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Canada: 2022 - 2023 Mpox

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  • #16
    Translation Google

    A case of monkeypox suspected in a minor

    Isabelle Pare
    11:15 a.m.

    A case of monkeypox has been detected in a child who allegedly had contact at a school in the Montreal area. The number of confirmed cases in Montreal is now 15, for a total of 25 in the province. The acting national director of public health, Dr. Luc Boileau, said Thursday to act "rigorously and quickly" to contain the virus and said he did not fear community transmission.

    “We are investigating a child who is said to be positive and who has had contact with other friends in his school, so action must be taken on this side. But this is a single situation, we are not in an expansion, ”he said Thursday, noting an “evolution” of the situation.

    Despite this pediatric case and the presence of 24 other confirmed cases in adults, Dr. Boileau believes that “we are not in a major population alert as we have known for two years with COVID. We are not at all in this scenario, and we are not going to get there. »

    The child suspected of having monkeypox has reportedly been isolated and these potential contacts are being traced. The Direction régionale de la santé publique de Montréal (DRSPM) refuses for the moment to identify the school where this first pediatric case was identified, as well as the places in downtown Montreal associated with the cases detected in men with had prolonged close contact with other men or sexual relations.

    For confidentiality issues and to avoid "stigma", the regional public health directorate has chosen not to disclose the names of the establishments associated with some of the confirmed cases, explained Thursday the Dr. Geneviève Bergeron, medical officer for infectious diseases. at the DRSPM. The latter collaborate with public health to reach the people concerned.

    Smallpox vaccines were received on May 24 from the federal government in an effort to offer them to people identified by public health who could benefit. If given within the first four days, the vaccine can prevent the development of symptoms. After 5 to 14 days, it can still reduce their severity, explained Thursday Dr. Caroline Quach, pediatrician and microbiologist-infectiologist at CHU Sainte-Justine.

    “This virus is transmitted by direct contact. […] It is not because you have been in the presence of a person that you are going to be infected. We are not at the same level of risk as COVID, ”she insisted.

    The smallpox vaccine, used against monkeypox, is not licensed for use in children at this time. But if necessary, says Dr. Quach, member of the Quebec Immunization Committee (CIQ), it would be possible to use it in Quebec "outside approval". The federal National Immunization Committee (NACI) should issue recommendations on this subject in the coming days and Quebec intends to comply with them.

    As for the cases traced in adults, the DRSPM affirms that links have been made between several of them, and have been associated with the frequentation of certain Montreal establishments, but also with recent trips. Spain, where around 30 cases have been detected to date, has identified several mass events, including the Gay Pride held recently in the Canary Islands, as the possible source of several cases.

    "It's very unusual to see so many cases in several countries," said Dr. Bergeron. It is very important for us to understand the links between these cases and to know how these cases emerged. »


    • #17
      Translation Google

      Monkeypox - Vaccine doses arrive to combat infection in people with high-risk contact

      May 26, 2022, 10:53 a.m.
      Published by: Health and Social Services

      QUEBEC CITY , May 26, 2022 /CNW Telbec/ - The Department of Health and Social Services announces that the federal government has made available to the Quebec population doses of vaccine intended to combat the monkeypox virus. This is the IMVAMUNE vaccine, several doses of which were delivered on May 24.

      In accordance with the recommendations made in the notice submitted by the Quebec Immunization Committee (CIQ), high-risk contacts of a confirmed or probable case of monkeypox, as defined by public health authorities, may be vaccinated with a single dose of IMVAMUNE vaccine within four days of exposure. The second dose may be administered only if the risk of exposure is still present 28 days later. The doses offered will be administered only following a decision by public health authorities.

      The strategy for vaccinating contacts of probable and confirmed cases is to contain the current outbreak to limit the spread of the virus within the group currently most affected. This will prevent it from spreading to other groups that could include clienteles more likely to suffer sequelae.

      It should be noted that as of May 26, 25 cases of people infected with monkeypox have been confirmed in Quebec. Thirty other cases of genital ulcer lesions are currently under investigation. Almost all of the cases are adult men who have had close and prolonged contact with other men.

      Recall that the reported symptoms of monkeypox consist mainly of skin lesions in the mouth and genitals. These signs may be preceded or accompanied by fever, night sweats, headache, swollen glands, or joint or muscle pain. The disease is transmitted by close and prolonged contact, five days before the onset of symptoms until the skin lesions are crusted over. The incubation period is usually short (5 to 7 days), but can be as long as 21 days.

