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If you have any queries regarding the items below, we encourage you to contact our Communications Coordinator at
(613) 260-3233 ext. 104 or by e-mail at communications@ammi.ca.

 

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International Health Expert blames WHO and World Bank for Inadequate Efforts in the Control of Global Infectious Diseases

Ottawa, April 19, 2005 -- At the AMMI Canada-CACMID Annual conference held in Ottawa last week the opening day was dedicated to International Health. The news was dire; pledges in aid to developing nations for controlling infectious disease are not only inadequate, but also fail to achieve the results promised by aid agencies.

In the opening plenary of the day Dr. Amir Attaran, associate professor, Faculty of Law and Institute of Population Health, University of Ottawa stated that both WHO and World Bank were failing to fulfill their own mandates in the area of global infectious disease control. He urged the WHO and the World Bank to increase their transparency and accountability. Dr Attaran challenged western countries and international agencies to step forward and correct the grossly inadequate funding currently pledged for the control of the most important infectious causes of death in the world: malaria, HIV and tuberculosis. "The World Health Organization says they and others need $275 m (US) for 2005-06 to eradicate polio - or not. The fact that the rich world, with about $30 trillion of economic output, struggles to find that pocket change is embarrassing; but the fact that, for 19 years now, Canada has been outspent by the Rotary Club about 10:1 is humiliating. It is hard to believe that now that Canada no longer has polio, it matters so little to us."

Dr. Steven Reynolds, Country Director of the National Institute of Health Intramural Research Program, Uganda, spoke on the UN 3x5 Goals for control of HIV. The goals were intended to provide antiretroviral treatment to 3 million people living with AIDS in developing countries by the end of 2005. Dr Reynolds reported that at the end of 2004 only 23% of this target had been met. In order to fulfill the goals another 2.3 million people will need to receive treatment in 2005. He went on to demonstrate how inadequate the 3x5 goals actually are; they target only 10% of the 39.4 million people living with AIDS worldwide.

Dr. Kevin Kain, Director of the Global Health Program, McLaughlin Centre for Molecular Medicine, University of Toronto spoke specifically on malaria. While malaria is a preventable disease, the incidence of the disease is increasing in certain areas, particularly those affected by HIV/AIDS. Dr Kain indicated that the biggest problem with malaria prevention and treatment was that the drugs that cure and prevent malaria were not getting to those who need them most, the children and pregnant women of Africa.

In her session on tuberculosis, Dr. Anne Fanning, founder of "STOP TB Canada" and Professor in the Faculty of Medicine, University of Calgary reported on the devastation caused by TB worldwide. She explained that while there was a decrease in TB in some countries, TB is actually on the rise worldwide, having particularly devastating effects in the areas most affected by HIV/AIDS. She went further to explain that with western commitment the Millennium Development goals could indeed be reached by 2015, as they require less funding in this 10-year period than the amount spent on the military in 2003 alone. She called participants to action stating that CIHR, Health Canada, IDRC and CIDA should be lobbied heavily to commit more resources to global health.

The AMMI Canada/CACMID Annual Conference's International Health Day featured experts in all aspects of international health issues, from efforts at global control or eradication of infectious diseases, to health issues of Canadian Immigrants and travellers. The day was attended by over 200 Canadian infectious disease specialists and medical microbiologists, who were charged with the task of working towards worldwide health through lobbying, liaison and international health initiatives.

For more information or to book an interview please contact:

Antje Richter
Communications Manager
AMMI Canada
613-260-3233
comm.ammicanada@magma.ca
www.ammi.ca


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AMMI Canada Already Hard at Work Addressing the Issue Of Hospital Acquired Infections

Ottawa - March 21, 2005 -- The Association of Medical Microbiology and Infectious Disease Canada (AMMI Canada) and The Canadian Infectious Disease Foundations would like to applaud CBC News for their three part series that raises public awareness on the issue of on hospital acquired infections.

As an association of experts in infectious diseases and medical microbiology AMMI Canada believes that hospital acquired infections are a major problem that deserve increased public recognition.

AMMI Canada members are the clinical leaders in the field, and have been concerned with this issue for quite some time. AMMI Canada members have long been working on the prevention, surveillance, diagnosis and treatment of these infections: Members have worked individually and collectively to set up both surveillance programs to recognize these infections and specific programs to stop the spread of these infections, they also work in the area of diagnosis by developing methods to rapidly diagnose these types of infections; and they work on the actual treatment of these infections.

