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Canada: 2022-2026 Mpox

Translation google

No case of monkeypox in a Quebec child, finally

According to the Montreal Regional Public Health Department, 516 people received the monkeypox vaccine between May 30 and June 5, 2022.


Marie-Eve Cousineau
June 7, 2022
Health

Monkeypox continues to spread in Quebec, but no child has contracted it, contrary to what Public Health announced ten days ago. "We realized that there had been an error at the National Microbiology Laboratory in Winnipeg," explains Dr. Caroline Quach-Thanh, president of the Quebec Immunization Committee (CIQ). There are no pediatric cases. »

Dr. Quach -Thanh, microbiologist-infectiologist at the Center hospitalier universitaire (CHU) Sainte-Justine, was alongside the acting national director of public health for Quebec, Dr. Luc Boileau, when he told the media about an infection in a child, during his press briefing on May 26.

Joined by Le Devoir , the Ministry of Health and Social Services (MSSS) confirms “that the presumed minor case announced at the last press conference on the subject is now invalidated”. According to Dr. Quach-Thanh, the child eventually suffered from chickenpox.
...
Vaccination against monkeypox began about a week ago in Montreal. The vaccine should ideally be administered within four days of the last exposure to an infected contact.

According to the Regional Public Health Department of Montreal, 516 people received the vaccine between May 30 and June 5, 2022. But "all these people do not necessarily reside in Montreal", specifies its spokesperson, Jean-Nicolas Dawn.

Ottawa supplies Quebec with vaccines. “A first order for 1,000 doses of smallpox vaccine from the federal government has been authorized by the DNSP [acting national director of public health], as well as a second order for 4,000 additional doses for a total of 5,000 doses in Quebec” , reports MSSS spokesperson Robert Maranda.

As of Tuesday, the L'Actuel medical clinic in Montreal will receive doses of the vaccine, says its president and CEO and founder, Dr. Réjean Thomas. A nurse will carry out screening and vaccination. The vaccine will also be available “without an appointment”.

L'Actuel counts 19 cases in its clientele, including one in a heterosexual man, roommate of an infected person. “I have patients who have been in saunas,” says Dr. Thomas. I have several patients I have seen who do not frequent saunas. Some didn't have that many sexual partners either. Some had no idea where they had contracted it. »

Dr. Thomas reports that gay men who are addicted to crystal meth are at higher risk of contracting the disease. "They have a lot of sex partners," he says. Is the [current] problem related to that? It's too early to tell. »

The doctor hopes that the nurses and doctors at his clinic will soon be able to receive the monkeypox vaccine. "I made the request twice for our staff to be vaccinated," he said. Imagine if one of our nurses contracted the disease. First, we are short of staff. Second, it's a lot of work when cases arrive. It delays the regular “walk-in”. »

Dr. Thomas doesn't want employees to get sick. In a June 3 update, Montreal Public Health reported three hospitalizations: "two related to the risk of airway obstruction, and one related to possible ophthalmic damage."

The strain of monkeypox from West Africa, present in Quebec, causes death in only 1% of cases. “But it can leave scars on the skin,” adds Dr. Tremblay. It is a disease that we do not want to let spread among the population. »

Dr. Quach -Thanh believes that it is absolutely necessary to control the disease. "We really don't want it falling into an animal reservoir," she said. Because once it falls into an animal reservoir, we are never able to get rid of it again. In North America, our prairie dogs are susceptible to this and can become infected and transmit it [the monkeypox virus]. »

https://www.ledevoir.com/societe/sa...-du-singe-chez-un-enfant-quebecois-finalement
 
Translation Google

CATCH-UP ON TUESDAY, JUNE 7, 2022

Interview with Dr. Mark Lysyshyn: 1st case of monkeypox in B.C.


The case of monkeypox detected in B.C. had traveled to Quebec

West Lighthouse
Posted on June 7, 2022

A first case of monkeypox has been detected in British Columbia. The Vancouver Coastal Health Authority is conducting public health monitoring, but did not provide details on how the person contracted the virus. Mark Lysyshyn, Medical Officer of Health for the Vancouver Coastal Health Authority, provides an update on the situation in the province.

