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Yellowknife pop-up clinic to test for STIs amid ongoing syphilis outbreak

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Nearly four years after first declaring a syphilis outbreak, the number of cases continues to climb in the N.W.T.

About 250 cases have been detected since public health declared the outbreak in August 2019.

In response, health officials will set up a pop-up clinic at the primary care centre in Yellowknife this Saturday, to test for STIs.

The process includes questions about sexual history to determine the best kind of test to be done. But Nancy MacNeill, who works in health promotion for the Northwest Territories Health and Social Services Authority, says that shouldn’t intimidate residents or discourage them from coming in.

“We really want to encourage people to talk more openly about STIs,” she said. “People have sex, STIs happen, it’s OK. Most of them are treatable. These ones are extremely treatable, and quickly.”

MacNeill says residents in all communities can contact their local health centre for STI testing.

The N.W.T.’s rate of chlamydia, gonorrhea and syphilis have been among the highest in Canada, and well above the national average.

Nancy MacNeill works for the Northwest Territories Health and Social Services Authority in health promotion. ‘We really want to encourage people to talk more openly about STIs,’ she said. (Francis Tessier-Burns/CBC)

Quick tests

Last year, the territory introduced rapid blood tests for syphilis, which can give preliminary results in as little as five minutes.

Rebecca White, a sexual health nurse in the N.W.T., says the tests are great for finding positive cases, which would then require further testing and monitoring.

But negative results don’t necessarily mean a person does not have syphilis.

An infection can take up to 12 weeks to be detected, or it could also have been too long since infection.

While it may no longer be infectious at that later stage, syphilis can still cause damage to the brain, heart and other organs if left untreated. Expectant moms can also transfer the infection to their baby.

The rate of babies born with syphilis is growing across the country.

“That’s one of the reasons we take syphilis so seriously,” said White.

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The N.W.T. was one of the first places in Canada to start using rapid tests for syphilis detection. (Francis Tessier-Burns/CBC)

She added more extensive blood tests will still pick up an infection that has reached that later stage.

Kristin Richardson, a nurse practitioner, explained that a positive case will get significant follow-up.

“We can provide adequate treatment once we know which stage it is and what treatment to provide,” she said.

If in the early stages, a person will get their blood tested at one, three, six and 12 months after detection.

“Once you have that effective treatment and we’re confident that the blood work is telling us the infection is gone, the syphilis itself is gone,” said Richardson.

But there’s always a risk of re-infection later.

woman smiling
Rebecca White is a sexual health nurse with public health in Yellowknife. She says the number of babies born with syphilis in Canada is ‘one of the reasons we take syphilis so seriously.’ (Francis Tessier-Burns/CBC)

Tricky symptoms

There’s no guaranteed way to identify syphilis without proper testing.

White says symptoms range from feeling like you have a flu, to rashes, to open sores, to nothing at all.

That’s why she suggests people with more than one sexual partner get tested every three months or so, while those with a steady partner should still be tested every year.

The pop-up clinic in Yellowknife on Saturday will be open from 11 a.m. to 4 p.m. and all appointments will be by walk-in only.

 

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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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