AMMI Canada's sub-committee: The Canadian Hospital Epidemiology Committee (CHEC) works specifically on the issue, and has, since 1995, worked on the surveillance of important hospital-acquired organisms and other nosocomial infections. The committee works in collaboration with the Public Health Agency of Canada through the Canadian Nosocomial Infection Surveillance Program (CNISP).

AMMI Canada is the largest association of Microbiologists and Infectious Disease Specialists in this country. The Association has experts available who are prepared and available to provide the media with further commentary on the various elements of the issue including: Infection prevention & Control; Infectious Disease related to Surgery; Anti-Microbial Resistance; and Public Health in general.

For more information or to contact an expert please contact:


Antje Richter
Communications Manager
AMMI Canada
613-260-3233
comm.ammicanada@magma.ca
www.ammi.ca
Catherine Mulvale
Director of Development
CFID/FRDID
905-827-6008, #3
camulvale@researchid.com
www.researchid.com

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AMMI Canada Concerned With Potential Health Risks Associated With Tsunami

Experts available for comment

Ottawa - January 7, 2005 -- The Association of Medical Microbiology and Infectious Disease Canada (AMMI Canada) is concerned that the death toll from the tsunami disaster could increase significantly if urgent measures aren't taken to prevent infectious disease outbreaks in the affected areas.

The tsunami has left behind stagnant waters, uncontrolled animal populations and millions of malnourished and destitute survivors living with injuries and weakened immune systems.  Collectively these conditions present ideal conditions for the spread of known infectious agents and possibly the creation of new strains of microorganisms that could infect humans, as occurred with SARS.

New infectious disease challenges – some predictable, others impossible to foresee – will arise in the aftermath of our history’s largest natural disaster.  These challenges are unavoidable and expected.

AMMI Canada is the largest association of Microbiologists and Infectious Disease Specialists in this country. The Association has experts in the fields of infectious diseases, microbiology and tropical medicine, who are prepared and available to provide the media with further commentary on the urgent health risks in the tsunami stricken areas.

Infectious Disease Risks In Tsunami Affected Areas – Information at a Glance

People in areas worst affected by the tsunami are at risk of developing and spreading illness or succumbing to death, especially if they are crowded together and have little access to decent shelter, warmth, food, and sanitation.

  • Water - widespread damage to sanitation systems and overcrowded conditions in temporary settlements are increasing the risk of disease outbreaks. Drinkable water is unavailable in many areas, resulting in people resorting to drinking sewage water. This substantially increases the risk of communicable and diarrhoeal diseases and could potentially create epidemics of serious and often-fatal infection, especially in young children.
  • Standing water - an ideal breeding spot for mosquitoes carrying the malarial parasite, or the viruses that cause yellow or dengue fever – is another serious health risk.
  • Malaria - is a parasitic disease transmitted by mosquitoes. The most serious form of the disease can be fatal. Malaria kills more than a million people a year worldwide, with a child dying of malaria every 30 seconds. It is present in 90 countries and infects one in 10 of the world's population. Malaria is endemic to tropical and subtropical regions, including the countries worst affected by the tsunami - India, Sri Lanka and Indonesia. Although flooding may initially flush out mosquito breeding sites, malaria epidemics are common in affected countries in the wake of floods.
  • Cholera - is a bacterial intestinal infection spread by contaminated water and food. Cholera causes a severe form of diarrhea that is often fatal without treatment because of massive fluid loss from the intestines. Sudden major outbreaks are usually caused by tainted water supplies. Cholera is endemic in Sri Lanka and southern India, two of the countries worst hit by the tsunami. Outbreaks often follow flooding, when the bacterium contaminates drinking water supplies.
  • Diarrhea - is caused by bacterial, viral or parasitic infections of the intestines that cause an imbalance between the amount of fluid lost from the bowel and the amount absorbed from food and fluids. Serious illness is more severe in young infants and children, and in those with dehydration, malnutrition or a compromised immune system. Breast-fed babies are protected from this illness, but the death of parents, especially mothers, and the separation of families during the tsunami disaster has left a host of orphaned children who are at risk for this and other infections. Infectious diarrhea can develop anywhere in the world and could affect any of the countries hit by the tsunami disaster as an aftermath of the flooding.
  • Dengue fever - is a viral infection, also transmitted by mosquitoes that can cause a severe, life-threatening illness characterized by fever, headache, aches and pains and rash. In severe cases, shock and severe bleeding from many sites of the body may occur. Dengue fever is endemic in Bangladesh, India, Indonesia, the Maldives, Myanmar, Sri Lanka and Thailand.
  • Typhoid fever - is a serious blood stream infection caused by Salmonella typhi. It is transmitted in the setting of poor sanitary conditions especially via drinking water contaminated by sewage, or by eating or drinking something handled by a person "shedding" bacteria. Typhoid will strike wherever the water supply is compromised and good hygienic practices break down. It occurs regularly in the tsunami-affected countries and could develop into a widespread epidemic if sanitation is not improved as soon as possible.
  • Hepatitis A - is an infection of the liver causing the organ to become inflamed. Hepatitis A is easily passed from one person to another in areas of poor sanitation. It can also be contracted through contact with an infected person's stools.
  • Childhood diseases - childhood disease immunization rates are generally good in the affected part of the world. However, the enormous disruption caused by the disaster could leave many children vulnerable to disease if they are not immunized. Without immunization against measles, mumps, German measles polio, diphtheria, whooping cough or tetanus, many children could develop these conditions.
  • Chest infections - there are a variety of illnesses ranging from mild respiratory illness (bronchitis) to life threatening conditions such as severe pneumonia. Chest infections are generally caused by bacteria or viruses, including the influenza virus and tuberculosis. They are more common in malnourished people and are more easily spread in crowded living conditions such as refugee camps. In pneumonia, one or both lungs become infected, impairing the ability of the lung to deliver oxygen to the body.

