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Saskatchewan HIV, HCV education program continuing at USask College of Medicine – USask News

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The education program helps address the complexities driving sexually transmitted and blood borne infection (STBBI) rates in Saskatchewan and their impact on patient care. Content will include the clinical treatment and management of infections and will feature the involvement of HIV/HCV experienced care providers, organizations, and community members to create made-in-Saskatchewan solutions to the province’s unique environment and challenges.

Critical to the past and continuing success of this program are faculty and staff in the Department of Medicine’s Division of Infectious Diseases at the USask College of Medicine. Infectious disease specialists Dr. Alex Wong (MD) and Dr. Beverly Wudel (MD) will oversee the creation and delivery of the medical education, with additional guidance provided by an advisory group of family physicians experienced in providing HIV and HCV care in clinics across the province.

“We’re very pleased to have worked with our partners and colleagues already involved in delivering this important program to now be able to continue this critical work,” said Dr. Jim Barton (MD), CME associate dean. “This would not have been possible without the support of our provincial government. And we are happy to make this announcement today, on National HIV Testing Day in Saskatchewan.”

For the past 10 years, Saskatchewan has had the highest rate of new HIV and Hepatitis C diagnoses in Canada and the fastest growing rate of syphilis infections in the country, resulting in an urgent need to educate primary care providers to recognize, test, treat, and manage these infections in their clinical practices.

“The government is pleased to fund initiatives and programs that improve the capacity and confidence of health-care providers to diagnose and treat sexually transmitted and blood borne infections (STBBIs),” said Minister of Health Paul Merriman. “Programs like the STBBI Treatment Education Program for Saskatchewan (STEPS) will help improve access to health-care professionals in more communities across the province, and reduce the stigma many feel around testing and treatment.

Up to March 2022, the STBBI primary care provider education program was delivered by the Saskatchewan Infectious Disease Care Network (SIDCN) as the Primary Care Capacity Improvement: Treatment as Prevention Project, with four years of funding from the Public Health Agency of Canada, Harm Reduction Grant. This new STBBI program, renamed STEPS, will feature the continuation and growth of education originally offered by the SIDCN.

“I am so grateful that the amazing work that was being done will continue—now with the educational leadership of CME, the involvement of experienced medical experts and staff, the important guidance of existing project stakeholders, and the support of the Ministry of Health,” said Dr. Satchan Takaya (MD), infectious diseases specialist.

STEPS will build from and utilize resources used by SIDCN’s past project. This will include the continuation of the popular HIV and HCV Virtual Classrooms that discuss testing, treating, and managing these infections in Saskatchewan. Based on feedback, a new Syphilis Virtual Classroom will be launched along with several other new presentations all related to addressing and managing STBBIs in the province.

The program will be targeted to primary care providers, family medicine residents, nurse practitioners and registered nurses, as well as other allied health-care professions. A limited number of clinical mentorship opportunities will be available for physicians and nurse practitioners who can benefit from applying virtual classroom content in a clinical setting under the guidance of experienced HIV and HCV specialists and physicians.

By housing a new STBBI program within CME, there is an opportunity to reach more learners and showcase the expertise and support of faculty from the Infectious Disease Department and Family Medicine. The program will also provide opportunities for collaborating with other STBBI stakeholders and strengthen the efforts needed to support front-line providers and improve access to clinically informed and stigma-free STBBI health care.

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Polio booster campaign – The Hippocratic Post

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Polio booster campaign: Last month an unvaccinated man in Rockland county, New York contracted and became parylised by Poliomyelitis (Polio).  This was the first recorded case of the disease for almost a decade in the United States.

The Polio virus, is a highly infectious disease which is transmitted person-to-person spread mainly through the faecal-oral route or, sometime less frequently, by contaminated water or food. The virus then multiplies in the intestine, from where it can invade the nervous system and cause paralysis.

Typically the virus attacks children, causing muscle weakness and paralysis, but in some cases patients will suffer permanent disability or death.
Once prevalent in the 1950’s, the virus was brought under control in the US by a national vaccination roll out in the mid 1950’s which led to its eradication by 1979, when the US was declared polio free. In the UK the last case was recorded in 1984.

Originally the vaccine for polio was a weakened version of the polio virus delivered in the form of drops, and those people of a certain age will recall being given a polio sugar cube as children, the method invented by Dr. Albert Sabin, of the Children’s Hospital Research Foundation in Cincinnati, Ohio.

