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Vaccine task force prepares for almost 100000 doses this week – Winnipeg Free Press

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Manitoba’s vaccine task force has promised to do better after a week of glitches and setbacks.

The Manitoba government has said all eligible Manitobans who want the COVID-19 vaccine will get a single dose by the end of June — or as early as May 21 if there is a robust supply — as shipments from the federal government are set to increase substantially over the next 90 days.

Province taps WRHA employee to serve as new director of COVID-19 immunization clinics

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Two months after being hired as the provincial director of COVID-19 immunization clinics, Kurt Janzen is no longer overseeing clinic operations.

Janzen, a long time employee of Manitoba Liquor and Lotteries, was hired for the job in late January for a six to nine month term.

The role primarily involved overseeing the workforce hired for the immunization campaign, scheduling, payroll management and co-ordinating services, a government spokesman previously told the Free Press.

Premier Brian Pallister was asked about Janzen’s status with the COVID-19 immunization campaign at a press conference on Wednesday but declined to comment, saying it was a human resources issue.

“We can confirm that no one was removed from any role,” a government spokesman said in a statement to the Free Press.

Following Janzen’s departure, the director position was immediately backfilled temporarily, and an employee with the Winnipeg Regional Health Authority has since been seconded to the role full-time, the spokesman said.

The provincial director of COVID-19 immunization clinics reports to the operations lead for the COVID-19 vaccine implementation task force.

This week, Manitoba will receive 95,600 doses of COVID-19 vaccines, including the largest single shipment to date: 54,600 doses of the AstraZeneca vaccine from the United States.

Despite persistent delays at the mass vaccination clinic at the convention centre over the past week, Johanu Botha, co-lead for the task force, said everyone who went to the site and put up with lengthy lineups, received a shot on the day of their appointment.

“It’s a complex machine and we will make it hum, but I’d like to note that the RBC site is a part of a much larger system,” Botha said. “We had supersites across this province administering doses, pop-ups reaching more remote Manitobans and focused immunization teams deploying to vulnerable Manitobans in congregate living facilities.”

“While issues may arise in one part of our system, and we’ll keep monitoring for them and address them, more and more Manitobans are being immunized every day,” he said.

As of Wednesday, 199,322 doses had been given to people in Manitoba (including on First Nations), which accounts for about 80 per cent of the supply received from Ottawa. Over the next month, the province’s immunization network will have days where as many as 10,000 doses are administered, Botha said.

However, due to data entry backlogs at the Winnipeg vaccination clinic, the number of administered doses reported each day will be delayed 48 to 72 hours. Botha said his team is working to eliminate the backlog by adding data entry clerks.

The next shipment of AstraZeneca vaccine will again be administered at pharmacies and physicians’ offices. This time around, 400 to 500 locations will receive doses.

Provincial officials did not specify Wednesday whether any doses would be allocated to homecare providers or prioritized for people who cannot easily leave their home.

“We are ramping up and planning to preposition all of the necessary supplies with our partners like we did last time, so we can hit the ground running,” Botha said.

In the wake of safety concerns related to the AstraZeneca vaccine, following reports of a rare vaccine-induced blood clotting condition in Europe, the province’s medical lead for the COVID-19 task force again encouraged people who can receive the vaccine based on provincial eligibility criteria, to sign up for the shot.

“These vaccines are safe and effective and that particularly for people who are over 55, the risk of COVID, even the risk of blood clots due to COVID, is much greater than the risk of this very rare of blood clot with low platelets is from the AstraZeneca vaccine,” Dr. Joss Reimer said.

“We wouldn’t be offering this vaccine if we didn’t believe that we were actually providing them with more benefit than we were risk,” Reimer said.

Reimer said the current eligibility criteria for AstraZeneca which prioritized people under 65 years old with select medical conditions, but stops at anyone younger than 55 years old, in accordance with federal recommendations, ensures that those at highest risk of severe outcomes can access a vaccine.

