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Toronto man diagnosed with COVID-19 used local transit for three days – The Globe and Mail

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Kirt Browne, left, and Calvin Langille, clean the subway touch points with disinfectant during a visual demo of the enhanced cleaning measures being used by the TTC at the Wilson Yard in North York on March 3, 2020. Passengers who don’t show symptoms and are not contacted by health authorities have no need to seek medical attention, officials said.

Tijana Martin/The Globe and Mail

A man diagnosed with COVID-19 used Toronto’s local transit system on three days this week after returning from a trip to Las Vegas, sparking an internal effort to identify the specific vehicles he rode.

The case was announced Friday and is the first known instance of someone carrying the novel coronavirus being on the Toronto Transit Commission, which transports about 1.7 million riders daily. His travels Monday through Wednesday also included rides on GO Transit buses and coincides with transit workers agitating for the right to wear masks on the job.

Public health officials said the risk to other transit riders and to staff remains low and that no extra precautions have been ordered. The city’s chief medical officer of health said her family would continue to use transit.

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“This information is being provided out of an abundance of caution. We’re talking about low-risk situations,” said Eileen de Villa, Toronto’s top public health doctor, in a briefing.

The man boarded the subway at Bathurst station each morning around 8:50. He travelled westbound to Islington station before transferring to a 108N Mississauga Way express bus, which he took to his workplace. The man got back on transit around 6:10 each evening, taking the 27 Milton GO bus to Yorkdale station. He continued from Yorkdale to St. George station followed by Bathurst station. On March 4, the man also rode the 511 Bathurst streetcar. Dr. de Villa said more details would be provided once they are available.

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Passengers who don’t show symptoms and are not contacted by health authorities have no need to seek medical attention, officials said.

“The TTC takes the health and safety of its employees and customers very seriously and is in daily communication with Toronto Public Health,” the transit agency said in a statement. “At this time, the direction is that no additional measures are required. The TTC continues to be a safe method of travel.”

On Friday, Ontario’s chief medical officer of health confirmed four new positive cases of COVID-19, bringing the total number of confirmed cases in the province to 26. The virus is not circulating locally, officials said.

Also Friday, Royal Bank of Canada was investigating a “possible presumptive case” of COVID-19 at its Meadowvale office building in Mississauga. The investigation is focused on an RBC employee, who the bank has not identified. There is no evidence at this time that the cases are linked.

“We have taken a number of steps to protect the health and safety of our employees, and are working with Ontario Public Health to understand the case and the next steps,” said RBC spokeswoman Gillian McArdle.

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The bank declined to detail the steps it has taken, but contingency plans to continue serving clients “are already in progress,” Ms. McArdle said. The Meadowvale building has not been evacuated, and work continues at the offices.

“We are committed to providing a healthy and safe workplace, and to following the guidance provided by local, federal and international public health and government authorities,” she said.

Cities around the world are rushing to protect public confidence in the safety of their transit systems, implementing cleaning regimes as frequent as every four hours.

One study suggests, though, that transit, in spite of its inherent crowding, may have a modest role in the spread of infectious disease. A 2011 paper in the Journal of Urban Health that modelled an influenza epidemic in New York City found that just 4.4 per cent of infections would occur on the subway. Close to one-third of infections would occur in other community spaces, such as bars and restaurants, 30 per cent would occur in the household and about one-quarter would occur at work.

Metrolinx, the regional transit agency that oversees GO Transit, reported its first COVID-19 case nearly a week ago, saying it was a passenger who took the bus from the airport. Both agencies have stepped up their cleaning efforts, but both prohibit their employees wearing masks, arguing they are ineffective and might alarm the public.

Union leaders representing employees at both Metrolinx and the TTC are pushing for the option of masks, saying that they should be allowed if they provide even a small amount of protection.

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The TTC and Metrolinx say they are being much more aggressive at cleaning their vehicles and facilities. The TTC has moved from a once-weekly cleaning of stair rails, grab poles and other touch points to doing it every day. Metrolinx has been distributing hand sanitizer throughout GO stations and buses and is applying a long-acting, anti-microbial agent to surfaces across its fleet.

With files from Carly Weeks

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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.

The Canadian Press. All rights reserved.

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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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