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The U.S. reported more than 2100 deaths in a single day, and things are projected to get worse – CTV News

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More than 2,100 COVID-19 deaths were reported in the U.S. on Tuesday, making it the highest single day death toll the country has seen since early May.

The most deaths in a single day were recorded April 15 — 2,603 people.

When cases and hospitalizations began to surge weeks ago, officials predicted deaths would soon follow. Daily cases haven’t dipped below 100,000 in three weeks. And for the 15th consecutive day, the U.S. beat its own hospitalization record, with now more than 88,000 COVID-19 patients nationwide, according to the COVID Tracking Project.

The coming weeks are likely to continue getting worse, before a possible vaccine begins to offer some relief. But just how much worse things will get depends on the mitigation steps taken across the country — as well as the kinds of celebrations Americans will opt to host over the coming days, experts say.

With small gatherings already helping drive the surge in many places, leading public health officials have warned against traditional Thanksgiving celebrations this week, instead urging Americans to stay home and celebrate only with members of the same household. The U.S. Centers for Disease Control and Prevention also recommended last week Americans should not travel for Thanksgiving.

Many seemed to heed the warnings: New poll results released Tuesday by Axios-Ipsos shows about 61 per cent of Americans have changed their Thanksgiving plans. Among the most common changes were deciding to see only immediate household members and having a smaller family dinner than originally planned, according to the poll. Nearly one in 10 Americans say they no longer plan to celebrate the holiday at all.

But others still chose to fly ahead of Thanksgiving, with more than one million travelers passing through security at the country’s airports on Sunday alone, according to the Transportation Security Administration.

“It’s potentially the mother of all superspreader events,” Dr. Jonathan Reiner, a professor of medicine at George Washington University, said Tuesday night.

“One of the ways we think the Midwest was seeded with virus over the summer was with the Sturgis, South Dakota, motorcycle rally, where people were infected and then dispersed out through the Midwest. Now imagine that on a massive scale, with people leaving from every airport in the United States and carrying virus with them,” he said.

And a negative test result isn’t enough, leading officials have warned. Assistant secretary for health at the Department of Health and Human Services Adm. Brett Giroir said Tuesday tests can return false positive or false negative results and aren’t always an indication of whether someone is infected at that current moment.

“A test that’s negative today doesn’t mean you’re going to be negative tomorrow or the next day,” he said. “It is certainly not wrong to get a test before you travel because if you are positive, you need to stay home, no questions asked. But if you do get a negative test, it doesn’t give you a free pass.”

 

Officials project more strained hospitals, more deaths

As grim as the current numbers may seem, local leaders and officials throughout the country are projecting an even harder next few weeks.

In Colorado, more people are now infectious with the virus than at any other point in the pandemic, Gov. Jared Polis said, declaring the state is at “the height of infection.”

On its current trajectory, Colorado is forecast to more than double its current death toll of more than 2,800 to about 6,600 by the end of this year. That’s as hospitals are already filling up, reporting nearly double the daily number of new patients the state saw in the spring, Polis said.

In Denver, about 25 intensive care unit beds remain available for patients while only 14 remain in Colorado Springs, he added.

In California, another bleak projection. The state’s top health official said Tuesday California is also amid a surge, cases are growing faster and ever, and he expects to see deaths climb and the hospital system pressed like never before.

Hospitalizations have jumped by more than 81 per cent in two weeks, California Health and Human Services Secretary Dr. Mark Ghaly announced Tuesday, while ICU admissions have increased about 57 per cent during the same time frame.

“I think that certainly the numbers of deaths will likely go up … just as we are exceeding our highest ever numbers of cases and beginning to see our hospital systems pressed with COVID beyond where they’ve ever been pressed before, (the) idea that the number of deaths could exceed where we’ve been before is also indeed real and true,” Ghaly said.

And in New York, Gov. Andrew Cuomo said Tuesday the state was on track to see “a major spike,” with hospitalization rates increasing by 128 per cent over the past three weeks.

 

To curb spread, more restrictions

New York City Mayor Bill de Blasio, who last week announced public schools would be closing, said Tuesday evening that more restrictions are likely on the way.

“It’s quite clear unfortunately, in the next week or two, we should see some substantial restrictions. I think indoor dining will be closed, gyms will be closed,” he said. “I’m not happy about it, no one’s happy about it, but that’s what’s coming.”