      • In the majority of cases, the disease resolves on its own within two to four weeks. Very rare cases of serious complications can occur, however.
      • Beyond the vaccine, it is important to note the preventive measures to be observed in the event of contact. You must monitor your symptoms and avoid having sex or sleeping with another person, since the disease can be transmitted five days before the symptoms, and wear a mask.
      • In the presence of compatible symptoms, it is important to quickly consult a health professional for an evaluation. People suspected of having the disease should isolate themselves at home, and isolate themselves from other members of the household as much as possible. They should wear a mask when in contact with other people, cover lesions with clothing or bandages, avoid sharing objects and practice general hygiene measures such as hand washing and respiratory etiquette.
      • Isolation may be lifted once the skin lesions are crusted over or as recommended by the physician if another diagnosis is made. You should also avoid contact with immunocompromised people until all the scabs have disappeared.


      • #18

        Monkeypox cases up to 26; first case detected in Ontario: PHAC
        Alexandra Mae Jones writer
        Published May 26, 2022 4:37 p.m. EDT

        There are now 26 confirmed cases of monkeypox in Canada, according to an update from the Public Health Agency of Canada, and the virus has been detected in a new province.

        In Thursday’s update, PHAC stated that over the past week, it had confirmed 25 cases of monkeypox in Quebec.

        Now, it has confirmed a case of monkeypox in Ontario as well, the first case in a province outside of Quebec.

        “Our understanding of the virus is still evolving, but I want to emphasize this is a global response,” Dr. Howard Njoo, Deputy Chief Public Health Officer, said in the update...


        • #19

          Toronto confirms first case of monkeypox; investigating five others
          By The Canadian Press
          Thu., May 26, 2022timer1 min. read
          updateArticle was updated 25 mins ago

          Toronto Public Health has confirmed the city’s first case of monkeypox.

          The city has been investigating several suspected and probable cases, and today announced that one has been lab confirmed.

          Officials say the person is in stable condition and recovering in hospital.

          The city also says two people that had previously been suspected of having monkeypox have tested negative, but four new suspected cases were also reported today...


          • #20

            Quebec to start vaccinating contacts of monkeypox cases as 25 infections confirmed
            Quebec’s interim public health director says the province could start vaccinating people against monkeypox as soon as Friday.
            By Jacob SerebrinThe Canadian Press
            Thu., May 26, 2022timer4 min. read
            updateArticle was updated 42 mins ago

            MONTREAL - Quebec will be the first Canadian province to launch a vaccination campaign against the monkeypox virus, interim public health director Dr. Luc Boileau said Thursday, adding that 25 cases of the disease have been confirmed in the Montreal area.

            The province has received doses of the smallpox vaccine Imvamune from the federal government and could begin administering shots to people as early as Friday, Boileau said. Thirty suspected cases of the disease are under investigation in addition to the 25 confirmed cases, he added.

            While he described the outbreak as serious, he said the disease is much less transmissible than COVID-19 and that authorities are hopeful it can be eradicated in the province...


            • #21
              Toronto Public Health confirms first case of monkeypox

              News Release
              May 26, 2022

              Toronto Public Health (TPH) has received notification confirming Toronto’s first reported case of monkeypox virus.

              Today, TPH also received laboratory confirmation that two residents who were categorized as suspected cases have tested negative. Four newly-suspected cases of monkeypox were reported to TPH as well. This brings the total number of probable cases to one and suspect cases to four. These five individuals are undergoing laboratory testing to confirm if they have this virus and are currently recovering at home.

              A probable case of monkeypox is defined as a person with signs and symptoms of the virus including a rash and contact with a confirmed or probable case, travel to a region where a confirmed case has been detected or exposure to an infected animal. Individuals lacking an epidemiological link but with the required signs and symptoms including the rash are classified as suspected cases.

              Monkeypox is a rare disease caused by a virus that is normally found endemic in central and western Africa. It was first identified in monkeys, but its origins remain unknown. Symptoms include fever, headache, muscle aches, exhaustion, swollen lymph nodes and a rash that often appears within a few days after symptoms begin and starts on the face and spreads to other parts of the body. Most people recover on their own without treatment.

              Monkeypox spreads through contact with body fluids such as fluids from the monkeypox sores, contaminated clothing or bedding, or through respiratory droplets following prolonged face-to-face contact. It can also be spread through bites or scratches from infected animals. Anyone, regardless of sexual orientation, can spread monkeypox through contact with body fluids, monkeypox sores or by sharing contaminated items. Common household disinfectants can kill the monkeypox virus.