We have a case here in Vancouver, BC, but it's really an isolated case. This is a person who traveled to Quebec and had exposure to the virus. It is not believed that there is any transmission happening here in British Columbia at this time.
...

Audio (in French):

https://ici.radio-canada.ca/ohdio/p...syshyn-variole-simienne-vancovuer-cas-detecte
 
Monkeypox: Outbreak update
...

Current situation


Canada



The Public Health Agency of Canada is working with provincial and territorial public health partners to investigate cases of monkeypox in Canada. As the investigation evolves, it is anticipated that additional cases will be reported in Canada. Provinces and territories have publicly reported 81 cases of monkeypox as of June 7, 2022 at 1:00 pm EDT.
British Columbia1
Alberta1
Ontario8
Quebec71

PHAC is continuing to collect and analyze epidemiological information reported by the provinces and territories to help define the national scope of the investigation and to determine if there are any increased health risks to people in Canada. Going forward, case numbers may change as provinces and territories continue to receive confirmatory testing results from PHAC's National Microbiology Laboratory. On an ongoing basis, provinces and territories are reviewing case data in their jurisdictions and those that meet the case definition will be reported to PHAC to be included in the national investigation.

This webpage will be updated with the latest case numbers each week on Tuesdays and Thursdays at 1:00PM EDT. The next update will be Thursday, June 9.

...

https://www.canada.ca/en/public-health/services/diseases/monkeypox.html#a1
 
Translation Google



Monkey pox

As of June 6, 2022, 90 cases of monkeypox have been reported in Quebec.


Symptoms

The symptoms reported consist mainly of skin lesions in the mouth and genitals. These signs may be preceded or accompanied by:
  • fever;
  • night sweats;
  • headache;
  • swollen glands;
  • joint or muscle pain.
If you have been in close contact (by sexual contact or living under the same roof) with a suspected case or people showing the symptoms mentioned above, watch for the appearance of symptoms for 21 days following your contact with this case. If you live with a suspected case or people who have the symptoms mentioned, avoid sleeping in the same bed, avoid sexual relations, limit your contact with them and wear a mask in their presence.

If you have compatible symptoms, promptly see a healthcare professional for an evaluation, wear a mask, and cover the lesions. Before your consultation, notify the clinical setting.

People suspected of having the disease should isolate themselves at home, isolate themselves from other members of the household as much as possible, wear a mask when in contact with other people, cover the lesions (clothes or bandages ), avoid sharing objects (bedding, clothing, utensils, etc.) 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.
These people should also avoid contact with immunocompromised people until all the scabs have disappeared.



...
https://www.quebec.ca/sante/problemes-de-sante/a-z/variole-du-singe
 
Source: https://globalnews.ca/news/8904533/alberta-monkeypox-second-case/

Alberta detects second case of monkeypox
By Adam Toy Global News
Posted June 7, 2022 8:58 pm
Updated June 7, 2022 10:06 pm

A second case of monkeypox has been detected in Alberta, the province’s chief medical officer of health said Tuesday evening.

“I can confirm that this case is not linked to the first case announced last week and at this time there is no known direct connection to other confirmed cases,” Dr. Deena Hinshaw wrote on social media.

She said the individual is self-isolating and cooperating with health authorities in contact tracing efforts...
 
Source: https://www.cornwallseawaynews.com/...f-monkeypox-eight-cases-confirmed-in-toronto/


Halton Region confirms first case of monkeypox, eight cases confirmed in Toronto
June 8, 2022 at 17 h 48 min
The Canadian Press

Halton Region Public Health says it has confirmed the area’s first case of monkeypox.

The health unit says the individual is isolating at home and all contacts have been notified.

Local medical officer of health Dr. Hamidah Meghani says most people with monkeypox will have mild symptoms, but children, pregnant women and the immunocompromised are at higher risk for severe disease.