More restrictions were announced in Nashville this week, where Mayor John Cooper said restaurants and bars will be limited to a maximum of 50 per cent capacity, with social distancing.

Additionally, there will be a 10 p.m. last call and service for food and beverages and no entry to establishments after that time. The new limits will go into effect on November 30.

“The additional modifications are being made in response to the continued spike in COVID cases and concerns about hospital capacity,” Cooper wrote on Twitter.

In the hard-hit Texas community of El Paso, County Judge Ricardo Samaniego announced Tuesday a partial curfew that would work to address social and recreational activities but does not apply when residents are out for essential or nonessential business. The curfew will run from 10 p.m. to 5 a.m. and will expire Monday.

“You will be able to be purchasing, shopping, whatever it is that you need to do of any essential or nonessential businesses under the conditions that are placed,” he said. “We’re trying to create a balance on the health of our community and the economy.”

“But let me emphasize the following,” the judge said. “It is a shelter at home order. Residents are strongly urged to shelter at home. If leaving home to obtain essential or nonessential service, this order strongly recommends that only one person per family participate in obtaining goods and services.”

In Louisiana, Gov. John Bel Edwards announced the state was stepping back to Phase 2 starting Wednesday, amid an “aggressive third surge of COVID-19.” Under the restrictions, restaurants, gyms, barber shops, nail salons, movie theaters and nonessential businesses are limited to 50 per cent capacity.

“There is not a single region of our state that is not seeing increases in new cases, hospitalizations and growing positivity of COVID tests, and I am incredibly concerned by Louisiana’s trajectory and our ability to continue to deliver health care to our people if our hospitals are overrun with sick patients,” Edwards said in a statement.

“Now is the time to make changes,” he added.

Meanwhile in Connecticut, the governor on Tuesday announced he has signed an executive order increasing the maximum fines for businesses that violate COVID-19 rules to US$10,000. The previous maximum penalty was $500.

“While the overwhelming majority of businesses in Connecticut have shown an incredible amount of leadership and have been fantastic partners in this front, we have seen a small number of businesses in flagrant violation of these public health rules,” Gov. Ned Lamont said in a statement. “That’s all you need to cause a superspreading event that leads to a large number of cases and hospitalizations.”

 

States begin preparing for possible vaccine

While no vaccine candidate has gotten the green light from FDA yet, preparations to receive and distribute Pfizer’s COVID-19 vaccine have begun at the Jackson Health System in Miami, Florida, according to Dr. Lilian Abbo, chief of infection prevention and control at the system.

“Jackson Health System is one of five hospitals in the state and the only one in Miami who will get the vaccine in the first phase,” Abbo told CNN.

“We will be starting with health care workers, and people that are at high risk, frontline providers, following the guidelines from the health department and the state,” she said.

Ohio Gov. Mike DeWine said he received news from the White House that the state, along with others, will likely receive their first batch of vaccines around mid-December. He said his office hasn’t been given exact numbers of vaccines that the state would be receiving but said that health care workers and anybody who is in direct contact with COVID-19 patients will be prioritized to first receive the vaccine.

But there is still an important process ahead before a COVID-19 vaccine could potentially get that green light, FDA commissioner Dr. Stephen Hahn, said Tuesday.

“Our scientists are going to pour over the data — and remember, this is a study of over 44,000 individuals — so we’re going to look at all the patient data and be very careful about number crunching to make sure that we agree with the conclusion regarding safety and efficacy,” Hahn told South Carolina Sen. Tim Scott in an interview posted to Instagram.

The FDA’s Vaccines and Related Biological Products Advisory Committee will meet December 10 to discuss the data. Hahn said the public will be able to watch the meeting virtually, and a summary of the data will be available online.

“That committee is going to report back to us, and then after we hear their recommendations, we’re going to move forward,” he said.

“We’re going to use that process for every other application that comes forward, no matter what,” he added.

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Health Canada approves updated Moderna COVID-19 vaccine

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TORONTO – Health Canada has authorized Moderna’s updated COVID-19 vaccine that protects against currently circulating variants of the virus.

The mRNA vaccine, called Spikevax, has been reformulated to target the KP.2 subvariant of Omicron.

It will replace the previous version of the vaccine that was released a year ago, which targeted the XBB.1.5 subvariant of Omicron.

Health Canada recently asked provinces and territories to get rid of their older COVID-19 vaccines to ensure the most current vaccine will be used during this fall’s respiratory virus season.

