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Ventilation, vaccines important during holiday gatherings: expert

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If you’re planning a gathering this holiday season, chances are your invites went out well in advance.

But an infectious disease doctor cautions an uninvited guest may try to weasel its way into your party if you’re not careful.

“I like to say, we’re right back in the thick of things,” says Dr. Gerald Evans, chair of the Division of Infectious Diseases At Queen’s University.

In the thick of respiratory illness, that is.

National data, along with Ontario statistics, suggest we’re at the peak of RSV infections, and we’re seeing steady, but high, numbers of COVID-19 infections, said Evans.

During the week of Dec. 9, almost 19 per cent of COVID-19 tests in Ontario came back positive, according to the Public Health Agency of Canada.

As of Dec. 19, Ontario and Quebec are leading the country in COVID-19 numbers. Both provinces have been ranked at “high” COVID infection rates, long-term care outbreaks, and COVID traces in wastewater.

“We’re also at the beginning of the seasonal influenza wave, so we’re expecting in the next few weeks that influenza cases will rise significantly,” said Evans.

Back in October, some Canadians seemed to want to get ahead of the illness.

An Ipsos poll at the end of that month surveyed 1,000 Canadians on their intentions of getting vaccinated for COVID-19 or the flu within the next three months.

It found 6 in 10 are already up to date on their vaccines, or intend to top them up.

However, 4 in 10 did not intend on getting either vaccine,  with the biggest reason given about COVID booster hesitancy is that it just wasn’t worth it.

“One thing that really stood out in the survey, is the difference by age,” Darrell Bricker, Global CEO of Ipsos Public Affairs, said over Zoom. “You would think that people who were most imperilled, and almost died, during the pandemic would be the most interested in getting a COVID shot. But in fact, it’s not older Canadians, but younger Canadians that are more interested in getting COVID shots this time around,” he said.

Evans says Ontarians are lagging behind on flu vaccinations, with 30 per cent uptake so far in Ontario, about 10 per cent less than the same time last year.

This might create a room for respiratory illness to crash your Christmas party.

Precautions are needed. Think frequent handwashing for all of your guests, open windows in indoor spaces, or gather outdoors if the weather permits, said Evans.

Toronto Public Health advises wearing a mask indoors if the space is crowded, and getting topped up on your COVID-19 and flu vaccines.

For travellers, Evans says respiratory virus transmission is most likely to happen at an airport gate, rather than on an airplane. Those who want added precaution can wear a mask at the airport and while flying.

But the first step in being safe starts before you leave the house.

“The number one thing to think about is — if you’re sick, you probably shouldn’t go to a social gathering,” said Evans.

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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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