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Vaccine delay left Barrie’s Roberta Place home vulnerable to COVID-19 outbreak – The Globe and Mail

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Paramedics transport a patient from Roberta Place, a long term seniors care facility which is the site of a COVID-19 outbreak, in Barrie, Ont., on Jan. 18, 2021.

CARLOS OSORIO/Reuters

The slow rollout of Ontario’s COVID-19 vaccination program to people living and working in the province’s virus-ravaged nursing homes has left one facility where an unidentified variant has been detected vulnerable to a devastating outbreak.

The Simcoe Muskoka District Health Unit got the go-ahead to roll up its mobile immunization unit to Roberta Place last Saturday – days after an outbreak began ripping through the long-term care home in Barrie, north of Toronto, infecting nearly every resident.

Colin Lee, Simcoe Muskoka’s associate medical officer of health, said residents and staff should have received the vaccine well before the outbreak began.

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Vaccine maker Moderna delivered 168,000 doses to Canada at the end of December. The Ontario government earmarked the Moderna vaccine for Toronto, Peel Region, York Region and Windsor-Essex, the four areas with the highest COVID-19 transmission rates.

Dr. Lee told reporters on Thursday that the four regions received the Moderna doses that were destined for Simcoe Muskoka. “We were planning to go straight to the long-term care homes with it,” he said.

Health authorities say an unidentified variant of COVID-19 is behind the outbreak at Roberta Place, which began on Jan. 8 after one staff member tested positive during routine screening.

The staffer was in close contact with someone who travelled internationally, but not to the United Kingdom, Brazil or South Africa. Dr. Lee said the staffer’s swab is one of six that contains an unidentified variant. It’s a “very, very high probability,” he said, that the variant will turn out to be the strain from one of those three countries.

Forty-eight hours after the outbreak began, 55 residents and staff were sickened with the virus. As of Thursday, 122 of the home’s 130 residents had tested positive for COVD-19, including 25 who have died. Another 72 staff and two essential visitors were also sickened with the virus.

The health unit immunized 21 residents on Saturday with the Pfizer vaccine, but testing subsequently revealed that most of them were already infected with COVID-19, Dr. Lee said.

“Unfortunately, the ability to move the vaccine came a little bit late,” he said.

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The health unit has a small amount of the Pfizer vaccine, which it must juggle between administering a second dose to long-term care residents and staff who’ve received their first shot and to those in retirement homes, who have yet to be vaccinated, Dr. Lee said.

“There are some difficult choices we have to make,” he said.

Fourteen cases of a COVID-19 variant have been found in Ontario as of Jan. 16, according to the province’s weekly epidemiologic summary. Roberta Place is the first known case of a highly contagious variant finding its way into a long-term care home in Canada – a sector that has been hard hit by the coronavirus.

Ontario has deemed residents of long-term care homes the province’s most vulnerable citizens. To date, 3,256 nursing home residents have died of COVID-19.

These residents were supposed to be at the front of the line for the vaccine. An expert committee that advises the Public Health Agency of Canada on immunization recommended that the first shots go into the arms of residents and staff in long-term care homes.

But in Ontario, that is not what has happened. The first dose of a vaccine has made its way to only 40 per cent of the province’s 626 long-term care homes, according to Alexandra Hilkene, press secretary for Health Minister Christine Elliott.

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In addition to the Moderna vaccine, Canada has also approved one made by Pfizer. Ontario opted to distribute its first doses of the Pfizer shot only through hospitals with access to freezers capable of keeping vials at -70 C, as the vaccine maker suggested.

“I can only wish I could turn the clock back,” Dr. Lee said. “If we had vaccines a month before we went in on Saturday, I think this outbreak would be a lot less severe.”

With a report from Laura Stone in Toronto

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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.

The Canadian Press. All rights reserved.

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