Health Canada is also reviewing two other updated COVID-19 vaccines but has not yet authorized them.

They are Pfizer’s Comirnaty, which is also an mRNA vaccine, as well as Novavax’s protein-based vaccine.

This report by The Canadian Press was first published Sept. 17, 2024.

Canadian Press health coverage receives support through a partnership with the Canadian Medical Association. CP is solely responsible for this content.

The Canadian Press. All rights reserved.

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These people say they got listeria after drinking recalled plant-based milks

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TORONTO – Sanniah Jabeen holds a sonogram of the unborn baby she lost after contracting listeria last December. Beneath, it says “love at first sight.”

Jabeen says she believes she and her baby were poisoned by a listeria outbreak linked to some plant-based milks and wants answers. An investigation continues into the recall declared July 8 of several Silk and Great Value plant-based beverages.

“I don’t even have the words. I’m still processing that,” Jabeen says of her loss. She was 18 weeks pregnant when she went into preterm labour.

The first infection linked to the recall was traced back to August 2023. One year later on Aug. 12, 2024, the Public Health Agency of Canada said three people had died and 20 were infected.

The number of cases is likely much higher, says Lawrence Goodridge, Canada Research Chair in foodborne pathogen dynamics at the University of Guelph: “For every person known, generally speaking, there’s typically 20 to 25 or maybe 30 people that are unknown.”

The case count has remained unchanged over the last month, but the Public Health Agency of Canada says it won’t declare the outbreak over until early October because of listeria’s 70-day incubation period and the reporting delays that accompany it.

Danone Canada’s head of communications said in an email Wednesday that the company is still investigating the “root cause” of the outbreak, which has been linked to a production line at a Pickering, Ont., packaging facility.

Pregnant people, adults over 60, and those with weakened immune systems are most at risk of becoming sick with severe listeriosis. If the infection spreads to an unborn baby, Health Canada says it can cause miscarriage, stillbirth, premature birth or life-threatening illness in a newborn.

The Canadian Press spoke to 10 people, from the parents of a toddler to an 89-year-old senior, who say they became sick with listeria after drinking from cartons of plant-based milk stamped with the recalled product code. Here’s a look at some of their experiences.

Sanniah Jabeen, 32, Toronto

Jabeen says she regularly drank Silk oat and almond milk in smoothies while pregnant, and began vomiting seven times a day and shivering at night in December 2023. She had “the worst headache of (her) life” when she went to the emergency room on Dec. 15.

“I just wasn’t functioning like a normal human being,” Jabeen says.

Told she was dehydrated, Jabeen was given fluids and a blood test and sent home. Four days later, she returned to hospital.

“They told me that since you’re 18 weeks, there’s nothing you can do to save your baby,” says Jabeen, who moved to Toronto from Pakistan five years ago.

Jabeen later learned she had listeriosis and an autopsy revealed her baby was infected, too.

“It broke my heart to read that report because I was just imagining my baby drinking poisoned amniotic fluid inside of me. The womb is a place where your baby is supposed to be the safest,” Jabeen said.

Jabeen’s case is likely not included in PHAC’s count. Jabeen says she was called by Health Canada and asked what dairy and fresh produce she ate – foods more commonly associated with listeria – but not asked about plant-based beverages.

She’s pregnant again, and is due in several months. At first, she was scared to eat, not knowing what caused the infection during her last pregnancy.

“Ever since I learned about the almond, oat milk situation, I’ve been feeling a bit better knowing that it wasn’t something that I did. It was something else that caused it. It wasn’t my fault,” Jabeen said.

She’s since joined a proposed class action lawsuit launched by LPC Avocates against the manufacturers and sellers of Silk and Great Value plant-based beverages. The lawsuit has not yet been certified by a judge.

Natalie Grant and her seven year-old daughter, Bowmanville, Ont.

Natalie Grant says she was in a hospital waiting room when she saw a television news report about the recall. She wondered if the dark chocolate almond milk her daughter drank daily was contaminated.

She had brought the girl to hospital because she was vomiting every half hour, constantly on the toilet with diarrhea, and had severe pain in her abdomen.

“I’m definitely thinking that this is a pretty solid chance that she’s got listeria at this point because I knew she had all the symptoms,” Grant says of seeing the news report.

Once her daughter could hold fluids, they went home and Grant cross-checked the recalled product code – 7825 – with the one on her carton. They matched.

