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RSV Cases Are Surging. Here's What to Know – CNET

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Respiratory viruses like COVID-19 and influenza often spread and peak during winter, when people travel for the holidays and spend more time indoors and breathing the same air. We’ve already been warned that we are likely in for a rough flu season this year, as public health measures like mask-wearing are phased out after a few years of COVID-19 precautions. But parents could be especially concerned now amid reports of more children than usual getting sick with respiratory syncytial virus, or RSV, and infection waves starting earlier than normal.

Anyone can get RSV, but babies, children under age 5, older adults and people who are immunocompromised are especially vulnerable to severe RSV, which can cause pneumonia or bronchitis and require hospitalization. While almost all children will have at least one RSV infection before their second birthday and most will recover at home, it’s important to know the signs of a more severe infection in order to get the care you need.

What is RSV? How is it spread? 

Respiratory syncytial virus is a common respiratory virus, which means it’s spread to others through tiny droplets from the nose or throat of an infected person. You get it when these droplets get into your eyes, nose or throat, either through contact with someone who’s sick, or by touching a contaminated surface then touching your eyes, nose or mouth. 

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According to the Centers for Disease Control and Prevention, the virus lives on hard surfaces (like cribs) for hours. RSV doesn’t live quite as long on soft surfaces, like skin or tissues. According to the CDC, it is the most common cause of bronchiolitis and pneumonia in babies under age 1. 

Can adults catch RSV from kids? 

Yes. Children commonly get RSV at school or day care and bring it home to other family members. Most adults, however, will either have mild or no symptoms of RSV. 

Some adults, including older adults, folks with compromised immune systems or adults with lung or heart issues may have more severe illness or complications. 

What are the symptoms in children and babies?

Symptoms usually show up around four to six days after getting infected or exposed, per the CDC. Common signs include: 

  • Runny nose 
  • Sneezing
  • Decreased appetite 
  • Coughing or wheezing
  • Fever

In very young infants or babies, however, the only symptoms may be irritability and fussiness; decreased activity or acting more tired than normal; or troubled breathing, including pauses in breathing.

A three-year-old child coughs while their mother takes their temperature

Filadendron/Getty Images

Signs you should take your child to the hospital 

If you or your child has only mild symptoms, extra treatment probably won’t be necessary outside of your home. But according to Cleveland Clinic, your child may need to receive intravenous fluids (have an IV) if their rapid breathing is preventing them from drinking and staying hydrated. According to the clinic, about 3% of children with RSV will require a hospital stay, and most will be able to go home within two to three days. 

If your child is having a hard time breathing, they can’t drink or their symptoms are getting worse, that’s when you should call your doctor, the CDC says. Very young infants (under six months), babies who were born premature, and children who have weakened immune systems, neuromuscular disorders (trouble swallowing or clearing mucus) as well as other health problems have a greater risk of severe illness from RSV.

If you’re an older adult, are immunocompromised or have an underlying health condition, you may also be at higher risk of severe disease from RSV. If you or anyone around you is having a hard time breathing, always seek emergency care or medical care right away.

Treatments for RSV

RSV is a viral infection, which means antibiotics won’t work. Treatment for RSV is typically supportive, and over-the-counter medications (but never aspirin for children) may help relieve common symptoms like cough or congestion. You should consult your doctor before giving your child any drug, even non-prescription, because not all medication ingredients are safe for children and their smaller, growing bodies. 

High risk children that are severely ill are sometimes treated with an antiviral Ribivirin and intravenous immunoglobulin. Treatment may also be considered for severely ill immunocompromised adults. The vast majority of patients do not require these interventions. 

For high-risk infants and children preventative strategies are available, there is a monoclonal antibody available called Palivizumab. It’s given in monthly injections during RSV season and meant for children who are at higher risk of being hospitalized. Some eligible children would be babies who were born very premature (before 29 weeks), young children who are immunocompromised or have other health conditions, like heart disease or neuromuscular conditions.

If you believe your child is at high risk and might be eligible for the treatment, reach out to your doctor.

Is there a vaccine?

There’s not a vaccine for RSV yet, but scientists are working on it: Johnson & Johnson has started international trials of its vaccine in older adults.

