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Sims: COVID isn’t in the rear-view mirror, much as we would like it to be

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COVID-19 vaccination campaigns may not be the big news they were during the pandemic, but, to remind us the virus will be with us always, the Middlesex-London health unit is ramping up for a springtime targeted booster blitz for the most vulnerable.

COVID-19 vaccination campaigns may not be the big news they were during the pandemic, but, to remind us the virus will be with us always, the Middlesex-London Health Unit is ramping up for a springtime targeted booster blitz for the most vulnerable.

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“This virus is here to stay. It is still a risk,” Alex Summers, Middlesex-London’s medical officer of health, said Friday on the eve of the third anniversary of the global pandemic’s beginnings.

The low-key arrival of the latest vaccination campaign that targets people older than 65, people living in higher-risk congregate settings and those who are severely immunocompromised comes in response to last week’s guidance from the National Advisory Committee on Immunization for spring boosters. It also is a sign of how far we’ve come in three years since the novel coronavirus showed up worldwide and how we have learned to live with it.

The anniversary of the start of the global pandemic was Saturday. It was March 11, 2020, when the World Health Organization (WHO) declared its deep concern about the virus after announcing there were 118,000 cases of COVID-19 in more than 114 countries and 4,291 deaths.

We all know what happened after that, how the virus rapidly spread and how our lives were changed, before the speedy creation of effective vaccines. The most recent WHO data points to more than 759 million cases and more than 6.8 million deaths worldwide. Public Health Ontario reports there have been more than 1.5 million cases in the province and about 16,000 deaths.

Middlesex-London has had 48,725 reported cases and 527 deaths.

“Fortunately, the baseline immunity in the population from an amazing vaccination effort and previous infection is such that the severity is no longer overwhelming our health care system and not leading to the same amount of deaths and severe hospitalizations that it was,” Summers said.

“However, it’s still a big deal and a risk to our most vulnerable, particularly those who are older,” similar to how influenza always has been a risk to the elderly and the medically compromised, he said.

That is how we should be thinking about COVID-19 in 2023. Summers expects this fall there will be recommended annual booster doses for COVID-19 and the flu. We should expect public health messages about the importance of hand washing and staying home if ill, messages that were drilled into the community’s consciousness during the pandemic.

“Hopefully, the memories of the last three years emphasize the importance of ongoing public health principles, year in and year out,” Summers said.

There are reasons to use this anniversary as a moment to celebrate our resilience and ingenuity to push back against the spread of the disease and return to more normal lives.

Since December 2020, when the first vaccines went into arms in Middlesex-London, almost 94 per cent of people living in London and Middlesex County age 12 and older have their primary series of shots.

The health unit said that more than 1.35 million doses were given through its mass vaccination clinics, pop-up clinics at local malls, community-based clinics at schools and community centres, through the provincial government’s Go-VAXX bus and at pharmacies and health care provider offices.

“The goal was always, you know, certainly for us in public health, to protect the lives and the health of our population and that also includes the quality of life,” Summers said. “We want people be able to socialize, we want people to be able to go to concerts and go to dinners and to travel and to do those things. The objective is making life what people want their lives to be.”

That freedom, to make life what people want it to be, “can only be maintained if there’s that ongoing recognition of the things that we can do to keep it there,” he said.

That means a renewed commitment to all vaccinations, to science, to infection prevention and control, and to limiting the spread of misinformation “so that we are confident in the scientific evidence we have to protect ourselves,” Summers said.

“These types of commitments will allow for people, hopefully, to continue to live those lives that we want people to live and that they wish to live,” he said.

It’s a relief to move past the days when COVID-19 brought society to a standstill, but Summers hopes the community doesn’t forget because “that informs their commitment to these public health principles moving forward.”

Summers said any emergence of new variants, the effectiveness of the vaccine and if we can sustain immunity against the virus could change how we deal with the illness.

But now, the community knows how to push back.

“I think one of the messages I try to (reiterate) for folks is that there’s tools available to you. You’ve got to understand your risks and COVID is never going to go away. So, you’ve got to make some decisions about how you’re going to approach this now,” Summers said.

jsims@postmedia.com

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RCMP warn about benzodiazepine-laced fentanyl tied to overdose in Alberta – Edmonton Journal

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Grande Prairie RCMP issued a warning Friday after it was revealed fentanyl linked to a deadly overdose was mixed with a chemical that doesn’t respond to naloxone treatment.

The drugs were initially seized on Feb. 28 after a fatal overdose, and this week, Health Canada reported back to Mounties that the fentanyl had been mixed with Bromazolam, which is a benzodiazepine.

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Mounties say this is the first recorded instance of Bromazolam in Alberta. The drug has previously been linked to nine fatal overdoses in New Brunswick in 2022.

The pills seized in Alberta were oval-shaped and stamped with “20” and “SS,” though Mounties say it can come in other forms.

Naloxone treatment, given in many cases of opioid toxicity, is not effective in reversing the effects of Bromazalam, Mounties said, and therefore, any fentanyl mixed with the benzodiazepine “would see a reduced effectiveness of naloxone, requiring the use of additional doses and may still result in a fatality.”

Photo of benzodiazepine-laced fentanyl seized earlier this year by Grande Prairie RCMP after a fatal overdose. edm

From January to November of last year, there were 1,706 opioid-related deaths in Alberta, and 57 linked to benzodiazepine, up from 1,375 and 43, respectively, in 2022.

Mounties say officers responded to about 1,100 opioid-related calls for service, last year with a third of those proving fatal. RCMP officers also used naloxone 67 times while in the field, a jump of nearly a third over the previous year.

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CFIA continues surveillance for HPAI in cattle, while sticking with original name for disease – RealAgriculture

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The Canada Food Inspection Agency will continue to refer to highly pathogenic avian influenza in cattle as HPAI in cattle, and not refer to it as bovine influenza A virus (BIAV), as suggested by the American Association of Bovine Practitioners earlier this month.

Dr. Martin Appelt, senior director for the Canadian Food Inspection Agency, in the interview below, says at this time Canada will stick with “HPAI in cattle” when referencing the disease that’s been confirmed in dairy cattle in multiple states in the U.S.

The CFIA’s naming policy is consistent with the agency’s U.S. counterparts’, as the U.S. Animal and Plant Health Inspection Service has also said it will continue referring to it as HPAI or H5N1.

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Appelt explains how the CFIA is learning from the U.S. experience to-date, and how it is working with veterinarians across Canada to stay vigilant for signs of the disease in dairy and beef cattle.

As of April 19, there has not been a confirmed case of HPAI in cattle in Canada. Appelt says it’s too soon to say if an eventual positive case will significantly restrict animal movement, as is the case with positive poultry cases.

This is a major concern for the cattle industry, as beef cattle especially move north and south across the U.S. border by the thousands. Appelt says that CFIA will address an infection in each species differently in conjunction with how the disease is spread and the threat to neighbouring farms or livestock.

Currently, provincial dairy organizations have advised producers to postpone any non-essential tours of dairy barns, as a precaution, in addition to other biosecurity measures to reduce the risk of cattle contracting HPAI.

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Toronto reports 2 more measles cases. Use our tool to check the spread in Canada – Toronto Star

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Canada has seen a concerning rise in measles cases in the first months of 2024.

By the third week of March, the country had already recorded more than three times the number of cases as all of last year. Canada had just 12 cases of measles in 2023, up from three in 2022.

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