AMMI Canada is working with the Canadian Foundations for Infectious Diseases (CFID/FRDID) to minimize the impact the Tsunami will have on the health of people at home and around the globe by continuing to conduct relevant research projects to better understand, treat, control and prevent infectious diseases.

AMMI Canada is an association of professionals in the field of infectious diseases and medical microbiology. The association's mandate includes: developing guidelines and policies for the prevention, diagnosis and management of infectious diseases; contributing to the health of people at risk of, or affected by, infectious diseases; and communicating important issues in infectious diseases and microbiology to the medical community and to the public.

The Canadian Infectious Disease Foundations (CFID) - Canadian Foundation for Infectious Diseases and FRDID - Foundation for Research and Development in Infectious Diseases) are registered charities committed to helping protect Canadians and people worldwide from infectious diseases. The Foundations are supported through corporate and personal donations to fund the critical work of Canada’s medical microbiologists and infectious disease specialists who are conducting research to better understand, prevent, control and treat the hundreds of existing and emerging infectious diseases threatening our good health.


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CIDS speaks out on St. Justine Hospital HIV scare

National Guidelines required for approach to HIV Infected physicians

OTTAWA, Jan. 26, 2004 -- The Canadian Infectious Disease Society (CIDS) is deeply concerned by the situation of St. Justine Hospital for children in Montreal.

The hospital said on January 23rd that they would begin testing for HIV in 2,614 patients operated on by between 1990 and 2003 said director of professional services Dr. Lucie Poitras.

Despite the fact that the chance of doctor-to-patient HIV transmission is miniscule, CIDS is interested in helping change the way hospitals and health institutions handle and other blood borne pathogens in the workplace.

"The Canadian Infectious Disease Society is certainly concerned about this issue," says CIDS President Coleman Rotstein. "At this time, no policy is in place across the provinces. CIDS would like to promote further discussion on the issue on a national level, and work has already being to convene a workshop to further explore and investigate the implementation of Canada-wide guidelines."

For more information please contact Communications Coordinator Matt Perry at (613) 260-3233 or comm@magma.ca.


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CIDS and CHEC Response to the Report from the National Advisory Committee on SARS and Public Health

OTTAWA, Oct. 7, 2003 -- The Canadian Infectious Disease Society (CIDS) and the Canadian Hospital Epidemiology Committee (CHEC) congratulate Dean David Naylor and his Committee on this in-depth report with its comprehensive and detailed recommendations.  The National Advisory Committee on SARS and Public Health identified many deficiencies in the response to SARS. These deficiencies in our public health infrastructure and infectious diseases surveillance, prevention, and control systems at both the community and facility level typify the situation as it currently stands, a situation which has been recognized for at least the last decade and addressed previously (Lac Tremblant Report, 1993; Krever Report, 1998; Kirby Report, 2002; Romanow Report, 2002).

