People say they want COVID-19 to become 'endemic.' But what does that really mean? - CBC News | Canada News Media
Connect with us

Health

People say they want COVID-19 to become 'endemic.' But what does that really mean? – CBC News

Published

 on


As Canadians grow increasingly weary after two years of COVID-19, many people are tossing around the term “endemic” as an expression of hope that we’re moving into a stage where we pull back public health restrictions and live with the virus.   

“The word ‘endemic’ has become one of the most misused of the pandemic. And many of the errant assumptions made encourage a misplaced complacency,” Aris Katzourakis, a professor of evolution and genomics at the University of Oxford in the United Kingdom, wrote in an article published in the journal Nature earlier this week. 

“Thinking that endemicity is both mild and inevitable is more than wrong, it is dangerous: it sets humanity up for many more years of disease, including unpredictable waves of outbreaks.”

It also falsely suggests the pandemic is nearing an end in Canada and other wealthy countries, infectious disease specialists and epidemiologists say — but this is a stage when public health measures remain critical. 

“Here’s what [endemic] doesn’t mean: It doesn’t mean where we’re at right now,” said Dr. Isaac Bogoch, an infectious diseases specialist with Toronto General Hospital. 

“We’re seeing health-care systems stretched and society significantly impacted by the virus. That’s not endemic. That’s still pandemic.”

WATCH | Go inside an Ontario ICU trying to manage COVID-19:

The life-saving decisions inside an Ontario ICU

8 days ago

Duration 3:52

CBC News goes inside the intensive care unit of a Scarborough, Ont., hospital to witness the life-saving decisions staff have to make, where staff describe the common factors among patients. 3:52

“Endemic” means a virus is present in a region at a stable level, without the rising and falling waves of infection that we’ve seen so far throughout the coronavirus pandemic, experts say. 

Endemicity occurs when “the natural replication of a virus is balanced out by the built-up immunity in the population, resulting in an overall stasis — a constant number of cases in the community,” Katzourakis said in an interview with CBC News. 

That immunity is achieved through vaccination and recovery after natural infection.

A seven-year-old girl gets her first COVID-19 vaccine at Ma Mawi Wi Chi Itata Centre in Winnipeg on Nov. 25, 2021. (Marina von Stackelberg/CBC)

In an endemic state, the reproduction number of the virus — a measure of how contagious it is —hovers around one, “so it’s not declining and it’s not increasing,” said Dr. Raywat Deonandan, an epidemiologist at the University of Ottawa. 

Endemicity says nothing about how badly the disease affects people, he said. 

For example, malaria is endemic in many parts of the world and is one of the most deadly diseases for young children, according to UNICEF.   

“Politically, the word [endemic] seems to be being conflated with: ‘We’re done with this and let’s move on,'” Deonandan said. 

That’s clearly not the level we’re at with COVID-19 right now, which is unsustainable for health-care systems, both Deonandan and Katzourakis said. 

What could endemic COVID-19 look like?

When many people say “endemic,” they often mean they want to see COVID-19 brought under control, said Deonandan.  

That’s the point when a disease “pesters us all the time but we have a handle on it,” he said.  

Some people will still get sick, especially those who are particularly vulnerable.  

For example, seniors, young children and people who are immunocompromised are at higher risk of becoming seriously ill with the flu and need to be protected — including with vaccination. It will likely be a similar situation when COVID-19 is brought under control, Bogoch said. 

How do we get to that point with COVID-19?

Experts agree that COVID-19 will continue to be a threat in rich countries like Canada until significantly more people in all countries are vaccinated. 

If rich countries truly made global vaccination a priority, Deonandan said, the virus could be under control within months.

A man registers at a COVID-19 vaccination centre in Douala, Cameroon, on Dec. 29, 2021. Experts say the faster people in developing countries get access to COVID-19 vaccines, the faster the coronavirus will be under control everywhere. (Josiane Kouagheu/Reuters)

Dr. Tedros Adhanom Ghebreyesus, director general of the World Health Organization, recently made a similar statement, saying that if a global target of 70 per cent vaccination is met, the “acute phase” of the pandemic could end this year.    

“You cannot solve a global problem locally,” Deonandan said. 

In undervaccinated countries, coronavirus spread cannot be controlled — and that’s where new variants arise and then rapidly travel. 

“If we help the rest of the world control COVID well, there’ll be no variants coming out of those countries anymore,” Deonandan said. “This horrible, atrocious movie can come to an end.”

WATCH | WHO director general says ‘acute’ phase of COVID-19 can end this year if global vaccination targets met:

‘Dangerous’ to assume Omicron last variant, says WHO

4 days ago

Duration 1:14

A much higher global vaccination rate is needed to thwart coronavirus variants and end the acute phase of the pandemic, says World Health Organization Director General Tedros Adhanom Ghebreyesus. 1:14

We’ve now seen the damage variants can do even in countries where the majority of the population has been vaccinated, including Canada and the U.K., Katzourakis said. 

“The Omicron variant is a shot across the bow of what vaccine inequity might do. 

“You could spend a huge amount of resources and effort to vaccinate everybody in Canada and the U.K. but then be threatened by a variant that’s arisen elsewhere that is able to evade your vaccination efforts. And that is an incredibly wasteful way of trying to solve the problem.”

Helping developing countries vaccinate their population means not only providing enough vaccine doses, but also sending them with enough lead time to get them into people’s arms.

Vaccine donations can’t be ‘table scraps’

“You can’t give table scraps,” said Bogoch, who has worked extensively in developing countries in Africa. 

“You have to give vaccines that don’t expire imminently.

“Sadly we’ve seen many lower-income countries receive these donations and they’ve had to discard these vaccines because they had such a short time to expiration, which is tragic.” 

In an emailed response to CBC News, a spokesperson for federal International Development Minister Harjit Sajjan said that Canada has “already made 98.8 million doses available to COVAX [the agency co-ordinating COVID-19 vaccine donations to developing countries].”

Canada has committed to providing up to 200 million doses — in actual vaccines or monetary support — by the end of 2022, the statement said.

“Minister Sajjan has raised vaccine equity and the need to ensure timely delivery of vaccines to the Global South when meeting with his counterparts and partners,” the email said. 

“We continue to collaborate with COVAX and the global community so that vaccine dose rollout is done in an equitable and timely manner.”

Adblock test (Why?)



Source link

Continue Reading

Health

Health Canada approves updated Moderna COVID-19 vaccine

Published

 on

 

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.

Source link

Continue Reading

Health

These people say they got listeria after drinking recalled plant-based milks

Published

 on

 

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.

Source link

Continue Reading

Health

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

Published

 on

 

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.

Source link

Continue Reading

Trending

Exit mobile version