How to avoid RSV 

Because RSV is a respiratory virus, a lot of the same health precautions we take for other viruses will cut down the risk of you or your child getting it. This includes avoiding contact with people who are sick or have symptoms, avoiding crowded indoor places, and washing your hands before eating or touching your face. 

For babies and younger kids, prevention could extend to not allowing other people to kiss, hold or touch your baby if you’re concerned about contracting the virus. (You can also ask them to wash their hands and wear a mask when holding your baby.) Ideally, the CDC says that people with any cold-like symptoms should avoid being around children at higher risk for RSV. 

The information contained in this article is for educational and informational purposes only and is not intended as health or medical advice. Always consult a physician or other qualified health provider regarding any questions you may have about a medical condition or health objectives.

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Dedicated flu, COVID, cold clinic opens at St. Joe's on Hamilton Mountain – CHCH News

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A dedicated flu, COVID, and cold clinic opens on Tuesday at St. Joseph’s Healthcare on the Hamilton Mountain.

The clinic at the West 5th campus is intended to offer more timely care for COVID, cold, and flu patients who can’t get in to see a family doctor.

The opening of the new clinic is part of measures aimed at easing pressure on emergency departments.

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The clinic is open to both adults and children and a doctor’s referral is not required, but it’s not a walk-in clinic.

Patients are expected to make an appointment at St. Joseph’s Healthcare’s website.

The clinic can be accessed from the door beside the Fennell Ave. outpatient entrance and St. Joe’s stresses that patients must not access the flu, COVID, cold clinic through other hospital entrances or walk through the hospital.

The clinic is open from 4:30-9 p.m. during the week and from 8-4 p.m. on the weekends.

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Aid group with Canadian funding leads mission to deliver medical supplies in Ukraine

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POLTAVA, Ukraine — As the Toyota Tundra following a tractor trailer loaded with humanitarian aid heads into dangerous territory in eastern Ukraine, “Promiscuous” by Nelly Furtado and Timbaland plays over the speakers.

The small convoy transporting 20 tonnes of medical supplies is headed for Balakliya in a part of the country that was retaken by the Ukrainian army in September after six months of brutal Russian occupation. Their mission to help the devastated region crosses areas where Russian shelling continues. In Kupiansk, not far from Balakliya, shells continue to rain down.

At the wheel of the Tundra last Friday was Dr. Christian Carrer, a pediatrician from France. With his partner Tetyana Grebenchykova, he runs the Association internationale de coopération médicale, a non-governmental organization that receives support from the Canada-Ukraine Foundation and the Ontario government.

It will take the vehicles, which also include a minivan ahead of the tractor trailer, five hours to travel from a warehouse in Poltava to Balakliya, a distance of barely 200 kilometres. The roads are pockmarked from fallen bombs, and there are frequent stops at military checkpoints on guard against Russian infiltration.

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The strapping pediatrician with the face of an old adventurer has been on the ground since 2014, helping people in the Donbas region after it was invaded by the Russians. Last January, he suspected Ukraine’s menacing neighbour was planning something.

“There were strange gatherings and constant provocations,” Carrer said as he drove. “Everyone knew that clearly, something was going to happen.”

His organization started ensuring various supplies, in particular bandages, were positioned ahead of the feared assault. The last hospital received its delivery on Feb. 24, he said, the day the Russians launched their war.

“The people funding us had confidence in us because we sensed the attack,” he said.

Canada is the third most generous contributor to his group, which has also drawn donations from French, American and British sources.

The organization is well stocked and knows the terrain, and it focuses its aid in a few administrative regions in the northeast of the country. It has more than 800 items available, general or specialized medicines that hospitals and pharmacies in disaster zones can order.

Even in regions that have officially been liberated, the needs remain desperate.

The road crosses sprawling plains, and in one village after another, homes have been destroyed and gas stations and other businesses are shuttered. Crops remain unharvested in the fields. The tires make a constant purring noise as they drive over asphalt perforated by constant tank traffic.

Signs of the suffering and destruction of war are everywhere, and residents have little left to survive on. The occupiers emptied pharmacies and pillaged hospitals.

