Canada has been witnessing an escalating number of syphilis diagnoses since 2016. The figures are indeed alarming, with a reported 13,953 cases in 2022. This represents a staggering 109% increase compared to 2018. The highest rates of syphilis are observed in the Northwest Territories, Saskatchewan, and Manitoba. This surge in syphilis cases, particularly among heterosexual women, has led to a 600% increase in rates of congenital syphilis, a serious condition that occurs when syphilis is passed from a pregnant person to their baby.
What’s Driving the Increase?
Several factors contribute to this surge. Health-care disparities, lack of public health investment, and decreased condom use due to the introduction of highly effective HIV treatments are some of the reasons. The rise of online dating portals, which enable easier access to sex, and increased rates of drug use during sex also play a part. Furthermore, mistrust of the healthcare system among certain populations exacerbates the situation.
High-Risk Populations
While the rise in syphilis cases is a concern for all, certain high-risk populations are predominantly affected. These include individuals with multiple sex partners, commercial sex workers, people living with HIV, and men who have sex with men. It is also worth noting that there has been a significant increase in syphilis infections among seniors in the Northern Health Authority in north-central B.C.
Symptoms and Treatment of Syphilis
Syphilis is a sexually transmitted bacterial infection that can cause serious health problems if left untreated. Symptoms can vary depending on the stage of the infection, ranging from sores, skin rashes, and fever, to more severe complications like damage to the nervous system and heart. However, syphilis is easily treatable with antibiotics, especially when caught early.
Prevention Measures
Prevention is always better than cure. Safe sexual practices such as the use of condoms, regular screening for sexually transmitted infections (STIs), and post-exposure prophylaxis with oral antibiotics can significantly reduce the risk of syphilis infection. Regular testing is particularly important for those in high-risk groups.
Conclusion
The alarming rise in syphilis cases in Canada underscores the urgent need for on-the-ground efforts to address the crisis. By raising awareness, enhancing healthcare access for marginalized communities, and emphasizing the importance of safe sex practices and regular screening, we can curb the spread of this preventable disease. The challenge of syphilis is not confined to the healthcare system – it’s a societal issue that requires collective action.
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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