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Vaccines donated by the United States and China

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Both the United States and China have pledged large donations of COVID-19 vaccines to countries around the world. Washington has promised 80 million doses, three-quarters of which will be delivered via the international vaccine initiative COVAX, in what has been seen as an effort to counter China’s widening vaccine diplomacy. It began deliveries last week.

China had shipped vaccines to 66 countries in the form of aid, according to state news agency Xinhua. Beijing has not disclosed an overall figure for its donations but Reuters calculations based on publicly available data show at least 16.57 million doses have been delivered. China has also pledged to supply 10 million doses to COVAX.

VACCINES DONATED BY U.S. (plan for the first 25 mln):

Regional partners and priority recipients

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COUNTRY/TERRITORY PLEDGED DELIVERED

Including Canada, Mexico, 1 mln to S.Korea in June

South Korea, West Bank and

Gaza, Ukraine, Kosovo,

Haiti, Georgia, Egypt,

Jordan, India, Iraq, Yemen,

United Nations

TOTAL 6 mln 1 mln

Allocations through COVAX

South and Central America

COUNTRY/TERRITORY PLEDGED DELIVERED

Brazil, Argentina, Colombia,

Costa Rica, Peru, Ecuador,

Paraguay, Bolivia,

Guatemala, El Salvador,

Honduras, Panama, Haiti,

Dominican Republic and other

Caribbean Community

(CARICOM) countries

TOTAL 6 mln

Asia

COUNTRY/TERRITORY PLEDGED DELIVERED

India, Nepal, Bangladesh,

Pakistan, Sri Lanka,

Afghanistan, Maldives,

Malaysia, Philippines,

Vietnam, Indonesia,

Thailand, Laos, Papua New

Guinea, Taiwan, and the

Pacific Islands

TOTAL 7 mln

Africa

COUNTRY/TERRITORY PLEDGED DELIVERED

To be selected in

coordination with the

African Union

TOTAL 5 mln

VACCINES DONATED BY CHINA (source – Reuters calculations and official data):

Asia Pacific

COUNTRY/TERRITORY PLEDGED DELIVERED

Afghanistan 400,000

Bangladesh Second batch of First batch of 500,000 delivered

600,000 on May 12

Brunei 52,000 in Feb

Cambodia 1.7 mln as of April 28

Kyrgyzstan 150,000 in March

Laos 300,000 in Feb

800,000 in late March

300,000 in late April

Maldives 200,000 in early March

Mongolia 300,000 in late February

Myanmar 500,000 in early May

Nepal 800,000 in late March

1 mln in early June

Pakistan 500,000 in early Feb

250,000 in Feb

500,000 in March

Philippines 600,000 in late Feb

400,000 in late March

Sri Lanka 600,000 at end March

500,000 in late May

Thailand 500,000 in May

500,000 in June

Timor-Leste 100,000 100,000 in early June

TOTAL 11.052 million

Africa

COUNTRY/TERRITORY PLEDGED DELIVERED

Angola 200,000 in late March

Algeria 200,000 200,000 in Feb

Botswana 200,000 in April

Cameroon 200,000 in April

Congo 100,000 100,000 in March

Egypt 600,000 in March

Ethiopia 300,000 in late March

Equatorial Guinea 100,000 in Feb

Guinea 200,000 in early March

Mozambique 200,000 in late Feb

Namibia 100,000 by early April

Niger 400,000 in late March

Sierra Leone 240,000 by late May

Togo 200,000 in April

Uganda 300,000

Zimbabwe 200,000 in Feb

200,000 in March

100,000 in May

TOTAL 3.74 million

South America

COUNTRY/TERRITORY PLEDGED DELIVERED

Bolivia 100,000 in late Feb

100,000 in late March

Venezuela 500,000 in early March

TOTAL 700,000

Europe & Middle East

COUNTRY/TERRITORY PLEDGED DELIVERED

Belarus 100,000 in Feb

300,000 in May

Georgia 100,000 at end April

Iran 250,000 at end February

Iraq 50,000 in early March

Montenegro 30,000 in early March

North Macedonia 100,000 in May

Syria 150,000 in late April

TOTAL 1.08 million

 

(Reporting by Roxanne Liu and Ryan Woo in Beijing and Cooper Inveen in Dakar; Additional reporting by MacDonald Dzirutwe in Harare, Asif Shahzad in Islamabad, Gopal Sharma in Kathmandu; Editing by Edwina Gibbs)

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We all experience stress. How we handle it is key to our health, say experts – CBC.ca

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The Dose24:36What’s the connection between stress and my health and well-being?

