Severe Flu Cases Surge in Manitoba - Aboriginal Community Hit Hard

[alert]

Re: Novel H1N1 flu outbreak hits isolated First Nations reserve

http://www.canada.com/Health/Feds+slow+respond+First+Nation+pandemic+planning+Manitoba/1663408/story.html

Feds slow to respond to First Nation pandemic planning: Manitoba
By Mia Rabson, Winnipeg Free PressJune 4, 2009 8:39 PM
Story The Manitoba government had offered Ottawa help with pandemic planning on First Nations 13 times since May 4 but was turned down every time until Wednesday ? the day it was revealed that 12 residents of a remote northern reserve had been hospitalized with flu symptoms.


Health Minister Theresa Oswald made the revelation Thursday as she expressed frustration at the federal government's response to the H1N1 flu outbreak when it comes to First Nations like St. Theresa Point, saying the province has been prevented from doing more because it doesn't have jurisdiction.


On Thursday, Ottawa asked for additional help with supplies and the province sent masks and antiviral medication to St. Theresa Point, about 500 kilometres northeast of Winnipeg.


Oswald said the province had offered to provide antiviral medications for reserves repeatedly in the last month.


"It's the federal government's job to ask us if they need some (antivirals), and that's, of course, part of what we've been asking them 13 times," she said.


She said the province's stockpile includes enough of the medication for First Nations.


Meanwhile, St. Theresa Point Chief David McDougall pleaded for understanding and tolerance for his swine-flu afflicted community on Thursday, saying that residents have been met with fear and paranoia.


So far just two confirmed cases of swine flu from remote, fly-in community located 500 kilometres northeast of Winnipeg.


However, there are 21 people from the reserve in hospital in Winnipeg and hundreds more in the community itself have registered with the nursing station as suffering from respiratory symptoms.


"Those are all pending confirmation if they are in fact infected by this (swine flu) virus," the chief said at a news conference.


He said members of his community were recently asked to leave at least one hotel over fears they could be sick.


"Just to be in the same room with me is not a death sentence for anybody," McDougall said, adding later: "As far as I'm concerned, there's no panic right now."


McDougall stressed there have been more confirmed cases in Winnipeg than in St. Theresa Point, a community of 3,200 people


McDougall said two of his own nieces are in critical condition at St. Boniface hospital in Winnipeg.


"There have been some frightening moments throughout the course of their treatment," he said.


He has said his community lacks the infrastructure to deal with a full-scale outbreak, and that a potential pandemic could spread quickly, since residents live in overcrowded homes.


Manitoba's health minister said Wednesday that province was asked to help find housing for family members coming to Winnipeg with sick loved ones because they were having difficulty finding hotel rooms.


Meanwhile, at least 100 students at a Regina elementary school are likely infected with the swine flu virus, said a top physician with the local health region.


One student from Massey School tested positive for the virus Thursday, but 150 students are out sick and most of those are expected to have the illness, according to Dr. Maurice Hennink, deputy medical health officer for the Regina Qu'Appelle Health Region.


"It's circulating in our community," he said. "We expect some more tests to come back positive."


Hennink said many of those infected might not take the test, meaning the 153 confirmed cases in the province do not provide a full picture.


The Manitoba government, federal health officials and First Nations leaders have met weekly since the swine flu outbreak began a month ago, to work on pandemic planning on First Nations.


In 2005, the Public Health Agency of Canada's report on pandemic planning outlined a number of outstanding issues related to preparing for an outbreak on reserves, including a lack of formal agreements dividing responsibilities between the federal and provincial governments for responding to health emergencies and the lack of pandemic plans on First Nations. The report also said there needed to be a clear protocol for ensuring the provinces' antiviral stockpiles were accounting for First Nations, and how First Nations could access the drugs when they were needed.


A spokeswoman for Health Canada said the department and Manitoba are close to an agreement on how to deal with pandemics on reserves. However, Health Minister Leona Aglukkaq did not respond to the concern Oswald raised.

? Copyright (c) Winnipeg Free Press

[Diane Morin]

Re: Novel H1N1 flu outbreak hits isolated First Nations reserve

05-06-2008

Lack of information sharing agreements could put Canadians at risk


06-12-2008

Epidemic response better for poultry than people: report

[Diane Morin]

Re: Novel H1N1 flu outbreak hits isolated First Nations reserve

Swine flu cases on remote Manitoba reserve a 'wake-up call': chief

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<SCRIPT type=text/javascript> var w = $("#the-page-image>img").attr("width"); if(w && typeof(w) != "undefined"){ $("#the-page-caption").css("width",new String(w+"px")); } </SCRIPT>Thu, 2009-06-04 20:10.
By: Chinta Puxley, THE CANADIAN PRESS

WINNIPEG - The emergence of swine flu on a remote northern Manitoba reserve is a wake-up call for governments to address poor living conditions and improve health care for aboriginals, the community's chief said Thursday.

