, when you’re vomiting and things like that, it can be a sign in women of a bigger issue,” McCombe says. She was seeking confirmation that wasn’t the case.

Disappointed, with her stomach still feeling off, she says she decided to boost her gut health with probiotics. After a couple weeks she started to feel like herself.

But since then, McCombe says, “I’m back on Kawartha Dairy cream in my coffee.”

This report by The Canadian Press was first published Sept. 16, 2024.

Canadian Press health coverage receives support through a partnership with the Canadian Medical Association. CP is solely responsible for this content.

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B.C. mayors seek ‘immediate action’ from federal government on mental health crisis

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VANCOUVER – Mayors and other leaders from several British Columbia communities say the provincial and federal governments need to take “immediate action” to tackle mental health and public safety issues that have reached crisis levels.

Vancouver Mayor Ken Sim says it’s become “abundantly clear” that mental health and addiction issues and public safety have caused crises that are “gripping” Vancouver, and he and other politicians, First Nations leaders and law enforcement officials are pleading for federal and provincial help.

In a letter to Prime Minister Justin Trudeau and Premier David Eby, mayors say there are “three critical fronts” that require action including “mandatory care” for people with severe mental health and addiction issues.

The letter says senior governments also need to bring in “meaningful bail reform” for repeat offenders, and the federal government must improve policing at Metro Vancouver ports to stop illicit drugs from coming in and stolen vehicles from being exported.

Sim says the “current system” has failed British Columbians, and the number of people dealing with severe mental health and addiction issues due to lack of proper care has “reached a critical point.”

Vancouver Police Chief Adam Palmer says repeat violent offenders are too often released on bail due to a “revolving door of justice,” and a new approach is needed to deal with mentally ill people who “pose a serious and immediate danger to themselves and others.”

This report by The Canadian Press was first published Sept. 16, 2024

The Canadian Press. All rights reserved.

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