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Survey offers glimpse of what could reopen in Manitoba – Winnipeg Free Press

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The Manitoba government’s online survey on the easing of COVID-19 restrictions is mostly a public relations exercise. But it does provide insight into what the province may reopen this week — and what is off the table.

The Pallister government is expected to announce as early as Tuesday what changes are in store for public health orders when regulations expire Friday. The easing of restrictions are expected to be minor. Provincial officials have made it clear they don’t want a “yo-yo” approach, where measures are loosened and reinstated every few weeks.

The online survey, which went live Friday, is mostly about optics; an attempt to convince the public they have a real say over public health orders. It may have some impact on government decision-making. Not all low-risk businesses, services or activities can reopen at once. Decisions to open some and not others will be arbitrary. Knowing the priorities of the public could act as a tie-breaker in some cases.

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Much to the chagrin of some protesters, the doffing of masks in indoor public places is also not on the table.

For the most part, though, public health officials will make those decisions on their own.

In the meantime, the survey acts as a short list for what could reopen. It shows what is under consideration and asks respondents to rank options in order of importance. If it’s not listed, it’s probably not on the table.

“Not all activities and services are immediately listed as not all are being considered in the current round of services and activities due to the higher risk of activity,” the survey says.

Bars, city libraries, movie theatres and tattoo parlours are not listed. Presumably, those are not up for consideration. Much to the chagrin of some protesters, the doffing of masks in indoor public places is also not on the table.

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Bars are not one of the activities listed in the survey.

Reducing restrictions for places of worship is being considered. In-person services are banned under code-red restrictions. Given the high level of transmission reported in those settings, it seems doubtful those would reopen, even with capacity limits. Respondents were also asked about increasing the five-person limit for funerals and weddings. Those seem more likely.

Expanding retail has a good shot. It will probably be the most significant part of this week’s announcement. Respondents were asked whether they should be allowed to shop without limiting the products they can buy. Right now, stores can only sell essential items, as prescribed by regulation. Considering the low-risk nature of retail and what’s at stake economically for small business owners, eliminating the essential-items list (or at least broadening it) seems likely. With the help of face coverings and capacity restrictions, retail can operate relatively safely.

Barber shops and hairstylists are up for consideration, as are gyms and fitness studios. Those are possibilities.

Greater access to recreation opportunities, including resuming organized sports (such as amateur hockey and indoor soccer) are also on the list. I wouldn’t hold my breath on those. Most organized sports are volunteer-driven and don’t have the resources of public schools to enforce public health measures. Sports for adults, such as beer league hockey and indoor soccer, will probably have to wait.

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Considering the low-risk nature of retail and what’s at stake economically for small business owners, eliminating the essential-items list seems likely.

The most concerning set of questions in the survey is around household gatherings. Once government finally agreed in late November to prohibit people from having visitors in their homes (with some exceptions), COVID-19 cases began to fall. It wasn’t the only reason for the decline, but it was a significant factor. People gathering indoors for prolonged periods without masks is a major source of transmission.

The survey asks respondents for their views on expanding the list of exemptions for household gatherings, returning to a limit of five visitors per home, or maintaining the status quo.

Loosening those measures when Manitoba still has over 100 cases of COVID-19 a day would be a big mistake.

If infection rates and hospital numbers continue to fall, Manitoba could ease restrictions further in late February. For now, baby steps are the name of the game.

tom.brodbeck@freepress.mb.ca

Tom Brodbeck
Columnist

Tom has been covering Manitoba politics since the early 1990s and joined the Winnipeg Free Press news team in 2019.

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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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