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Pediatrician urges parents to have the COVID talk as Omicron cases hit new highs – CHEK

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VANCOUVER — A pediatrician who has researched COVID-19 vaccine hesitancy among parents in Canada, the United States and Israel is urging people concerned about getting their children vaccinated to talk to a health-care provider as the Omicron variant pushes cases to all-time highs.

Dr. Ran Goldman, a professor in the department of pediatrics at the University of British Columbia, said the current national vaccination rate among children aged five to 11 is too low, so parents with questions about the safety of the vaccine should get them answered through a personal connection with a pediatrician, family doctor, nurse or pharmacist.

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“If those health-care providers listen first and understand what is the basis for the hesitancy, and exactly what questions parents have, they can then address this with their knowledge and expertise. This is the key and the magic, the green card, to getting parents to understand and accept vaccines,” said Goldman, who practises in Vancouver.

Goldman said past campaigns involving pediatric vaccines have shown that conversations with health-care providers are meaningful and have helped to change hesitant parents’ minds.

Data from Health Canada shows 39 per cent of kids between the ages of five and 11 have received a first dose of the Pfizer-BioNTech vaccine, which the agency approved for that age group last November.

“It’s not enough,” Goldman said. “I know we are failing our children in terms of the rate of vaccination. It’s not only for the children that receive them, it’s protecting all in the environment around them, including their parents, their grandparents, sick or healthy, who need to go to work.”

READ MORE: Omicron causes ‘enormous’ caseload, but severe illness not rising at same rate: Tam

British Columbia matches the national vaccination rate of 39 per cent, as does New Brunswick, while the lowest rates are in Alberta and Yukon, at 37 per cent, according to government data in those jurisdictions.

In Ontario, nearly 45 per cent of children up to age 11 have received their first dose while the highest vaccination rate, at 67 per cent, is in Newfoundland and Labrador.

Adrian Dix, the health minister in B.C., encouraged more parents to register their kids for a vaccine.

“It will make children safe and, of course, your family safer as well,” he said.

Goldman said parents should know that the consequences from infection are much higher than any possible side-effects.

He was lead author of a study published in the International Journal of Environmental Research and Public Health last October on the willingness of parents to get their children vaccinated against COVID-19.

The research involved a pair of surveys of a total of 2,800 parents in 12 emergency departments in the United States, Israel and Canada. Most of the parents, 54 per cent, were from Canada and surveyed in Vancouver, Saskatoon, Edmonton and Calgary.

The first survey, done during the peak of the pandemic between March and May 2020, showed nearly 65 per cent of parents said they would get their kids under age 12 vaccinated.

Those results were compared with a second survey between December 2020 and March 2021, after a vaccine for adults was approved.

However, less than 60 per cent of parents said they would be willing to have their children vaccinated.

“We were surprised,” Goldman said, adding some parents believed that getting vaccinated themselves was fine, but too risky for their kids.

“We need to work with parents to understand the importance and the safety of vaccines for children specifically,” he said.

READ MORE: B.C. reports 417 new COVID-19 cases in Island Health, 3,223 across province

Michelle McGrath of Langley, B.C., said she registered her five-year-old son Isaiah for a vaccine as soon as it was approved for use in children.

“It’s the most researched part of medicine and has the most stringent standards for safety,” she said of vaccines.

“For people who are saying we don’t know the long-term impact of the vaccine, we also don’t know the long-term impacts of contracting this virus,” she said.

McGrath said she’s also worried about the effect COVID-19 could have on her vulnerable 11-month-old twin boys, who were born three months premature and must be taken to regular medical appointments, where they could be exposed to the virus.

Goldman said about 90 per cent of kids will not get infected after they receive the vaccine, which uses one-third the dose formulated for older children and adults.

“Getting the illness and maybe having long COVID is much more risky than any kind of hypothetical, potential side-effects.”

Parents who believe the vaccine was developed too quickly should know that the technology for mRNA vaccines has existed for nearly 20 years, he said.

