Children ages 1-9 in London were made eligible for booster doses of a polio vaccine Wednesday after British health authorities reported finding evidence the virus has spread in multiple areas of the city but found no cases of the paralytic disease in people.
Britain’s Health Security Agency said it detected viruses derived from the oral polio vaccine in the sewage water of eight London boroughs. The agency’s analysis of the virus samples suggested “transmission has gone beyond a close network of a few individuals.”
The agency said it had not located anyone infected with the virus and that the risk to the wider population was low. The decision to offer young children boosters was a precaution, it said.
“This will ensure a high level of protection from paralysis and help reduce further spread,” the agency said.
The agency said it is also expanding surveillance of sewage water to at least another 25 sites in London and nationally.
Most people across Britain are vaccinated against polio in childhood. According to the World Health Organization, only one in 200 polio infections leads to paralysis; most people don’t show any symptoms.
The Health Security Agency said it was working closely with health authorities at the WHO and in the United States and Israel to investigate any links to polio viruses detected in those two countries.
Kathleen O’Reilly, a polio expert at the London School of Hygiene and Tropical Medicine, said the polio virus circulating in London was “genetically related” to recent cases identified in the U.S. and Israel.
“Further investigation is needed to fully understand how they are connected, but it does illustrate that this virus has the potential to cause disease,” O’Reilly said in a statement.
Polio is a disease often spread in water that mostly affects children under 5. It has mostly been wiped out from developed countries, but outbreaks remain in Pakistan, Afghanistan and parts of Africa.
Initial symptoms include fever, fatigue, headache, vomiting, and muscle stiffness. Among people paralyzed by the disease, death can occur in up to 10% of cases when their breathing muscles become paralyzed.
In rare cases, the live virus contained in the oral polio vaccine used in the global effort to eradicate the disease can mutate into new forms potent enough to trigger new outbreaks. The vaccination booster effort in London will use injected polio vaccines that do not carry that risk.
Experts called the finding of polio spread in London “concerning” and said the virus posed a significant risk to anyone not vaccinated.
“If (polio) continues to spread, it will result in cases of paralysis,” said Nicholas Grassly, a professor of vaccine epidemiology at Imperial College London. “It is therefore of paramount importance that children are up to date with their polio vaccines.”
Grassly said the injectable polio vaccine was less effective against stopping virus transmission than the oral vaccine and that it was possible it might be necessary to reintroduce the oral vaccine to eliminate the virus.
B.C. pharmacists to renew, issue prescriptions as part of reworked health plan
VANCOUVER — British Columbia is expanding the power of pharmacists to renew and issue some prescriptions as part of a wide-ranging plan to relieve pressure on the province’s struggling health-care system.
Health Minister Adrian Dix said Thursday the five-year health human resources strategy aims to redesign how health staff work, as well as retain, recruit and train workers through 70 action items.
“We intend to work together with every aspect of the health-care system and with patients to develop solutions that will make a career in health care a more sustainable and rewarding opportunity for people,” Dix told a news conference.
The past three years have added demands to an already overburdened system, Dix acknowledged. The COVID-19 pandemic, toxic drug deaths and aging population contributing to exhaustion and burnout among health workers, he said.
The problem isn’t limited to B.C., with the World Health Organization forecasting a global shortage of 15 million health workers by 2030, he added.
Starting Oct. 14, B.C. pharmacists will be able to administer more vaccines and renew prescriptions for up to a two-year period for people with chronic illnesses whose family doctors have retired or left their practices.
Next spring, pharmacists will begin prescribing drugs for minor ailments like urinary tract infections, allergies and indigestion, as well contraception, meaning patients won’t have to visit a doctor first.
The changes bring B.C. in line with guidelines set out by Health Canada and other provinces.
Jamie Wigston, a practising pharmacist and president of the BC Pharmacy Association, said the shift won’t require new training for pharmacists, whose skills have been underused.
“We’ve been trained to do much more than what we’ve been able to do for a long time,” Wigston said.
Empowering pharmacists to renew prescriptions is especially important for patients with mental health and substance use disorders, who need access to medications in a timely manner, he said.
