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Toronto’s top doctor issues ‘warning to the entire city’ as new cases surpass 200 in single day

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As new cases of COVID-19 in Toronto reach the highest point in the pandemic since May, city officials are moving for the first time to shut down establishments that have put members of the public at risk of virus spread.

On Friday afternoon, in a late-scheduled press conference, Dr. Eileen de Villa said there were 236 new cases and the first reported outbreak in a Toronto school with two students infected and more than two dozen isolating at home.

And the medical officer of health, under her own authority, has moved to close four “hospitality-focused” businesses that have flouted public health orders and thwarted investigators, including pressuring employees who are ill to continue working.

“An increase, day-over-day, of this scale is a warning to the entire city,” de Villa said, urging residents to stay six feet apart whenever they can from anyone they don’t live with, wear a mask and wash their hands.

De Villa said “several concerning factors” led to the orders under the Health Protection and Promotion Act, including: Several infected employees working at multiple locations; illegal buffet dining; unco-operative business owners hampering investigative efforts; and staff working while ill and concerns of staff being pressured to do so.

“These factors combined to create a significant risk to efforts to limit the spread of COVID-19.”

With the orders still outstanding Friday afternoon, de Villa promised to update the public on the names and locations of the businesses once orders were served.

The steps taken Friday are the first time the city is acting to close businesses outside of provincial orders after the province claimed bars and restaurants were not to blame.

On Friday, Toronto Public Health posted the first detailed example of virus spread demonstrating how a night out led to at least 20 confirmed cases and dozens of high- or low-risk contacts across three separate bars and how the infection spread from one place to the next.

 

“A powerful reminder that #COVID19 spreads when given the chance & we all need to take steps for self-protection: here’s a real-world example of how 1 night out in TO led to 20 cases & at least 80 people exposed to the virus who had to self-monitor, self-isolate & get tested,” the tweet said, showing a chart of cases and contacts across the three locations.

Friday’s new case number is the largest single-day total the city has reported since May 22.

According to the Star’s daily count, the city has averaged 167 new cases each day this week, the highest its seven-day average has been since early June.

That average has been accelerating since the city entered Stage 3 or reopening on July 31, and has more than doubled in just the last eight days.

In early August, Toronto was seeing as few as 13 cases reported each day on average.

Like much of Ontario, Toronto was hit hard in the spring by institutional outbreaks in long-term-care homes and hospitals, and by mid-April these vulnerable settings accounted for the largest share of total cases, hospitalizations and deaths.

So far in the fall, the city is not yet reporting a similar rise in new institutional outbreaks. According to city data, the recent spike has been mostly driven by close contact in non-outbreak settings, such as at home, and by untraceable spread in the community.

The numbers account for more than half of the province’s total Friday and came as Premier Doug Ford announced the province would restrict bars open hours and shut strip clubs.

The limit on drinking in bars comes more than two months after the city requested the province make those rules — ahead of Stage 3 — to help reduce the risk of virus spread.

On Friday, when pressed by a reporter on why it took so long to implement those measures, Ford said they were being “cautious,” noting an earlier decline in cases.

Meanwhile all but one of Toronto’s health indicators on its online dashboard were yellow or red. Only the percentage of positive test results, at 1.9 per cent, was green.

 

But Dr. Irfan Dhalla, a vice-president and general internist at St. Michael’s Hospital, tweeted even that number may be troubling, saying other targets are much lower than the city’s 10 per cent — less than 0.1 per cent or between 0.1 and 1 per cent.

“So, really, there’s nothing green anymore on Toronto’s scorecard,” he wrote Friday.

Asked how the current case count will affect schools, de Villa said the first outbreak was expected and she anticipates more in future.

Two students at Glen Park Public School, near Bathurst Street and Lawrence Avenue West, have tested positive and are isolating at home. As a precaution, a teacher and two classes, with 35 students total, are also isolating.

A total of 28 other schools in the Toronto District School Board were also reporting cases, for a total of 20 infected students and 14 infected teachers. Richview Collegiate had the most, with three infected students.

The Toronto Catholic District School Board reported eight infected students and three infected staff at 10 schools.

Glen Park is the only Toronto school that meets Ontario’s “outbreak” definition of at least two cases where at least one is “linked to a school setting,” de Villa said. That suggests one student infected another, as opposed to schools where all the infected students contracted the virus at home or another setting.

“This (outbreak) definition supports a swift response that will help manage the spread of COVID-19 aggressively …,” de Villa said.

 

The Star spoke to a mother of a 10-year-old girl at Glen Park Public School who was among the children sent home to isolate for two weeks.

“We are still on the fence on whether it is worth getting in a lineup for testing,” said the mother, who did not want her name used.

On Wednesday, she said, parents received information from Toronto Public Health saying there was a case of COVID in the school but weren’t given any additional details, such as the grade level, so they could prepare themselves.

“It was really frustrating. It’s a quite a big school and it would have been very helpful to get more information from Toronto Public Health,” she said.

On Friday morning, a new message from Toronto Public Health was waiting.

“I woke up to an email saying there was a case in her class and she would be isolated,” she said.

“There was definitely a sense of high anxiety among the parents initially. It’s not an email you want to get but you put it in perspective.”

It was “bad luck” that Glen Park ended up with positive cases of COVID, she said. Staff have worked hard to get the students familiar with safety practices like social distancing and cohorting classes.

“They have tried to do everything they can to prevent this. Everything is very well planned out. It’s well organized.

“Here, if they have to go to the bathroom every class has 15 minutes where they can go knowing there won’t be a big group of kids,” she said.

The email that detailed the rules for isolation was soon followed by a message from her daughter’s teacher who said classes would continue on Zoom with two or three sessions held each day.

“It was very reassuring,” the mother said. “They are going to learn a lot about resilience and flexibility from all of this.”

“It is obviously unfortunate but it is not unexpected,” said Ryan Bird, TDSB spokesperson.

“With the numbers continuing to climb in Toronto and elsewhere, we did anticipate that we would have these cases start popping up in our schools among our students and staff.”

Bird said the TDSB continues with “enhanced cleaning multiple times a day” along with requirements for universal masking among students and staff, proper physical distancing and hand washing.

In a statement Friday, Coun. Joe Cressy, the city’s board of health chair, warned the city was reaching a “dangerous tipping point in our battle with COVID-19” and risk of future lockdown.

“Other jurisdictions that have been successful at containing the virus have shown that we need policies that directly respond to the very real risks that we’re facing,” his statement said. “While today’s announcement is welcome news, we still need more proactive actions on the part of all governments — and we need it now.”

He said that includes boosting testing capacity across the province and the federal and provincial governments working to provide rapid testing options for those in high-risk workplaces.

Elsewhere, officials were being clear about telling people to stay apart.

 

Quebec Premier Christian Dubé asked residents to cancel their gatherings over the next few weeks, including Thanksgiving, the CBC reported Thursday, as the province remains the hardest hit by the virus in the country.

With files from David Rider, Ed Tubb and Moira Welsh

 

 

Jennifer Pagliaro is a Toronto-based reporter covering city hall and municipal politics for the Star. Follow her on Twitter: @jpags

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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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