Tuesday 25 October 2022

New info about COVID -19 infection and it's complications




Deaths due to heart problems have surged world-wide since the start of the pandemic.

A study done in the UK involving 53,000 participants was published in the British Medical Journal and points to a link between COVID-19 infection and heart disease and stroke.

Serious Illness caused by COVID-19 infection can lead to long term heart damage, death from cardiovascular disease and heart failure. People admitted to hospital with COVID -19 were 17.5 times more likely to suffer a stroke, 10 times more likely to suffer a heart attack and 21 times more likely to develop heart failure than people who avoided hospitalization with COVID-19. These rates were highest in the first 30 days after infection but remained elevated for up to 1 year after infection.

Less severe COVID-19 infections did not lead to this jump in risk of heart disease, stroke or heart failure in this study I reviewed tonight.

Here is the link to the study done in the UK and printed in the British Medical Journal - a very reputable scientific journal:

https://heart.bmj.com/content/heartjnl/early/2022/09/21/heartjnl-2022-321492.full.pdf

COVID is not over yet and it is likely here to stay. Protecting yourself with public health measures when appropriate and vaccinations remains a top priority. We can live with COVID. We do not need to die from COVID or develop serious, life-threatening illnesses as a result of COVID-19.

Vaccines dramatically reduce the risk of serious illness, hospitalization and death. I am running my first bivalent COVID vaccine clinic tomorrow. I am about 15th in line.

Please play it safe and consider getting the next vaccine booster required in your booster series.

Anne-Marie

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Saturday 22 October 2022

Bivalent vaccines and new variants of concern




 It might be time for a COVID-19 update:


Here are the main new variants of concern and what to expect:

BQ.1.1- 4 % of new cases in Canada

BA.2.75.2- 3% of new cases in Canada

XBB- < 1% of new cases in Canada

There are more than 300 Omicron sub-variants being tracked worldwide but these three are receiving the most attention and XBB seems to be the main variant to watch with the greatest number of immune escaping mutations. The world is watching as Singapore struggles with an XBB driven wave that is driving hospitalizations up despite a high vaccination rate in that country. 79 % of Singapore's population has received a booster dose which means three of the original COVID vaccines. The number of new cases there since September 20th has more than doubled from 16,000 a week to more than 40,000 between October 4th to 10th. The number of new hospitalizations have tripled there since the beginning of October, mostly driven by XBB.

Singapore has a high vaccination rate, but not with the new bivalent vaccines.

I am not happy about reading these tables and seeing phrases like '7 day rolling average' and 'number of ICU admissions'. It's triggering a bit of panic. Although we have made tremendous strides in our battle against COVID-19, we have all been traumatized in various ways by so many forces in this new world stained by COVID-19. What I need to remember is that we have the tools to keep COVID at bay but we need to remember how to use them.

BQ.1.1 and XBB may cause waves of infection but there are two main ways we could prevent them from causing a huge increase is serious illness and death: Bivalent vaccines specific to Omicron and antivirals like Paxlovid.

Here are some sobering numbers.

62.5 % of Canadians have had COVID-19. 19.6 million Canadians were infected between December 15, 2021 and August 15, 2022. I was one of them....twice.

That's 80,000 new infections a day!

Check out this link: https://www.covid19immunitytaskforce.ca/

That was the effect of the incredibly infectious Omicron variant. There will be a thread in the comments of this post suggesting that vaccines must not work if so many Canadians were infected with COVID-19. The vast majority of these Canadians had mild illness with only a small percentage requiring hospitalization. Now, in this phase of the COVID pandemic, it is not about infections, it is about the rate of serious illness and death and the ability of vaccines to reduce this rate.

Just over 50 % of Canadians have more than the original series of two COVID vaccines. Bivalent vaccines are here with Pfizer's BA 4-5 bivalent vaccine available now to everyone over 18. Will this vaccine provide protection against an Omicron wave of BQ.1.1 and XBB variants? That is under intense study. We do know that these vaccines provide better protection than the original COVID vaccine which means that for folks with only the original COVID series or boosters with the original COVID vaccine, you are less protected than if you line up for a boost of the bivalent vaccine.