Among its key recommendations is the creation of a Canadian Agency for Public Health, led by a Chief Public Health Officer of Canada, and advised by a National Public Health Advisory Board. The Agency would be at arms length from government, which is crucial to developing long-term strategic health goals. Core functions would include disease surveillance systems, health emergency preparedness and epidemic response capacity, development of public health human resources, augmentation of research spending, enhancement of federal laboratories, capacity-building partnerships with provincial and hospital laboratories, and coverage of areas such as environmental health, mental health, injury prevention, and public health ethics. This new Agency must give special priority to linking research in government and academic institutions with a focus on infectious diseases.

The Report calls for federal funding specifically earmarked for public health with three programs of transfers: one to build general capacity in public health at the local/municipal level; a second targeted at communicable disease surveillance and control; and, the third, to bolster the National Immunization Strategy.

Federal/provincial/territorial (F/P/T) governments are recommended to urgently strengthen surveillance programs, focusing initially on communicable diseases, coupled with short-term investments in support of hospital infection control.

The Report recommends the formation of a F/P/T Network for Communicable Disease Control along the lines of the Network for Emergency Preparedness and Response. The time-line for this is tight, given the influenza season being just weeks away. 

The acute shortage of highly qualified personnel for core public health functions or at the interface of clinical and public health activities was highlighted. There is an urgent need to develop and implement a national strategy to renew and sustain public health human resources.

As suggested by the Lac Tremblant Report in 1993, Canada should initiate an active collaborative laboratory surveillance system to anticipate, detect, and respond to infectious disease threats.

One Canadian success from the SARS epidemic was its key role in identifying the causative agent, the SARS coronavirus. This success arose from prior collaborative arrangements and capacity, underscoring the importance of support for research and the need for research networks that are operational in advance of an outbreak.

While it was not the mandate of the Committee to address local infection control issues, the report does make mention of the need for healthcare facilities to enhance awareness of outbreak/infectious diseases issues and institutional/clinical infection control are among the recommendations directed to hospitals and health regions.

This represents the third federally sponsored report on health care in Canada in a little over one year. The current report notes that there were many lessons to be learned, in large part because too many earlier lessons were ignored. There is no gain, and in fact substantial financial loss, if government continues to commission reports and fails to implement the recommendations. Establishing new agencies will require considerable financial support. For too long public health and infection control activities have been done on a shoestring budget or with no budget at all. Provincial premiers must forgo longstanding territorial concerns and work with their federal counterparts in developing a comprehensive and integrated public health system with mutually determined goals, objectives, and deliverables as recommended by the Agency for Public Health. CIDS and CHEC call for the Federal Government to take tangible action on this report and for Provincial Governments to support the recommendations. There were fewer than 50 deaths directly from SARS in Canada. Unless we embark on a course of action to improve our capabilities of handling similar situation, the consequences may be dire.

For more information please contact Communications Coordinator Matt Perry at (613) 260-3233 or comm@magma.ca.


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Infectious Disease Physicians, Microbiologists, and Public Health Officials Work to Identify and Contain Severe Acute Respiratory Syndrome (SARS)

OTTAWA, March. 18, 2003 -- Health Canada and provincial, territorial and local health departments are working closely with each other and infectious disease physicians and microbiologists to identify the cause of this new syndrome, identify cases and individual risk for infection, and prevent further transmission.

On March 12th, 2003, the Hong Kong Administrative Region (SAR) Department of Health reported an outbreak of respiratory illness in one of its hospitals. Around the same time cases were reported in Viet Nam in healthcare workers providing care to a patient (index case) who became ill in Viet Nam and was later transferred to Hong King SAR to receive medical care. As of March 17th, the World Health Organization (WHO) has received reports of Switzerland, Thailand and Germany, occurring since February 26th. This includes cases from Canada. There have been unconfirmed reports of cases in the Philippines and Indonesia. Beginning in November and peaking in mid-February, Chinese authorities have reported an outbreak of respiratory illness (more than 300) cases from Guangdong province in southern China, which may or may not be the same syndrome.