“We know the technology works and is actually safer than many other technologies for vaccines. The influenza vaccine is safe in about 50 per cent of people, and the COVID vaccine is effective in about 90 per cent of people.”

Camille Bains, The Canadian Press

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Measles case reported locally turns out to be negative: health unit

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NEWS RELEASE
SIMCOE MUSKOKA DISTRICT HEALTH UNIT
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On March 26, the Simcoe Muskoka District Health Unit (SMDHU) was notified by Public Health Ontario’s (PHO) laboratory that due to laboratory error, the case of measles that had been lab-confirmed positive on March 12, based on symptoms and a positive urine measles laboratory result by PHO’s laboratory, is in fact negative for the measles virus.

“With this new information of the negative lab result, we believe that that individual was not infected with measles and that there has not been any public exposure to measles resulting from this individual’s illness,” said Dr. Charles Gardner, medical officer of health. “We recognize that notifying the public of what we believed to be a positive measles case in our area created worry, anxiety and disruption for some, and we regret this.

“We do know that, despite best efforts, on rare occasions laboratory errors can occur. We are working closely with the PHO’s laboratory to do all that we can to ensure that such an incident does not occur again.”

Measles is a highly contagious viral infection that spreads very easily through airborne transmission. The measles virus can live in the air or on surfaces for up to two hours.

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Symptoms of measles begin seven to 21 days after exposure and include fever, runny nose, cough, drowsiness, and red eyes. Small white spots appear on the inside of the mouth and throat but are not always present. Three to seven days after symptoms begin, a red, blotchy rash appears on the face and then progresses down the body.

The risk of transmission to those vaccinated with two doses is low, and when it does occur tends to show a reduction in the severity of these symptoms.

“Although we are relieved for the individual involved, and for all Simcoe-Muskoka residents, that this case has now been confirmed as negative, we know that measles is still active in Ontario at this time and the potential remains for new cases to arise, especially given the increase in Ontarians travelling to areas in the world that have higher numbers of measles cases,” said Dr. Gardner. “This is why we continue to advise individuals to keep up to date with their routine immunizations, including measles, mumps and rubella (MMR) vaccination.”

The risk of measles is low for people who have been fully immunized with two doses of measles vaccine or those born before 1970; however, many children have been delayed in receiving their routine childhood immunizations and people who have not had two doses of measles vaccine are at higher risk of contracting the disease.

People who do get sick usually recover without treatment, but measles can be more severe for infants, pregnant women, and those with compromised immune systems. Possible complications include middle-ear infections, pneumonia, diarrhea, or encephalitis (swelling of the brain) and occasionally death in the very young. Even individuals who are up to date with the measles vaccine should watch for symptoms of measles for 21 days after exposure.

For more information about measles, please visit smdhu.org or call Health Connection at 705-721-7520 or 1-877-721-7520, Monday to Friday between 8:30 a.m. and 4:30 p.m. to speak with a public health professional.

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Kate Middleton Not Alone. Cancer On Rise For People Under 50, Say Experts

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Kate Middleton revealed on Friday that her cancer was discovered after she received abdominal surgery

London:

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When Catherine, Princess of Wales, revealed she was being treated for cancer last week, part of the shock was that an otherwise healthy 42-year-old has a disease that mostly plagues older people.

However, researchers have been increasingly sounding the alarm that more and more people under 50 are getting cancer — and no one knows why.

Across the world, the rate of under-50s diagnosed with 29 common cancers surged by nearly 80 percent between 1990 and 2019, a large study in BMJ Oncology found last year.

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The researchers predicted the number of new cancer cases among younger adults will rise another 30 percent by the end of this decade, with wealthy countries particularly affected.

The increase in cases — and soaring global population — means that the number of deaths among under 50s from cancer has risen by nearly 28 percent over the last 30 years.

This occurred even as the odds of people of all ages surviving cancer have roughly doubled over the last half century.

Shivan Sivakumar, a cancer researcher at the UK’s University of Birmingham, called it an “epidemic” of young adult cancer.

