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Winnipeg Children’s Hospital continues to see high admissions for respiratory viruses

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High numbers of critically ill pediatric patients are being admitted to the intensive care unit at Winnipeg’s Children’s Hospital as respiratory viruses continue to circulate in Manitoba.

There were 15 pediatric ICU patients in the hospital at Health Sciences Centre on Wednesday morning, a news release from Shared Health said Wednesday.

The normal baseline capacity for the unit is nine.

The majority of the patients were infants or toddlers experiencing severe respiratory symptoms associated with influenza A and RSV bronchiolitis.

Eleven elective surgeries have been postponed since mid-December, after HSC reduced its pediatric surgical slate to focus on emergency surgeries.

Three pediatric elective procedures were postponed within the last week.

There were 46 patients in the neonatal intensive care unit on Wednesday morning, which is below the baseline capacity. That’s a slight decrease from the 50 one week ago.

Despite the strain on the system, patient visits to the children’s emergency department are down from the record pace of November.

The department averaged 130.2 patients per day in December, compared with 170.3 in November. However, the department has seen an average of 133 patients per day for the first three days of January.

Less than 40 percent of the pediatric patients visiting the children’s emergency department on Tuesday — 49 of 127 — had influenza or were experiencing flu-like symptoms.

In the first 30 days of December, 108 patients were hospitalized for RSV-related illnesses. Seventeen of these patients were admitted to intensive care, and almost all of them were infants and toddlers.

There were 27 patients hospitalized for RSV-related illnesses in the week of Dec. 24-30, including five who required intensive care. The week before, 29 patients were hospitalized, five of whom were admitted to the ICU.

Most pediatric patients attending the emergency department are being treated and then leaving, but the acuity and level of sickness of the children being brought in for care remains very high, Shared Health said.

Of the 127 patients who visited the emergency department on Tuesday, 73 were triaged as high- to mid-acuity. Those patients require greater levels of care, which slows patient flow and impacts wait times, the news release said.

Advice for parents on how to treat a sick or injured child, as well as when and where to take a child for care, is available on the Shared Health website.

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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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