David McDougall of St. Theresa Point First Nation said there are two confirmed cases of swine flu on the reserve. Another 21 people are in hospital suffering from flu-like symptoms.

As a result, some people in the community of 3,200 are wearing masks and most are avoiding large get-togethers, he said.

It's still not clear how swine flu reached the reserve, McDougall said. But he added the spread of the illness has likely been exacerbated by the shortage of housing and cramped quarters.

"It's common for 12 people to be living in a two-bedroom bungalow," he said at a news conference in Winnipeg on Thursday. "We know that's prime breeding ground for viruses such as this one.
"It's a wake-up call for everyone. This is an emergency and a catastrophe waiting to happen. Now we're seeing it."

Provincial and federal governments have sent more doctors and nurses to the remote community, which is 500 kilometres northeast of Winnipeg and accessible only by air. But officials have so far refused to say much about the outbreak in St. Theresa Point - even with the community's chief.

Elise Weiss, Manitoba's acting chief public health officer, said Thursday there were two more confirmed cases of swine flu in the province - including one more from the vast health region which includes St. Theresa Point. The new cases brought the total number provincewide to 40.
Since virtually all communities probably have some form of swine flu, specific communities are not being identified, she said.
"Public health advice does not change whether you are in community A, B or C."

Christelle Legault, with Health Canada, said Ottawa is "aware of and responding to a cluster of respiratory illness reported in St. Theresa Point, with a robust medical response that includes additional nurses and physicians."

"Two Public Health Agency of Canada epidemiologists will be going to St. Theresa Point to review the pattern of transmission, examine the clinical presentation and outcome of residents will influenza-like illness, and determine the origins of the virus," she said in an emailed statement.
Dr. Arnold Monto, an influenza expert at the University of Michigan, Ann Arbor, said experts are watching the situation closely.

"We really don't know what will happen in populations which are, number 1, crowded; number 2, potentially disadvantaged in one way or the other; and number 3, have host factors which might result in more extreme expression of disease," Monto said.

"All of this would remind us that any influenza pandemic is going to be more severe in certain population groups and not something which can be brushed off with the statement: 'Oh, it's no worse than seasonal influenza."'

Most sick people on the reserve were experiencing mild symptoms, but McDougall said his two pregnant nieces fell seriously ill and one lost her child. Both women were in critical condition, he said. It hasn't been confirmed yet whether swine flu made them sick.
"There have been some frightening moments through the course of their treatment."

But there is no reason for people to panic, McDougall said.
As news has spread about the flu, so too has prejudice, he added. Some family members from St. Theresa Point were turned away from a Winnipeg hotel because of concerns they could infect others.

"There are two confirmed cases from my community," McDougall said. "There are 27 cases in the city of Winnipeg. I can't see why there is a big alarm dealing with people from St. Theresa Point.

"I feel very handicapped by the whole situation, almost as if I'm blind," McDougall continued. "There is uncertainty. I'd like to work with both levels of government to ease the situation, but it's very hard when there are certain departments that are not playing the same game we are."
Life is changing in St. Theresa Point's neighbouring reserves as officials take some precautionary measures to avoid the spread of swine flu. Chief Jerry Knott, of Wasagamack First Nation, said the local school has closed, traffic is restricted and people are avoiding travel as well as large get-togethers.

Chief David Harper, from neighbouring Garden Hill First Nation, said the community's school has been shut down as medivac planes regularly ship people out for medical attention. While the northern cluster of reserves is home to 10,000 people, southern Manitoba towns with a fraction of the population have hospitals, he said.

"We're calling on the government not to turn a blind eye to pending atrocities," he said. "We're calling on the government to act quickly, be more responsive and answer to the call of our needs."

Manitoba Health Minister Theresa Oswald said the federal government takes the lead in situations like this but the province has been playing an important supporting role by supplying doctors, antivirals and respiratory masks.

But she said both levels of government need to do a better job of sharing information with First Nations communities. Without accurate information, she said people will start to panic.

"We know that there are severe respiratory illnesses circling around in the north that are concerning, influenza-like illnesses . . . that may not be H1N1 but still require intervention," said Oswald, adding confirming swine flu cases takes time. "That has caused some anxiety for people in that it's not an instantaneous result ... so we just need people to be patient."

http://www.cjad.com/news/14/939056

[Diane Morin]

Re: Novel H1N1 flu outbreak hits isolated First Nations reserve

Hmm...not sure about that. It only takes one person, granted. But info on the air travel to an from that area is needed, and the type of aircraft - Cesna, Otter - not many people.

