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Second wave anxiety and concerns on Manitoba's front line – CTV News Winnipeg

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WINNIPEG —
With Manitoba recording dozens of new COVID cases each day recently – anxiety has been building among healthcare workers on the front lines.

Labour leaders in the province say they are hearing of rising concerns about staffing levels, time off, and flex in the system.

“As the numbers increase, the anxiety levels increase,” said Debbie Boissonneault. She is the president of CUPE 204 which represents 14,000 healthcare support workers in Manitoba at about 60 different sites.

She explained that in recent weeks her membership working in hospitals, long-term care homes and clinics have many questions about the second wave.

“Why are people still allowed to come into visit loved ones when the numbers keep going up?” she said. “There’s questions about having people go out from personal care homes and coming back and not being isolated into a room where they could possibly have come into contact with someone with COVID.”

The once flat curve in Manitoba is trending up, with 32 new cases Wednesday and three additional deaths.

“Second place in the country is not where we want to be right now,” said MGEU President Michelle Gawronsky who said she is hearing about burnout and fear of infection from her membership on the front lines.

MGEU represents 10,000 healthcare workers in Manitoba. That includes staff at Selkirk mental hospital, Cadham provincial lab, the addictions foundation of Manitoba, healthcare aides in personal care homes and hospitals, home care attendants and paramedics in Winnipeg.

Gawronsky said it’s time to put the people first.

“Make sure all positions are filled, that they have exhausted all possibilities of having back up staff having people readily available to be able to replace them, making sure the facilities are there as they are needed,” she told CTV news.

Filling vacancies is also a concern of the Manitoba Nurses Union.

“Nurses are absolutely working flat out,” said MNU President Darlene Jackson.

Jackson said Manitoba went into the pandemic with a nursing shortage, including positions in the intensive care unit.

Now that Manitoba is in the second wave, Jackson wants to know when a similar action to the first wave will happen, like surgery cancellations, the opening of additional beds, or reduced visitation.

“There needs to be a plan in place,” Jackson said, “there needs to be some type of plan on how we are going to manage a spike.”

Bob Moroz President of Manitoba Allied Healthcare Professionals wrote of similar concerns from his members in a statement to CTV news.

“Of course there is heightened concern as COVID-19 cases in hospitals are going up,” he wrote.

“They’re concerned about what happens if they or their kids contract the virus and they have to stay home with no pay if they’re out of sick time. They’re concerned about what happens if they lose even more staff to self-isolation requirements or illness, when many departments are already short-staffed and stretched thin. We saw these problems come up early in the pandemic, and here we are again.”

Boissonneault said Winnipeg Metropolitan’s current code orange provides an opportunity for everyone to help prevent a system overload.

“Wearing a mask may not be 100 per cent protection but its better than nothing and we need to do everything we can to flatten the curve.”

A spokesperson for the province said there are sufficient ICU beds in the system and extra capacity is available if needed. They said most ICUs have empty beds or patients on the transfer list.

“(Health Sciences Centre) Winnipeg, Manitoba’s provincial hospital, and other facilities with ICUs continue to provide care to critically ill patients from throughout Manitoba for a variety of issues, including COVID-19,” they said. “The system also has the ability to repurpose resources to increase capacity as needed – including for those patients requiring ICU care.”

They said the province has focussed on protecting staff who provide care to COVID and non-COVID patients, ordering more equipment including ventilators and beds in anticipation of surges, and ensure the necessary PPE is available.

They said the province’s ‘COVID-19 contingency planning’ allows for more space, equipment and supplies to be purchased, and staff to be redeployed to areas that need more support.

“This could include the consideration of potential reduction of elective and non-urgent services like surgeries and diagnostic procedures in order to free up staff who could be redeployed,” they said.

They said at this point the province does not anticipate shutting down areas of the health system in spring 2020. 

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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.

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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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