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Sask. doctor addresses measles as cases appear in Canada – WestCentralOnline.com

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Measles.  

In recent weeks, cases of the childhood illness have been showing up in Canada. While there has only been a handful reported, including here in Saskatchewan, it has given pause for thought in the medical community.  

“First and foremost, in Canada, we do not have measles unless, and only when, it’s imported,” explained Doctor David Torr. He is a medical health officer with the Saskatchewan Health Authority. He noted the imported cases come from when someone from Canada has travelled to somewhere where measles are still around, or if it is someone who is coming to Canada from one of those destinations. In both of those situations, it is usually people who have not been vaccinated. 

The number of cases of measles here in Canada is small, but there is a concern elsewhere and it is on the radar of health professionals here.  

“There’s been a real surge of measles cases around the world, in many other countries and south of us,” Dr. Torr continued. “In the U.S., they’re dealing with quite a number of outbreaks, both in schools and in various communities because of low immunization or incomplete immunization in those particular communities.” 

The immunization for measles comes at a young age, and is considered to be one of the most effective vaccines there is. The MMR vaccine, which covers mumps, measles and rubella, is administered shortly after 12 months, with the second around 18 months.  

The policy in place considered those who were born before 1970 to be immune to measles thanks to exposure to the virus, and those after have been able to receive the MMR. Those who are going to be travelling now, though, who were born before 1970 are recommended to get a booster dose if they plan on travelling.  

Part of the reason for the alarms to be going off when it comes to measles is how contagious it can be. 

“It is so easy to get measles,” Dr. Torr said, then provided some examples. “So, a person walking into a room with COVID, for example, will likely infect two or three people on average. A person who walks into a room of potentially vulnerable people, one person can infect 20 people within a very short period of time.” 

The effects of the illness on children can also cause a number of issues. One of the most severe is the fever associated with measles. Dr. Torr noted they can get high enough to cause convulsions and other complications with the brain. As well, while the body is fighting the measles, a lot of secondary infections can occur. Some of those include inflammation within the ear, inflammation of the brain, and complications in the eyes.  

With measles coming into the province, there was concern about it possibly spreading. However, the vaccination rates in Saskatchewan have helped to prevent that from happening. The lone case was just that – alone.  

“We did not get any secondary cases because the people around this person were all vaccinated, which shows how really efficient and good the vaccine is.” 

While there is a high percentage of the population that is immunized against measles, Dr. Torr noted there have been some variations in some communities.  

“We have noticed a delay in folks, especially after COVID, the delay bringing in their children, so at the two-year range, when we should have had two full doses in a two-year-old, we do have delays there,” the doctor stated, adding it does get better by age seven.  

So what do you do if you do end up with a case of measles? 

“We provide supportive treatment because we don’t have an exact cure for that, and it can be quite challenging,” Dr. Torr explained. Steps are taken to keep the temperature down, help those who aren’t eating well while they are ill, and watch for any potential complications that may arise. He also noted there is a magic bullet, so to speak, when it comes to measles.

“That’s why we emphasize the vaccination. It’s very effective, very efficient, it lasts literally for a lifetime.”

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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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