Toronto Public Health says there are eight confirmed cases in the city, 16 who tested negative and 17 more case under investigation...
 
Source: https://globalnews.ca/news/8909523/tph-9-cases-of-monkeypox/

1 new case of monkeypox virus confirmed in Toronto, 23 cases under investigation: TPH
By Hannah Jackson Global News
Posted June 9, 2022 3:32 pm


Toronto Public Health (TPH) says one new case of the monkeypox virus has been confirmed.

In a series of tweets Thursday afternoon, TPH said as of Thursday at 3 p.m., there have been nine positive cases of monkeypox and 23 cases that are under investigation.

“There is 1 new lab-confirmed case since our last update,” the tweet reads...
 
Source: https://globalnews.ca/news/8910310/monkeypox-cases-canada-update-june-9/

Monkeypox in Canada: 112 infections reported as global cases top 1,000
By Irelyne Lavery Global News
Posted June 9, 2022 7:16 pm
Updated June 9, 2022 7:28 pm

A total of 112 cases of monkeypox have been reported in Canada as of Thursday, according to the country’s public health agency and Alberta’s chief medial officer of health.

One case has been identified in British Columbia, four in Alberta, nine in Ontario and 98 in Quebec.

Read more: Monkeypox, severe hepatitis raise concerns of virus outbreaks post-COVID

Monkeypox is a rare disease that comes from the same family of viruses that cause smallpox, which the World Health Organization (WHO) declared eradicated worldwide in 1980.

With the vast majority of Canada’s monkeypox cases in Quebec, the province began to offer a smallpox vaccine to specific close contacts of those infected.

As of June 9, 1,622 people have been vaccinated, Quebec’s Health Department said...
 
Monkeypox: Outbreak update

...

Current situation

Canada



The Public Health Agency of Canada (PHAC) is working with provincial and territorial public health partners to investigate cases of monkeypox in Canada. As the investigation evolves, it is anticipated that additional cases will be reported in Canada. Provinces and territories have publicly reported 110 cases of monkeypox as of June 9, 2022 at 3:00 pm EDT.
British Columbia1
Alberta2
Ontario9
Quebec98

PHAC is continuing to collect and analyze epidemiological information reported by the provinces and territories to help define the national scope of the investigation and to determine if there are any increased health risks to people in Canada. Going forward, case numbers may change as provinces and territories continue to receive confirmatory testing results from PHAC's National Microbiology Laboratory. On an ongoing basis, provinces and territories are reviewing case data in their jurisdictions and those that meet the case definition will be reported to PHAC to be included in the national investigation.

This webpage will be updated with the latest case numbers each week on Tuesdays and Thursdays at 1pm EDT. The next update will be Tuesday, June 14.

...
https://www.canada.ca/en/public-health/services/diseases/monkeypox.html#a1
 
Monkeypox virus

Last revised: June 10, 2022



PSA: First confirmed case of monkeypox in Ottawa


OPH will follow up with and provide guidance to those who are confirmed to have monkeypox and any possible contacts. This guidance will include instructions for self-isolation. Ottawa Public Health continues to work closely with the Ministry of Health and Public Health Ontario, local infectious disease experts and health care providers to identify cases of monkeypox in the community.

According to the Public Health Agency of Canada (PHAC) the risk of infection is low for the general population. The monkeypox virus can affect anyone who is in close contact with an infected person such as direct contact with their body fluids, respiratory droplets, sores or by coming into contact with items they may have been in contact with.

Monkeypox is a rare viral disease caused by a virus usually found to be endemic in Central and Western Africa. The virus enters the body through broken skin, the respiratory tract or the mucous membranes, like the eyes, nose, or mouth.

Common signs and symptoms of monkeypox include:
  • Fever
  • Chills
  • Headache
  • Muscle aches
  • Exhaustion
  • Swollen lymph nodes
  • New rash or lesions--(usually appears a few days after other symptoms on the faceand the extremities.)
The incubation period (time between exposure/ infection and when symptoms begin) is typically 6-13 days, and can be up to 21 days.

