Manitoba warning of measles exposures at pair of medical facilities
A dose of the measles, mumps, and rubella (MMR) vaccination awaits the next patient during a vaccine clinic at Southwestern Public Health in St. Thomas, Ont. on Tuesday, March 4, 2025. THE CANADIAN PRESS/ Geoff Robins
The Manitoba government is informing the public of measles exposures at a pair of medical facilities in Winkler, Man.
The first exposure took place on June 17 from 11 a.m. to 2 p.m. at the C.W. Wiebe Medical Centre Urgent Care. Those who were at this facility during the exposure are asked to monitor their symptoms until July 9.
Additional exposures happened at the Boundary Trails Health Centre emergency department on June 19 from 9:40 a.m. to 3:30 p.m. and 10:10 p.m. to 1:20 a.m. on June 20. A third exposure took place at this site from 10:30 a.m. to 4:30 p.m. on June 21. Anyone at this facility on June 19 or 20 should monitor symptoms until July 11. Those who were there on July 21 should monitor until July 13.
Public health urges anyone who was at one of these locations during the time of exposure to check their immunization records and ensure they are up to date with the measles vaccine. It also recommends that those who were exposed, were born in 1970 or later, and have never gotten the measles vaccine to get the shot, reduce exposure with others and watch for symptoms.
Those who should not get the measles vaccine include infants under six months of age, pregnant women and those with weakened immune systems.
The latest provincial update shows there have been 108 confirmed cases of measles in Manitoba this year.
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'It's really picking up speed within the population.' The symptoms of anaplasmosis can be similar to Lyme disease, without a rash. They can also include cough, diarrhea, abdominal pain and vomiting, according to the Public Health Agency of Canada. Babesiosis can also cause similar symptoms to Lyme disease without a rash, but it often causes anemia as well, Coatsworth said. Powassan virus can cause fever, chills, headache, vomiting and general weakness but it often progresses to serious neurological symptoms, such as encephalitis (brain swelling) and meningitis. CAN THESE DISEASES BE TREATED? Lyme disease and anaplasmosis are both caused by bacteria and can be treated with antibiotics, usually starting with doxycycline, said Coatsworth. Babesiosis is caused by a parasite and is similar to malaria, she said. It can be treated with anti-parasitic medications. There is no treatment for Powassan virus. Patients are treated with supportive care, which can include intravenous fluids, medications to reduce brain swelling and respiratory assistance. WHAT KIND OF TICKS CARRY THESE DISEASES? Two types of blacklegged ticks carry these diseases: Ixodes scapularis, also called a deer tick, is found in several parts of Canada, especially Ontario, Quebec and Nova Scotia. In parts of British Columbia, the dominant tick is Ixodes pacificus, also known as the western blacklegged tick. Ticks feed on the blood of deer, mice, rabbits and other mammals, as well as birds and reptiles. Birds can carry the ticks long distances, so they can be transported to different parts of Canada. The ticks get infected if the host animal is infected, and they in turn transmit the disease to humans when they bite them and latch on. WHAT DO THE TICKS LOOK LIKE? 'A lot of people are very surprised when I show them a blacklegged tick. 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Preventing tick bites is similar to repelling mosquitoes, said Dr. Mayank Singal, a public health physician with the BC Centre for Disease Control. Wearing long sleeves, long pants and using bug spray are all important measures. Choosing light-coloured clothing is best because it's easier to spot a tick when it lands. Singal also encourages 'trying to not come in contact with foliage and bushes, because that's typically how they will latch on.' Russell said that means when hiking, stay in the middle of the trail. After outdoor activities, do a full-body tick check, including parts of the body that weren't exposed. Russell suggested taking a bath or a shower. 'You can check all your areas where the ticks might have been and if they haven't bit you yet ... they can maybe wash off,' Russell said. 'They usually crawl around ... before they bite and they usually tend to bite your hairline, your armpits, the back of your legs, your groin area.' Russell also recommends washing your clothes and putting them in the dryer, where the high heat will kill ticks. IF I FIND A TICK, SHOULD I REMOVE IT? Yes. Do it with tweezers as soon as possible, experts agree. A tick will embed its mouth in the skin as with the legs sticking out and it's important to remove the whole tick. 'You want to grab it as close to the skin edge as possible, squeeze the tweezers ... and grab the tick and then pull it straight up,' said Singal. 'We don't want to twist, we don't want to go left and right. Just pull it straight up so that we get all of it out as much as possible.' It generally takes about 24 hours for the tick to transmit Lyme disease, anaplasmosis or babesiosis while it's latched on. Powassan virus can be transmitted as quickly as 15 minutes after attachment, but very few ticks currently carry the virus, according to the Public Health Agency of Canada. THEN WHAT? People can take a photo of the tick and submit it to along with information about where you were when you think it bit you. The service, run by several universities and public health agencies, will tell you what kind of tick it is and how much tick-borne disease risk there is in the area. If you had a tick on you and begin to develop any symptoms, see your health-care provider and let them know you were possibly exposed to tick-borne illness, Russell said. -- This report by The Canadian Press was first published June 28, 2025. Canadian Press health coverage receives support through a partnership with the Canadian Medical Association. CP is solely responsible for this content. Nicole Ireland, The Canadian Press