It's still quite cool here, and downright cold in the last month up north. So the fly-in fishing outfits are likely not in full swing.

Look for conferences or regional school or hockey tournaments in the last month. That's just as likely, IMO, as a lone Winnipegger making the trip, (except for healthcare workers perhaps.)

J.

Two beginnings of tracks

The Aboriginal Sport Circle (ASC) is pleased to announce that Winnipeg will host the 2009 National Aboriginal Hockey Championships from May 3 – 9, 2009.

http://aboriginalsportcircle.ca/en/dec_9_2009_aboriginal_sport_circle_announces_winni peg_as_host_of_2009_national_aboriginal_hockey_cha

LPN: Licensed Practical Nurse

LPN candidates
Study sessions
April 20
April 27
May 4
May 11
For further info
Call STPENT

http://sttheresapoint.com/Programs___Services.html



And concerning the health of the children of the reserve:

http://www.caphc.org/documents_annual/2007/conference_ppts/16_10_2007/a_mcdougall.pdf

[Shiloh]

Re: Novel H1N1 flu outbreak hits isolated First Nations reserve

Source: http://www.canada.com/First+Nation+c...995/story.html

First Nation confirms two swine flu cases
News ServicesJune 5, 2009

A remote First Nation in northern Manitoba has confirmed two cases of swine flu, but the chief of the band said that more than 100 people have reported being ill in recent days.

About 20 residents of the community have been flown to Winnipeg hospital suffering with flu-like symptoms, including 11 people who were airlifted in the last week.

"Those are all pending confirmation if they are in fact infected by this (swine flu) virus," Chief David McDougall said.

McDougall urged understanding for his fly-in community of 3,200 people, saying that there have been more confirmed cases in Winnipeg than in St. Theresa Point.

[Shiloh]

Re: Novel H1N1 flu outbreak hits isolated First Nations reserve

Source: http://www.winnipegfreepress.com/bre...-47032237.html


Reserve residents aren't welcome at inn: chief
By: Arielle Godbout, Larry Kusch and Kevin Rollason
5/06/2009 1:00 AM |


A Winnipeg hotel has reportedly asked guests to leave because of fears they have H1N1.

The residents of St. Theresa Point First Nation were in Winnipeg for health checkups unrelated to influenza but were asked to leave the hotel, said the community's chief, David McDougall.

"It's a little disappointing having to put up with that," he said in an interview Thursday night.

"We have enough problems on our hands," said the chief, whose remote community is facing an influenza outbreak.

Officials at the hotel would not comment last night.

At least two residents of St. Theresa Point have been infected with the same strain of H1N1 influenza that caused a panic last month after a number of cases popped up in Mexico. There are currently 21 community residents with severe flu-like symptoms being treated in Winnipeg hospitals, McDougall said.

On Thursday, Dr. Elise Weiss, Manitoba's acting chief medical officer, said the total number of confirmed H1N1 cases in Manitoba now stands at 40.

At a news conference, McDougall said he understood people are alarmed, but to "stigmatize" St. Theresa Point residents is an overreaction.

"There have been two known (H1N1 influenza) cases in my community -- confirmed cases -- but according to the public health report there are 27 cases within the city of Winnipeg. So I can't see proportionally why there's a big alarm for dealing with people from St. Theresa Point," he said.

Health Minister Theresa Oswald said the province's medical experts have protocols on infection control, including isolating individuals, where appropriate, and these experts are the best judges of how to keep the public safe.

"Dr. (Joel) Kettner (Manitoba's chief provincial public health officer) has said repeatedly H1N1 is here. It's in a lot of communities and so we all need to be taking the same precautions and not discriminating against or isolating and unduly honing in on one specific group or one specific community... "

Robert Flett, the director of health for the Island Lake Tribal Council -- which includes St. Theresa Point -- said all three schools in the region had been closed as a precaution, affecting approximately 2,500 students. McDougall said some residents of St. Theresa Point have also begun wearing masks, and are trying to avoid congregating to avoid spreading the virus.

Former MP and MLA Elijah Harper, blames Third World living conditions on poverty-stricken reserves for leaving aboriginal people sitting ducks for pandemic flu outbreaks. He said many people at St. Theresa Point -- and other aboriginal reserves in the area -- are susceptible to illnesses because they live without running water and electricity in their homes.

Pat Jacob, general manager of the North West Company's Northern Stores in Manitoba, said the flu has forced the store in St. Theresa Point to cut its hours because of the number of staff not coming in.

