Danuta Skowronski MD, FRCPC
Influenza & Emerging Respiratory Pathogens
BC Centre for Disease Control
Telemedicine tied to more antibiotics for kids. Kids seen via telemedicine visits were far more likely to be prescribed antibiotics than those who went to a doctor’s office or clinic, according to a new study. News.
Blood culture. Higher volumes of blood results in greater organism recovery, and, some studies suggest, increase in the positivity rate. Study.
Two new cases of measles have been confirmed on Vancouver Island, bringing to 25 the number of recent infections in British Columbia. News.
Deadly fungus immune to drugs secretly sweeps the globe. News.
Early detection could avert the dangers of sepsis. See this article from CBC here. News.
Plus, have a look on a study just published in the Canadian Medical Association Journal shows on how to speed up the diagnosis. Study.
A study, published in JAMA Psychiatry, reveals that some infections in childhood could lead to the development of mental illness later in life. News.
Ebola in DRC. 10 news cases lift the outbreak total to 1117 & health officials are still investigating 295 suspected cases. The DRC’s fatality count has now reached 702. News.
From Radio-Canada: 2 doctors from Ont. & NS have received death threats for publicly defending the benefits of vaccination. The Federal government, itself the target of aggressive messages, is concerned by the strong polarization of Canadians on this subject. News.
Video. Health officials have yet to find the source of a widespread, deadly salmonella outbreak in Canada. Video.
Yemen. Why didn’t vaccine reach Yemen during the largest cholera epidemic in recorded history?News.
An Ottawa cancer patient who contracted measles despite being vaccinated is expressing her anger at people who have deliberately decided not to protect themselves. News.
Plenty of people this time of year are sneezing and sniffling and it’s hard to know if you need an antihistamine or another kind of remedy. Globalnews explains ways to interpret your symptoms.News.
New York. Officials warn parents against ‘Measles parties’ at a press conference, wherein unvaccinated children are intentionally exposed to the virus. News.
An analysis of a 2017 Ebola outbreak in a remote part of DRC involved a novel variant of the virus. According to a new study, the variant is closely related to the initial Mayinga variant isolated in 1976–1977. Study.
In CBC.ca; From a small study, 1/3 of HCW acquired a MDRO during a patient encounter. News.
Scientists have mapped the genome of a strain of cholera extracted a century ago from a sick British soldier during World War I and found clues to how some cholera bacteria strains cause epidemics today. News.
6th case of measles confirmed on Vancouver Island. People who visited Saanich shopping centre on March 26 or 27 may have been exposed. News.
Virus that can kill rabbits in just 1 day returns to Vancouver Island. Rabbit hemorrhagic disease is an extremely infectious and lethal disease in rabbits. Humans and other animals, including dogs and cats, cannot be infected. News.
Promising results from a phase 3 trial of a novel drug for treating invasive Candida auris, a multidrug-resistant fungus that has triggered deadly outbreaks in healthcare facilities around the world, with mortality rates as high as 60%. News.
Mozambique: A cholera vaccine campaign launched in Mozambique last week has reach 800,000 people. The country declared an outbreak in late March, & since then more than 3,577 cases & 6 deaths have been reported. News.
Congo’s Ebola outbreak might be declared global emergency. News.
If you were born between 1970 and the early 1990s, you likely received at least one dose of the measles vaccine. But you may not be fully protected. News.
Research scientist says ticks have spread from throughout Manitoba in last 13 years. News.
Dr. Allison McGeer & Anna Maria Tremonti discuss about what needs to be done to fight Candida auris. Read the transcript or listen by clicking ‘listen’ near the top of the page to hear the full conversation. News.
Unvaccinated: Pockets of Canada vulnerable to serious outbreaks of disease. News.
Some Kelowna properties have been put under a boil water advisory due to increased water turbidity in Mill Creek, B.C. News.
A recall has been added to the CFIA’s Food Recall Report. Reason for Recall: Listeria. Product: Oreinos Mylopotamos brand Cretan Dry Mizythra. Recalling Firm: MFG Distribution Inc. Distribution: Ontario, Quebec. CFIA Listing.
A recall has been added to the CFIA’s Food Recall Report. Reason for Recall: Salmonella. Product: Lee’s Tea brand Teas. Recalling Firm: Lee’s Provisions Inc. Distribution : National. CFIA Listing.
A prospective, observational study found that 39% of HCW caring for patients on contact precautions for MDROs made multiple errors when doffing personal protective equipment, and had increased rates of self-contamination. Study.
Measles in BC and elsewhere:
Third measles case confirmed on Southern Vancouver Island. News.
Health officials have confirmed a 22nd case of the measles in British Columbia. News.
Potential measles exposure on Skytrain and bus, March 27 News.
Alberta Health Services (AHS) has issued a public alert to potential measles exposure, marking the second lab-confirmed case in Calgary this month. News.
Toronto’s Medical Officer of Health, will advise the board of health to ask Health Canada and the WHO to find ways to combat what’s known as “vaccine hesitancy”. News.
PH Toronto is investigating a lab-confirmed case of measles in an adult who acquired the disease in another country. Public may have been exposed at the Vaughan Mills shopping mall in Vaughan, Ont. on March 20. News.