The main symptoms of SARS are high fever (>38 degrees C), cough, and shortness of breath or breathing difficulties. A proportion of individuals develop pneumonia. Other symptoms may include headache muscular stiffness, loss of appetite, confusion, rash, and diarrhea. Many of these symptoms mimic those of influenza. The WHO has devised a case definition to assist physicians in identifying suspect cases. All reported cases have livened in or travelled to Viet Nam, Singapore, or Hong Kong SAR, or have been very close contacts of cases. Many of these secondary cases have been health care workers providing care to individuals with SARS. To date there is no evidence that it is spread by casual contact.

The cause of the syndrome has not yet been determined. However, evidence to date indicated that it is not due to bacteria that normally cause pneumonia or to any of the influenza viruses. Until the cause is known, however, physicians have been empirically treating cases with antibacterial and antiviral agents. The WHO is working closely with a number of organizations including the Centres for Disease Control and Prevention in the United States, the Institut Pasteur in France and Viet Nam, Medecins Sans Frontieres, and the National Health Service in the United Kingdom to investigate and manage the epidemic in Hanoi and Hong Kong SAR. In Canada, the National Microbiology Laboratory in Winnipeg, in collaboration with provincial, territorial, and international laboratories is activity performing testing to try and identify the cause of this illness and has developed guidelines for specimen collection and testing.

To prevent transmission in the healthcare setting, special information control precautions have been recommended. These include placing cases in isolation or private rooms and the use of personal protective barriers including masks, gowns and gloves. It is recommended that suspect cases be quickly triaged to a designated area where they can be assessed without posing a risk to other healthcare workers and patients. Health Canada is working with members of the Canadian Hospital Epidemiology Committee and other infection control experts to develop and make available guidelines for hospitals and physician's offices throughout the country. Health Canada, again in collaboration with provincial, territorial, and local health units as well as infectious disease physicians, microbiologists and infection control experts has begun or is beginning enhanced surveillance for the recognition of SARS cases, including among exposed health care workers.

This outbreak demonstrates the role that international travel plays in the rapid spread of disease throughout the world and that we truly live in a "global village". It emphasizes the need for realtime surveillance at the hospital and community levels between key groups. This speed with which action has been taken shows that well-coordinated efforts are achievable with adequate support and resources.

Sources:
http://www.who.int
http://www.cdc.gov
http://www.hc-gc.ca

Drs. Lynn Johnston (CIDS Public Relations Committee Chair
and Coleman Rotstein (CIDS President)

For more information please contact Communications Coordinator Matt Perry at (613) 260-3233 or comm@magma.ca.


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CIDS pleased by Canadian Blood Services' reaction to West Nile Virus threat to the blood supply

Organ Donations Still a Risk of Virus Transmission

OTTAWA, Dec. 16, 2002 -- The Canadian Infectious Disease Society (CIDS) congratulates the Canadian Blood Services and Hema Quebec for their proactive approach to protecting our national blood supply from the West Nile Virus.

"Within a short time of learning that there were significantly more West Nile infections in Ontario than initially recognized, Canadian Blood Services and Hema Quebec took the important step of requesting the removal of potentially infected blood products," says Dr. Coleman Rotstein, CIDS President.

However, as important as these steps are in the process of protecting citizens there are still dangers that exist in terms of the virus being transmitted. Specifically, the presence of West Nile virus also poses a problem for organ donation and transplantation periods of peak West Nile virus activity i.e., the late spring, summer and early fall. It is crucial that a program for screening donor organs as well as blood products for West Nile virus be implemented to protect future recipients in Canada to prevent West Nile infections as seen in US.

"We are pleased to learn that Blood Services is developing contingency plans should a rapid test not be available by next summer," says Dr. Rotstein. "The society views critical issues such as the protection of the blood supply, rapid screening of blood products and the safety of organ donation as all equally high in priority."

Also, the ability to respond in a timely manner to new infectious threats requires a surveillance system that rapidly identifies new cases.  CIDS feels the current delay associated with diagnosing West Nile virus infection in Ontario is too long. The Society urges all provinces to ensure that their provincial laboratories have the capability to provide a serological diagnosis of West Nile virus infection with a turnaround time of no more than one week.

For more information please contact Communications Coordinator Matt Perry at (613) 260-3233 or comm@magma.ca.