Today most countries in the developed world use “inactivated Polio” injections as opposed to oral drops, because the  “live” weakened virus in the drops causes a mild stomach infection which whilst it builds host immunity, the weakened “live” virus is also expelled in faeces into the environment.  This in turn can lead to further mild infections within the community.  The oral drops are still used by many countries in the developing world as a cheap way of responding to outbreaks and creating herd immunity.

The strain of polio virus which has been detected in sewerage in New York and London has been identified as a mutated form of vaccine-derived poliovirus brought into the respective cities by overseas travelers. Given vaccine reticence in recent years to follow health advice regarding immunisations, this new strain of polio could make a resurgence if left unchecked and current infections are projected to far greater than the case detected in Rockland County.

Dr Patricia Schnabel Ruppert, health commissioner for Rockland County, said she was worried about polio circulating in her state undetected.

“There isn’t just one case of polio if you see a paralytic case. The incidence of paralytic polio is less than 1%,” she told the BBC. ‘Most cases are asymptomatic or mildly symptomatic, and those symptoms are often missed. So there are hundreds, perhaps even thousands of cases that have occurred in order for us to see a paralytic case.’

As the polio vaccine continues to be included in the Centers for Disease Control and Prevention’s (CDC) standard child immunization schedule, those already vaccinated are not considered at significant risk.

Whilst there is a low risk posed from the emergence of the Polio virus in waste water, there is an easy solution to its elimination both here in the UK and across the pond.  Health officials are sending a clear message to check that you are up to date with your own vaccinations and ensure that children’s routine vaccinations have not been neglected during the disruption of the covid pandemic.  In addition, children aged 1 to 9 years old in London are being offered a dose of polio vaccine by the UK Government’s Polio booster campaign.

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Rapid Polio Spread In New York: All You Need To Know – TheHealthSite

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Poliovirus is found in the sewage of New York; know why this disease is spreading so rapidly.

Polio is a disease that causes children to be crippled early. The polio virus detection in New York City’s sewage indicates that the disease is secretly spreading among people who are not vaccinated. The New York State Health Department and city said the poliovirus detection in its wastewater noted that it was likely to spread locally. Provincial Health Commissioner Dr Mary T. Bassett said the poliovirus discovery in wastewater samples in New York City was terrifying but not startling.

Different Polio Strains

  • There are mainly two strains of the polio virus. One highly lethal and contagious variant has now disappeared, while the other vaccine-derived polio (vaccine-derived polio) has been reported to be rare. This second strain has been found in the wastewater of the UK capital London and the US city of New York. In Israel’s Jerusalem, a genetically similar virus has been found in London and New York.
  • In places like London and New York, cases of vaccine-derived polio have not been reported in the past. However, it is widespread in other countries. In 2021 alone, 415 cases infected with this variant have been reported in Nigeria. The live virus, which reached the body of children as a vaccine, comes out through their faeces after a few weeks. In countries where vaccination has been reduced, this virus can spread again and mutate to become harmful.

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The vaccine containing this live virus is no longer used in countries like Britain and America. Especially now that after covid-19, the restrictions related to travel are over again.

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Why Is Polio Spreading Now?

Derek Ehrhardt, global polio lead at the Centers for Disease Control and Prevention (CDC) in the US, says experts agree that vaccine-derived and wild polio strains are still present among low-vaccination populations. According to the United Nations, 1081 vaccine-derived polio cases were reported in 2020, compared to three times fewer cases in the previous year, i.e. 2019. However, even in the year 2022, 177 cases have been reported so far.

This is a matter of even more concern, especially for developing countries like India, because our neighbouring countries, Pakistan and Afghanistan, are still battling polio infection.

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B.C. drug death toll passes 10,000 since declaration of emergency in 2016: coroner

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VICTORIA — British Columbia’s chief coroner says the province has lost more than 10,000 lives to illicit drugs since the province declared a public health emergency in April 2016.

Lisa Lapointe says the province is on track to lose another record number of people to the toxic drug supply this year, with the number of deaths in the first half of 2022 surpassing those of the same period in 2021.

New data from the coroner’s service says at least 1,095 residents are believed to have died from January to June this year, at an average of six deaths per day.

The report found more than three-quarters of the those who died this year have been male, and most were between the ages of 30 and 59.

The province says illicit drug toxicity is the leading cause of unnatural death in B.C.

In June, Ottawa approved a three-year exception to federal drug laws, and from next year, B.C. will become the first province where people won’t be arrested or charged for possessing up to 2.5 grams of certain illicit drugs.

This report by The Canadian Press was first published Aug. 16, 2022.

 

The Canadian Press

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