Doctors’ offices and walk-in clinics often have reduced hours during the holidays, but B.C. Children’s Hospital says its emergency department is available for kids with serious symptoms such as high fever and breathing troubles.
Parents shouldn’t be reluctant to seek urgent care, even when the emergency department gets busy during the holidays, said hospital pediatrician Dr. Benetta Chin.
“As a parent myself, I know that the stress of having a sick child can be very, very scary for families,” she said.
“I understand that in the city it’s hard to see a clinic sometimes and so we’re very understanding. When you come [to the emergency department] because you’re worried about your child, you will get the care you need.”
B.C. Children’s says the following symptoms are a sign that a child should be taken to emergency:
- A persistent high fever for more than four days.
- Excessive coughing, especially with a fever.
- An injured limb that looks swollen or crooked.
- Hasn’t urinated within 12 hours and has stopped drinking fluids.
- Blue lips and skin that appears pale.
- Trouble breathing, especially with rapid or laboured breathing patterns. Excessive vomiting, particularly if it’s bright green or there’s blood in the vomit.
- Ingested a toxic chemical, including a suspected drug or alcohol overdose.
Chin said long waits at the hospital can be avoided by scheduling an appointment with a family doctor or a walk-in clinic before symptoms get worse.
She said there are some urgent primacy care clinics that are open during the evenings and weekends.
Chin added that families can also get information from the HealthLink BC phone line by dialling 811.
“There’s a nurse available 24 hours a day to give immediate medical advice over the phone and they will often do an assessment,” she said.
“If they feel that a child should be seen by an emergency department, they will give the family advice to do so.”
Moderna COVID-19 vaccine appears safe, shows signs of working in older adults: study – Reuters
CHICAGO (Reuters) – Results from an early safety study of Moderna Inc’s MRNA.O coronavirus vaccine candidate in older adults showed that it produced virus-neutralizing antibodies at levels similar to those seen in younger adults, with side effects roughly on par with high-dose flu shots, researchers said on Tuesday.
The study, published in the New England Journal of Medicine, offers a more complete picture of the vaccine’s safety in older adults, a group at increased risk of severe complications from COVID-19.
The findings are reassuring because immunity tends to weaken with age, Dr. Evan Anderson, one of the study’s lead researchers from Emory University in Atlanta, said in a phone interview.
The study was an extension of Moderna’s Phase I safety trial, first conducted in individuals aged 18-55. It tested two doses of Moderna’s vaccine – 25 micrograms and 100 micrograms – in 40 adults aged 56 to 70 and 71 and older.
Overall, the team found that in older adults who received two injections of the 100 microgram dose 28 days apart, the vaccine produced immune responses roughly in line with those seen in younger adults.
Moderna is already testing the higher dose in a large Phase III trial, the final stage before seeking emergency authorization or approval.
Side effects, which included headache, fatigue, body aches, chills and injection site pain, were deemed mainly mild to moderate.
In at least two cases, however, volunteers had severe reactions.
One developed a grade three fever, which is classified as 102.2 degrees Fahrenheit (39°C) or above, after receiving the lower vaccine dose. Another developed fatigue so severe it temporarily prevented daily activities, Anderson said.
Typically, side effects occurred soon after receiving the vaccine and resolved quickly, he said.
“This is similar to what a lot of older adults are going to experience with the high dose influenza vaccine,” Anderson said. “They might feel off or have a fever.”
Norman Hulme, a 65-year-old senior multimedia developer at Emory who took the lower dose of the vaccine, said he felt compelled to take part in the trial after watching first responders in New York and Washington State fight the virus.
“I really had no side effects at all,” said Hulme, who grew up in the New York area.
Hulme said he was aware Moderna’s vaccine employed a new technology, and that there might be a risk in taking it, but said, “somebody had to do it.”
Reporting by Julie Steenhuysen; Editing by Bill Berkrot
The financial impact of COVID-19 on Manitoba Liquor and Lotteries – CTV News Winnipeg
Manitoba Liquor and Lotteries Corporation’s net income was $24 million below the budget, according to the province’s fiscal update.
The numbers, released Tuesday, states the lower than anticipated revenue is due to impacts from COVID-19, including declining attendance and the closure of casinos and VLT networks in March.
The Casinos of Winnipeg began experiencing declining attendance in the last month of 2019/20, and on March 18, 2020, the provincial government required all Manitoba casinos to close.