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New Brunswick Tragedy Spurs Important National Guidelines

OTTAWA, December 6, 2002 -- The Canadian Infectious Disease Society is very please by Health Canada's plans to develop national guidelines protecting people from infectious illnesses in day cares and nursing homes.

"The Canadian Infectious Disease Society feels that Health Canada's initiative in preparing guidelines for the handling of waterborne or foodborne infections is laudatory," says CIDS President Coleman Rotstein. "This is an ever increasing problem and the Canadian people must feel secure that the water and food we drink and eat is free of infectious potential."

Health Canada should be praised for their reaction to a recent report into last year's tragic death of a 23-month-old boy. Jeffery Bates died of an E. Coli infection that has been linked back to a day care run by the YMCA in Saint John.

Officials from New Brunswick and Health Canada worked together to prepare the report. It calls on the province to immediately hire more medical health officers, improve laboratory facilities, train staff and develop a more coherent protocol for dealing with dangerous, infectious outbreaks. Other recommendations include important national guidelines for the management of outbreaks of intestinal diseases in day cares and other high-risk communities, such as homes for the elderly and infirm.

CIDS and its members will be following the evolution of these guidelines and any other changes made in regards to this issue.

For more information please contact:
Communications Coordinator Matt Perry at (613) 260-3233 or comm@magma.ca


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West Nile Virus Moving Towards Canada

OTTAWA, September 3, 2002 -- In October of 1999, the Centers for Disease Control and Prevention (CDC) in the United States reported an outbreak of encephalitis (inflammation of the brain) in New York City residents that had begun in late August. Subsequent testing confirmed that the encephalitis was due to West Nile virus (WNV), not previously found in the Western Hemisphere. Since that time cases have been diagnosed in 27 US states. The peak incidence of disease in the US has been from late August to early September. Clinical West Nile infection in humans has now been confirmed in Ontario.

West Nile virus is a mosquito-borne virus. It is spread to humans by the bite of an infected mosquito. The mosquitoes become infected by biting an infected bird. The virus is not spread from human to human or from bird to human. The incubation period is reported to be 3-14 days. Most people who are infected do not become ill; one in five develops a mild febrile illness and 1 in 150 develops a more severe illness with meningitis, encephalitis, or both. The biggest risk for developing severe disease is older age. Symptoms commonly reported in those hospitalized with WNV are fever, weakness, gastrointestinal symptoms, headaches and changes in mentation (i.e. drowsiness, confusion). Severe muscle weakness, especially in the presence of encephalitis, seems to be an important clue to the possibility of infection with WNV. A skin rash occasionally occurs.  The case fatality rate (i.e. the proportion of people who die of this disease) in the US for patients diagnosed in 2002 has been 5%, with elderly individuals having the greatest risk of death. Information to date suggests that approximately 50% of patients with severe disease may have long-term effects such as weakness and fatigue.

A variety of diagnostic tests are available for WN virus infection. The usual diagnostic test is to look for antibodies to WNV in the blood or spinal fluid. However, there can be false positive tests due to cross-reactions with similar viruses. Therefore, the clinical picture must be carefully considered. Virus may be isolated from blood, spinal fluid, and other tissues by a variety of techniques.

Since 2000 there has been a program of mosquito, animal, and human surveillance for WNV in several Canadian provinces. To date WNV has been detected in birds in Quebec, Ontario, Manitoba, and Saskatchewan. As well, there have been deaths in horses due to WNV in Manitoba. It is clear that the virus has emerged in Canada and is a potential cause of human disease in those areas where WNV has been detected.

It is important to remember that even in areas where WNV has been detected in humans, it is a rare cause of disease. Additionally, there are steps people can take to decrease the likelihood of mosquito bites. These include:

  • wearing clothing that fully covers the arms and legs,
  • wearing insect repellant,
  • minimizing the time spent outdoors when mosquitoes are most active (between dusk and dawn),
  • making sure that windows and doors at home are tight fitting and properly screened
  • removing standing water from your property in such places as old tires, wading pools, stagnant ponds, and eavestroughs (where mosquitoes can breed).

For more information on this topic please contact the Canadian Infectious Disease Society's Communications Coordinator Matt Perry at (613) 260-3233 or comm@magma.ca.


