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Whooping cough warnings continue amid low vaccination rates in rural Alberta

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Alberta Health Services is urging Albertans to protect themselves from pertussis after an increase in cases in Okotoks, Alta. and the Calgary Zone in recent months.

According to provincial data, there’s a big difference in vaccination rates between rural and urban communities for whooping cough.

Seventeen cases of pertussis, commonly known as whooping cough, have been confirmed in the Okotoks area since November, including one person who was hospitalized. AHS said all the cases were “locally acquired.”

Another 22 cases were identified in other parts of the Calgary Zone during the same period, bringing the total to 39 cases.

So far this year, 120 lab-confirmed cases have been detected in the province.

Currently, the pertussis vaccine is free for children, people who are in the third trimester of pregnancy and adults who have not had a tetanus booster in the past 10 years. The pertussis vaccine also protects against tetanus and diphtheria.

AHS says 86 per cent of outbreak and non-outbreak-associated cases were from patients who were not immunized or partially immunized.


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“Think hard about who in your family is vulnerable. Do you have a baby? That’s a big deal when it comes to whooping cough in terms of mortality and severity of disease. You need to protect the baby and the best way is getting everybody vaccinated including pregnant women,” said Dr. Cora Constantinescu, a pediatric infectious disease physician at Alberta Children’s Hospital.

The latest rash of outbreaks began more than a year ago in the Alberta South Zone.

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The most recent Alberta vaccination numbers show that 70.73 per cent of children have a fourth dose of the pertussis vaccine by age 2.

Calgary had the highest rate at 80 per cent.

“People used to talk about vaccines being victims of their own success because we don’t see these diseases – well now we are,”  Constantinescu said.

She said family physicians are a key source of information for parents.

“Engaging them and educating them and supporting them as they support their patients is crucial because they are that key to trust with a lot of our vaccine hesitant families,” the physician said.

She said she is worried that family doctors may not have the time and resources to talk to parents at length about the importance of vaccines.

“Family physicians are already overworked and overburdened. The vaccine conversation is typically not a quick conversation. There’s no good compensation for that for our front-line primary care physicians,” Constantinescu said.

It’s not just the pertussis vaccination that’s lower in rural areas – it’s also the HPV vaccine, which is given at schools.

“I think a lot of it has to do with education around the benefits of the vaccine and its direct link to helping to prevent cervical cancer,” said Dr. Gregg Nelson,  professor and chair of gynecologic oncology at the University of Calgary’s Cumming School of Medicine.

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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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