              While monkeypox does not generally spread easily between people, because it has now been detected in Toronto, residents should be aware of the virus’ symptoms described above. TPH is asking residents who have these signs and symptoms to report them to their health care provider as soon as possible. Close contacts of people suspected or confirmed to have a monkeypox infection are advised to self-monitor for symptoms for 21 days after their last exposure. If symptoms develop, they should self-isolate, seek care and get tested. Health care providers are reminded that individuals suspected of monkeypox infection must be reported to Public Health Ontario. As with many other diseases spread through close contact, people can lower their risk by maintaining physical distance, frequent hand washing and respiratory hygiene including masking.

              A number of countries have documented clusters of cases of the monkeypox virus infection, including the United States and Canada. To date, Quebec has reported lab-confirmed cases and suspect cases. Monkeypox is transmitted through prolonged face-to-face contact or body contact with an infected individual, even before the onset of symptoms.

              TPH continues to follow up with anyone thought to be exposed to monkeypox. TPH also continues to work closely with the Public Health Agency of Canada, Public Health Ontario, and the Ontario Ministry of Health. TPH has communicated with local physicians to provide information on symptoms, laboratory testing and diagnosis, infection control precautions, treatment and reporting requirements for monkeypox.

              More information about monkeypox can be found on the Public Health Agency of Canada’s website . or by calling Toronto Public Health’s hotline at 416-338-7600. Additional information is also available on the Gay Men’s Sexual Health Alliance webpage .

              Toronto is home to more than 2.9 million people whose diversity and experiences make this great city Canada’s leading economic engine and one of the world’s most diverse and livable cities. As the fourth largest city in North America, Toronto is a global leader in technology, finance, film, music, culture and innovation, and consistently places at the top of international rankings due to investments championed by its government, residents and businesses. For more information visit the City’s website or follow us on Twitter , Instagram or Facebook .

              Toronto Public Health Media Relations



              Update on monkeypox in Canada

              From: Public Health Agency of Canada


              May 26, 2022 | Ottawa, ON | Public Health Agency of Canada

              The Public Health Agency of Canada (PHAC) is issuing this statement to provide an update to the evolving epidemiological investigation into monkeypox cases in Canada.

              Today, the Public Health Agency of Canada (PHAC) is confirming additional cases of monkeypox in Canada. In addition to the previously reported sixteen confirmed cases in Quebec, PHAC's National Microbiology Laboratory (NML) has confirmed another 10 cases. There are now 26 confirmed cases in Canada. The breakdown by province is: Quebec (25) and Ontario (1). It is likely that additional cases will be reported in the coming days as the NML is continuing to receive samples for confirmatory testing from multiple jurisdictions.

              Human cases of monkeypox have been recently reported in over 20 countries worldwide. Before now, Canada has not seen person-to-person spread of monkeypox. We are continuing to collaborate with international partners to better understand the arrival of this virus in countries outside of Africa. PHAC, together with health authorities at all levels are actively addressing the situation in Canada to provide the people in Canada with the information they need to make informed decisions about their health.

              The NML is working to facilitate and support laboratory testing capacity in jurisdictions across the country. The Agency is engaging with experts to finalize and release public health guidance on case identification, contact tracing and isolation, as well as infection and prevention control for the healthcare system. The NML is also completing whole genome sequencing, an enhanced fingerprint analysis, on Canadian samples of monkeypox. This sequencing will help our experts understand the chains of transmission occurring in Canada.

              Additionally, there is ongoing work to plan the way forward with provinces, territories and partners, such as providing access to approved vaccines in Canada that, if required, can be used in managing monkeypox in their jurisdiction. As a preparedness step, limited shipments of Imvamune vaccine from Canada's National Emergency Strategic Stockpile (NESS) are being offered to jurisdictions who require a targeted response. Currently, there is no need for the vaccine to be used for mass immunization. This recommendation is in alignment with international expert assessments, including the World Health Organization (WHO). The situation in Canada is under close and constant monitoring and may be adapted as and when the need arises.

              While the risk of infection is currently low for the general population, monkeypox virus can affect anyone who is in close contact with an infected person or their contaminated objects. Contrary to some recent media reports, this virus does not discriminate and is not limited to spread from intimate sexual activities. This kind of misinformation and stigmatization can lead to misunderstanding of risks and negative health outcomes. Canada's Chief Medical Officers of Health are meeting regularly and working collaboratively to analyze available information about these emerging human infections that before now, have never before been reported in Canada.

              Canadians should be aware of the symptoms of monkeypox. Anyone who may have come into contact with a case or who is feeling unwell or has symptoms that could be consistent with monkeypox infection, should limit their contact with others and report their symptoms to their health care provider. Common signs and symptoms of monkeypox infection include fever, headache, muscle aches, exhaustion, swollen lymph nodes, and development of a new rash. Following infection, the incubation period (number of days between exposure/infection and onset of symptoms) is normally 6-13 days but can range to as much as 21 days. Health care providers are urged to be extra vigilant and closely watch for patients with any symptoms of monkeypox, even atypical presentation, regardless of whether they have reported travel.

