
Toxic drug supply causing complex overdoses in Sudbury
Officials are warning that street drugs are being mixed with other substances, making Naxalone ineffective to combat overdoses.
Officials are warning that street drugs are being mixed with other substances, making Naxalone ineffective to combat overdoses.
Outreach workers and Public Health Sudbury and Districts say toxic overdoses have been increasing in the area lately.
Officials said illegal drugs are being cut with substances that Naloxone -- a medication for opioid overdoses – can't reverse.
Naxalone
Officials said illegal drugs are being cut with substances that Naloxone -- a medication for opioid overdoses – can't reverse.
(Alana Everson/CTV News)
In May, the Go Give Project said it handed out about 220 Naloxone kits, a fast-acting medication that reverses the effects of an opioid overdose.
But Ali Farooq, The Go Give Project co-founder, said it only works on opioid overdoses.
Increase in toxic overdoses
'While it will reverse the effects of the opioid that the individual is suffering, it will not have any other effect on any other contaminants or additives to the supply,' Farooq said.
He said outreach workers are seeing an increase in toxic overdoses, which he attributed to a more toxic drug supply.
'This usually ties in when we have big drug busts in the province and around the country,' Farooq said.
'It limits the supply coming in and therefore we find more and more contaminants mixed in with the drugs going out onto the streets.'
Sam Mortimer
Public Health nurse Sam Mortimer said it's a reminder of just how toxic the unregulated drug supply is and making overdoses more complex.
(Alana Everson/CTV News)
Public Health said it's a reminder of just how toxic the unregulated drug supply is and making overdoses more complex.
'Those sedatives and tranquilizers that have been added into the supply in recent years increase those effects,' said public health nurse Sam Mortimer.
'We are seeing people who are staying asleep or sedated for a lot longer, which puts them at a greater risk. And it also decreases their ability to breathe, which, again, puts them at risk for respiratory distress or arrest.'
Health unit officials said it's still vitally important to administer Naloxone in an overdose, call 911 and give rescue breaths while waiting for help.
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CBC
2 hours ago
- CBC
Alberta babies have been born with measles due to outbreaks, worrying doctors
Social Sharing As the province's measles case count approaches 1,000, health experts are raising the alarm about Alberta babies who are being born already infected with the virus. The provincial government has confirmed cases of congenital measles, which can lead to severe complications, including death, have already occurred as a result of this year's outbreaks. Pregnant Albertans are also testing positive. "Fewer than five cases of congenital measles have been reported in Alberta in 2025. In each case, the mother was not immunized. Information on whether the infants were born prematurely is not available," an official with Primary and Preventative Health Services said in an email. "To date, there have been 20 confirmed cases of measles in pregnant individuals. Fewer than five have been hospitalized due to the infection." The Alberta government does not publish this information publicly. CBC News asked for the data after Ontario reported a premature baby, born infected with measles, died. That province has reported seven cases of congenital measles since mid-October. When CBC News asked for more detailed data, an official said the province limits the release of information when case numbers are very small for privacy reasons. The data was up-to-date as of June 12. No measles deaths have been reported in Alberta since the outbreaks began this year. As of June 14, a total of 85 Albertans had been hospitalized due to the infection, including 14 intensive care unit admissions. By midday Thursday, the province's total measles case count had climbed to 996. Serious complications Pregnant individuals are at higher risk of complications from measles. "We're extremely concerned about the potential for exposures for unimmunized mothers, in particular during pregnancy, given that there is an increased risk for premature birth and complications that are pretty significant for the mother," said Dr. Amber Reichert, an Edmonton-based neonatologist. "There is an extremely high risk to either pregnancy loss or potentially an early birth or potentially the babies becoming infected as well." A recent editorial in the Canadian Medical Association Journal warned of these serious consequences. Premature birth itself comes with risks, including underdeveloped lungs and babies requiring breathing support. In addition, pregnant people can get very sick from a measles infection, often due to pneumonia. "There is a ten-fold higher risk of death when a person who is pregnant gets measles," said Dr. Eliana Castillo, an obstetrician and clinical associate professor in the department of medicine at the University of Calgary. What is congenital measles Congenital measles occurs when the mother passes the infection along in the final two weeks of pregnancy and the baby is born infected, according to Castillo. It can spark severe complications