“We don’t expect to see this rare side-effect in Manitoba. But we certainly have already seen severe long lasting outcomes, hospitalizations and deaths from COVID and we want to provide people with a way to protect themselves as quickly as possible,” Reimer said.

She said the province is taking a second look at its AstraZeneca eligibility criteria before releasing more doses to doctors and pharmacists, but will not offer the shot to people younger than 55.

Meanwhile, Botha said the task force is preparing for delays in receiving Moderna vaccines from the federal government.

A confirmed shipment of 28,000 doses of Moderna set to arrive next week has been delayed to at least April 12. Botha said the shipment could arrive as late as April 16. The province may be forced to reschedule pop-up clinics in rural and remote areas.

The province also intends to open a new mass vaccination clinic in each of the five health regions between mid-April and end of May, Botha said. The next supersite will be located in Winnipeg.

“The supply that we have confirmed coming in across Pfizer and Moderna… is 40,000 a week,” Botha said. “But it’s not enough to fill the capacity of our existing supersites so we have a bit of time to get the other ones up.”

Planning is also underway to stage vaccination clinics in Winnipeg on a smaller, community level, over the next three months, he said.

danielle.dasilva@freepress.mb.ca

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Health Canada approves updated Moderna COVID-19 vaccine

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TORONTO – Health Canada has authorized Moderna’s updated COVID-19 vaccine that protects against currently circulating variants of the virus.

The mRNA vaccine, called Spikevax, has been reformulated to target the KP.2 subvariant of Omicron.

It will replace the previous version of the vaccine that was released a year ago, which targeted the XBB.1.5 subvariant of Omicron.

Health Canada recently asked provinces and territories to get rid of their older COVID-19 vaccines to ensure the most current vaccine will be used during this fall’s respiratory virus season.

Health Canada is also reviewing two other updated COVID-19 vaccines but has not yet authorized them.

They are Pfizer’s Comirnaty, which is also an mRNA vaccine, as well as Novavax’s protein-based vaccine.

This report by The Canadian Press was first published Sept. 17, 2024.

Canadian Press health coverage receives support through a partnership with the Canadian Medical Association. CP is solely responsible for this content.

The Canadian Press. All rights reserved.

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These people say they got listeria after drinking recalled plant-based milks

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TORONTO – Sanniah Jabeen holds a sonogram of the unborn baby she lost after contracting listeria last December. Beneath, it says “love at first sight.”

Jabeen says she believes she and her baby were poisoned by a listeria outbreak linked to some plant-based milks and wants answers. An investigation continues into the recall declared July 8 of several Silk and Great Value plant-based beverages.

“I don’t even have the words. I’m still processing that,” Jabeen says of her loss. She was 18 weeks pregnant when she went into preterm labour.

The first infection linked to the recall was traced back to August 2023. One year later on Aug. 12, 2024, the Public Health Agency of Canada said three people had died and 20 were infected.

The number of cases is likely much higher, says Lawrence Goodridge, Canada Research Chair in foodborne pathogen dynamics at the University of Guelph: “For every person known, generally speaking, there’s typically 20 to 25 or maybe 30 people that are unknown.”

The case count has remained unchanged over the last month, but the Public Health Agency of Canada says it won’t declare the outbreak over until early October because of listeria’s 70-day incubation period and the reporting delays that accompany it.

Danone Canada’s head of communications said in an email Wednesday that the company is still investigating the “root cause” of the outbreak, which has been linked to a production line at a Pickering, Ont., packaging facility.

Pregnant people, adults over 60, and those with weakened immune systems are most at risk of becoming sick with severe listeriosis. If the infection spreads to an unborn baby, Health Canada says it can cause miscarriage, stillbirth, premature birth or life-threatening illness in a newborn.

The Canadian Press spoke to 10 people, from the parents of a toddler to an 89-year-old senior, who say they became sick with listeria after drinking from cartons of plant-based milk stamped with the recalled product code. Here’s a look at some of their experiences.