For healthcare workers barely managing at this moment, our greatest fear is an early flu season, which is already here, and a wave of one of these new Omicron variants smashing together with disastrous consequences.

Please consider four things that will protect you, your family, the elderly and frail and your precious healthcare system:

1/ Get a bivalent booster. I am option for Pfizer's BA 4-5 vaccine this week. It is recommended that you wait 3 - 6 months from your last vaccine or COVID infection before receiving this booster.

2/ Get a flu shot. In this province alone, you will decrease the number of hospitalizations caused by the flu by 2,400. Keep 2,400 children and frail adults from getting seriously from the flu.

3/ Remember paxlovid. It is an antiviral used within 5 days of the onset of COVID infection that dramatically reduces the risk of serious illness and death from COVID-19. Click here to review your or your family member's eligibility for paxlovid:

https://www.ontariohealth.ca/sites/ontariohealth/files/2022-04/Guidance%20for%20health%20care%20providers%20-%20Access%20to%20Paxlovid%20-%20EN.pdf

4/ Wear a mask in public.

Until we see where things go this fall and whether or not one of these new strains create a massive new wave with a new variant of concern that could escape immune protection, I am wearing a mask in public. I am looking at my masks again making sure that they are new, unsoiled, well fitting N95's.

Without using these tools, we are " Sleep walking on a tightrope". Dr David Naylor, Co-Chair Canada's COVID-19 immunity Task Force.

I am so sorry about this folks. This is bloody exhausting. I am exhausted, your are exhausted and the world will never be the same but we are a resilient lot. We have the ability to keep on going, keep being grateful, keep finding joy and keep building a future. Be smart and.....I haven't said this in a long while, we've got this.

Anne-Marie

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Hate will not be tolerated in the comments section of this post. Extreme hate or threats will be reported. If you do not agree with vaccines, move on.

To continue providing primary/COVID care and HIV care to the beautiful people of Lesotho, you can click to donate here:
https://www.braceletofhope.ca/ways-to-give/
For non-Facebook users, you can find this post here:
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Monday 17 October 2022

New Vaccines





https://www.facebook.com/watch/?v=549268289332187

 This video is old and it tells us how fearful a time we have come through and how much progress we have made with respect to COVID-19. Get your 4th dose if you have not yet it. The 4th dose or second booster is the original COVID-19 vaccine. Once you have had your 4th dose or second booster, consider getting a 5th dose. You can receive one of the new bivalent vaccines as you 5th dose: Moderna's bivalent which has protection against the original omicron virus and the BA-2 Omicron variant and the soon to be available Pfizer's bivalent vaccine which contains the original COVID vaccine and the BA-4-5 omicron specific vaccine. We should hear about the availability of this vaccine in the next week or so.


This vaccine is showing improved protection above the original COVID vaccine with superior protection against the present dominant circulating strains. Wait three to six months from your last vaccine to your next and three to six months from a COVID infection and your next vaccine.

Find more information about these vaccines, how to book and which one is available to you or your children on the Guelph Wellington Dufferin website.

https://wdgpublichealth.ca/

I continue to recommend these vaccines to all eligible age groups. They protect against serious illness and death and they also can prevent transmission of infection reducing a person's risk for medium and long COVID. The fatigue and decreased exercise tolerance and cough can last for months.

Anne-Marie

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And to continue providing primary/COVID care and HIV care to the beautiful people of Lesotho, you can click to donate here:
https://www.braceletofhope.ca/ways-to-give/
For non-Facebook users, you can find this post here:
https://braceletofhope.blogspot.com/

For mental health support here:
https://familyserviceguelph.on.ca/
For local assistance with anxiety and depression:
www.here4help.ca
CMHA WW Website: www.cmhaww.ca
Here 24/7 at 1-844-HERE-247 or www.here247.ca.
And for post-secondary students, Good2Talk
https://good2talk.ca/