RCMP spokeswoman Sgt. Line Karpish said the force has issued protective equipment to its members in St. Theresa Point, including masks, gloves and hand sanitizer they can take with them.

arielle.godbout@freepress.mb.ca larry.kusch@freepress.mb.ca kevin.rollason@freepress.mb.ca

[cartski]

Re: Novel H1N1 flu outbreak hits isolated First Nations reserve

Two beginnings of tracks

The Aboriginal Sport Circle (ASC) is pleased to announce that Winnipeg will host the 2009 National Aboriginal Hockey Championships from May 3 ? 9, 2009.

http://aboriginalsportcircle.ca/en/dec_9_2009_aboriginal_sport_circle_announces_winni peg_as_host_of_2009_national_aboriginal_hockey_cha

LPN: Licensed Practical Nurse

LPN candidates
Study sessions
April 20
April 27
May 4
May 11
For further info
Call STPENT

http://sttheresapoint.com/Programs___Services.html



And concerning the health of the children of the reserve:

http://www.caphc.org/documents_annua..._mcdougall.pdf

These are excellent finds.

We know that the hockey tournament involved travel afterwards on May 11:

"Travel to the 2009 NAHC has been designated for Thursday, May 1 and Friday, May 2, and departure on Sunday, May 11."

McDougal's presentation on "School Screening for Renal Disease in the
Island Lake Area ? a model of academic and community collaboration" clarifies for us southerners that the Island Lake Communities comprises 4 villages:

See slide 2:

The Island Lake Area Communities:
Garden Hill
St Theresa Point
Wasagamack
Red Sucker Lake
Population: 11,000
% 18 and under: 47

And the pictures show numerous methods of transport in the area - plane, boat, helicopter, snowmobile (yes, these could still have been in use in May)

But we don't know if a team was sent from the Island Lake Communities. We often see First Nation teams in downtown Winnipeg taking in the sights, and staying in groups in local hotels.

And I have no idea whatsoever how this "hematuria and proteinuria
associated with febrile respiratory illness" has anything to do with SOIV - are these people at significantly greater risk? Could the "Regional Renal Health Program" facilities have something to do with the initial transmission and propogation?

Note that it's a "Roman Catholic Community". Could a church event be associated with this outbreak?

J.

[cartski]

Re: Novel H1N1 flu outbreak hits isolated First Nations reserve

The News Release issued yesterday at ~4 p.m. included a better breakdown of the cases by region and hospitalization (sorry, I don't know how to post the table in a better format):

RHA
(Patient?s residence) Not hospitalized Hospitalized Unknown Total
Assiniboine
Brandon 4 1 5
Burntwood 1 2 1 4
Central
Churchill
Interlake
NOR-MAN 3 3
North Eastman
Parkland 1 1
South Eastman 1 1
Winnipeg 13 4 9 26
Total 23 6 11 40


Age group Cases reported
0-9 11
10-19 6
20-29 8
30-39 4
40-49 7
50-59 3
60-69 1
Total 40

[HenryN]

Re: Novel H1N1 flu outbreak hits isolated First Nations reserve

June 4, 2009

BUILLETIN #17 H1N1 FLU

? Manitoba Health and Healthy Living is reporting two new confirmed H1N1 cases, bringing the provincial total to 40 cases in six regions across Manitoba. The new cases are in a male from the Winnipeg health region who has not been hospitalized and a male from a First Nation community in the Burntwood health region.
? Health-care response on First Nation communities is led by First Nation and Inuit Health (FNIH) of Health Canada. Manitoba offered assistance to FNIH and First Nation communities and has provided:
- three additional doctors for a First Nation community,
- 45 courses of antiviral treatments, and
- 10,000 surgical and 2,600 N95 masks.
? Manitoba will continue to offer assistance to FNIH as needed.
? If you?re sick with a respiratory illness and you need medical care, your health-care provider will assess whether you need testing or treatment. Testing for viruses does not change the treatment of a viral respiratory illness. Doctors and health-care providers make decisions all the time before test results are available because they know how to treat influenza and other viral illnesses.
? H1N1 is present in six regions in the province, so every Manitoban should assume that the virus is present across the province. All Manitobans need to take the same precautions, no matter where they live, work or visit.