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Canadian Specialists Closely Monitoring U.S. Case of Antibiotic Resistance

OTTAWA, July 10th, 2002 -- The Canadian Infectious Disease Society is reiterating the importance of monitoring the situation with Vancomycin resistant Staphylococcus aureus in the United States. Yesterday the U.S. Centers for Disease Control confirmed the first case of a Staphylococcus aureus resistant to the antibiotic Vancomycin, in a Michigan man last month.

"We have not had any cases of this antibiotic resistant strain in Canada as of yet, but we are watching the situation very vigilantly," says Dr. Coleman Rotstein, President of the Canadian Infectious Disease Society." We are aware of how highly significant this situation is because of Michigan's close proximity to the Canadian border and propensity of the Canadian population to travel."

Dr. Rotstein says we must be assertive in our approach, but not over-confident that this situation will not occur in Canada.

"There are other agents that can be used against Staphylococcus aureus that may be effective in treating the infection," he explains. "We can't be over-confident because some strains may develop resistance to these antibiotics as well."

Staphylococcus aureus, often referred to simply as "staph," is a bacteria commonly found on the skin of healthy people. Occasionally, it can get into the body and cause infections. These infections can be minor (such as pimples, boils, and other skin conditions) or serious (such as blood infections or pneumonia). Methicillin is an antibiotic commonly used to treat staphylococcal infections. Although methicillin is very effective in treating most infections, some bacteria have developed resistance to methicillin and can no longer be killed by this antibiotic. These resistant bacteria are called methicillin-resistant Staphylococcus aureus, or MRSA.  Approximately, 6% of all Staphylococcus aureus isolates in Canada are resistant to methicillin.

For more information please contact Communications Coordinator Matt Perry at (613) 260-3233 or comm@magma.ca.

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Lunch with the Minister

The Honorable Anne McLellan, Federal Minister of Health, announced a meeting set for June 12, 2002. The meeting was attended by:

Infectious Disease-Related Organizations

Canadian Infectious Disease Society

Canadian AIDS Society

Canadian Hemophilia Society

Canadian Liver Foundation

Canadian Paediatric Society

Canadian Public Health Association

Planned Parenthood Federation of Canada

Chronic Disease-Related Organizations

Alzheimer Society of Canada

Arthritis Society of Canada

Canadian Association of Mental Health and Mental Illness

Canadian Breast Cancer Network

Canadian Cancer Society

Canadian Lung Association

Diabetes Council of Canada

Heart and Stroke Foundation

The morning and afternoon sessions were coordinated by the senior officials of the Population and Public Health Branch of Health Canada. The afternoon session generated discussion regarding the future between Health Canada and the different participants at the meeting. In between the two sessions the Minister of Health attended a lunch with the participating groups. The lunch lasted for an hour and a half and each group representative was permitted to ask the Minister one pertinent question. The issues raised ranged from the Romanow Commission to antibiotics, including surveillance, disease management, determinace in aboriginals and immunization. One of the Minister's main concerns was the drug application approval system. The group was asked for their recommendations and these recommendations were later discussed by the group at length. There was a strong feeling of encouragement among the participants that the Minister's interest on the topic could help change the system. It was felt that the meeting was very successful from the standpoint of both the Minister and the participants. This is the first meeting of its kind and Ms. McLellan expressed interest in holding similar meetings in the future.

If you have any comments or concerns please feel free to contact:

Richard McCoy at rmccoy.cids@magma.ca.


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National Infectious Disease Specialists and Medical Microbiologists Join Forces

Amalgamation will offer a stronger voice on urgent health issues facing public

OTTAWA, June 7th, 2002 -- It is with great excitement that Dr. Coleman Rotstein, President of the Canadian Infectious Disease Society (CIDS), and Dr. Susan Richardson, President of the Canadian Association of Medical Microbiologists (CAMM), announce the successful amalgamation of their respective organizations.

In the past both CIDS and CAMM have been active in promoting health issues relating to the diagnosis, treatment and prevention of infectious diseases, to the government, the medical community and to the public. CIDS and CAMM have been involved in promoting and initiating research in many areas ranging from water safety to HIV.

The decision on the amalgamation was made by both memberships after extensive discussions and the creation of new by‑laws for a combined society. Over 80 per cent of both societies were in favor of the amalgamation. The CIDS and CAMM presidents are enthusiastic about the opportunities this creates for Infectious Disease specialists and Medical Microbiologists in the future. They believe the new organization will be stronger and offer a better voice for its members and all Canadians.

