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Self-isolation delinquents risk $486 fine under new public health order – Winnipeg Free Press

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A new public health order that takes effect Friday will allow the province to levy fines of up to $486 per day against anyone infected with COVID-19 — or their close contacts — who do not self-isolate for 14 days, as directed.

Chief provincial public health officer Dr. Brent Roussin said the order follows reports that people testing positive for the coronavirus had attended large gatherings in Brandon, where some of Manitoba’s largest case clusters are located.

“We developed this order in response to some isolated situations where we determined individuals were not self-isolating as appropriate,” Roussin told a news conference Thursday. “The new order provides a streamlined approach to that.”

Until now, health officials have lacked the power to take swift action against those who flouted health advice. If someone did not self-isolate as directed, the province could issue a communicable disease order, wait for the person to violate the order and then apply for a further order to detain the scofflaw.

“We didn’t have the ability to fine anyone,” Roussin said. “So rather than having to actually detain somebody, we could just use (the new order) as a lever to say, ‘You can be fined if you don’t (comply).'”

Manitoba reported its 14th COVID-19 death Thursday as a second resident of the Bethesda Place personal-care home in Steinbach — a woman in her 90s — succumbed to the virus. Eight people, including five staff members, at the nursing home have tested positive for the coronavirus.

The province also reported that a staff member at the Rideau Park Personal Care Home in Brandon has tested positive.

“This individual wore personal protective equipment at all times at work and is currently self-isolating,” Roussin said. Close contacts have been identified and the investigation is continuing, he added.

Health officials reported 22 new cases of COVID-19 in Manitoba Thursday, including nine in Prairie Mountain Health region, six in Southern Health, four in Winnipeg health region and three in the Interlake-Eastern region.

The total number of confirmed cases in Manitoba rose to 1,064. (A case previously reported on Aug. 15 was removed from the totals.) There are 407 active cases.

There are currently six patients in Manitoba hospitals with the virus, including one in intensive care.

The current five-day test positivity rate fell slightly to three per cent, from 3.1 per cent the previous day. A total of 1,429 laboratory tests were completed on Wednesday.

Effective Friday, public health orders will require Manitobans to self-isolate for 14 days if they have tested positive for COVID-19 or they have been exposed to COVID-19 by close contact. Individuals will be notified by a public health official if they must self-isolate.

Once notified, the person must stay home or in an approved self-isolation space and remain there for 14 days or until otherwise directed by a public health official. Exceptions will be made for appointments with health-care providers.

Roussin could not say what impact the refusal by some to self-isolate has had on the troublesome outbreak in Brandon. Nor could he say how often it may have occurred.

“It was an important enough trend in this specific cluster that we saw that we just wanted to make sure that we had something in place,” he said referring to the new order.

Fines will be levied at the discretion of a medical officer of health, he said. Public education is still the province’s main approach in encouraging compliance, he added.

Prairie Mountain Health region, which includes Brandon, has more than half the province’s active cases, with 212. The Wheat City itself is home to 126 of those active cases. A further 111 have recovered from COVID-19 in Brandon.

larry.kusch@freepress.mb.ca

Larry Kusch
Legislature Reporter

Larry Kusch didn’t know what he wanted to do with his life until he attended a high school newspaper editor’s workshop in Regina in the summer of 1969 and listened to a university student speak glowingly about the journalism program at Carleton University in Ottawa.

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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.

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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.

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