              The Government of Canada will continue to work with the provinces and territories to respond to the evolving situation, and will continue to provide updates to the public as new information becomes available.



              • #22
                Canada confirms more cases of monkeypox, including a teenager

                May 26 2022, 5:38 pm
                Amir Ali

                ... Another revelation of these new cases is that one of them was linked to a high school teenager in Quebec.

                A Montreal doctor is making her voice heard on Twitter about how this particular school-based situation was handled, and she’s not happy.

                The situation in Quebec

                Earlier today, a public press conference saw Quebec school officials revealed that a child was one of the recently confirmed cases, which later turned out to be a high school teenager.

                Dr. Lisa Iannattone took exception to how the situation was handled.

                She added that no vaccines that protect against monkeypox that are approved for kids or teens.

                “If this outbreak isn’t contained, it’s kids that will be the most affected by ‘endemic monkeypox.'”

                Iannattone also took exception to the fact that there was no mandatory isolation for anyone.



                • #23

                  Dr. Lisa Iannattone
                  First case of monkeypox in a school aged child was confirmed in Quebec. And no, they did not isolate the class. That’s a really high risk decision. Isolating 1 class seems like it would be a reasonable measure in order to contain this outbreak. Were the parents notified?

                  Premier cas de variole simienne en milieu scolaire au Qc First #monkeypox school case in Quebec…
                  0:07 / 0:32
                  10:44 AM · May 26, 2022·Twitter Web App

                  Dr. Lisa Iannattone
                  Replying to
                  Who’s going to be held accountable if this turns out to be the wrong call?
                  Dr. Lisa Iannattone
                  Reminder that there’s no vaccine approved for kids and teens. If this outbreak isn’t contained, it’s kids that will be the most affected by “endemic monkeypox”. All not to isolate *one* class in the early days of the outbreak.

                  Dr. Lisa Iannattone
                  This just keeps getting better: isolation isn’t mandatory for the cases or their contacts. I had to go back and watch the press conference to confirm because it seemed too far fetched. But it’s true. No mandatory isolation for anyone, not even cases.
                  Quote Tweet

                  Dave Mac Farlane
                  · 9h
                  Replying to @lisa_iannattone and @SnodV
                  There's no attempt to control it. They're not even requiring the adult cases to isolate, just "recommending" it.
                  Dr. Lisa Iannattone
                  Also the school aged case in question is a high school teenager. Multiple teachers and classes would have had to be isolated, not just one, which still seems like the appropriate thing to do if the objective is elimination like they claim.


                  • alert
                    alert commented
                    Editing a comment
                    See below. You have to isolate the cases, or there will be international travel restrictions and other issues applied to any area that is not isolating its cases, just like happened during the SARS outbreak.

                    There's not much risk of the virus becoming endemic in Europe or North America unless infection of an animal reservoir occurs. Otherwise, if R0 < 1, the outbreak will be snuffed out, and if R0 >> 1, it will go pandemic.

                • #24
                  VIDEO: Watch the press conference

                  First #monkeypox school case in Quebec

                  Covid Ecoles Quebec
                  Premier cas de variole simienne en milieu scolaire au Qc First #monkeypox school case in Quebec
                  0:03 / 0:32
                  Quote Tweet

                  Covid Ecoles Quebec
                  · 13h
                  Dr Quach/Boileau mentionnent qu'il y a un cas de variole simienne en milieu scolaire, de moins de 18 ans.isolement pour la personne mais pas la classe

                  Dr. Quach/Boileau that there is a case of #monkeypox in schools under 18 years old..isolation for the person but not the class



                  • #25
                    bump this


                    • #26
                      Translation Google

                      Monkeypox sometimes presents atypically

                      Isabelle Pare
                      May 27, 2022

                      Symptoms of monkeypox aren't always "classic," with one confirmed case of this infectious disease and several others being investigated in Quebec showing no fever or widespread lesions, says a microbiology expert. With 25 confirmed cases in Quebec, including one child, and around 30 suspected cases, doctors must remain on the lookout for atypical presentations of this rare disease.

                      At least that's what Dr. Sébastien Poulin, microbiologist-infectiologist at the CIUSSS des Laurentides and consultant for several clinics treating sexually transmitted and blood-borne infections (STBBIs) where the first cases of monkeypox were diagnosed in Montreal. . He raised a lot of interest in the medical community by posting this unusual fact on the social network Twitter.

