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‘Reality bites’: Omicron vs Delta lie – NEWS.com.au

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It might be tempting to treat Omicron as the “mild” cousin of its Covid predecessors but a comparison reveals the widespread lie so many are swallowing.

“Omicron is milder.”

It is the catchphrase uttered so regularly since the latest Covid-19 variant emerged that we take it as gospel.

But the truth about the impact of Omicron vs Delta is far less black and white.

Take the latest data out of the US.

Statistics from Johns Hopkins University and the World Health Organisation show there are more daily deaths attributed to Covid-19 in the United States right now than anytime since the pandemic began in late 2019 with the exception of two months last winter.

The only time daily deaths were higher in the US was when they spiked to a record high 4000+ in January last year.

What’s driving that number? Record high cases on the back of Omicron’s transmissability.

Yes, for many, Omicron is milder. But for others, the highly-transmissable variant is harder to avoid and delivers just as much punch.

Oncologist from the Mayo Clinic, Professor Vincent Rajkumar, shared the data on Sunday.

“Reality bites,” he wrote.

“US cases are dropping but it is are still higher than prior waves. Except for 2 months last year, US daily deaths are higher than anytime during the pandemic. Be patient. Stay safe.”

Harvard-trained epidemiologist Eric Feigl-Ding wrote: “It’s not over — COVID deaths with the so-called ‘mild’ Omicron wave has now exceeded both the spring 2020 wave and the 2021 Delta wave, and still hot on the tail chasing last winter’s COVID-19 peak. Are you boosted yet?”

World Health Organisation Director-General Tedros Adhanom Ghebreyesus issued a similar warning late last month about underestimating the danger of Omicron.

“Omicron may be less severe — on average, of course — but the narrative that it is mild disease is misleading, hurts the overall response, and costs more lives,” he told the media from the WHO’s headquarters in Geneva, Switzerland.

“Make no mistake, Omicron is causing hospitalisations and deaths and even the less severe cases are inundating health facilities.

“The virus is circulating far too intensely with many still vulnerable.”

Australia’s own Dr Norman Swan agreed, telling The Project in January that Omicron was not “mild” as many believed.

“There is this myth that this is a mild virus. You hear it all the time from politicians. It is not a mild virus.” he said.

“They compare to Delta. Now, Delta was a virulent virus, yes, it is less virulent than Delta, but if you compare it to the Wuhan virus, it is just as virulent as that. That’s why we’re seeing deaths.

“Two things about Omicron. One is the natural infection with Omicron does not seem to provide anything like the protection that an immunisation gives, unlikely to protect against the next variant and they use this word endemic as if it is happy days when it goes endemic.

“All endemic means is that an infection is somewhere in the world circulating and never disappears. Smallpox was endemic. Nobody says that’s a mild disease. Malaria is endemic in many countries.“Influenza is endemic and it is not a harmless disease. Endemic does not believe it is harmless. This is an epidemic virus. I’m sorry to say, it is not all over Red Rover and we’ve got to learn lessons and letting it rip has caused economic damage and unnecessary deaths.”

While the US this week surpassed 900,000 Covid-19 deaths, a very different story is playing out in Hong Kong.

The city where strict virus control measures have kept Covid-19 at bay has had to push harder than ever to keep its zero-Covid strategy alive. The culprit is the highly-transmissable Omicron variant.

Officials were scrambling this week to ramp up testing capacity and warning that a tightening of restrictions could be needed to keep case numbers down.

Like mainland China and much of East Asia, Hong Kong has long followed a strategy of fighting the virus through contact tracing, targeted lockdowns and lengthy quarantines.

And as much of the world has chosen to open up and live with Covid-19, the city has dug in its heels, with Hong Kong leader Carrie Lam insisting she was still committed to achieving “zero-Covid” even as infections mount.

On Saturday, there were 351 confirmed cases, Hong Kong’s highest daily figure since the pandemic began, with 161 cases being either untraceable or pending investigation.

“Based on the current growth rate of cases, we estimate that (medical isolation) facilities will soon be unable to quarantine all patients,” health chief Sophia Chan told reporters.

Chan urged Hong Kongers to stay at home to slow the spread of the virus, though said that sewage analysis had revealed the virus had already been found in much of the city.

Health officials also said they would loosen rules that have seen thousands of close contacts of infected people detained in a government facility, suggesting they may be able to quarantine at home depending on their risk level.

Last month authorities locked down thousands of residents of a public housing estate after a superspreader event, prompting criticism that the city’s population density made home quarantine unfeasible.

Hong Kong’s spike in cases came on the fifth day of the Lunar New Year holidays, during which the government warned against families gathering for festivities.

City leader Lam earlier said authorities could further tighten virus-control measures next week.

Hong Kong has recorded more than 15,000 confirmed coronavirus cases with 213 deaths.

Since the pandemic began, there have been over 5.7 million deaths.

The US has recorded the most Covid deaths with 902,266, followed by Brazil with 631,802, India 501,979 and Russia 335,414.

Taking into account excess mortality linked to Covid-19, the WHO estimates the overall death toll could be two to three times higher.

with AFP

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Canada to donate up to 200,000 vaccine doses to combat mpox outbreaks in Africa

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The Canadian government says it will donate up to 200,000 vaccine doses to fight the mpox outbreak in Congo and other African countries.

It says the donated doses of Imvamune will come from Canada’s existing supply and will not affect the country’s preparedness for mpox cases in this country.

Minister of Health Mark Holland says the donation “will help to protect those in the most affected regions of Africa and will help prevent further spread of the virus.”