If you think that you may have the signs and symptoms of monkeypox, and or are a close contact of someone who has confirmed monkeypox, please contact your health care provider for an assessment as soon as possible. Limit your contact with others and self-isolate.

Most transmission of monkeypox in Canada has occurred between close contacts like intimate partners or household members.

Background information
  • Monkeypox detailed fact sheet : Provides an overview of the virus, transmission, epidemiology, clinical considerations including treatment, case and contact management, and prevention (World Health Organization).
https://www.ottawapublichealth.ca/en/public-health-topics/monkeypox-virus.aspx
 
Source: https://www.cbc.ca/news/canada/lond...iddlesex-london-has-been-identified-1.6486974

1st case of monkeypox in Middlesex-London has been identified
The virus was first reported in Canada four weeks ago
CBC News · Posted: Jun 13, 2022 1:57 PM ET | Last Updated: 3 hours ago

The Middlesex-London Health Unit (MLHU) on Monday reported the first case of monkeypox in the the southwestern Ontario region.

Health officials said staff determined the person who was diagnosed with the virus has no close contacts who require post-exposure treatment or additional followup.

"The person is doing well," said Dr. Alex Summers, medical officer of health for the MLHU. "While we are reporting this first local case of monkeypox, the risk to the community remains very low."

The health unit has not released the age of the patient or the city where they live....
 
Source: https://montrealgazette.com/news/lo...s-climb-to-132-in-quebec-thousands-vaccinated

Monkeypox cases climb to 132 in Quebec; thousands vaccinated
Of those cases, 126 are in Montreal, which is the epicentre of the outbreak in Canada.
Author of the article:
T'Cha Dunlevy • Montreal Gazette
Publishing date:
Jun 14, 2022 • 2 minutes ago

There are now 132 confirmed cases of monkeypox in Quebec, interim public health director Dr. Luc Boileau said Tuesday.

Of those cases, 126 are in Montreal, which is the epicentre of the outbreak in Canada, said Montreal public-health director Dr. Mylène Drouin.

The first cases of monkeypox were confirmed in Montreal in mid-May.

Boileau said the number of cases is gradually increasing, with a few new cases confirmed every day. The outbreak here has been concentrated among men who have sex with men, Boileau said.

Vaccination of close contacts has begun, with more than 3,000 people vaccinated with a smallpox vaccine so far, Boileau said. He said the province has about 40,000 doses of a vaccine to use in the monkeypox outbreak...
 
Source: https://toronto.ctvnews.ca/there-are-now-18-cases-of-monkeypox-confirmed-in-toronto-1.5945066

There are now 18 cases of monkeypox confirmed in Toronto
Katherine DeClerq
CTV News Toronto Multi-Platform Writer
Published June 13, 2022 5:24 p.m. EDT

Toronto confirmed seven additional cases of monkeypox on Monday.

Public Health officials say the new cases bring the total number of confirmed infections to 18. Twenty-three other cases are currently under investigation.

Over the weekend the city started the first of several community-based vaccine clinics targeting those who have had close contact with someone who has tested positive for monkeypox, as well as those with high risk contacts, and those who have a higher risk of being exposed to the virus.

The vaccine was approved by Health Canada in 2020 and is approved for individuals aged 18 and up...
 