For March 2020, revenues were nearly 70 per cent lower than the same period of 2018/19.
The annual report said revenue from casinos dropped $8.6 million this year, a 3.4 per cent decline.
During the month of March, bars and restaurants across Manitoba began to close voluntarily due to reduced business, as patrons heeded physical distancing and stay-at-home recommendations. VLT revenues were 40 per cent lower compared to March 2019, and liquor sales to licensees were also down 24 per cent in March 2020 compared to the prior year.
All other liquor channels experienced strong sales in March 2020, led by Liquor Marts at 29 per cent above March 2019.
Liquor revenue jumped by $13 million, mostly from sales at Liquor Marts.
Cannabis sales nearly doubled, bringing in nearly $51 million in 2020, compared to just under $27 million.
Casinos in Manitoba began reopening on July 25.
Coronavirus: 429 new cases as public health officials ‘less optimistic’ than last week
A further 429 confirmed cases of Covid-19 were reported by the National Public Health Emergency Team (NPHET) on Wednesday. This brings to 36,155 the total number of cases of the disease in the Republic.
Some 189 of the new cases are in Dublin, and 60 in Cork. There were also 31 cases in Donegal, 28 in Galway, 18 in Kildare, 15 in Wicklow, 15 in Clare, 12 in Limerick, nine in Meath, nine in Louth, seven in Cavan, seven in Longford, six in Laois, five in Offaly, five in Westmeath, with the remaining 14 cases in eight counties.
One further death was reported to NPHET, bringing the total number of deaths to 1,804.
The reproduction number, an indicator of how widely the disease is spreading, now stands at between 1.2 and 1.4, according to Prof Philip Nolan, chair of the NPHET epidemiological modelling advisory group. A reproduction number of less than 1 means an epidemic is dying out; a figure greater than 1 signals it is spreading.
“While we are cautiously optimistic about Dublin, we have seen relatively high case numbers in the last few days, and it will be a number of days yet before the pattern is clear,” Prof Nolan told a briefing on Wednesday.
“Case numbers are clearly rising across the country. We need to remain vigilant, to ensure we do not lose the ground that we have gained across the capital city since we moved to Level 3, and to ensure we do not see further deterioration outside the capital.”
Of the new cases, 203 are men and 226 are women. Sixty-five per cent are under 45 years. Officials say 45 per cent are associated with outbreaks or are close contacts of cases, while 77 cases involved community transmission.
There are currently 130 people with Covid-19 in hospital, including 15 admissions in the past 24 hours, according to acting chief medical officer Dr Ronan Glynn.
“Recently we asked everyone to halve their social contacts,” he said. “Reducing the number of people that we meet – and engaging safely with a small core group – remains the cornerstone of our collective effort to reduce the spread of this virus and its impact on our health and the health of the people that we care about.”
He said that while school-age cases were stable, there had been a sharp rise in cases among 19-24 year-olds and the rise in cases among over-65s was of concern.
Older people were at “grave risk” of a spillover of cases among people of working age, he said.
Rejecting the “narrative” that the disease was less severe of dangerous than before, Prof Nolan said Covid-19 was “as fatal as it ever was to some sectors” while young people were vulnerable “in a different way”.
Public health officials gave examples of recent clusters that have occurred in the west.
One cluster of 30 cases arose after a young couple went away for a weekend and attended a house party. This resulted in six to eight cases, and cases in three to four households. On the second day of their trip, they went with friends to a town centre, resulting in four more cases.
They attended a bar, where six people at an adjacent table, and four staff, tested positive. They then went on to a “drinks venue”, where four more cases occurred.
In another cluster of 24 cases involving intergenerational social mixing, the outbreak started in a small rural place where middle-aged people had gathered. There was socialising in a pub and workplace and further transmission occurred in the pub over the weekend. Fourteen of the cases were directly linked to socialising and 11 involved people aged between 45 and 70. In the outbreak, there were three family clusters, three schools were affected and also one workplace.
A third example arose from two student parties on the same night. There was mixing between the parties, leading to 21 cases among those on attendance. One of these people then had dinner with a university friend, who later went to class. Later 15 out of 26 people in the class tested positive, giving 36 cases in total. The students were masked and observed social distancing, but public health officials believe transmission occurred during break-time.
So far, 87 cases have been detected in schools, out of 4,455 tests carried out, the briefing heard.
Source:- The Irish Times
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