Dr. Madhukar Pai, Canada research chair in epidemiology and global health, says although the donation is welcome, it is a very small portion of the estimated 10 million vaccine doses needed to control the outbreak.

Vaccine donations from wealthier countries have only recently started arriving in Africa, almost a month after the World Health Organization declared the mpox outbreak a public health emergency of international concern.

A few days after the declaration in August, Global Affairs Canada announced a contribution of $1 million for mpox surveillance, diagnostic tools, research and community awareness in Africa.

On Thursday, the Africa Centres for Disease Control and Prevention said mpox is still on the rise and that testing rates are “insufficient” across the continent.

Jason Kindrachuk, Canada research chair in emerging viruses at the University of Manitoba, said donating vaccines, in addition to supporting surveillance and diagnostic tests, is “massively important.”

But Kindrachuk, who has worked on the ground in Congo during the epidemic, also said that the international response to the mpox outbreak is “better late than never (but) better never late.”

“It would have been fantastic for us globally to not be in this position by having provided doses a much, much longer time prior than when we are,” he said, noting that the outbreak of clade I mpox in Congo started in early 2023.

Clade II mpox, endemic in regions of West Africa, came to the world’s attention even earlier — in 2022 — as that strain of virus spread to other countries, including Canada.

Two doses are recommended for mpox vaccination, so the donation may only benefit 100,000 people, Pai said.

Pai questioned whether Canada is contributing enough, as the federal government hasn’t said what percentage of its mpox vaccine stockpile it is donating.

“Small donations are simply not going to help end this crisis. We need to show greater solidarity and support,” he said in an email.

“That is the biggest lesson from the COVID-19 pandemic — our collective safety is tied with that of other nations.”

This report by The Canadian Press was first published Sept. 13, 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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How many Nova Scotians are on the doctor wait-list? Number hit 160,000 in June

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HALIFAX – The Nova Scotia government says it could be months before it reveals how many people are on the wait-list for a family doctor.

The head of the province’s health authority told reporters Wednesday that the government won’t release updated data until the 160,000 people who were on the wait-list in June are contacted to verify whether they still need primary care.

Karen Oldfield said Nova Scotia Health is working on validating the primary care wait-list data before posting new numbers, and that work may take a matter of months. The most recent public wait-list figures are from June 1, when 160,234 people, or about 16 per cent of the population, were on it.

“It’s going to take time to make 160,000 calls,” Oldfield said. “We are not talking weeks, we are talking months.”

The interim CEO and president of Nova Scotia Health said people on the list are being asked where they live, whether they still need a family doctor, and to give an update on their health.

A spokesperson with the province’s Health Department says the government and its health authority are “working hard” to turn the wait-list registry into a useful tool, adding that the data will be shared once it is validated.

Nova Scotia’s NDP are calling on Premier Tim Houston to immediately release statistics on how many people are looking for a family doctor. On Tuesday, the NDP introduced a bill that would require the health minister to make the number public every month.

“It is unacceptable for the list to be more than three months out of date,” NDP Leader Claudia Chender said Tuesday.

Chender said releasing this data regularly is vital so Nova Scotians can track the government’s progress on its main 2021 campaign promise: fixing health care.

The number of people in need of a family doctor has more than doubled between the 2021 summer election campaign and June 2024. Since September 2021 about 300 doctors have been added to the provincial health system, the Health Department said.

“We’ll know if Tim Houston is keeping his 2021 election promise to fix health care when Nova Scotians are attached to primary care,” Chender said.

This report by The Canadian Press was first published Sept. 11, 2024.

The Canadian Press. All rights reserved.

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Newfoundland and Labrador monitoring rise in whooping cough cases: medical officer

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ST. JOHN’S, N.L. – Newfoundland and Labrador‘s chief medical officer is monitoring the rise of whooping cough infections across the province as cases of the highly contagious disease continue to grow across Canada.

Dr. Janice Fitzgerald says that so far this year, the province has recorded 230 confirmed cases of the vaccine-preventable respiratory tract infection, also known as pertussis.

Late last month, Quebec reported more than 11,000 cases during the same time period, while Ontario counted 470 cases, well above the five-year average of 98. In Quebec, the majority of patients are between the ages of 10 and 14.

Meanwhile, New Brunswick has declared a whooping cough outbreak across the province. A total of 141 cases were reported by last month, exceeding the five-year average of 34.

The disease can lead to severe complications among vulnerable populations including infants, who are at the highest risk of suffering from complications like pneumonia and seizures. Symptoms may start with a runny nose, mild fever and cough, then progress to severe coughing accompanied by a distinctive “whooping” sound during inhalation.

“The public, especially pregnant people and those in close contact with infants, are encouraged to be aware of symptoms related to pertussis and to ensure vaccinations are up to date,” Newfoundland and Labrador’s Health Department said in a statement.

Whooping cough can be treated with antibiotics, but vaccination is the most effective way to control the spread of the disease. As a result, the province has expanded immunization efforts this school year. While booster doses are already offered in Grade 9, the vaccine is now being offered to Grade 8 students as well.

Public health officials say whooping cough is a cyclical disease that increases every two to five or six years.

Meanwhile, New Brunswick’s acting chief medical officer of health expects the current case count to get worse before tapering off.

A rise in whooping cough cases has also been reported in the United States and elsewhere. The Pan American Health Organization issued an alert in July encouraging countries to ramp up their surveillance and vaccination coverage.

This report by The Canadian Press was first published Sept. 10, 2024.

The Canadian Press. All rights reserved.

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