The convoy passes Chuhuiv, a municipality where the Association internationale de coopération médicale positioned medical supplies ahead of the war but that was later occupied. “The Russians took everything,” says Carrer, who has lived in Ukraine since 2006.

He describes the health condition of those who lived for weeks in shelters as pitiful, looking like “zombies.” Some are even losing their teeth, and he said visiting physicians are shocked by what they find.

As a pediatrician, he is especially worried about the state of pregnant women, young mothers and their children: a large part of that day’s delivery is destined for them.

Once in Balakliya, a desolated city with some buildings completely gutted, the aid valued at $4 million is unloaded in an old warehouse. It will later be distributed among eight municipalities in the area. A small welcoming committee includes the administrative head of Izyum district to the south, Stepan Maselski.

“This aid is very important because we are still at war,” Maselski said in an interview. “The invader destroyed our infrastructures. Just two days ago, we didn’t have electricity or water. The occupation was painful — no medicine, no medical supplies, no good food.”

A forklift empties pallets from the tractor trailer, containing cases and cases of medicine to treat chronic illnesses, epilepsy and heart problems, anesthetics for surgeries, surgical equipment, bandages, gloves, stethoscopes and diapers, among other items. There is also baby formula because infant malnutrition is widespread, Carrer says.

“Often women who give birth have trouble nursing because of the stress and the situation,” he explained. He said Ontario has provided vitamins, and the impact was practically miraculous.

There are also supply kits for those left homeless and even boxes of pet food, which is in short supply.

A special big red bag, which resembles an insulated delivery bag, is handed to Paulina, a medical official who intervenes in the provision of urgent care across the region. It is a kit conceived by doctors in California to treat people in war zones, whether for injuries caused by a landmine or for heart attacks. Paulina says the supplies are of superior quality and they are badly needed.

Suddenly the unloading operation is halted when the forklift breaks down. But the Ukrainians are creative: they tow the old forklift out of the way with a tractor — like their compatriots were often seen doing with Russian tanks on viral videos — and build a wobbly wooden ramp to complete the unloading.

Counting on Ukrainians’ ability to adapt, Carrer’s group has also delivered large numbers of warm blankets as well as small wood-burning stoves manufactured in the Poltava region for residents who have no way to heat their homes due to power outages.

Carrer says there are complex  reasons why the Ukrainian government is struggling to provide basic services in liberated territories. For one thing, he explains, the budget for health spending was cut by about one fifth to fund the war effort. And the annual provision of equipment and funding for the health system comes in February or March, which was when the Russians invaded. The number of refugees has also drained local resources.

“The needs are enormous in all the hospitals,” he says. “And now it’s serious. We see hospitals that are at the end of their tether. We used to deliver two boxes, and now we deliver whole pallets, basic supplies like plaster, gloves, cotton.”

Night falls quickly, and it is cold. The rig is empty, and it is time to leave so the group can make it through all the checkpoints on the way back to Poltava. Carrer knows his group will likely have to return soon with another load.

“Either a good soul is there to help, or they’ll call us back in a month …. We are the first to help, and perhaps the last to help.”

This report by The Canadian Press was first published Nov. 28, 2022.

— Patrice Bergeron is a Quebec-based journalist with The Canadian Press. In addition to two decades of political and general news experience, he was a CP war correspondent in Afghanistan in 2009.

 

Patrice Bergeron, The Canadian Press

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COVID-19 Outbreak Declared at Southbridge Roseview

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November 28, 2022 – The Thunder Bay District Health Unit (TBDHU) and Southbridge Care Homes confirm that the COVID-19 outbreak previously declared at Southbridge Roseview has been updated to include Cheshire and Renaissance Units only, Primrose Unit has been resolved.

TBDHU has initiated a thorough assessment of the situation. Further measures will be taken as needed to manage this situation.

Prior to the outbreak, significant measures were already in place to reduce likelihood of transmission of the virus within the facility. For additional information about COVID-19 and the TBDHU area, please see the TBDHU Website.

-30-

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For more information – Health Unit Media: news@tbdhu.com.

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