Dr. Richardson comments; "The diagnosis, treatment, prevention and control of infectious diseases continue to be among the most urgent health care issues facing Canadians today, as we know by recent and continuing problems in Canada with infections such as tuberculosis, shigellosis, E. Coli 0157:H7 and HIV. We need a concerted, powerful, organized effort to meet the challenges posed by newly emerging and traditional pathogens. Microbiologists in Canada are happy to join hands with our infectious disease colleagues to achieve our common goals."

"This long‑awaited news of our national specialists joining forces is wonderful for the members and Canadians in general," says Dr. Rotstein. "We look forward to a fruitful cooperative venture leading to a stronger and ever‑thriving organization."

For more information please contact Communications Coordinator Matt Perry at (613) 231-3134 or comm.@magma.ca


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Safety of Canadian Immigration Process Increasing; However Dangers Still Exist

The Canadian Infectious Disease Society is pleased with Health Canada's position on immigrant testing for HIV. However, specifics on the testing process, along with testing of other diseases remain unsettled.

Ottawa, May 9, 2002 -- The Canadian Infectious Disease Society would like to applaud Health Canada's stance with regard to HIV testing of individuals who seek immigration to Canada. However, there are aspects of this issue Health Canada neglected to state a stance on. These are issues that are imperative to the safety of the Canadian population and in preserving our health care system.

In recent correspondence with the Honourable Anne McLellan, Minister of Health, she outlined the importance of HIV screening in all individuals seeking immigrant status. The Minister also outlined Health Canada's belief that an HIV-infected person should not be excluded on this basis. This is a belief the Society has been advocating for quite some time.

In July of 2001, Dr. Mark Miller, then President of the Society, issued a letter to Health Canada pointing out the threats that exist if Canada does not begin to administer mandatory HIV tests to those applying for immigrant status. The CIDS recommended testing be carried out for HIV, Tuberculosis, Syphilis as well as Hepatitis B and C to ensure the safety of all Canadians.

In her response, the Minister addresses the importance of mandatory HIV testing for all individuals seeking immigrant status, as the CIDS previously recommended. However, the Minister did not comment on where this testing will be performed. The CIDS recommendation was to have all HIV testing of prospective immigrants be performed only in accredited Canadian laboratories. The reasoning for this is medical testing in developing countries doesn't meet the same rigorous standards that exist in Canadian laboratories. Another factor is that in many of these countries false laboratory results or reports can be obtained through criminal means, bribery or patient impersonation.

As well, additional clarification is still needed from Health Canada in regards to other areas of the testing immigration applicants. The CIDS President Dr. Coleman Rotstein explains, "The Health Minister postponed any decision with regard to screening and testing prospective immigrants for Hepatitis B and C, as well as Tuberculosis. The public health policy regarding screening for Hepatitis B is still under development within Health Canada. Moreover, Health Canada has not formulated advice on screening immigrants for Hepatitis C." Currently, Tuberculosis prevention and control activities in immigrants are under the jurisdiction of the Canadian Tuberculosis Committee. This committee is working with Citizenship and Immigration Canada to prioritize and address recommendations for prospective immigrants. Finally, in our correspondence with the Health Minister, no comments whatsoever were provided with regard to mandatory Syphilis testing.

The CIDS is pleased with the common view shared between our society and the Health Minister on the importance of HIV testing on immigrant applicants. We eagerly anticipate further guidelines to be offered by Health Canada with regards to Hepatitis B and C, as well as Tuberculosis. We feel such guidelines are an important part of the immigration process and will help maintain the health of Canadians and prevent excessive demand on our health care system.


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Controlling Antibiotic Resistance in Canada - Strategies, Perspectives and Programs

"Controlling Antibiotic Resistance in Canada - Strategies, Perspectives and Programs", a new Supplement to the Canadian Journal of Infectious Diseases ( CJID), is now available.

This 32 page Supplement was produced by the Canadian Committee on Antibiotic Resistance with partial funding from Health Canada, Bayer and SmithKline Beecham. The supplement attempts to compare Canadian programs with those in selected other nations and provides a series of profiles on programs being carried out in Canada within both the human health and agrifood communities. For copies, contact 613-260-3233 or e-mail to: cids@magma.ca


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