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Worried about measles in southwestern Ontario? Here's what you need to know
Worried about measles in southwestern Ontario? Here's what you need to know

CBC

time12-03-2025

  • Health
  • CBC

Worried about measles in southwestern Ontario? Here's what you need to know

As measles cases continue to grow in southwestern Ontario, health officials say people need to make sure they are informed and vaccinated. After years without locally acquired measles cases, both Windsor-Essex and Chatham-Kent are now seeing the disease spread in the community. Health officials in both regions say it's a fluid situation, with cases likely to increase in the coming weeks. Since January, the Windsor-Essex County Health Unit has reported six cases and the Chatham-Kent Public Health Unit has reported seven cases as of Tuesday evening. "I understand the concern of our community," said Dr. Mehdi Aloosh, medical officer of health for Windsor-Essex. "We are monitoring the situation carefully as it evolves. We are in conversation with our neighbouring health unit to understand the behaviour of disease in those communities." The Middlesex-London Health Unit also reported its first case this week. What is measles? Measles is a highly contagious respiratory infection. It is spread through the air when someone who is sick coughs, sneezes or talks. Symptoms include: Fever. Cough. Red, watery eyes. Runny nose. Koplik spots — small, white spots that occur on the inside of the cheeks. A rash that usually begins as flat, red spots on the face and spreads to the trunk, arms and legs. It is estimated nearly one to three of every 1,000 children who become infected will die from complications, such as pneumonia and a swelling of the brain called encephalitis. There is no specific antiviral treatment for measles infection, which needs to run its course, though medications are available to help manage symptoms. Droplets containing the measles virus can stay in the air for several hours, and the virus remains infectious on contaminated surfaces for up to two hours. Am I at risk? "The people that we're most worried about are unvaccinated people, because they're the people that are most susceptible to getting measles if they're exposed," said Dr. Shanker Nesathurai, acting medical officer of health for Chatham-Kent. If you have received two doses of the measles, mumps and rubella (MMR) or measles, mumps, rubella and varicella (MMVR) vaccine, health officials say you are highly protected. According to the Canadian government, the efficacy of one dose of the vaccine is estimated to be between 85 and 95 per cent, with two doses bringing that to 100 per cent. In Ontario, kids are expected to receive the first vaccine dose at 12 months and then a second dose between four and six years old. To check your of your kids' vaccination status, you can speak with your family doctor, look at your vaccination record or check your record online. If you were born before 1970, Health Canada says you are considered immune, because it's likely you had the virus at some point in time — though you should still speak with a family doctor to ensure you don't need the vaccine. The vaccination rates in both Windsor-Essex and Chatham-Kent are high, so public health officials say the risk of getting measles is still low. What should I do if my child is too young to be vaccinated? If your child has not yet been vaccinated because they are younger than 12 months, Nesathurai advises that you speak with your family doctor or local public health unit about how to best protect them. "If your children are unwell, then it's better to be safe ... better to take them to the doctor or to your nurse practitioner and have someone look at the child," he said. If parents suspect their child has measles or been exposed, Nesathurai says they should call in advance to their clinic or doctor's office so they can take all precautions to make sure no one else in the waiting room gets exposed. Parents can also stay up to date on measles exposure locations by going to their local public health unit website. There are currently several locations listed between Windsor-Essex and Chatham-Kent where people could have been exposed.

STI rates are rising among Canadians in their 60s. Here's what seniors need to know about getting tested
STI rates are rising among Canadians in their 60s. Here's what seniors need to know about getting tested

Yahoo

time12-02-2025

  • Health
  • Yahoo

STI rates are rising among Canadians in their 60s. Here's what seniors need to know about getting tested