Summary of all confirmed H1N1 cases in Manitoba

<TABLE style="BORDER-BOTTOM: medium none; BORDER-LEFT: medium none; BORDER-COLLAPSE: collapse; BORDER-TOP: medium none; BORDER-RIGHT: medium none" border=1 cellSpacing=0 cellPadding=0><TBODY><TR><TD style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: windowtext 1pt solid; PADDING-BOTTOM: 0in; PADDING-LEFT: 5.4pt; WIDTH: 108.95pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #d9d9d9; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: windowtext 1pt solid; PADDING-TOP: 0in" vAlign=top width=182>RHA
(Patient?s residence)
</TD><TD style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-BOTTOM: 0in; PADDING-LEFT: 5.4pt; WIDTH: 99.95pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #d9d9d9; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: windowtext 1pt solid; PADDING-TOP: 0in" vAlign=top width=167>Not hospitalized
</TD><TD style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-BOTTOM: 0in; PADDING-LEFT: 5.4pt; WIDTH: 94.95pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #d9d9d9; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: windowtext 1pt solid; PADDING-TOP: 0in" vAlign=top width=158>Hospitalized
</TD><TD style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-BOTTOM: 0in; PADDING-LEFT: 5.4pt; WIDTH: 62.3pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #d9d9d9; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: windowtext 1pt solid; PADDING-TOP: 0in" vAlign=top width=104>Unknown
</TD><TD style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-BOTTOM: 0in; PADDING-LEFT: 5.4pt; WIDTH: 71.25pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #d9d9d9; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: windowtext 1pt solid; PADDING-TOP: 0in" vAlign=top width=119>Total
</TD></TR><TR style="HEIGHT: 18.55pt"><TD style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: windowtext 1pt solid; PADDING-BOTTOM: 0in; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 108.95pt; PADDING-RIGHT: 5.4pt; HEIGHT: 18.55pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid; PADDING-TOP: 0in" vAlign=top width=182>

Assiniboine

</TD><TD style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-BOTTOM: 0in; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 99.95pt; PADDING-RIGHT: 5.4pt; HEIGHT: 18.55pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid; PADDING-TOP: 0in" vAlign=top width=167>
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</TD><TD style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-BOTTOM: 0in; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 71.25pt; PADDING-RIGHT: 5.4pt; HEIGHT: 18.55pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid; PADDING-TOP: 0in" vAlign=top width=119>
</TD></TR><TR><TD style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: windowtext 1pt solid; PADDING-BOTTOM: 0in; PADDING-LEFT: 5.4pt; WIDTH: 108.95pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #d9d9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid; PADDING-TOP: 0in" width=182>

Brandon

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4

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1

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Burntwood

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1

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Central

</TD><TD style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-BOTTOM: 0in; PADDING-LEFT: 5.4pt; WIDTH: 99.95pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #d9d9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid; PADDING-TOP: 0in" width=167></TD><TD style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-BOTTOM: 0in; PADDING-LEFT: 5.4pt; WIDTH: 94.95pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #d9d9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid; PADDING-TOP: 0in" width=158></TD><TD style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-BOTTOM: 0in; PADDING-LEFT: 5.4pt; WIDTH: 62.3pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #d9d9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid; PADDING-TOP: 0in" width=104></TD><TD style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-BOTTOM: 0in; PADDING-LEFT: 5.4pt; WIDTH: 71.25pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #d9d9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid; PADDING-TOP: 0in" width=119></TD></TR><TR><TD style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: windowtext 1pt solid; PADDING-BOTTOM: 0in; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 108.95pt; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid; PADDING-TOP: 0in" width=182>

Churchill

</TD><TD style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-BOTTOM: 0in; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 99.95pt; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid; PADDING-TOP: 0in" width=167></TD><TD style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-BOTTOM: 0in; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 94.95pt; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid; PADDING-TOP: 0in" width=158></TD><TD style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-BOTTOM: 0in; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 62.3pt; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid; PADDING-TOP: 0in" width=104></TD><TD style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-BOTTOM: 0in; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 71.25pt; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid; PADDING-TOP: 0in" width=119></TD></TR><TR><TD style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: windowtext 1pt solid; PADDING-BOTTOM: 0in; PADDING-LEFT: 5.4pt; WIDTH: 108.95pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #d9d9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid; PADDING-TOP: 0in" width=182>

Interlake

</TD><TD style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-BOTTOM: 0in; PADDING-LEFT: 5.4pt; WIDTH: 99.95pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #d9d9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid; PADDING-TOP: 0in" width=167></TD><TD style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-BOTTOM: 0in; PADDING-LEFT: 5.4pt; WIDTH: 94.95pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #d9d9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid; PADDING-TOP: 0in" width=158></TD><TD style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-BOTTOM: 0in; PADDING-LEFT: 5.4pt; WIDTH: 62.3pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #d9d9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid; PADDING-TOP: 0in" width=104></TD><TD style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-BOTTOM: 0in; PADDING-LEFT: 5.4pt; WIDTH: 71.25pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #d9d9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid; PADDING-TOP: 0in" width=119></TD></TR><TR><TD style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: windowtext 1pt solid; PADDING-BOTTOM: 0in; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 108.95pt; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid; PADDING-TOP: 0in" width=182>

NOR-MAN

</TD><TD style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-BOTTOM: 0in; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 99.95pt; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid; PADDING-TOP: 0in" width=167>

