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U.S. issues advice to those fully vaccinated, but no shift in Canada yet – BayToday

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New U.S. guidelines say people fully inoculated against COVID-19 can drop some precautions when gathering with others, but at least two provincial health ministers say existing public health advice holds for now.

The Centres for Disease Control and Prevention said Monday that Americans who have waited two weeks since their second required shot can spend time with other immunized people indoors without masks or social distancing.

The same applies to gatherings by those at low-risk of severe disease, such as fully vaccinated grandparents visiting healthy grandchildren.

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The U.S. guidelines recommend that fully vaccinated people continue to wear masks, avoid large gatherings and physically distance when in public.

British Columbia Health Minister Adrian Dix said Monday that physical distancing and other public health guidelines will be around for some time.

He said about 15 per cent of B.C.’s eligible residents are expected to be immunized by the end of the month, which is “nothing like herd immunity.”

“The future is bright, but we can’t live the future right now. We’ve got to live the now right now.”

Dix does expect visiting restrictions to be loosened in B.C.’s long-term care homes this month as about 90 per cent of residents and staff have been vaccinated.

University of Alberta infectious diseases specialist Dr. Lynora Saxinger said evidence on which the U.S. health agency based its advice is “very much in evolution” and such recommendations might not work everywhere.

Virus variants with the potential to break through vaccine protection are also a “wild card,” she said.

But Saxinger said the principles underlying the U.S. guidance make sense, especially since the initial vaccine rollout has targeted older individuals, many of whom have been kept away from their grandchildren for almost a year.

“They’re basically taking a balance-of-probabilities approach to say that if you’ve received vaccine, you should be highly protected against severe disease. Therefore this should be hopefully OK.”

Ontario Health Minister Christine Elliott said her province is still recommending people take precautions with gatherings and will take its cues from the National Advisory Committee on Immunization.

Ontario reported 1,631 new cases in its latest update, but said the higher-than-expected count was due to a system “data catch-up.” The seven-day average for new cases was at 1,155.

There were also 10 more deaths linked to the novel coronavirus.

Ontario lifted stay-at-home orders in Toronto, Peel Region and North Bay on Monday — the last three regions subject to the government’s strictest measures introduced two months ago.

Alberta also loosened some rules for banquet halls, community halls, conference centres, hotels, retail shops, performances and post-secondary sports, as hospitalizations stayed well below the provincial target of 450.

Health Minister Tyler Shandro said he believes it is safe enough to immediately ease more restrictions

The province reported 278 new cases of COVID-19 and six additional deaths. Six cases of the more contagious variant were also detected, bringing that total to 659. There were 254 people in hospital.

And residents in five regions of Quebec, including the capital, were again able to eat in restaurants and work out in gyms.

Restrictions remain in place in the Montreal area due to fear that variant cases will cause a spike in infections and hospitalizations.

Quebec reported 579 new cases in its update. New daily infections had been above 700 for the five previous days. The province also recorded nine more deaths.

All of New Brunswick shifted to a lower pandemic response level Monday. That means a circle of 15 regular contacts can socialize, up from 10. The Atlantic province had five new cases and 36 active ones.

Saxinger said a “judicious and slow” reopening is the safest approach.

She noted that many countries have seen their case counts come down, but the proportion of more contagious variants is higher, planting the seeds for a spike.

“We know that it’s possible that the variants can be responsible for another surge, that a variant surge is harder to contain and you need longer and more stringent restrictions to contain them.”

Also Monday, Prime Minister Justin Trudeau announced that Thursday will be a “national day of observance” to commemorate the 22,000 people in Canada who have died from COVID-19 and to acknowledge all the ways the virus has changed our lives in the last year.

This report by The Canadian Press was first published March 8, 2021

— With files from The Associated Press

Lauren Krugel, The Canadian Press

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RCMP warn about benzodiazepine-laced fentanyl tied to overdose in Alberta – Edmonton Journal

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Grande Prairie RCMP issued a warning Friday after it was revealed fentanyl linked to a deadly overdose was mixed with a chemical that doesn’t respond to naloxone treatment.

The drugs were initially seized on Feb. 28 after a fatal overdose, and this week, Health Canada reported back to Mounties that the fentanyl had been mixed with Bromazolam, which is a benzodiazepine.

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Mounties say this is the first recorded instance of Bromazolam in Alberta. The drug has previously been linked to nine fatal overdoses in New Brunswick in 2022.

The pills seized in Alberta were oval-shaped and stamped with “20” and “SS,” though Mounties say it can come in other forms.

Naloxone treatment, given in many cases of opioid toxicity, is not effective in reversing the effects of Bromazalam, Mounties said, and therefore, any fentanyl mixed with the benzodiazepine “would see a reduced effectiveness of naloxone, requiring the use of additional doses and may still result in a fatality.”

Photo of benzodiazepine-laced fentanyl seized earlier this year by Grande Prairie RCMP after a fatal overdose. edm

From January to November of last year, there were 1,706 opioid-related deaths in Alberta, and 57 linked to benzodiazepine, up from 1,375 and 43, respectively, in 2022.

Mounties say officers responded to about 1,100 opioid-related calls for service, last year with a third of those proving fatal. RCMP officers also used naloxone 67 times while in the field, a jump of nearly a third over the previous year.

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CFIA continues surveillance for HPAI in cattle, while sticking with original name for disease – RealAgriculture

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The Canada Food Inspection Agency will continue to refer to highly pathogenic avian influenza in cattle as HPAI in cattle, and not refer to it as bovine influenza A virus (BIAV), as suggested by the American Association of Bovine Practitioners earlier this month.

Dr. Martin Appelt, senior director for the Canadian Food Inspection Agency, in the interview below, says at this time Canada will stick with “HPAI in cattle” when referencing the disease that’s been confirmed in dairy cattle in multiple states in the U.S.

The CFIA’s naming policy is consistent with the agency’s U.S. counterparts’, as the U.S. Animal and Plant Health Inspection Service has also said it will continue referring to it as HPAI or H5N1.

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Appelt explains how the CFIA is learning from the U.S. experience to-date, and how it is working with veterinarians across Canada to stay vigilant for signs of the disease in dairy and beef cattle.

As of April 19, there has not been a confirmed case of HPAI in cattle in Canada. Appelt says it’s too soon to say if an eventual positive case will significantly restrict animal movement, as is the case with positive poultry cases.

This is a major concern for the cattle industry, as beef cattle especially move north and south across the U.S. border by the thousands. Appelt says that CFIA will address an infection in each species differently in conjunction with how the disease is spread and the threat to neighbouring farms or livestock.

Currently, provincial dairy organizations have advised producers to postpone any non-essential tours of dairy barns, as a precaution, in addition to other biosecurity measures to reduce the risk of cattle contracting HPAI.

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Toronto reports 2 more measles cases. Use our tool to check the spread in Canada – Toronto Star

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Canada has seen a concerning rise in measles cases in the first months of 2024.

By the third week of March, the country had already recorded more than three times the number of cases as all of last year. Canada had just 12 cases of measles in 2023, up from three in 2022.

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