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Mumps Sidelines Canada
Hospital Workers

From Patricia Doyle, PhD
By CBC News
5-15-7

The mumps outbreak has knocked more than 100 health-care workers in the Halifax area out of commission. As many as 134 hospital workers are on paid leave and in isolation because they've tested positive for exposure to mumps. They are among about 550 employees who have been exposed to the disease since the outbreak began in February, the Capital District Health Authority said Monday.
 
One employee at the Dartmouth General Hospital contracted the disease, and that had a domino effect on the surgical schedule, said a health authority spokesman. "We had several staff off because of exposure to mumps last week, and because of that we had to cancel 20 surgeries," said Peter Graham.
 
More health-care workers were expected to be tested for the mumps on Monday. "We're back up to regular scheduled surgeries this week, but that could change in another area if another case appears," Graham said.
 
A vaccination program to reach as many as 40,000 health-care workers will begin this week. There have been 222 reported cases of the mumps in Nova Scotia since February.
 
http://www.cbc.ca/canada/nova-scotia/story/2007/05/14/mumps- hospital.html?ref=rss
 
 
MUMPS - CANADA (MULTI-PROVINCE) (03)
 
Date: Fri 11 May 2007 Source: canada.com, Canadian Press report, Fri 11 May 2007
 
Nova Scotia to begin mumps immunization for health-care workers - Nova Scotia is starting a mumps immunization program for health-care workers as an outbreak of the virus in the province climbed in the last week [6-12 May 2007] by 19 confirmed cases to 222 on Fri [11 May 2007]. The immunization program will begin as early as next week with roughly 40 000 doses of measles, mumps and rubella (MMR) vaccine being made available to health-care workers. A week ago [6 May 2007], there were 203 confirmed cases of the virus in Nova Scotia.
 
Dr. Shelly Sarwal, the province's medical officer of health, said the vaccination program will help the maintain health services in the province. "We feel this is an important public health measure," Sarwal said in a news release. "A vaccination campaign will not stop the outbreak, but what it will do is help to manage absenteeism in health- care workers as a result of mumps, and therefore help sustain the health-care system for Nova Scotians."
 
Since the beginning of the outbreak in February [2007], 222 cases of mumps have been reported across Nova Scotia - and the disease is continuing its track into other provinces. New Brunswick reported on Friday [11 May 2007] that its case load had jumped to 40, up from 34 a week earlier. Prince Edward Island remained unchanged at one confirmed case.
 
Ontario health officials said there are now 8 confirmed cases in the province, up from 3 a week ago [6 May 2007]. Of those, 6 are university students in Nova Scotia who recently returned home to Ontario for the summer. The other 2 cases are adults who had been travelling in the Atlantic province.
 
While the number of new cases in the Halifax region is declining, elsewhere across the province cases were up from last week [6-12 May 2007]. Health officials predicted the decline in the Halifax area as university students, where the outbreak is believed to have begun, returned home for the summer. Public health officials said they spoke this week with their counterparts in the United States and the United Kingdom about lessons learned from management of mumps outbreaks in those countries.
 
Nova Scotia is also looking at an immunization program for the university-age population. People are being advised to watch for patients with mumps-like symptoms. These include aches, pains, fever, loss of appetite and, in about 40 percent of cases, the hugely swollen saliva glands that give mumps its characteristic chipmunk-cheek look.
 
The Nova Scotia outbreak, which began in the 3 week of February [2007], is the province's 3rd in 2 years. It is by far the largest; the earlier outbreaks, in 2005, involved 13 and 19 cases respectively. It has been fuelled by a pool of susceptible young adults. Sarwal has said authorities believe many of the province's cases were vaccinated with MMR [measles, mumps, rubella] in childhood, but received only one dose. The one-dose schedule for the MMR vaccine was adequate to protect many people. If it had not been, this outbreak would be much larger. But it's now known one dose doesn't protect everyone and MMR is now given in 2 doses. University dormitories and crowded student apartments make for easy spread of the virus among susceptible young adults. When they move home, however, they spend more time around adults, most of whom would have had mumps in childhood and would be immune.
 
http://bodyandhealth.canada.com/channel_health_news_details.asp? news_id=12321&news_channel_id=1020&channel_id=1020
 
******
 
Date: Sat 12 May 2007 Source: globeandmail.com, Canadian Press report, Sat 12 May 2007
 
Nova Scotian health-care workers to be immunized; 1st case in British Columbia
 
With the number of mumps cases rising in the province, the Nova Scotian government announced yesterday it will begin immunizing thousands of health-care workers against the virus as early as next week [14-19 May 2007]. As of yesterday [Fri 11 May 2007], 222 confirmed cases had been reported in Nova Scotia, up 19 from 203 the previous week. Shelly Sarwal, the province's medical officer of health, said about 40 000 doses of the measles, mumps and rubella (MMR) vaccine are being made available on a voluntary basis to health-care workers, with the aim of protecting health services in the province. "Providing this vaccine now to health-care workers isn't going to do much for the current outbreak," Dr. Sarwal said in an interview yesterday. "It's for preventing future outbreaks similar to this and for making sure that our population is properly immunized. The purpose of this program is to maintain our health-care system and the staffing within the health-care system," she said. "We do have some health-care workers who have been diagnosed with the mumps who are off of work."
 
About 900 of the province's 30 000-plus health providers have been exposed to mumps, and currently 130 are off the job, she said. Any worker who has come into contact with an infected person could potentially be off work for 2 weeks or more because the incubation period for the virus is 14 to 25 days. "We have to be extra cautious within the health-care system," Dr. Sarwal added. "I can't take the chance of a health-care worker transmitting the infection to a patient."
 
While the number of new cases in the Halifax region is declining, elsewhere across Nova Scotia cases were up from last week[6-12 May 2007]. The Nova Scotia mumps outbreak began in February [2007], likely among university-aged students with inadequate immunity to the virus. Cases have begun springing up elsewhere in Canada, as those exposed to the disease return to their home provinces. The latest province to join the mumps hit list is British Columbia (BC), which has one confirmed case reported, said Perry Kendall, BC's medical officer of health.
 
As of yesterday [Fri 11 May 2007], New Brunswick had 40 cases, up from 34 a week earlier. Prince Edward Island remained unchanged at one confirmed case. Manitoba and Saskatchewan report no mumps cases, while Alberta has 3 cases for the year, but they are among unimmunized, international travellers and unrelated to the Nova Scotia outbreak. In Ontario, health officials said there are now 8 confirmed cases, up from 3 a week ago [6 May 2007]. Of those, 6 are students who attend university in Nova Scotia and recently returned home to Ontario for the summer. The other 2 cases are adults who had been travelling in the Atlantic province.
 
Symptoms of mumps include aches, pains, fever, loss of appetite and, in about 40 percent of cases, the hugely swollen saliva glands that give mumps patients their characteristic chipmunk-cheek look. Public health officials said they spoke this week with their counterparts in the United States and Britain about lessons they have learned from management of mumps outbreaks.
 
http://www.theglobeandmail.com/servlet/story/LAC.20070512.MUMPSCASE12/ TPStory/National
 
_____
 
Communicated by: a Canadian correspondent
 
(ProMED-mail thanks again our Canadian correspondent for drawing attention to these reports. - Mod.CP)

 
Patricia A. Doyle DVM, PhD
Bus Admin, Tropical Agricultural Economics
Univ of West Indies
 
Please visit my "Emerging Diseases" message board at:
http://www.emergingdisease.org/phpbb/index.php
Also my new website:
http://drpdoyle.tripod.com/
Zhan le Devlesa tai sastimasa
Go with God and in Good Health


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