Source: https://www.canada.ca/en/public-health/services/diseases/monkeypox.html

Current situation

Canada


The Public Health Agency of Canada (PHAC) is working with provincial and territorial public health partners to investigate cases of monkeypox in Canada. As the investigation evolves, it is anticipated that additional cases will be reported in Canada. Provinces and territories have publicly reported 159 cases of monkeypox as of June 15, 2022 at 1:00 pm EDT. [TABLE="class: table table-condensed table-bordered"]
[TR="class: bg-primary"]
[/TR]
[TR]
[TD]British Columbia[/TD]
[TD]2[/TD]
[/TR]
[TR]
[TD]Alberta[/TD]
[TD]4[/TD]
[/TR]
[TR]
[TD]Ontario[/TD]
[TD]21[/TD]
[/TR]
[TR]
[TD]Quebec[/TD]
[TD]132[/TD]
[/TR]
[TR]
[TD]Total[/TD]
[TD]159[/TD]
[/TR]
[/TABLE]
 
Source: https://globalnews.ca/news/8925974/quebec-monkeypox-cases-june-16-2022/

Monkeypox: Quebec sees confirmed cases rise by 9 to more than 140
By Kalina Laframboise Global News
Posted June 16, 2022 2:07 pm

Quebec now has a total of 141 confirmed cases of monkeypox, the province’s health department said Thursday.

The latest update is a rise of nine from the previous count released earlier this week, when that number stood at 132. The majority of infections are in Montreal, public health authorities have said.

The province has administered 3,936 doses of the smallpox vaccine Imvamune since late May, when it first became available...
 
Monkey pox


As of June 15, 2022, 141 cases of monkeypox have been reported in Quebec.


Symptoms

The reported symptoms consist mainly of skin lesions on the mouth and genitals. These lesions may be preceded or accompanied by:
  • fever;
  • night sweats;
  • headache;
  • swollen glands;
  • joint or muscle pain.
If you have been in close contact (for example, sexual contact or someone living in the same household) with someone with these symptoms, watch for symptoms for 21 days after your last contact with this person. If you live with a person who has the symptoms mentioned, avoid sleeping in the same bed with them and sharing personal items (e.g. bedding, clothes, dishes, etc.), limit your contact with them and wear a mask in his presence.

If you have compatible symptoms, promptly see a healthcare professional for an evaluation, wear a mask, and cover the lesions. Before your consultation, notify the clinical setting.

People suspected of having the disease will be contacted by the Public Health Department. They will have to isolate themselves at home, avoid contact with other members of the household as much as possible, avoid sexual contact, wear a mask when in contact with other people, cover the lesions (clothes or bandages) , avoid sharing objects (bedding, clothes, utensils, etc.) and practice general hygiene measures such as hand washing and respiratory etiquette. Isolation may be lifted once the scabs covering the skin lesions have fallen off and a layer of healthy skin is present or as recommended by the doctor if another diagnosis is made.

It is especially important to avoid contact with immunocompromised people, pregnant women and children under 12 until all the scabs have fallen off, as these people are at greater risk.



Transmission

Monkeypox is transmitted through close and prolonged contact. It is transmitted from the onset of symptoms until the scabs covering the skin lesions have fallen off and a healthy layer of skin is present. The incubation period is usually short (5 to 7 days), but can be as long as 21 days.
In most cases, the disease resolves on its own within two to four weeks . Very rare cases of serious complications can occur, however.



Vaccination

In Quebec, a vaccine is available to fight monkeypox.

Make an appointment

This vaccine can be given before or after exposure to the disease.

It is reserved for people targeted by public health authorities.


Post-exposure

It is possible to receive a dose of the monkeypox vaccine if, in the past 14 days, you have had:
  • direct contact with the skin, lesions or body fluids of a symptomatic person infected with monkeypox;
  • direct contact with objects (eg, clothing, lingerie, sex toys) potentially contaminated with secretions or body fluids of a symptomatic person infected with monkeypox;
  • a close and prolonged interaction (interaction of three hours or more within 1 meter, face to face, without wearing a medical grade mask) with a symptomatic person infected with monkeypox.
In the event that symptoms compatible with monkeypox are present at the time of vaccination, the vaccine cannot be administered.

Pre-exposure

It is possible to receive a dose of the vaccine if you are a man who has or will have sex with another man in Montreal, in one of the following contexts:
  • this sexual relationship is not with a single and regular sexual partner;
  • this sexual relationship takes place in a place where activities of a sexual nature take place;
  • this sexual relationship is in exchange for money, goods or services.
Workers and volunteers at a socializing venue or event where sexual activity may take place may also receive a dose of the monkeypox vaccine.
Men who have only one stable sexual partner do not need to receive the monkeypox vaccine.