in the infant, including brain inflammation and even death, according to the U.S. Centers for Disease Control and Prevention. "Those babies can be very, very sick," said Castillo. Ontario announced earlier this month that a premature baby born with congenital measles had died. The infant's mother was unimmunized. At the time, health officials said measles was a "significant contributing factor" to the premature death but that the baby also had other serious health problems. In addition to a fever and rash, babies with congenital measles can be born with other symptoms, including inflammation of the liver, physicians are warning. "They potentially could also present with pneumonia or potentially have an infection around the brain, which is called encephalitis," said Reichert. If the baby is born early — and has congenital measles — there is a higher risk of serious lung disease due to the immaturity of their lungs, she added. And beyond the immediate health concerns, there are several potential and serious long-term consequences, including a rare but debilitating neurological illness that manifests years later. Subacute sclerosing panencephalitis is a virus that hides in the brain for years. It eventually flares up, triggering brain inflammation and causing children or young adults to lose the ability to move and speak. In nearly all cases patients die. According to Reichert, the risk of this complication is believed to be higher when a baby is born with measles or is infected early in infancy. "It's a devastating consequence because it really isn't treatable," said Reichert. Babies can also experience immune system impacts that leave them more highly susceptible to illness, Castillo said. A major worry Measles is highly contagious and health officials have warned that given low immunization rates in parts of the province, official case counts are the tip of the iceberg and there are likely more cases going unreported. It's a major worry for physicians. "Everyone is concerned this is going to be happening for months at a time," Castillo said, adding that as case counts rise, so too do the chances that more babies will be infected and potentially face life-altering or life-threatening complications. She's concerned that Albertans don't fully understand the risks that go along with pregnancy and measles. "We have not had a concerted public health response, particularly to raise awareness about how serious it can be for babies and pregnant individuals," she said, adding she's glad the province shared the data it did when requested by CBC News. "But again they're not in the public domain. And that makes it very, very hard because we haven't had the concerted effort to raise awareness … and give people the tools to make decisions." CBC News asked the province if it will publish this information moving forward, but did not hear back prior to publication time. Reichert wants Albertans to understand the risks and she's urging everyone to ensure that they and their children are immunized to protect both themselves and others around them who may not be able to be immunized. Mothers who are immunized pass antibodies on to the fetus during pregnancy, offering protection during a baby's first few months of life. Post-exposure therapy The measles vaccine (MMR) is not generally recommended during pregnancy in Canada. Pregnant Albertans who are unimmunized and have been exposed to measles and infants under six months of age are among the high risk groups who may be offered immune globulin, a short-acting antibody medication that can protect against the virus. It must be given within six days of exposure. According to the province, 52 people have received it including 37 infants since the outbreaks began in March. The province did not say how many of the adults were pregnant. Alberta is also offering an early and extra dose of the measles vaccine to babies as young as six months living in the harder hit south, central and north zones.


CTV News
3 hours ago
- CTV News
Ontario's measles outbreak through the eyes of front-line workers
Emergency department charge nurse David Lambie outside the emergency entrance of the Woodstock General Hospital in Woodstock, Ont., Thursday, May 22, 2025. THE CANADIAN PRESS/Nicole Osborne ST. THOMAS — Health-care workers battling measles in southern Ontario say they think about the outbreak from the moment they wake until the moment they sleep. They say treating and tamping down the surge of a disease most have never seen in their lifetime is constant. Some have even been infected by patients who unwittingly spread the highly infectious illness while seeking help for early but general symptoms — fevers and coughs are common before the telltale rash appears days later. Measles has spread to more than 3,000 people in Canada this year. More than 2,000 of those infected are in Ontario. Here's a look at caregivers on the front lines of an outbreak that has particularly struck a region south and east of London. 'The unlucky ones' Carly Simpson considers herself one of the 'unlucky ones.' Five days after developing a sore throat, body aches and fever, the nurse practitioner gazed at her reflection in the bathroom mirror, stunned to see red splotches all over her body. 