Several public health units in southwestern Ontario say they’ve seen a spike in cases of whooping cough and are urging residents to get vaccinated against the respiratory illness that can be particularly severe in young children.
Southwestern Public Health – which serves Oxford County, Elgin County and St. Thomas, Ont. – said it recorded 82 cases of whooping cough from January 2022 to the end of this February.
“This was 40 per cent of the provincial total from that time period,” Dr. Ninh Tran, medical officer of health for Southwestern Public Health, said in an interview.
“It’s a significant increase … that is certainly striking.”
Previous years have seen annual caseloads in the single digits, Tran said.
Whooping cough, or pertussis, can see a person’s cough intensify to the point where a “whooping” sound is heard when they try to catch their breath, Tran said.
Lower rates of immunization against whooping cough could be a factor in the rise in cases, he said.
“In our region, we have relatively lower rates of immunization compared to others,” Tran said.
“We’ve had a few cases that were hospitalized. That’s why we just really need folks to get up-to-date on their immunization.”
Huron Perth Public Health, which serves Stratford, Wingham, Listowel and Clinton, said it has confirmed at least 21 cases of whooping cough so far this year. In 2022, there were only three cases.
“The illness can be serious for infants younger than 12 months of age who are not vaccinated, or who have not received all doses of the pertussis vaccine,” Dr. Miriam Klassen, the medical officer of health for Huron Perth, wrote in a statement.
“Young children have the highest risk for severe complications, such as hospitalization and death, if they get sick.”
Klassen said the COVID-19 pandemic might have put residents of southern Ontario behind on routine immunizations, and urged residents to catch up on their vaccines.
The Windsor-Essex County Health Unit said there had been “a recent dramatic rise” in whooping cough cases in its region. It said last week that it counted 18 cases since November 2022.
“Cases have predominately been clustered in the Leamington and Kingsville communities, and exclusively in children who are unvaccinated or partially vaccinated,” it wrote in a statement, urging residents to get vaccinated.
The health unit noted that the cough brought on by pertussis can be so severe that it can cause vomiting. If left untreated in infants, young children and the elderly, it “can lead to complications such as pneumonia, dehydration, brain damage, hospitalization and death.”
Wellington-Dufferin-Guelph Public Health said it recorded 12 cases over the fall and winter, which is “higher than normal for the region.”
“Many individuals may be behind in their vaccinations because they were unable to get them due to COVID-19,” it wrote in a statement. “Now is the time to get fully vaccinated as we engage in more community activities.”
This report by The Canadian Press was first published March 27, 2023.
Some Ontario doctors have started offering a free shot that can protect babies from respiratory syncytial virus while Quebec will begin its immunization program next month.
The new shot called Nirsevimab gives babies antibodies that provide passive immunity to RSV, a major cause of serious lower respiratory tract infections for infants and seniors, which can cause bronchiolitis or pneumonia.
Ontario’s ministry of health says the shot is already available at some doctor’s offices in Ontario with the province’s remaining supply set to arrive by the end of the month.
Quebec will begin administering the shots on Nov. 4 to babies born in hospitals and delivery centers.
Parents in Quebec with babies under six months or those who are older but more vulnerable to infection can also book immunization appointments online.
The injection will be available in Nunavut and Yukon this fall and winter, though administration start dates have not yet been announced.
This report by The Canadian Press was first published Oct. 21, 2024.
-With files from Nicole Ireland
Canadian Press health coverage receives support through a partnership with the Canadian Medical Association. CP is solely responsible for this content.
ISLAMABAD (AP) — Polio cases are rising ahead of a new vaccination campaign in Pakistan, where violence targeting health workers and the police protecting them has hampered years of efforts toward making the country polio-free.
Since January, health officials have confirmed 39 new polio cases in Pakistan, compared to only six last year, said Anwarul Haq of the National Emergency Operation Center for Polio Eradication.
The new nationwide drive starts Oct. 28 with the aim to vaccinate at least 32 million children. “The whole purpose of these campaigns is to achieve the target of making Pakistan a polio-free state,” he said.
Pakistan regularly launches campaigns against polio despite attacks on the workers and police assigned to the inoculation drives. Militants falsely claim the vaccination campaigns are a Western conspiracy to sterilize children.
Most of the new polio cases were reported in the southwestern Balochistan and southern Sindh province, following by Khyber Pakhtunkhwa province and eastern Punjab province.
The locations are worrying authorities since previous cases were from the restive northwest bordering Afghanistan, where the Taliban government in September suddenly stopped a door-to-door vaccination campaign.
Afghanistan and Pakistan are the two countries in which the spread of the potentially fatal, paralyzing disease has never been stopped. Authorities in Pakistan have said that the Taliban’s decision will have major repercussions beyond the Afghan border, as people from both sides frequently travel to each other’s country.
The World Health Organization has confirmed 18 polio cases in Afghanistan this year, all but two in the south of the country. That’s up from six cases in 2023. Afghanistan used a house-to-house vaccination strategy this June for the first time in five years, a tactic that helped to reach the majority of children targeted, according to WHO.
Health officials in Pakistan say they want the both sides to conduct anti-polio drives simultaneously.
WASHINGTON (AP) — Millions of people with private health insurance would be able to pick up over-the-counter methods like condoms, the “morning after” pill and birth control pills for free under a new rule the White House proposed on Monday.
Right now, health insurers must cover the cost of prescribed contraception, including prescription birth control or even condoms that doctors have issued a prescription for. But the new rule would expand that coverage, allowing millions of people on private health insurance to pick up free condoms, birth control pills, or “morning after” pills from local storefronts without a prescription.
The proposal comes days before Election Day, as Vice President Kamala Harris affixes her presidential campaign to a promise of expanding women’s health care access in the wake of the U.S. Supreme Court’s decision to undo nationwide abortion rights two years ago. Harris has sought to craft a distinct contrast from her Republican challenger, Donald Trump, who appointed some of the judges who issued that ruling.
“The proposed rule we announce today would expand access to birth control at no additional cost for millions of consumers,” Health and Human Services Secretary Xavier Becerra said in a statement. “Bottom line: women should have control over their personal health care decisions. And issuers and providers have an obligation to comply with the law.”
The emergency contraceptives that people on private insurance would be able to access without costs include levonorgestrel, a pill that needs to be taken immediately after sex to prevent pregnancy and is more commonly known by the brand name “Plan B.”
Without a doctor’s prescription, women may pay as much as $50 for a pack of the pills. And women who delay buying the medication in order to get a doctor’s prescription could jeopardize the pill’s effectiveness, since it is most likely to prevent a pregnancy within 72 hours after sex.
If implemented, the new rule would also require insurers to fully bear the cost of the once-a-day Opill, a new over-the-counter birth control pill that the U.S. Food and Drug Administration approved last year. A one-month supply of the pills costs $20.
Federal mandates for private health insurance to cover contraceptive care were first introduced with the Affordable Care Act, which required plans to pick up the cost of FDA-approved birth control that had been prescribed by a doctor as a preventative service.
The proposed rule would not impact those on Medicaid, the insurance program for the poorest Americans. States are largely left to design their own rules around Medicaid coverage for contraception, and few cover over-the-counter methods like Plan B or condoms.
