'We're just bombarded with illness': Prairies see highest rates of positive flu tests in Canada | Canada News Media
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‘We’re just bombarded with illness’: Prairies see highest rates of positive flu tests in Canada

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A daycare operator in Regina says the current flu season has been even worse than when “we were in full COVID.”

“People were isolating at that time and whatnot, but now everyone is back,” said Megan Schmidt, director of First Years Learning Center.

“It just seems that everybody is catching everything. I don’t think there’s anybody that hasn’t been touched by the flu,” Schmidt said.

Pandemic precautions prevented the spread of COVID and respiratory viruses for almost three years. Influenza levels were exceptionally low nationally until early 2022, and respiratory syncytial virus (RSV) infection rates were close to zero for months.

But now Canada is facing a triple virus threat as COVID-19, flu and RSV continue to spread.

Prairie provinces have the worst rates of positive flu tests, according to the Public Health Agency of Canada’s FluWatch report from Nov. 6 to Nov. 12. Almost a third of tests came back positive (28 per cent).

Adam Ogieglo, a family physician in Saskatoon, is not surprised by the high positivity rates.

“I think over the last two or three weeks essentially every swab I’ve done apart from one has come back positive for influenza A. So we are definitely seeing those stats born out in real-time in our clinic.”

He said people seeking help at the urgent clinic care are waiting four or five hours to see a physician or being turned away altogether toward the end of the day.

“People are having trouble accessing care and we’re just bombarded with illness,” he said.

Dr. Lynora Saxinger, an infectious diseases specialist at the University of Alberta, says western provinces normally get an earlier flu season than the rest of Canada because school starts sooner and the climate is drier.

“Once it gets introduced into a region, they start to experience their epidemic,” she said.

Dr. Lynora Saxinger, a University of Alberta infectious diseases specialist, says people have got out of the habit of getting their flu shots during the COVID-19 pandemic.  (Martin Weaver/CBC)

But since many people managed to avoid getting sick the past few years, Saxinger and other experts say people’s immunity has waned.

“What we have is a population that really doesn’t have much of an immunity from partial exposure to influenza or partial immunity from more recent vaccination, so it’s a bit more of an aggressive uptick because people are that much more susceptible,” Saxinger said.

Youngsters hit hardest

Children four years old and younger currently have the highest rates of hospitalization due to influenza, according to PHAC.

So far, Schmidt says, no children at her daycare have been hospitalized this year because of the flu.

“I just hope that continues,” she said. “We just urge parents to try to let them sleep in if they need to, or we try to give them maybe an extra long nap here if they need it because we just have to avoid the hospital.”

Emergency room wait times, especially in children’s hospitals, are increasing across the country.

In Saskatchewan, 16 people were admitted to hospital because of influenza from Oct. 30 to Nov. 5, according to the province’s report on respiratory illnesses. Four were admitted to the intensive care unit.

The majority of influenza hospitalizations and ICU admissions are among those 19 and younger and 60 years and older, according to the province.

Children four years old and younger currently have the highest rates of hospitalization due to influenza, according to the Public Health Agency of Canada. (Turgut Yeter/CBC)

Low vaccination rates

Saskatchewan, Alberta and Manitoba are all reporting lower than normal flu shot uptake.

Less than 18 per cent of Albertans have their flu shot, according to provincial data.

Saxinger says people got out of the habit of getting their flu shots during the COVID-19 pandemic.

“I think it’s flown beneath the radar a little too much and we’re behind on the vaccination,” she said.

 

Prairies bearing the brunt of harsh flu season

 

Canada’s Prairie region is an early hotspot for flu, with test positivity hitting 28 per cent. Experts blame low vaccination rates and years of pandemic protections that left populations with lower immunity, and children may be the most at risk.

In other years, 50 to 60 per cent of the population would have their flu shots, according to Saxinger.

Saskatchewan’s influenza immunization campaign was launched on Oct. 11. Fifteen per cent of the population received the influenza vaccine as of Nov. 5, according to the province’s report.

That’s a 28 per cent decrease in coverage compared with the same time last year, the report said.

Calls for more measures

The Prairie provinces, like others, haven’t had provincial health mandates in months. Mask use hasn’t been mandatory in Saskatchewan since late February, but the rapid surge of  flu and RSV has renewed calls from some frontline workers to reinstate mask mandates to alleviate the strain on the healthcare system.

The top doctors in British Columbia, Ontario, Quebec, Alberta, Manitoba, Saskatchewan, Prince Edward Island and Newfoundland and Labrador have all said now is not the time to reinstate mask mandates, but continue to recommend masks to slow viral spread.

Ogieglo encourages people to wear masks indoors, stay home when sick and get their flu shot and COVID-19 booster

“If you walk into our clinic and see the lineup that is stretching around the building [waiting] to be seen, then I think it makes sense that maybe we need to act together to protect the integrity of our health-care system,” he said.

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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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