Sloth Virus Spreads to Europe: Oropouche Fever Emerges as Global Health Threat | Canada News Media
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Sloth Virus Spreads to Europe: Oropouche Fever Emerges as Global Health Threat

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An insect-transmitted virus that can infect sloths, primates, and birds is spreading at an “unprecedented” rate, according to global health officials. Oropouche fever, a potentially fatal zoonotic disease, is now emerging in parts of the world where it has never been detected before, including Europe. The World Health Organization (WHO) has reported that the virus, transmitted by tiny flies called midges and mosquitoes, is spreading beyond its traditional stronghold in Central and South America.

Oropouche fever, which is part of the same family of diseases as Zika and dengue fever, has traditionally circulated in Central and South America. However, recent research published on August 8 in The Lancet indicates that the virus has also been detected in new locations, including Cuba, Italy, and Spain.

The research paper noted that “Arboviral infections have hit South America heavily in the past decade…. In addition, the region is now facing the re-emergence of another little-known arbovirus, Oropouche virus, on an unprecedented scale.” As of August 1, 2024, there have been 8,078 confirmed cases in Bolivia, Brazil, Colombia, and Peru, compared to just 832 cases reported in 2023. The first deaths linked to Oropouche fever were reported in late July, involving two young women in Brazil with no underlying medical conditions.

In response to the virus’s spread, both the Pan American Health Organization (PAHO) and the European Centre for Disease Prevention and Control (ECDC) have issued warnings. In June and July, Europe reported its first 19 cases of Oropouche virus disease, with Spain (12 cases), Italy (five cases), and Germany (two cases) being affected. The majority of these cases were linked to travel to Cuba, with one case connected to Brazil.

Dr. Isaac Bogoch, a Toronto-based infectious diseases specialist, expressed concern over the virus’s potential spread to Canada, especially given the rise in cases in popular travel destinations like Cuba. “There’s a giant knowledge gap,” Bogoch said, highlighting that many healthcare professionals and the general public may be unaware of the virus, which could lead to underreporting.

Oropouche fever is a zoonotic disease first identified among forest workers in Trinidad in 1955, and later in a sloth in Brazil in 1960. Since then, more than 500,000 cases have been reported in the Americas, though the true extent of the virus’s spread may be underestimated. The virus is primarily transmitted to humans through the bite of an infected midge or mosquito, with no direct human-to-human transmission documented so far.

Symptoms of Oropouche fever can resemble those of dengue fever and Zika virus, including fever, chills, nausea, vomiting, headache, joint pain, muscle pain, sensitivity to light, and pain behind the eyes. In rare cases, the virus can lead to severe complications such as aseptic meningitis, which involves inflammation of the membranes surrounding the brain.

The spread of Oropouche fever has been linked to climate change, urbanization, and deforestation. A study from 2017 examined an outbreak in Peru and found a significant connection to deforestation, which may displace the virus’s animal hosts and increase the likelihood of midges feeding on humans. Extreme weather conditions such as heavy rainfall and flooding, which create ideal breeding conditions for midges, have also been identified as contributing factors.

Currently, there is no vaccine or specific treatment for Oropouche fever. Prevention is the best defense, with the Centers for Disease Control and Prevention (CDC) recommending the use of insect repellent, window and door screens, and fans to keep midges and mosquitoes at bay. Since midges are smaller than mosquitoes, traditional mosquito nets may not be effective.

“Good insect repellent works extraordinarily well,” Bogoch advised, recommending repellents containing 30% DEET or 20% picaridin for the best protection.

The Canadian government has also issued travel precautions, advising those traveling to regions with Oropouche fever outbreaks to take extra care, particularly pregnant women, due to the potential risk of transmission from mother to fetus.

As the virus continues to spread, health officials urge travelers and healthcare providers to remain vigilant and report any symptoms that could be related to Oropouche fever. The situation highlights the growing threat of infectious diseases in a rapidly changing global climate.

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B.C. mayors seek ‘immediate action’ from federal government on mental health crisis

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VANCOUVER – Mayors and other leaders from several British Columbia communities say the provincial and federal governments need to take “immediate action” to tackle mental health and public safety issues that have reached crisis levels.

Vancouver Mayor Ken Sim says it’s become “abundantly clear” that mental health and addiction issues and public safety have caused crises that are “gripping” Vancouver, and he and other politicians, First Nations leaders and law enforcement officials are pleading for federal and provincial help.

In a letter to Prime Minister Justin Trudeau and Premier David Eby, mayors say there are “three critical fronts” that require action including “mandatory care” for people with severe mental health and addiction issues.

The letter says senior governments also need to bring in “meaningful bail reform” for repeat offenders, and the federal government must improve policing at Metro Vancouver ports to stop illicit drugs from coming in and stolen vehicles from being exported.

Sim says the “current system” has failed British Columbians, and the number of people dealing with severe mental health and addiction issues due to lack of proper care has “reached a critical point.”

Vancouver Police Chief Adam Palmer says repeat violent offenders are too often released on bail due to a “revolving door of justice,” and a new approach is needed to deal with mentally ill people who “pose a serious and immediate danger to themselves and others.”

This report by The Canadian Press was first published Sept. 16, 2024

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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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