3

</TD><TD style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-BOTTOM: 0in; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 94.95pt; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid; PADDING-TOP: 0in" width=158></TD><TD style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-BOTTOM: 0in; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 62.3pt; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid; PADDING-TOP: 0in" width=104></TD><TD style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-BOTTOM: 0in; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 71.25pt; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid; PADDING-TOP: 0in" width=119>

3

</TD></TR><TR><TD style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: windowtext 1pt solid; PADDING-BOTTOM: 0in; PADDING-LEFT: 5.4pt; WIDTH: 108.95pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #d9d9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid; PADDING-TOP: 0in" width=182>

North Eastman

</TD><TD style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-BOTTOM: 0in; PADDING-LEFT: 5.4pt; WIDTH: 99.95pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #d9d9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid; PADDING-TOP: 0in" width=167></TD><TD style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-BOTTOM: 0in; PADDING-LEFT: 5.4pt; WIDTH: 94.95pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #d9d9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid; PADDING-TOP: 0in" width=158></TD><TD style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-BOTTOM: 0in; PADDING-LEFT: 5.4pt; WIDTH: 62.3pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #d9d9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid; PADDING-TOP: 0in" width=104></TD><TD style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-BOTTOM: 0in; PADDING-LEFT: 5.4pt; WIDTH: 71.25pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #d9d9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid; PADDING-TOP: 0in" width=119></TD></TR><TR><TD style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: windowtext 1pt solid; PADDING-BOTTOM: 0in; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 108.95pt; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid; PADDING-TOP: 0in" width=182>

Parkland

</TD><TD style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-BOTTOM: 0in; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 99.95pt; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid; PADDING-TOP: 0in" width=167>

1

</TD><TD style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-BOTTOM: 0in; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 94.95pt; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid; PADDING-TOP: 0in" width=158></TD><TD style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-BOTTOM: 0in; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 62.3pt; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid; PADDING-TOP: 0in" width=104></TD><TD style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-BOTTOM: 0in; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 71.25pt; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid; PADDING-TOP: 0in" width=119>

1

</TD></TR><TR><TD style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: windowtext 1pt solid; PADDING-BOTTOM: 0in; PADDING-LEFT: 5.4pt; WIDTH: 108.95pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #d9d9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid; PADDING-TOP: 0in" width=182>

South Eastman

</TD><TD style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-BOTTOM: 0in; PADDING-LEFT: 5.4pt; WIDTH: 99.95pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #d9d9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid; PADDING-TOP: 0in" width=167>

1

</TD><TD style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-BOTTOM: 0in; PADDING-LEFT: 5.4pt; WIDTH: 94.95pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #d9d9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid; PADDING-TOP: 0in" width=158></TD><TD style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-BOTTOM: 0in; PADDING-LEFT: 5.4pt; WIDTH: 62.3pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #d9d9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid; PADDING-TOP: 0in" width=104></TD><TD style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-BOTTOM: 0in; PADDING-LEFT: 5.4pt; WIDTH: 71.25pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #d9d9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid; PADDING-TOP: 0in" width=119>

1

</TD></TR><TR><TD style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: windowtext 1pt solid; PADDING-BOTTOM: 0in; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 108.95pt; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid; PADDING-TOP: 0in" width=182>

Winnipeg

</TD><TD style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-BOTTOM: 0in; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 99.95pt; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid; PADDING-TOP: 0in" width=167>

13

</TD><TD style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-BOTTOM: 0in; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 94.95pt; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid; PADDING-TOP: 0in" width=158>

4

</TD><TD style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-BOTTOM: 0in; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 62.3pt; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid; PADDING-TOP: 0in" width=104>

9

</TD><TD style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-BOTTOM: 0in; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 71.25pt; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid; PADDING-TOP: 0in" width=119>

26

</TD></TR><TR><TD style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: windowtext 1pt solid; PADDING-BOTTOM: 0in; PADDING-LEFT: 5.4pt; WIDTH: 108.95pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #d9d9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8; PADDING-TOP: 0in" width=182>

Total

</TD><TD style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-BOTTOM: 0in; PADDING-LEFT: 5.4pt; WIDTH: 99.95pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #d9d9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8; PADDING-TOP: 0in" width=167>

23

</TD><TD style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-BOTTOM: 0in; PADDING-LEFT: 5.4pt; WIDTH: 94.95pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #d9d9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8; PADDING-TOP: 0in" width=158>

6

</TD><TD style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-BOTTOM: 0in; PADDING-LEFT: 5.4pt; WIDTH: 62.3pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #d9d9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8; PADDING-TOP: 0in" width=104>

11

</TD><TD style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-BOTTOM: 0in; PADDING-LEFT: 5.4pt; WIDTH: 71.25pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #d9d9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid; PADDING-TOP: 0in" width=119>