This article is for informational purposes only and is not a substitute for professional medical advice, diagnosis or treatment. Contact a qualified medical professional before engaging in any physical activity, or making any changes to your diet, medication or lifestyle. Feb. 10-16 is SexPlus Week (formerly known as Sexual Health Week), a yearly campaign to help raise public awareness for sexual health. According to Action Canada for Sexual Health and Rights, SexPlus Week helps ensure that sexual health is included in public health conversations so that Canadians of all ages can access information about sexual wellness that's free of stigma or shame. One subject the campaign helps address? Sexually transmitted infections (STIs) for people of all ages. In 2024, an Ontario health official issued a warning regarding the increase in STI rates in people over 60. STI rates are rising in Ontario residents over 60 years old, according to a health official from the province who is warning older adults. Dr. Shanker Nesathurai, acting medical officer of health in Chatham-Kent, told the area's board of health that "gonorrhea, chlamydia and syphilis are three of the most common sexually transmitted diseases across the province," Windsor News Today reported last year. In fact, cases of STI rates have increased across the board: Gonorrhea: up from 60 in 2013 to around 300 in 2022 Syphilis: from 40 in 2013 to about 220 in 2022 Chlamydia: from 150 in 2013 to about 400 in 2022 However, what Nesathurai emphasized to local media is "one thing that's not always acknowledged is that sexually transmitted infections also occur in people in their sixth and seventh decades of life." These older adults are "getting divorced and widowed and they're initiating new sexual relationships," he explained to Windsor News Today, adding many living in long-term care facilities are also sexually active. The doctor told Chatham Daily News that preventing pregnancy at that age is also less of an issue, so people are less likely to use contraception. Nesathurai added testing is important for all ages. But what actually goes into an STI test, and should older people actually be taking the time to get them? Read on to learn more. Tests for sexually transmitted infections (STIs, formerly called sexually transmitted diseases or STDs) differ depending on your symptoms and what you're being tested for, along with what your health care provider suggests. However, they can reveal a number of possible infections you may be carrying. Urine samples can detect chlamydia, gonorrhea or trichomoniasis. Blood samples can spot HIV, syphilis, hepatitis B or hepatitis C. If you're getting swabbed, typically around the throat, penis, vagina or anus, you might test positive for chlamydia, gonorrhea, herpes, syphilis or trichomoniasis. In addition to being available by your health care provider, you can access STI tests at sexual health clinics, local public health units or a walk-in clinic. Canadians can find their closest service through Action Canada's website. I remember in my 20s thinking, 'I wonder if people in their 50s still have sex? I can tell you: Damn right they McGarvie Out of the many existing STIs, Ottawa-based clinical sex and relationship therapist Sue McGarvie explained there are a few that remain non-curable. Two of them, HIV and herpes, do not have any immunizations. But people can get immunized against HPV and Hepatitis. While some people may experience symptoms like itching, discharge, flu-like symptoms or a burning sensation while urinating, untreated STIs can lead to more serious consequences. That includes permanent infertility, increased risk of contracting HIV or a higher chance of developing cancer. Moreover, STIs sometimes don't present any symptoms, meaning you might be spreading infections without even knowing it. Vaccines might help protect you from certain STIs, but they're not the only option when it comes to safe sex. "You need to be thinking of how you're going to be doing safety," McGarvie told Yahoo Canada in a previous interview. "Is it going to be an exclusive relationship where you're both getting tested and you're being authentic and making sure you're not exploring outside of that? Or are you using some kind of barrier method?" The most well-known barrier are condoms, including both external and internal versions. External condoms are those that roll onto penises or sex toys. Internal condoms, on the other hand, are inserted into the vagina or anus, and include a flexible ring inside its sheath to help insertion. McGarvie said using external condoms can be difficult for some older men, because it sometimes can be "harder to maintain an erection with a condom on." In many cases, internal condoms are more common amongst older women. Dental dams are also options that can help cover the skin around your mouth, genitals or anus to prevent STI transmission. I think people dismiss how much and how often people over 50, 60, even 70, are having sex. I'm hoping to have it until they take me away in a McGarvie The Public Health Agency of Canada indicates anyone who is sexually active should be tested for STIs. That includes people who have had unprotected sex, anyone with STI symptoms or people who have had sex with someone who has an STI. But McGarvie says more people may fall under those categories than you might think. "If you're having sex, it doesn't matter how old you are," she shared. "You may not see it as the 60-year-old OnlyFans people, but the truth is, is that sexuality evolves but it sure doesn't go." STIs are currently on a steady rise across Canada — and that doesn't exclude older adults. A Statistics Canada report shows between 2010 and 2019, there was about a 90 per cent increase among people older than 60 per 100,000 population for chlamydia. For gonorrhea, that was a 168 per cent rise, and it was a 218 per cent jump for syphilis. STI tests might seem ridiculous for older adults who are not concerned about infertility — or simply catching an infection at a later stage in life. But McGarvie urged that it's not something older adults should skip out on. "It is no laughing matter to have an antibiotic-resistant gonorrhea," she said. "And why would you at this stage of your life? You have your car insurance, you take your multivitamin — don't be an idiot."

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