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It could be a morning traffic jam. A deadline at work. A conflict with a family member. Taking care of kids and aging parents. 

Stressful situations are all around us, and experts say how we manage stress is key to preventing it from causing long-term health problems — both physical and mental. 

Short-term stress doesn’t have to be negative, but research shows that ongoing stress wears away at the body’s systems and can lead to an increased risk of heart attack, stroke, Type 2 Diabetes, and mental health challenges.

“It’s like walking around with a ten or fifteen-pound weight continually on your back and not being able to shed that weight,” psychologist Dr. Zindel Segal told Dr. Brian Goldman, host of CBC’s The Dose

There are techniques and strategies to decrease that stressful load, however, and lessen the impact of stress on the body and the mind. 

Is stress good or bad? 

Stress means that we are unable to use our personal or social resources to meet the demands being placed on us, said Dr. Eli Puterman, a health psychologist and associate professor in the school of kinesiology at UBC. 

But not all stress is bad stress, said Puterman. 

“It sometimes can motivate you to also move in the direction of, ‘Let’s change our goals,'” he said. 

From an evolutionary perspective, our bodies are engineered to handle stress, said Segal, a distinguished professor of psychology and mood disorders at the University of Toronto Scarborough. 

But after the stress response, we need a period of rest and recovery, which allows the body to recoup the resources that were used up during the stressful situation. 

Chronic stress is when we’re unable to step out of the situation and take advantage of our own natural capacity to restore, said Segal. 

It’s a system that is “stuck in the fifth gear without the ability to downshift,” he said. 

Connecting with your senses

The first step to managing stress is recognizing it, said Segal, and that means tuning into our bodies. 

“Are you noticing that maybe your heart is racing, or that your palms are sweating, or that your temple and forehead are pounding?” he said. 

Grounding techniques can anchor us in the present moment and help pull us away from intrusive thoughts or feelings to take a broader view of the situation, said Segal. 

Deep breathing and meditation can both help you tune into your senses during stressful moments. (Maggie MacPherson/CBC)

“One of the things that we lose the ability to connect with is the sensory world,” he said, which is why so many techniques for managing stress are about reconnecting with your senses. 

“Sensations are a way of actually helping us step out of thinking, to ground ourselves.” 

A breath of fresh air 

Doing yoga, meditating, exercising and deep breathing can all help ground us in our bodies and change our perspectives on stress, said Segal. 

However, stress can cause barriers to being physically active, said Puterman, so he prefers to think about moving our bodies as opposed to exercising. 

“Getting outside and going for some walks for 10, 15 minutes per day can help us start having those moments where we’re taking care of our bodies,” he said. 

LISTEN | Try this guided exercise in box breathing with Dr. Zindel Segal: 

The Dose1:50A guided exercise in box breathing

One simple exercise Segal recommends is a technique called box breathing. Here’s how to try it: 

  • Sit in a chair and notice the sensations of sitting: the feet pressing down into the floor, the hands folded in the lap or on the thighs. 
  • Breathe in for four beats (visualize the left side of the box). 
  • Hold for four beats (visualize the top of the box).
  • Breathe out for four beats (visualize the right side of the box). 
  • Hold for four beats (visualize the bottom of the box). 
  • Repeat as many times as you like. 

What stress does to the body 

It may be easy to understand how stress can take an emotional and mental toll, but research also shows that stress can have an impact on our physical health — including an increased risk of heart attack or stroke. 

“In the short term, it rapidly increases your blood pressure, which can potentially result in a tear in the plaque that is in your arteries and then subsequently cause a heart attack or a stroke,” said Dr. Hassan Mir, a cardiologist at the Ottawa Heart Institute. 

When we’re feeling stress, it activates our sympathetic nervous system, the part of our nervous system that carries signals related to our fight-or-flight response. 

That can cause an increase in our blood pressure and heart rate, said Mir. 

Another reaction to acute stress is a condition called takotsubo cardiomyopathy, or a weakened heart muscle, he said.

“When you’re really stressed, you can have this release of adrenaline in your body,” Mir said. 

WATCH We can’t avoid stress, but we can learn how to deal with it: 

Stress can create long-term health impacts: ‘It’s all about how you cope,’ says psychologist

6 months ago

Duration 1:49

Mir has seen people who come into the hospital because their partner had a cardiac arrest, and then they suddenly get rushed to the ER because it looks like they’re having a heart attack. 