Sanniah Jabeen, 32, Toronto

Jabeen says she regularly drank Silk oat and almond milk in smoothies while pregnant, and began vomiting seven times a day and shivering at night in December 2023. She had “the worst headache of (her) life” when she went to the emergency room on Dec. 15.

“I just wasn’t functioning like a normal human being,” Jabeen says.

Told she was dehydrated, Jabeen was given fluids and a blood test and sent home. Four days later, she returned to hospital.

“They told me that since you’re 18 weeks, there’s nothing you can do to save your baby,” says Jabeen, who moved to Toronto from Pakistan five years ago.

Jabeen later learned she had listeriosis and an autopsy revealed her baby was infected, too.

“It broke my heart to read that report because I was just imagining my baby drinking poisoned amniotic fluid inside of me. The womb is a place where your baby is supposed to be the safest,” Jabeen said.

Jabeen’s case is likely not included in PHAC’s count. Jabeen says she was called by Health Canada and asked what dairy and fresh produce she ate – foods more commonly associated with listeria – but not asked about plant-based beverages.

She’s pregnant again, and is due in several months. At first, she was scared to eat, not knowing what caused the infection during her last pregnancy.

“Ever since I learned about the almond, oat milk situation, I’ve been feeling a bit better knowing that it wasn’t something that I did. It was something else that caused it. It wasn’t my fault,” Jabeen said.

She’s since joined a proposed class action lawsuit launched by LPC Avocates against the manufacturers and sellers of Silk and Great Value plant-based beverages. The lawsuit has not yet been certified by a judge.

Natalie Grant and her seven year-old daughter, Bowmanville, Ont.

Natalie Grant says she was in a hospital waiting room when she saw a television news report about the recall. She wondered if the dark chocolate almond milk her daughter drank daily was contaminated.

She had brought the girl to hospital because she was vomiting every half hour, constantly on the toilet with diarrhea, and had severe pain in her abdomen.

“I’m definitely thinking that this is a pretty solid chance that she’s got listeria at this point because I knew she had all the symptoms,” Grant says of seeing the news report.

Once her daughter could hold fluids, they went home and Grant cross-checked the recalled product code – 7825 – with the one on her carton. They matched.

“I called the emerg and I said I’m pretty confident she’s been exposed,” Grant said. She was told to return to the hospital if her daughter’s symptoms worsened. An hour and a half later, her fever spiked, the vomiting returned, her face flushed and her energy plummeted.

Grant says they were sent to a hospital in Ajax, Ont. and stayed two weeks while her daughter received antibiotics four times a day until she was discharged July 23.

“Knowing that my little one was just so affected and how it affected us as a family alone, there’s a bitterness left behind,” Grant said. She’s also joined the proposed class action.

Thelma Feldman, 89, Toronto

Thelma Feldman says she regularly taught yoga to friends in her condo building before getting sickened by listeria on July 2. Now, she has a walker and her body aches. She has headaches and digestive problems.

“I’m kind of depressed,” she says.

“It’s caused me a lot of physical and emotional pain.”

Much of the early days of her illness are a blur. She knows she boarded an ambulance with profuse diarrhea on July 2 and spent five days at North York General Hospital. Afterwards, she remembers Health Canada officials entering her apartment and removing Silk almond milk from her fridge, and volunteers from a community organization giving her sponge baths.

“At my age, 89, I’m not a kid anymore and healing takes longer,” Feldman says.

“I don’t even feel like being with people. I just sit at home.”

Jasmine Jiles and three-year-old Max, Kahnawake Mohawk Territory, Que.

Jasmine Jiles says her three-year-old son Max came down with flu-like symptoms and cradled his ears in what she interpreted as a sign of pain, like the one pounding in her own head, around early July.

When Jiles heard about the recall soon after, she called Danone Canada, the plant-based milk manufacturer, to find out if their Silk coconut milk was in the contaminated batch. It was, she says.

“My son is very small, he’s very young, so I asked what we do in terms of overall monitoring and she said someone from the company would get in touch within 24 to 48 hours,” Jiles says from a First Nations reserve near Montreal.