40

</TD></TR></TBODY></TABLE>

<TABLE style="BORDER-BOTTOM: medium none; BORDER-LEFT: medium none; BORDER-COLLAPSE: collapse; BORDER-TOP: medium none; BORDER-RIGHT: medium none" border=1 cellSpacing=0 cellPadding=0><TBODY><TR><TD style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: windowtext 1pt solid; PADDING-BOTTOM: 0in; PADDING-LEFT: 5.4pt; WIDTH: 65.4pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #d9d9d9; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: #ece9d8; PADDING-TOP: 0in" width=109>

Age group

</TD><TD style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-BOTTOM: 0in; PADDING-LEFT: 5.4pt; WIDTH: 102pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #d9d9d9; BORDER-TOP: windowtext 1pt solid; BORDER-RIGHT: windowtext 1pt solid; PADDING-TOP: 0in" width=170>

Cases reported

</TD></TR><TR><TD style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: windowtext 1pt solid; PADDING-BOTTOM: 0in; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 65.4pt; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid; PADDING-TOP: 0in" width=109>

0-9

</TD><TD style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-BOTTOM: 0in; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 102pt; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid; PADDING-TOP: 0in" width=170>

11

</TD></TR><TR><TD style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: windowtext 1pt solid; PADDING-BOTTOM: 0in; PADDING-LEFT: 5.4pt; WIDTH: 65.4pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #d9d9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8; PADDING-TOP: 0in" width=109>

10-19

</TD><TD style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-BOTTOM: 0in; PADDING-LEFT: 5.4pt; WIDTH: 102pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #d9d9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid; PADDING-TOP: 0in" width=170>

6

</TD></TR><TR><TD style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: windowtext 1pt solid; PADDING-BOTTOM: 0in; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 65.4pt; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid; PADDING-TOP: 0in" width=109>

20-29

</TD><TD style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-BOTTOM: 0in; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 102pt; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid; PADDING-TOP: 0in" width=170>

8

</TD></TR><TR><TD style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: windowtext 1pt solid; PADDING-BOTTOM: 0in; PADDING-LEFT: 5.4pt; WIDTH: 65.4pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #d9d9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8; PADDING-TOP: 0in" width=109>

30-39

</TD><TD style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-BOTTOM: 0in; PADDING-LEFT: 5.4pt; WIDTH: 102pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #d9d9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid; PADDING-TOP: 0in" width=170>

4

</TD></TR><TR><TD style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: windowtext 1pt solid; PADDING-BOTTOM: 0in; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 65.4pt; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid; PADDING-TOP: 0in" width=109>

40-49

</TD><TD style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-BOTTOM: 0in; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 102pt; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid; PADDING-TOP: 0in" width=170>

7

</TD></TR><TR><TD style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: windowtext 1pt solid; PADDING-BOTTOM: 0in; PADDING-LEFT: 5.4pt; WIDTH: 65.4pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #d9d9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8; PADDING-TOP: 0in" width=109>

50-59

</TD><TD style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-BOTTOM: 0in; PADDING-LEFT: 5.4pt; WIDTH: 102pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #d9d9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid; PADDING-TOP: 0in" width=170>

3

</TD></TR><TR><TD style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: windowtext 1pt solid; PADDING-BOTTOM: 0in; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 65.4pt; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid; PADDING-TOP: 0in" width=109>

60-69

</TD><TD style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-BOTTOM: 0in; BACKGROUND-COLOR: transparent; PADDING-LEFT: 5.4pt; WIDTH: 102pt; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid; PADDING-TOP: 0in" width=170>

1

</TD></TR><TR><TD style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: windowtext 1pt solid; PADDING-BOTTOM: 0in; PADDING-LEFT: 5.4pt; WIDTH: 65.4pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #d9d9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: #ece9d8; PADDING-TOP: 0in" width=109>

Total

</TD><TD style="BORDER-BOTTOM: windowtext 1pt solid; BORDER-LEFT: #ece9d8; PADDING-BOTTOM: 0in; PADDING-LEFT: 5.4pt; WIDTH: 102pt; PADDING-RIGHT: 5.4pt; BACKGROUND: #d9d9d9; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1pt solid; PADDING-TOP: 0in" width=170>