Since Kate Middleton revealed on Friday that her cancer was discovered after she received abdominal surgery earlier this year, Sivakumar and other doctors have spoken out about the uptick in younger cancer patients they have been seeing at their clinics.

While breast cancer remains the most common for people under 50, the researchers expressed particular concern about the rise of gastrointestinal cancers — such as of the colon, pancreas, liver and oesophagus — in younger adults.

Colon cancer is now the leading cause of cancer deaths in men under 50 in the United States, according to the American Cancer Society. For women, it is number two — behind only breast cancer.

One high profile case of colorectal cancer was “Black Panther” actor Chadwick Boseman, who died at the age of 43 in 2020.

Why is this happening?

“We just don’t have the evidence yet” to say exactly what is causing this rise, Sivakumar told AFP, adding it was likely a combination of factors.

Helen Coleman, a cancer epidemiology professor at Queen’s University Belfast who has studied early onset cancer in Northern Ireland, told AFP there were two potential explanations.

One is that people in their 40s were exposed to factors known to cause cancer — such tobacco smoke, alcohol or being obese — at an earlier age than previous generations.

She pointed out that the “obesity epidemic” did not start until the 1980s.

Sivakumar felt that at least part of the puzzle could be explained by obesity.

However, there is “another wave” of under-50 patients who are neither obese nor genetically predisposed still getting cancer, he emphasised, adding that this could not be put down to “statistical chance”.

The other theory, Coleman said, is that “something different” has been going on with her generation.

Fingers have been pointed out a range of possible culprits — including chemicals, new drugs and microplastics — but none have been proven.

Some have suggested that so-called ultra-processed foods could be to blame. “But there’s very little data to back any of that up,” Coleman said.

Another theory is that the food we eat could be changing our gut microbiome.

While there is nothing conclusive yet, Coleman said her own research suggested that cancer causes changes to the microbiome, not the other way around.

Anti-vaxx conspiracy theorists have even tried to blame Covid-19 vaccines.

This is easily disproven, because the rise in young adult cancer has taken place over decades, but the vaccines have only been around for a few years.

What can be done?

To address the rise in younger colorectal cancer, in 2021 the US lowered the recommended age for screening to 45. Other countries have yet to follow suit.

But the researchers hoped that Catherine’s experience would remind people at home that they should consult their doctor if they sense anything is wrong.

“People know their bodies really well,” Sivakumar said.

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“If you really feel that something isn’t right, don’t delay — just get yourself checked out.”

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Almost 3,000 students suspended in Waterloo Region over immunization issues

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Close to 3,000 children attending elementary school across Waterloo Region were suspended from school on Wednesday morning for not having up-to-date immunization records.

The region says Waterloo Public Health suspended 2,969 students under the Immunization of School Pupils Act (ISPA).

For several months, the region has been campaigning for people to get their children’s vaccinations up to date, including sending letters home to parents on a couple of occasions, warning that students’ records needed to be up to date or they would be suspended.

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It announced in January that 32,000 students did not have up-to-date records: 22,000 elementary students and 10,000 high school students.


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“We have made remarkable progress from the original 27,567 immunization notices we sent to parents in November and December 2023,” Dr. Hsiu-Li Wang, medical officer of health, stated.

“Since that time, we have resolved more than 24,500 outdated vaccination records, providing students with valuable protection against these serious and preventable diseases.”

The high school students still have a few weeks to get their records up to date or else face suspension.

The ISPA requires students to have proof-of-vaccination records for diphtheria, polio, tetanus, pertussis, measles, mumps, rubella, varicella (chickenpox) and meningitis, which must be on file with public health.

Public health says caregivers whose children are suspended will need to book an appointment at regionofwaterloo.ca/vaccines for clinics, which will be held in Cambridge and Waterloo on weekdays.

“Given the high number of suspensions, it may take several days before you can be seen at an appointment and return your child to school,” a release from the region warns.

“Record submission and questions must be done in person to ensure immediate resolution.”

The last time suspensions over immunizations were issued was in 2019, when 1,032 students were suspended.

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