“I never got a call back. I never got an email”

At home, her son’s fever broke after three days, but gas pains stuck with him, she says. It took a couple weeks for him to get back to normal.

“In hindsight, I should have taken him (to the hospital) but we just tried to see if we could nurse him at home because wait times are pretty extreme,” Jiles says, “and I don’t have child care at the moment.”

Joseph Desmond, 50, Sydney, N.S.

Joseph Desmond says he suffered a seizure and fell off his sofa on July 9. He went to the emergency room, where they ran an electroencephalogram (EEG) test, and then returned home. Within hours, he had a second seizure and went back to hospital.

His third seizure happened the next morning while walking to the nurse’s station.

In severe cases of listeriosis, bacteria can spread to the central nervous system and cause seizures, according to Health Canada.

“The last two months have really been a nightmare,” says Desmond, who has joined the proposed lawsuit.

When he returned home from the hospital, his daughter took a carton of Silk dark chocolate almond milk out of the fridge and asked if he had heard about the recall. By that point, Desmond says he was on his second two-litre carton after finishing the first in June.

“It was pretty scary. Terrifying. I honestly thought I was going to die.”

Cheryl McCombe, 63, Haliburton, Ont.

The morning after suffering a second episode of vomiting, feverish sweats and diarrhea in the middle of the night in early July, Cheryl McCombe scrolled through the news on her phone and came across the recall.

A few years earlier, McCombe says she started drinking plant-based milks because it seemed like a healthier choice to splash in her morning coffee. On June 30, she bought two cartons of Silk cashew almond milk.

“It was on the (recall) list. I thought, ‘Oh my God, I got listeria,’” McCombe says. She called her doctor’s office and visited an urgent care clinic hoping to get tested and confirm her suspicion, but she says, “I was basically shut down at the door.”

Public Health Ontario does not recommend listeria testing for infected individuals with mild symptoms unless they are at risk of developing severe illness, such as people who are immunocompromised, elderly, pregnant or newborn.

“No wonder they couldn’t connect the dots,” she adds, referencing that it took close to a year for public health officials to find the source of the outbreak.

“I am a woman in my 60s and sometimes these signs are of, you know, when you’re vomiting and things like that, it can be a sign in women of a bigger issue,” McCombe says. She was seeking confirmation that wasn’t the case.

Disappointed, with her stomach still feeling off, she says she decided to boost her gut health with probiotics. After a couple weeks she started to feel like herself.

But since then, McCombe says, “I’m back on Kawartha Dairy cream in my coffee.”

This report by The Canadian Press was first published Sept. 16, 2024.

Canadian Press health coverage receives support through a partnership with the Canadian Medical Association. CP is solely responsible for this content.

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B.C. mayors seek ‘immediate action’ from federal government on mental health crisis

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VANCOUVER – Mayors and other leaders from several British Columbia communities say the provincial and federal governments need to take “immediate action” to tackle mental health and public safety issues that have reached crisis levels.

Vancouver Mayor Ken Sim says it’s become “abundantly clear” that mental health and addiction issues and public safety have caused crises that are “gripping” Vancouver, and he and other politicians, First Nations leaders and law enforcement officials are pleading for federal and provincial help.

In a letter to Prime Minister Justin Trudeau and Premier David Eby, mayors say there are “three critical fronts” that require action including “mandatory care” for people with severe mental health and addiction issues.

The letter says senior governments also need to bring in “meaningful bail reform” for repeat offenders, and the federal government must improve policing at Metro Vancouver ports to stop illicit drugs from coming in and stolen vehicles from being exported.

Sim says the “current system” has failed British Columbians, and the number of people dealing with severe mental health and addiction issues due to lack of proper care has “reached a critical point.”

Vancouver Police Chief Adam Palmer says repeat violent offenders are too often released on bail due to a “revolving door of justice,” and a new approach is needed to deal with mentally ill people who “pose a serious and immediate danger to themselves and others.”

This report by The Canadian Press was first published Sept. 16, 2024

The Canadian Press. All rights reserved.

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