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Travellers fined for refusing COVID-19 tests at Pearson – Toronto Star

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Mandatory COVID-19 tests at Pearson airport have found at least 32 cases of the virus, and Peel police have handed out $750 tickets to three international travellers who refused them as the federal government works to get quarantine hotels up and running.

The tests have been required of all arriving passengers from other countries since Monday noon under an Ontario government order aimed at detecting more contagious variants of the virus that could seed a third and more devastating wave of the pandemic with vaccines in short supply.

“Our government’s mandatory testing program will serve as a stopgap until the federal measures are in place,” Alexandra Hilkene, a spokeswoman for Health Minister Christine Elliott, said Friday.

“While we are glad to see the federal government taking action, we need these measures sooner rather than later to prevent new cases, including variant cases, arriving in Ontario.”

Prime Minister Justin Trudeau, who announced the mandatory hotel quarantines a week ago, told reporters Friday they will be in place “as soon as possible” in Toronto, Vancouver, Calgary and Montreal.

Incoming international travellers — who are already required to produce proof of a negative COVID test performed within 72 hours of boarding their flights — will have to stay at their own expense while awaiting test results instead of going straight home to isolate for 14 days as they do now.

The 32 positive cases from Pearson were out of 6,243 tests conducted as of Wednesday evening, according to the latest figures available. It is not yet known if any are variants of concern.

Further analysis of positive COVID-19 tests in the province released Friday identified three additional cases of the B.1.1.7 variant originally detected in the United Kingdom, raising the number of known cases to 155.

There is one confirmed case of the B.1.351 strain first found in South Africa, in a Mississauga resident who had not travelled internationally. Health officials say there are likely more cases involving both variants given community spread. Computer modelling forecasts the B.1.1.7 strain will dominate in March.

That complicates the picture for Premier Doug Ford with more schools resuming in-class learning on Monday and the government planning for the eventual easing of lockdown restrictions on businesses, with an announcement early next week as a 28-day state of emergency expires Tuesday. Ford said reopenings will be on a regional basis, with low-infection zones first.

There were 1,670 new cases reported Friday, about half the level that prompted Ford to issue a stay-at-home order early last month amid concerns spread was out-of-control and hospitals becoming overwhelmed.

“We’re moving toward reopening the economy,” Labour Minister Monte McNaughton said Friday as he unveiled a two-year, $115 million skills development fund to help workers land jobs.

Ontario’s chief medical officer Dr. David Williams said he wants to see how the experience in schools goes first and cautioned “we’re still not where we need to be” with the 325 COVID-19 patients in hospital intensive care units more than double the level where non-emergency surgeries can be performed without constraints.

“We have to stay the course.”

Cases in Ontario, and in the hotbeds of Toronto and Peel, are now roughly the same as when the two municipalities were moved into lockdown restrictions Nov. 23.

Opening too much, too soon without widespread surveillance testing at schools and workplaces risks fuelling the spread of variants that can spread from person-to-person in one-third the time of original COVID strains and could result in daily cases doubling every five to 10 days, experts say.

“It’s a bit of a Russian roulette thing,” said Colin Furness, an infection control epidemiologist at the University of Toronto.

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There are also widespread calls for the province to require all employers to provide paid sick days so essential workers can afford to stay home if they have symptoms. Peel Region, a leading hot spot for the virus, found that 25 per cent of its cases involve people who went to work sick.

Those are the types of measures needed to safely begin reopening the economy until more vaccines come on stream, Furness added.

“We can’t just tread water until summer with everything shut down.”

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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.

The Canadian Press. All rights reserved.

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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.

The Canadian Press. All rights reserved.

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