                      “One of my patients had only one lesion on the genitals, none elsewhere, no pain, no fever. It may be anecdotal, but other patients under investigation by colleagues seem to have this kind of presentation, ”says this doctor.

                      Typically, the infection is first characterized by fever and flu-like symptoms, including joint and muscle pain, followed three days later by rashes over several areas of the body. "There seem to be cases that present differently, only with lesions to the genital organs that can be confused with [the manifestations] of other STBBIs," explains Dr. Poulin.

                      In the cases confirmed to date, the transmission is always linked to close contact occurring during sexual relations between men, but all people with multiple partners are considered to be at risk, believes this doctor.

                      As for the case of infection observed in a child, the origin of the transmission remains unknown, and it will be necessary to await the result of the investigation to know if a new chain of transmission is involved, said Thursday the D re Caroline Quach, microbiologist-infectiologist at CHU Sainte-Justine, on Radio-Canada.

                      “We are investigating a child who is said to be positive and who has had contact with other friends in his school, so action must be taken on this side. But this is a single situation, we are not in an expansion”, had specified earlier in a press briefing the national director of public health ad interim, Dr. Luc Boileau, noting an “evolution” of the situation.

                      Investigations in Montreal

                      The number of confirmed cases of monkeypox in Montreal now stands at 14, for a total of 25 in the province, and 30 more are suspected. Thanks to the receipt of a hundred vaccines on Tuesday, Dr. Boileau was able to announce that the vaccination of confirmed contact cases and probable cases would be initiated to contain the current transmission.

                      “We are not in a major population alert as we have known for two years with COVID. We are not in this scenario at all, and we are not going to get there, ”he said.

                      The child believed to have monkeypox would have been isolated, and these potential contacts are also being investigated, says Dr. Boileau. The Montreal Regional Public Health Department (DRSPM), however, refused to name the school where this first pediatric case was discovered, as well as the establishments associated with the cases detected in men who have sex with other men.

                      It is to avoid “stigma” that the names of these establishments are not disclosed, explained the DRSPM, ensuring that they have their collaboration to reach people potentially exposed to the simian pox virus.


                      • #27

                        Toronto Confirms Its First Case Of Monkeypox & There Are 4 Other Suspected Cases
                        Remember to monitor your symptoms.
                        Mira Nabulsi
                        Toronto Associate Editor
                        1 hour ago 1 second ago

                        Toronto Public Health (TPH) confirmed their first reported case of the monkeypox virus on Thursday.

                        Thankfully, TPH said in a press release that they received laboratory confirmation that two other Torontonians who were "categorized as suspected cases have tested negative."

                        They also received four "newly-suspected cases of monkeypox."

                        "This brings the total number of probable cases to one and suspect cases to four," they stated. "These five individuals are undergoing laboratory testing to confirm if they have this virus and are currently recovering at home."...


                        • #28

                          Toronto Public Health confirms 2nd case of monkeypox virus
                          By Hannah Jackson Global News
                          Posted May 31, 2022 3:36 pm

                          Another case of the monkeypox virus has been confirmed in the city, says Toronto Public Health (TPH).

                          In a series of tweets Tuesday afternoon, TPH said as of May 31 at 3 p.m., there have been two positive cases, nine negative cases and six under investigation.

                          “There is one new lab-confirmed case since our last update,” TPH said in a tweet.

                          The health unit said it is continuing to monitor “monkeypox activity” in Toronto.

                          TPH announced the first lab confirmed case of the virus in the city on May 26...


                          • #29

                            Last updated: May 31, 2022 at 3:03 p.m.

                            Monkeypox is viral zoonosis disease – meaning the virus is transmitted between species from animals to humans. The origins of the disease are unknown, but it was first identified in monkeys and is mostly found in central and western Africa.

                            Monkeypox Cases in Toronto

                            Last reported on May 31, 2022




                            Currently Investigating


                            • #30
                              Translation Google

                              A first suspected case of monkeypox in New Brunswick

                              Radio Canada
                              Posted 8:13 a.m.

                              Ms. Shephard revealed this information during question period in the Legislative Assembly.

                              "We now have a suspected case of monkeypox in our province ," she told Opposition Leader Roger Melanson, who asked her about the excess mortality in the province.

                              The minister said she was waiting to get more information from Health Canada before commenting on the risks for the population.

                              Once we have a confirmation [of the positivity or not] of the case, public health will be able to provide more information and explain what will be the strategy to come , underlines Ms. Shephard.

                              It was not indicated in which region the suspected case is located.

                              Un virologue dit que la population ne devrait pas s'inquiéter, pour le moment, de l'arrivée possible du virus.