“I called the emerg and I said I’m pretty confident she’s been exposed,” Grant said. She was told to return to the hospital if her daughter’s symptoms worsened. An hour and a half later, her fever spiked, the vomiting returned, her face flushed and her energy plummeted.

Grant says they were sent to a hospital in Ajax, Ont. and stayed two weeks while her daughter received antibiotics four times a day until she was discharged July 23.

“Knowing that my little one was just so affected and how it affected us as a family alone, there’s a bitterness left behind,” Grant said. She’s also joined the proposed class action.

Thelma Feldman, 89, Toronto

Thelma Feldman says she regularly taught yoga to friends in her condo building before getting sickened by listeria on July 2. Now, she has a walker and her body aches. She has headaches and digestive problems.

“I’m kind of depressed,” she says.

“It’s caused me a lot of physical and emotional pain.”

Much of the early days of her illness are a blur. She knows she boarded an ambulance with profuse diarrhea on July 2 and spent five days at North York General Hospital. Afterwards, she remembers Health Canada officials entering her apartment and removing Silk almond milk from her fridge, and volunteers from a community organization giving her sponge baths.

“At my age, 89, I’m not a kid anymore and healing takes longer,” Feldman says.

“I don’t even feel like being with people. I just sit at home.”

Jasmine Jiles and three-year-old Max, Kahnawake Mohawk Territory, Que.

Jasmine Jiles says her three-year-old son Max came down with flu-like symptoms and cradled his ears in what she interpreted as a sign of pain, like the one pounding in her own head, around early July.

When Jiles heard about the recall soon after, she called Danone Canada, the plant-based milk manufacturer, to find out if their Silk coconut milk was in the contaminated batch. It was, she says.

“My son is very small, he’s very young, so I asked what we do in terms of overall monitoring and she said someone from the company would get in touch within 24 to 48 hours,” Jiles says from a First Nations reserve near Montreal.

“I never got a call back. I never got an email”

At home, her son’s fever broke after three days, but gas pains stuck with him, she says. It took a couple weeks for him to get back to normal.

“In hindsight, I should have taken him (to the hospital) but we just tried to see if we could nurse him at home because wait times are pretty extreme,” Jiles says, “and I don’t have child care at the moment.”

Joseph Desmond, 50, Sydney, N.S.

Joseph Desmond says he suffered a seizure and fell off his sofa on July 9. He went to the emergency room, where they ran an electroencephalogram (EEG) test, and then returned home. Within hours, he had a second seizure and went back to hospital.

His third seizure happened the next morning while walking to the nurse’s station.

In severe cases of listeriosis, bacteria can spread to the central nervous system and cause seizures, according to Health Canada.

“The last two months have really been a nightmare,” says Desmond, who has joined the proposed lawsuit.

When he returned home from the hospital, his daughter took a carton of Silk dark chocolate almond milk out of the fridge and asked if he had heard about the recall. By that point, Desmond says he was on his second two-litre carton after finishing the first in June.

“It was pretty scary. Terrifying. I honestly thought I was going to die.”

Cheryl McCombe, 63, Haliburton, Ont.

The morning after suffering a second episode of vomiting, feverish sweats and diarrhea in the middle of the night in early July, Cheryl McCombe scrolled through the news on her phone and came across the recall.

A few years earlier, McCombe says she started drinking plant-based milks because it seemed like a healthier choice to splash in her morning coffee. On June 30, she bought two cartons of Silk cashew almond milk.

“It was on the (recall) list. I thought, ‘Oh my God, I got listeria,’” McCombe says. She called her doctor’s office and visited an urgent care clinic hoping to get tested and confirm her suspicion, but she says, “I was basically shut down at the door.”

Public Health Ontario does not recommend listeria testing for infected individuals with mild symptoms unless they are at risk of developing severe illness, such as people who are immunocompromised, elderly, pregnant or newborn.

“No wonder they couldn’t connect the dots,” she adds, referencing that it took close to a year for public health officials to find the source of the outbreak.

“I am a woman in my 60s and sometimes these signs are of, you know, when you’re vomiting and things like that, it can be a sign in women of a bigger issue,” McCombe says. She was seeking confirmation that wasn’t the case.

Disappointed, with her stomach still feeling off, she says she decided to boost her gut health with probiotics. After a couple weeks she started to feel like herself.

But since then, McCombe says, “I’m back on Kawartha Dairy cream in my coffee.”

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

The Canadian Press. All rights reserved.

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