USA. The number of U.S. measles cases through the first three months of this year have surpassed the count for all of 2018. There have been 387 cases through March and 372 last year. News.
Measles: How a preventable disease returned from the past. News.
The vast majority (90%) of Canadians believe that vaccinations should be mandatory for school-aged children, according to a new poll. News.
Ebola & MERS-CoV:
DRC confirmed 1,092 cases of Ebola, with 81 occurring in HCW, 28 HCW have died. The overall case-fatality rate for the outbreak stands at 62%. Communique.
An ongoing surge of Ebola cases in the Democratic Republic of the Congo saw another rise with 15 new cases. News.
A new Ebola species first identified in bats last year in Sierra Leone—named Bombali virus— has now been found in Kenya. So far there’s no evidence that it can be transmitted to people. Ahead of Print ‘Dispatch’ Study.
Saudi Arabia today reported two more MERS-CoV cases. Report.
According to a study, a high percentage of trainees and program leaders, 54% & 26%, respectively, reported that they showed up to work with influenza-like illness despite knowing the risk to others. Study.
A study highlights the importance of the intraoperative discipline of staff, suggesting that a restriction of staff movements and door openings may prevent airborne contamination and the associated SSI risk. Study.
Tuberculosis case reported in Victoria. News.
Lassa fever outbreak reaches 500-case in Nigeria. The outbreak began on Jan 1, and so far 119 people have died, resulting in a case-fatality rate of 22.9%. The majority of sicknesses occurring in Edo and Ondo states. News.
A study revealed that Influenza activity was associated with an increase in heart failure (HF) hospitalizations across 4 influenza seasons. Study.
According to a recent study funded by NASA; Latent herpes virus reactivation has been documented in more than 50% of astronauts during space shuttle & International Space Station missions. The cause? Stress. Study.
Some infection control resources and tools:
Infection Prevention is not a game. Click on the link below to watch a pretty cool video (an award-winning one), where Diego takes simple steps to protect himself and his grandmother from harmful infections. Watch the video today and share! Video.
A free online accredited CPD program for healthcare professionals is available online until 5/12/19. It covers the clinical impact of Herpes Zoster, the importance of being vaccinated & many more. Education session.
A free online accredited CPD program for healthcare professionals is available online until 08/29/19. It is about influenza in older adults & ensuring optimal protection. Education session.
This is a great tool to have for point-of-care health care providers. It provides quick information on vaccine-preventable diseases which are uncommon or rarely seen, but can still occur in children and youth from Canada and elsewhere. Resource.
Zika. The US CDC downgraded its travel restriction guidelines for pregnant women. Zika transmission has dropped in 88 countries. According to the CDC, the only country pregnant women should avoid traveling to is India. News. CDC zika webpage
The Interior Health Authority has confirmed a new case of measles in 100 Mile House, B.C., nearly two weeks after a previous case of the infection was discovered in the southern Interior community. News.
Chickenpox. Some parents are still choosing to expose children to the chickenpox with an infection party instead of vaccinate their kids. Some experts warns it is a terrible idea as it can cause death and increase risk of getting shingles later on in life. News.
Mozambique – WHO says it is expecting a “spike” in malaria cases after a devastating cyclone. The widespread flooding caused by Cyclone Idai has left large bodies of standing water where malaria-carrying mosquitoes can breed. News.
An 18-year-old woman died on Saturday after contracting a meningitis, prompting Montreal health officials to issue a public warning. News.
What you need to know about recent salmonella outbreaks in Canada. News.
Ebola. Congo’s Ebola epidemic has now exceeded 1,000 cases, the Health Ministry said on Monday, with a death toll of 629 in the world’s second worst ever outbreak. News.
A Montreal pediatrician explains rare strain of meningitis. Video.
Jane Stanton’s life changed after she contracted measles. She even said that it makes her life hell. Now she is calling for people to take-up all available vaccines. Watch also how experts plan to update their campaigns to counter their messages. Vidéo.
Access to soap & water in humanitarian emergencies is limited. According to a research, a wash cloth made from antimicrobial microfiber were more effective than soap & water at removing nonpathogenic E. coli bacteria from hands. Study.
Various studies have shown that many C. difficile cases classified as HAIs are not. In fact, many were colonized on admission. If many cases of CDI are currently classified in IAS, this would have important implications for infection control. Study.
A study published in JAMA Psychiatry, suggests that some infections in childhood could lead to the development of mental illness later in life. Study.
One out of four people interviewed in eastern Congo last year believed Ebola wasn’t real, according to a new study, underscoring the enormous challenges health care workers are facing in what has become the second-deadliest outbreak in history. News.
A recall has been added to the CFIA’s Food Recall Report. Reason for Recall: Salmonella. Product: Lee’s Tea brand Teas. Recalling Firm: Lee’s Provisions Inc. Distribution: National Report.
Mozambique cholera cases jump to 139 a day after outbreak. News.
US begins organ transplants from living donors who have HIV. News.
A large increase in cholera activity has been under way in Yemen since 2019. The outbreak comes 2 yrs after the country experienced the world’s largest cholera outbreak ever. Nearly 109,000 cases of watery diarrhea and suspected cholera have been reported. News.