The announcement will also help patients in rural areas who may have community pharmacies, but where a medical clinic or prescriber may be hours away, he added.
The government said renewing prescriptions for patients without family doctors would be at the discretion of the pharmacist. If uncomfortable, the pharmacist could consult with a doctor by phone or send the patient for a medical assessment.
The move comes amid an ongoing crisis in health care that has seen emergency department closures due to staffing shortages and long wait times to see specialists.
About one in five residents don’t have a family doctor.
The plan will also see paramedic training expanded to include pain management and enhanced airway management techniques. Firefighters and other first responders will be equipped to take blood pressure, use medication for life-threatening allergic reactions and prepare patients for transport by ambulance.
The plan does not cover pay for health workers, but Dix said the province is in ongoing talks with Doctors of BC, representing 14,000 physicians in B.C., to create a new compensation model for family practice doctors. Pay and benefits for workers like paramedics would generally be dealt with during bargaining, he added.
Another action item in the plan includes 128 new seats to the University of B.C.’s faculty of medicine and $1.5 million to help establish a previously announced new medical school at Simon Fraser University in Burnaby.
Redesigning the system will include establishing clear workload standards, using technology more efficiently and adopting team-based models of care, the government said during a technical briefing.
It said it’s also working to lower “artificial barriers” to verify international qualifications for nurses, doctors and other health workers, reducing what is typically an 18-month to two-year process.
Expanding employer-based training will also allow health workers to earn and learn at the same time, officials say.
This report by The Canadian Press was first published Sept. 29, 2022.
Amy Smart, The Canadian Press
Java Burn Reviews – Effective Ingredients for Weight Loss or Bogus Claims – Maple Ridge News
More consumers started consuming Java Burn, and the number is increasing every day. More consumers are pouring product-friendly reviews furnishing relevant information about Java Burn, its ingredients, recommended dosage, price list, complaints, and crucial F&A. Java Burn is a weight loss beverage consisting of green tea extract (300mg), green coffee bean extract (200mg), L-theanine (100mg), vitamin B-12(5mcg), chromium (20mcg), vitamin B6 (1mg) and vitamin D3(20mcg) totaling a 700mg dose. Innovator of this unique formula, John Barban, deems these components will stimulate a state of metabolism called nutritional synergy. This fat-burning supplement dissolves with any beverage without altering its taste and flavor. This morning beverage peps you up all through the day.
Enhance memory power
A healthy diet is crucial for overall well-being, and nutritional synergy fortifies the nutritional value of the foods you eat. The University of Illinois, in a study, found an association between specific nutrients and brain functioning in older individuals. Java Burn supports a weight loss regime without vigorous exercise and a restricted diet and enhances your memory power, intelligence, and brain function associated with global-oriented behavior. This nutritional supplement is organic; the flavorless powder stimulates healthy synergy, a form of metabolism when consumed with a balanced proportion of minerals and vitamins.
Java Burn is a weight loss supplement that comes in a tasteless powder form. The product is only available on the official website. A pouch of Java Burn costs $49; its organic ingredients instantly dissipate in coffee or other beverages stimulating metabolism. The product’s creator suggests you put one bag of the supplement in coffee, stir it well and sip. The powder is flavorless, so it does not alter the aroma or taste of brimming coffee. When your body’s metabolism rate increases, it burns the stubborn fat cells rapidly, and you shed that extra body weight.
The components of Java Burn are vegetarian and non-GMO, with no side effects, and a third party examines its effectiveness and safety. A pouch contains thirty sachets; drink one daily with an aromatic brimming cup of coffee.
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When consumed with coffee, Java Burn suppresses hunger, and you need not count your calorie intake. To get the best result out of the product, you need to consume it for two to three months consecutively. It is the last time your body gets acclimatized to the product and starts burning stored fat by increasing metabolism and efficiency. Till now, no side effects have been reported by consumers, and the possibility is almost nil as all ingredients are non –GMO and natural.
Every manufactured sachet undergoes rigorous testing by a third party ensuring quality, effectiveness, and purity. The reviews submitted by thousands of consumers on the official website testify to the efficacy and safety of the supplement. If any health issue arises after consuming the fat-burning supplement, immediately contact a health care professional and stop taking the supplement.