40

</TD></TR></TBODY></TABLE>

? The H1N1 flu virus is present in Manitoba and more cases of H1N1 flu are expected to be detected. As with any influenza type, most cases are expected to be mild and result in a full recovery, although some cases may be severe.
? Other viruses that cause respiratory illness continue to circulate in the province. The health-care system in Winnipeg and in other areas of the province has contingency plans to adapt to an increased number of people showing symptoms of respiratory illnesses.
? Severe illness from flu-like symptoms may be more likely to develop in people who are very young or elderly, or people with chronic diseases. Promoting healthy living and following routine precautionary measures can help reduce the spread of disease.
- Maintain the strength of your immune system by taking care of yourself and those in your care including eating a healthy, balanced diet, being active and getting enough sleep. If you or someone in your care has a chronic condition, get the help needed for effective care from your health-care provider.
- Cover a cough or sneeze by coughing or sneezing into your elbow or sleeve or using a tissue to cover your nose and mouth.
- Wash your hands often with soap and water, especially after you cough or sneeze. Alcohol-based hand cleaners are also effective.
? If you have symptoms of flu-like illness, such as fever, cough, aches and tiredness, you are most contagious for three to four days, but it is possible to spread the disease for up to a week once your symptoms start to appear. You should:
- Stay home from school or work while you are ill and limit contact with others to reduce the chance of spreading the virus.
- Limit touching of your eyes, nose or mouth. Cough or sneeze into your elbow or sleeve or use a tissue, and wash your hands frequently.
- Contact your health-care provider or Health Links?Info Sant? at 788‑8200 or 1-888-315-9257 (toll-free) if you need advice or care.
? For more information about H1N1 flu, see www.manitoba.ca

http://news.gov.mb.ca/news/index.html?archive=&item=6039

[HenryN]

Re: Novel H1N1 flu outbreak hits isolated First Nations reserve

Swine flu hits Manitoba reserve hard
By Stephanie Dearing.
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Doctors were flown into a northern Manitoba First Nations Reserve after swine flu hit the already impoverished community. One miscarriage is believed to be a result of the virus.
A sudden surge in swine flu cases on a northern Manitoba First Nations reserve, St. Teresa Point First Nation, is being blamed on overcrowding due to inadequate housing facilities. 20 residents from the isolated reserve were flown to a Winnipeg hospital for treatment, including 10 children.

Chief David MacDougall, speaking from the reserve, said the outbreak

"is a wake-up call for governments to address poor living conditions and improve health care for aboriginals."

He added that it is common for there to be 12 people living together in a 2 bedroom house on the reserve.

The World Health Organization released Update #44, updating information about the spread and effects of swine flu around the world today. According to the report, Canada has a confirmed 1,795 cases of swine flu and three deaths attributed to the virus. Worldwide the WHO reports a total of 21,940 cases of swine flu with a resulting 125 deaths.

The World Health Organization held a teleconference earlier today, with an expert panel discussing the swine flu outbreak. It was not expected that the WHO would elevate the viral outbreak to the status of a pandemic.

http://www.digitaljournal.com/article/273682

[sharon sanders]

Re: Novel H1N1 flu outbreak hits isolated First Nations reserve

"is a wake-up call for governments to address poor living conditions and improve health care for aboriginals."

[HenryN]

Re: Novel H1N1 flu outbreak hits isolated First Nations reserve

Updated map

<a rel="nofollow" href="http://flutracker.rhiza.com">Maps</a>

[Diane Morin]

Re: Novel H1N1 flu outbreak hits isolated First Nations reserve

Ottawa denies receiving offers from Manitoba to help fight swine flu


June, 5, 2009 - 11:59 am THE CANADIAN PRESS


TORONTO - Health Minister Leona Aglukkaq says she never received an offer from Manitoba's health minister to help with pandemic planning on First Nations.

Aglukkaq says she has daily conversations with health ministers across the country but that Manitoba Health Minister Theresa Oswald never made that offer or expressed concerns.

There have been two cases of swine flu confirmed at St. Theresa Point, a remote northern Manitoba reserve, and another 21 people are in hospital suffering from flu-like symptoms.


Oswald reportedly expressed frustration Thursday at the federal government's response to the outbreak.

She says the province has been prevented from doing more because it doesn't have jurisdiction and offered to help 13 times since May 4.
The province, Oswald says, was turned down each time.

Speaking at an event in Toronto, Aglukkaq said Canada's pandemic plan applies to every jurisdiction - and that the swine flu is a virus that doesn't see culture or race.

http://www.news1130.com/news/national/more.jsp?content=n052001120

[Laidback Al]

Re: Novel H1N1 flu outbreak hits isolated First Nations reserve

Distribution of H1N1 cases by health region in Manitoba (40 cases post #114)

[tropical]

Re: Novel H1N1 flu outbreak hits isolated First Nations reserve

Swine flu cases on remote Manitoba reserve a 'wake-up call': chief
...
Manitoba Health Minister Theresa Oswald said
...
"We know that there are severe respiratory illnesses circling around in the north that are concerning, influenza-like illnesses . . . that may not be H1N1 but still require intervention," said Oswald ..."

So, it is SEVERE.

Not light or mild,
even not moderate.