“You go and look inside and the coronary arteries look completely fine, but their heart muscle looks like it’s completely weakened,” Mir said. 

If you’re frequently activating your sympathetic nervous system due to stress, that can cause other issues in the body, said Puterman. 

“If you’re starting to shift your baseline of the functioning of your physiology, you’re now entering the state where now you have too much cortisol that’s then activating too much glucose release,” he said. 

Too much glucose released into the body can cause people to enter a pre-diabetes state, said Puterman. 

How much stress is too much?  

A little bit of stress could help us handle more stressful events in the future, a theory called the inoculation hypothesis, said Puterman. 

“Some stress on a daily basis or in life actually inoculates you to future exposures to stressors,” he said. 

But there are some telltale signs that the stress you’re experiencing is causing harmful effects, said Puterman. They include: 

  • Not sleeping well.
  • Not getting as much exercise as usual.
  • Consuming more alcohol or drugs.
  • Withdrawing from others socially.
  • Getting into more arguments with family or friends.

The trick is finding that sweet spot, said Segal, between having enough stress and too much. 

“We don’t want to tip over into a point where the stress that we’re facing is overwhelming,” Segal said. 

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Medical officer encourages measles vaccinations as global cases rise – SteinbachOnline.com

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As cases of measles are increasing in parts of Canada and around the world, Manitobans are reminded that staying up to date on their vaccinations is one of the most important ways to prevent and reduce the risk of measles and other serious illnesses. 

Measles is very contagious, says Dr. Mahmoud Khodaveisi, Medical Officer of Health for Southern Health-Santé Sud. 

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The most recognized symptom of measles is a red, blotchy rash, which often begins on the face and spreads down the body. Other common symptoms include fever, runny nose, cough, drowsiness, irritability and red eyes. Measles is a serious illness, especially for young children, and can result in lung and brain infections and other conditions that lead to serious complications or death. 

Although there have been no recent confirmed cases of measles in our province since 2019, there is increasing concern as the number of cases are rising in Canada and around the world. 

Dr. Khodaveisi says that before the vaccine was available, measles was a significant cause of childhood illness, and as a result, people born before 1970 are considered immune to measles as they were likely exposed growing up. 

As part of Manitoba’s routine immunization schedule, children can receive two doses of a vaccine that protects against measles, first at 12 months and again between the ages of four and six. Together, these doses provide 97 per cent protection against measles. 

The province reports that the most recent data available shows that about 80 per cent of children in Manitoba have received one dose of the vaccine that protects against measles by age two. Nearly 75 per cent of children have received two doses of the vaccine by age seven and this rate increases to over 88 per cent by the age of 17. 

The province has sent information out about measles to health-care providers. 

Measles is a reportable disease, meaning public health must be informed about cases by laboratories and health-care providers. Once a case is reported, public health will launch an investigation. This includes identifying close contacts, offering vaccination where appropriate and notifying the public of relevant exposures if needed. 

Manitoba’s immunization registry was established in 1988, so records for anyone who has received immunizations since then should be contained in the registry. 

If you are not sure if you or your children have been vaccinated, immunization records can be requested online at https://forms.gov.mb.ca/immunization-update-request/. Alternatively, you can contact your local public health office or contact your health-care provider.

-With files from Corny Rempel. 

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Measles in Toronto: 2nd case confirmed

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A second lab-confirmed case of measles has been identified in Toronto.

The city’s public health agency said that an infant who recently returned from travel has contracted the disease. The child is recovering at home.

The first Toronto case was identified on Feb. 16.

Toronto Public Health is warning that anyone who attended the Agincourt Public Library between 1 p.m. and 5:30 p.m. on March 11 may have been exposed. Individuals should monitor for symptoms until April 1 and double check that their vaccinations are up to date.

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Symptoms of measles include red rashes, fever, cough, runny nose, red eyes and fatigue. Individuals can also get unusual white spots in their mouth.

The number of measles infections in Ontario so far this year has already surpassed the total number of cases reported in 2023.

As of March 13, Public Health Ontario had confirmed at least eight cases of measles across the province. Cases have been identified in Peel Region, Hamilton, Brant County and Windsor-Essex County.

Of those infections, six were related to travel and two had an unknown source of exposure.

In 2023, there were seven cases of measles confirmed in Ontario.

Canada-wide data is less detailed, with the Public Health Agency of Canada reporting 17 cases of measles as of March 2, along with one case of congenital rubella syndrome.

 

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