The metabolism rate affects the calorie of fat you burn during exercise, sleep or rest. Metabolism, aka metabolic rate, is a biochemical process in living organisms that breaks up nutrients and fat to generate the energy necessary for survival. In simpler terms, the rate at which your body produces energy or burns calories. The human body burns calories in three ways; when the body is at rest (Basal Metabolism) to keep the body running. BMR (basal metabolic rate) is, to a degree, dependent on genetics. Metabolism occurs when you perform daily activities and exercise.
As metabolism is partly genetic, to change it, you need outside influence; people with higher metabolism feel more vigorous. On the other hand, people with poor metabolism feel lethargic; the body resists the fat burning process and the stored fat cells in the belly and thigh do not shed. As the body burns fewer calories, less energy is produced, and the person feels sluggish. Java Burn, coupled with coffee, claims it increases the user’s metabolic rate. Consequently, the mulish stored fat starts to disintegrate. If you achieve a higher metabolic rate, the body will burn more calories at rest and daily errands. Lean people are more active than obese ones as their metabolic rate is higher in the no exercise period than the latter.
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Bad flu season predicted for B.C. – Kamloops This Week
After two years of record-low influenza rates, experts are warning the flu will likely be back in full swing this season.
That’s because of a general lifting of pandemic health measures, such as required masking, gathering size limits and travel restrictions, according to pharmacist Kim Myers.
“It definitely increases the spread of germs and colds,” said Myers, who works in the Greater Victoria area.
Health Canada estimates that in a non-pandemic year, about 12,200 Canadians are hospitalized with the flu or flu-like symptoms. Getting an exact number is difficult as only nine of the country’s provinces and territories report hospitalizations to the national flu surveillance system, FluWatch.
Flu hospitalizations dropped during pandemic
of those which do report — Newfoundland and Labrador, Prince Edward Island, Nova Scotia, New Brunswick, Manitoba, Alberta, Yukon, Northwest Territories and Saskatchewan — 5,176 influenza-related hospitalizations were reported during the 2017-2018 season and 3,657 were reported in 2018-2019.
During the 2019-2020 season, half of which occurred within the COVID-19 pandemic, there were 2,493 hospitalizations. That number dropped to zero in 2020-2021, again not including Ontario, Quebec, B.C. or Nunavut.
Myers said it’s hard to tell whether this year’s flu season will be as bad as pre-pandemic years, but that it will almost certainly be worse than the last year or two. She said the awareness the pandemic has raised around the importance of vaccines makes her hopeful more people will get the flu shot this year. Already, Myers said, people coming into her pharmacy are asking when shots will be available.
Possible correlation between COVID-19 and influenza vaccine uptake
B.C. did see a small spike in flu vaccine uptake in the first year of the pandemic. In 2018, 34.6 per cent of people got the shot, followed by 37.2 per cent in 2019 and 42.1 per cent in 2020, according to Statistics Canada. 2021 rates are not yet available.
A 2021 research paper published in medical journal Vaccine found the primary indicator of whether Canadians will get a vaccination is whether they have been vaccinated before, suggesting those who got the COVID vaccine may be more likely to get the influenza one.
More than 87 per cent of British Columbians have received at least one dose of a COVID vaccine as of Sept. 26.
Beginning in early October, B.C. residents will have the option of receiving COVID vaccine boosters and flu shots at the same time. The province said it will have the capacity to vaccinate about 250,000 people per week that way.
Who is most impacted?
For the majority of people, the flu means up to a week of sickness, but for young children, elderly people and the immunocompromised the virus can make it significantly harder for them to fight off infections.
Health Canada said 3,500 deaths are influenza-related each year, although that number is based off a mathematical estimate, rather than actual yearly data.
Myers said the best thing people can do to stop the spread of the virus and protect those most vulnerable to it is to follow many of the same precautions put in place for COVID-19: get vaccinated, wash your hands, wear a mask, stay home if you’re sick and minimize your number of crowded public outings.
“It’s not just for themselves, it’s trying to do it for those around them who are vulnerable and for those who aren’t able to receive vaccines. It’s important that we try and do that to help protect them,” Myers said.
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