'Oh my gosh this is measles,' Simpson gasped. She said measles never crossed her mind when she first fell ill mid-March, suspecting a more likely cause was her autoimmune disease, ankylosing spondylitis, which leads to chronic pain and inflammation. After all, the vast majority of cases had been among the unvaccinated and Simpson said she had been inoculated three times — including a booster in 2015 after a test revealed her previous two shots didn't lend full immunity. Simpson said she had been assured at the beginning of the outbreak that three shots would be enough to protect her. She still got sick and was essentially bedridden for days, only mustering enough energy to walk to the bathroom. But she said the rash only lasted a day and never spread to her husband or kids. 'I had a mild case because I've been vaccinated,' said Simpson, among five per cent of the outbreak's cases to involve vaccinated people. She suspected she was infected by a patient who came to her clinic with virus symptoms a couple of weeks earlier. Early symptoms can seem like other illnesses until the rash appears, leaving health-care workers who examine them vulnerable to exposure. 'Is this just a common cold? Is it just some viral infection?' she said of the questions that dog caregivers. Shawn Cowley was unlucky, too. He noticed white spots inside his cheeks in late April, and then a red blotchy rash on his forehead that migrated down his face, and onto his shoulders and arms. 'Fortunately for me, because I was fully vaccinated I didn't get the full brunt of measles,' he said, explaining that the rash otherwise would have covered his whole body. Still, it took about a week for his body to recover from the exhaustion. Cowley is a key player in measles containment as head of emergency management and preparedness at the local health unit, Southwestern Public Health. His case was traced to his son's hockey tournament. He eventually told his colleagues that he contracted measles but noted there is 'a stigma' associated with the illness. Cowley also felt guilty for going to the grocery store and filling up on gas before he was symptomatic, potentially spreading it to others. 'When you find out you do potentially have measles, and the number of people I've exposed, understanding how virulent measles is, that's a really hard thing to deal with personally because you put other people at risk.' 'Slow burn' Dr. Erica Van Daalen calls the outbreak a 'slow burn' but one that has required close collaboration among local hospitals to safely treat and isolate measles patients. The chief of staff at St. Thomas Elgin General Hospital said she might see one to three patients in the emergency department on an average day, and often they are children. As of late May, three infected pregnant women had delivered babies and 15 kids had been admitted. Those include young patients transferred from hospitals in Woodstock and Tillsonburg, which don't have pediatric units. 'It's a lot of one-on-one bedside nursing,' Van Daalen said in an interview earlier this spring. 'When the days are busy, it wears on the nurses.' Less than seven per cent of Ontario's cases have ended up in hospital. But the logistics of safely admitting a measles patient is like expert-level Tetris. Masked patients are ushered through back doors to negative pressure rooms that keep contaminated air from escaping into other areas of the hospital and infecting more people. The room is sealed and has a system that filters and exchanges the air. Exposure risks are avoided as much as possible, even trips to the bathroom, said Sangavi Thangeswaran, a registered nurse and an infection control practitioner at both Alexandra Hospital Ingersoll and Tillsonburg District Memorial Hospital. 'We ask the patient to stay in there. If they need anything like using the washroom, we try to give them commodes or urinals, just to lessen the exposures,' Thangeswaran said. There are five negative pressure rooms at Woodstock Hospital. When they're full, patients are assessed in the ambulance garage, said David Lambie, a charge nurse in Woodstock's emergency department. It is an extra layer of logistics to navigate, said Lambie, whose hospital has cared for 108 measles patients since January, 55 of them kids. Once a patient is well enough for discharge, their negative pressure room is left empty for half-an-hour while contaminated air is expunged. Then it's deep cleaned for the next patient, said Thangeswaran. She said each of her Oxford County hospitals initially had just one negative pressure room in each emergency department but as cases swelled they created three more. As of June 12, her team had cared for 14 measles patients in Ingersoll and 64 in Tillsonburg. 'Inherent challenge' Van Daalen, of the hospital in St. Thomas, said deciding whether to discharge a kid sick with measles sometimes keeps her up at night. 'You hesitate to send them home because you're not quite sure how they're going to land,' she said. 'There are some later-term consequences for kids who have measles. It's a very rare complication, but we'll have to keep our surveillance up.' Dr. Ninh Tran said he felt like he was approaching burnout in late February. Ontario's weekly case count had nearly doubled to 177 over a two-week period ending Feb. 27, with almost half of the overall cases located in his southwestern public health unit. Pressure was high to trace cases, halt community spread and stop infections. Measles was on his mind every moment of the day and night. 