Difficulty making an appointment

If you are having difficulty making your appointment online, ask your loved ones for help.
If needed, you can get help by calling from 8:00 a.m. to 6:00 p.m., Monday to Friday, at:

  • 418 644-4545
  • 514 644-4545
  • 450 644-4545
  • 1 877 644-4545 (toll free)


See also
Last update: June 16, 2022



https://www.quebec.ca/sante/problemes-de-sante/a-z/variole-simienne
 
Source: https://www.canada.ca/en/public-health/services/diseases/monkeypox.html

The Public Health Agency of Canada (PHAC) is working with provincial and territorial public health partners to investigate cases of monkeypox in Canada. As the investigation evolves, it is anticipated that additional cases will be reported in Canada. Provinces and territories have publicly reported 168 cases of monkeypox as of June 17, 2022 at 10:00 am EDT. [TABLE="class: table table-condensed table-bordered"]
[TR="class: bg-primary"]
[/TR]
[TR]
[TD]British Columbia[/TD]
[TD]2[/TD]
[/TR]
[TR]
[TD]Alberta[/TD]
[TD]4[/TD]
[/TR]
[TR]
[TD]Ontario[/TD]
[TD]21[/TD]
[/TR]
[TR]
[TD]Quebec[/TD]
[TD]141[/TD]
[/TR]
[TR]
[TD]Total[/TD]
[TD]168[/TD]
[/TR]
[/TABLE]
PHAC is continuing to collect and analyze epidemiological information reported by the provinces and territories to help define the national scope of the investigation and to determine if there are any increased health risks to people in Canada. Going forward, case numbers may change as provinces and territories continue to receive confirmatory testing results from PHAC's National Microbiology Laboratory. On an ongoing basis, provinces and territories are reviewing case data in their jurisdictions and those that meet the case definition will be reported to PHAC to be included in the national investigation.

This webpage will be updated with the latest case numbers each week.
 
Translation Google

Monkeypox: The isolation period is long, but necessary according to Dr. Tam

Raphael Pirro | QMI Agency| Published on June 17, 2022 at 12:56 PM

The period of isolation following a monkeypox infection may seem very long for patients, but it remains important due to the mysteries surrounding this disease which affected at least 141 Quebecers as of Friday.

“Until more is known, the safest thing to do to guard against transmission is to self-isolate until all the scabs have healed and fallen off and the skin begins to slough off. rebuild,” said Dr. Theresa Tam, head of the Public Health Agency of Canada (PHAC), on Friday. French public health even recommended on Wednesday that infected people should keep their pets away, since some would have the potential to be vectors of contamination.

Provincial and federal health authorities estimate that the incubation period for the virus during which the first symptoms appear is usually five to seven days, but it can extend up to 21 days.

Dr. Tam could not comment on the government's plans for financial assistance for those affected, such as extended sick leave.

Citing “local health authorities”, Theresa Tam reported that the growth of monkeypox cases “appears” already to be starting to slow.

This would be due first and foremost to awareness campaigns targeted at the most affected communities, and more specifically the gay community.

She particularly praised the collaboration of dating apps, including the popular Grindr app, in disseminating information about the dangers of monkeypox.

It is these communication efforts that have already enabled the vaccination of approximately 3,000 people across the country.

The World Health Organization (WHO) has its eye on the virus. She will soon have to rule whether monkeypox represents a “public health emergency of international concern”.

If Quebec is the epicenter of the virus in Canada, with 141 of the 168 confirmed cases, it is in Europe that there are the largest number of people infected at present.

More than 1600 cases have been reported in 39 countries, including at least 1285 cases reported in 28 non-endemic countries.

https://www.tvanouvelles.ca/2022/06...ment-est-longue-mais-necessaire-selon-la-dre-
 
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