'You could sense a bit of tension and anxiety in all this discussion,' Tran recalled in late May. 'It's always like a temporary feeling of doubt, fear, anxiety when we see numbers go up and there's just a lot of things coming right at you,' Tran said of the outbreak's early days. 'And then you have to step back and say, 'OK, it's not going to be helpful if I get stressed because I need to — and other leaders have to — figure out a way to move forward.' The spread of measles has ebbed and flowed, but Tran noted a steady decline of new cases mid-June. 'While it's still early to confirm a persistent pattern, the consistency of the decrease does suggest a potential shift in the trajectory of the outbreak,' said Tran. 'We are cautiously encouraged.' This report by The Canadian Press was first published June 20, 2025. Canadian Press health coverage receives support through a partnership with the Canadian Medical Association. CP is solely responsible for this content. Hannah Alberga, The Canadian Press


CBC
3 hours ago
- CBC
Nova Scotia Health works to speed up sepsis treatment
Nova Scotia Health is equipping front-line caregivers in some of the province's emergency rooms with potentially life-saving tools to treat sepsis. A team has been working to implement changes to enable a faster response when people present with sepsis symptoms. Sepsis is caused by the body's overreaction to an infection that is already present. Cases have been on the rise for the past few decades, according to Sepsis Canada. Recommendations from the health authority's own reviews into patient care are cited as factors for the changes. "Sepsis is a very real issue in our province," said Dr. Vanessa Sweet, the central zone sepsis team co-lead. "It was clear to us that we needed to take a different approach to it." The team examined the approaches of other health systems that have made progress in the area to then bring some of those ideas to the front lines of emergency care in Nova Scotia. One thing the group developed are sepsis treatment kits that include all the supplies needed to act fast. "And it has proven that way, I've seen these used many times, people are grabbing for them, instead of having to go pull things and getting pulled to different situations," said Terri McGregor, a registered nurse at Twin Oaks Memorial Hospital in Musquodoboit Harbour. Inside the ready-to-deploy boxes are blood-testing equipment, intravenous fluid supplies and tourniquets along with requisition forms and detailed instructions. Nurses now administer life-saving antibiotics Another key new care directive allows nurses to begin antibiotic treatment without approval from a physician. "If we had no physician on site, say, they're getting those antibiotics immediately," McGregor said. "This lets nurses work to their full scope of practice," said Sweet. Twin Oaks, Cobequid Community Health Centre in Lower Sackville and Hants Community Hospital in Windsor began implementing the changes in the first phase of the project. "Now over 90 per cent of patients at the three sites are receiving their antibiotics within the three-hour recommended time frame," Sweet said. "We've seen a drastic improvement in that," she said, adding the previous number was around 60 per cent. The program has since grown to include six hospitals, according to Nova Scotia Health. 'Every hour is absolutely essential' Detecting and treating sepsis early can be the difference between life and death, said the scientific co-chair of Sepsis Canada. "We know from the literature that every hour that someone is in severe sepsis and they're not getting appropriate treatment, their chance of dying goes up by 10 per cent," said Dr. Osama Loubani, who is also an emergency room physician in Halifax. "Every hour is absolutely essential." Karen Moxsom from Hardwood Lands in central Nova Scotia saw how fast sepsis can take hold when her husband got sick. A quality review of 74-year-old Gordon Moxsom's case was conducted after he died just over two years ago. At the time, his wife had not even heard of the condition. "There's not enough awareness out there for sepsis, it can happen so quickly. It's one of the top leading killers with cancer, with heart attacks," said Moxsom. "Nobody knows anything about it." She still maintains her husband may not have contracted sepsis had he not been discharged from the QEII Health Sciences Centre in Halifax with a catheter — where she thinks the infection started — following treatment of earlier heart problems. Included in the review is Moxsom's complaint that she did not receive proper guidance following her husband's discharge about how to monitor for infection, or any education about sepsis symptoms. She's still pushing for answers about his care and is encouraged to see there is further action to improve treatment. "I'm happy that they are doing it. I was glad to see that because I feel like I was a part of that by reporting what happened to Gordie." Moxsom now wants to see the changes implemented provincewide, which is something the action improvement team is now looking at as it attempts to scale up its work. The Halifax Infirmary is scheduled to start in the fall. A provincial rollout is planned after that.