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Quebec's vaccine lottery kicks off to boost lagging vaccination rates ahead of return to school – CBC.ca

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When Emily Thorne heard about Quebec’s vaccination lottery, she said she wouldn’t hesitate to try her luck for a big win. 

Thorne has two doses of a COVID-19 vaccine, meaning she’s eligible to win a $1-million prize this summer thanks to a provincial campaign called Gagner à être vacciné! (vaccination has its benefits) in partnership with Loto-Québec. The province will hold weekly draws in the month of August plus a grand prize draw in early September to dish out a total of $2 million dollars to residents who have received their first or second doses.

“I’m definitely going to put my name in there,” Thorne said.

The vaccine lottery opened for registration at 8 a.m. Sunday morning, but not without a few technical difficulties. After multiple breakdowns and error messages, the province’s health ministry said more than 360,000 people were able to register for the contest within the first 24 hours on Quebec’s vaccination portal.

The Health Ministry said they will continue to adapt to the high traffic on the site in order to improve the system, which remains spotty. 

Vaccinated people have until Aug. 5, 11:59 p.m. to register for the first draw on Aug. 6. One entry is required to be eligible for all draws. 

The entry process involves filling out a proof of vaccination form. Once complete, users are prompted to enter the competition by providing some additional information. All Quebecers who have been previously vaccinated, either in the province or elsewhere (with proof they received a Health Canada-approved shot) are eligible.

Vaccinated adults will be eligible for cash prizes, while teens will have the chance to win bursaries. 

The lottery aims to entice as many people, especially young people, to get vaccinated or move up their second doses in time for the start of the school year, as well as to reward those who have been vaccinated since the start of the campaign.

‘Throwing money at the problem’

Dr. Stephanie Smith is an infectious disease specialist at the University of Alberta hospital (University of Alberta)

Vaccination lotteries are also being held this summer in Alberta and Manitoba. But an infectious diseases specialist at the University of Alberta hospital said the campaign hasn’t had a big impact on vaccination trend lines.

“We were seeing increasing numbers of people getting vaccinated before the lottery was announced,” Dr. Stephanie Smith said, “but certainly the number of people going for their first dose has slowed down a bit and we haven’t really seen an increase after the lottery was announced.”

Smith said Quebec’s incentive will most likely motivate people to get their second doses who were otherwise not in a rush to do so. For those who are hesitant, however, the government needs to address the reasons behind that instead of “throwing money at the problem,” she said.

“I had spoken to some patients of mine and they actually felt that having a lottery made them more skeptical about the vaccine because they felt that there must be something wrong with it if you have to pay people to get it,” Smith said. 

In Quebec, $150,000 will be drawn for those 18 and older each week in August, and two $10,000 bursaries will be drawn for those aged 12 to 17. 

On Sept. 3, a $1-million prize will be drawn for fully vaccinated adults, and 16 $20,000 bursaries will be drawn for fully vaccinated teens.

Push for herd immunity in schools

The Quebec government has said a normal return to school, with no physical distancing in place, is only possible if 75 per cent of student-aged youths are vaccinated, the majority with two doses.

As of Friday, 79 per cent of Quebec’s 12-to-17-year-olds have received one dose, while only 19 per cent have received both. 

First doses for young adults aged 18 to 29 have plateaued at 70 per cent for the past few days, prompting Health Minister Christian Dubé to call on youths to “make a difference” to avoid a surge in cases come the fall.

Dr. Christos Karatzios, a pediatric infectious diseases specialist at the Montreal Children’s Hospital, said it’s imperative that youths get vaccinated now in order to reach the threshold of herd immunity in schools this fall. 

“Especially when we’re dealing with a very transmissible variant, putting kids back in schools in classroom that have no windows, no proper ventilation,” he said. “We’re not in the safe zone yet.” 

When it comes to the vaccine lottery, he said having “a carrot on a stick” helps, but what’s really needed is clear messaging from health officials that the vaccines are effective and adverse reactions are very rare. 

“For me, anything that can help push forward the vaccination campaign is kosher,” Karatzios said.

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Canada to donate up to 200,000 vaccine doses to combat mpox outbreaks in Africa

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The Canadian government says it will donate up to 200,000 vaccine doses to fight the mpox outbreak in Congo and other African countries.

It says the donated doses of Imvamune will come from Canada’s existing supply and will not affect the country’s preparedness for mpox cases in this country.

Minister of Health Mark Holland says the donation “will help to protect those in the most affected regions of Africa and will help prevent further spread of the virus.”

Dr. Madhukar Pai, Canada research chair in epidemiology and global health, says although the donation is welcome, it is a very small portion of the estimated 10 million vaccine doses needed to control the outbreak.

Vaccine donations from wealthier countries have only recently started arriving in Africa, almost a month after the World Health Organization declared the mpox outbreak a public health emergency of international concern.

A few days after the declaration in August, Global Affairs Canada announced a contribution of $1 million for mpox surveillance, diagnostic tools, research and community awareness in Africa.

On Thursday, the Africa Centres for Disease Control and Prevention said mpox is still on the rise and that testing rates are “insufficient” across the continent.

Jason Kindrachuk, Canada research chair in emerging viruses at the University of Manitoba, said donating vaccines, in addition to supporting surveillance and diagnostic tests, is “massively important.”

But Kindrachuk, who has worked on the ground in Congo during the epidemic, also said that the international response to the mpox outbreak is “better late than never (but) better never late.”

“It would have been fantastic for us globally to not be in this position by having provided doses a much, much longer time prior than when we are,” he said, noting that the outbreak of clade I mpox in Congo started in early 2023.

Clade II mpox, endemic in regions of West Africa, came to the world’s attention even earlier — in 2022 — as that strain of virus spread to other countries, including Canada.

Two doses are recommended for mpox vaccination, so the donation may only benefit 100,000 people, Pai said.

Pai questioned whether Canada is contributing enough, as the federal government hasn’t said what percentage of its mpox vaccine stockpile it is donating.

“Small donations are simply not going to help end this crisis. We need to show greater solidarity and support,” he said in an email.

“That is the biggest lesson from the COVID-19 pandemic — our collective safety is tied with that of other nations.”

This report by The Canadian Press was first published Sept. 13, 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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How many Nova Scotians are on the doctor wait-list? Number hit 160,000 in June

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HALIFAX – The Nova Scotia government says it could be months before it reveals how many people are on the wait-list for a family doctor.

The head of the province’s health authority told reporters Wednesday that the government won’t release updated data until the 160,000 people who were on the wait-list in June are contacted to verify whether they still need primary care.

Karen Oldfield said Nova Scotia Health is working on validating the primary care wait-list data before posting new numbers, and that work may take a matter of months. The most recent public wait-list figures are from June 1, when 160,234 people, or about 16 per cent of the population, were on it.

“It’s going to take time to make 160,000 calls,” Oldfield said. “We are not talking weeks, we are talking months.”

The interim CEO and president of Nova Scotia Health said people on the list are being asked where they live, whether they still need a family doctor, and to give an update on their health.

A spokesperson with the province’s Health Department says the government and its health authority are “working hard” to turn the wait-list registry into a useful tool, adding that the data will be shared once it is validated.

Nova Scotia’s NDP are calling on Premier Tim Houston to immediately release statistics on how many people are looking for a family doctor. On Tuesday, the NDP introduced a bill that would require the health minister to make the number public every month.

“It is unacceptable for the list to be more than three months out of date,” NDP Leader Claudia Chender said Tuesday.

Chender said releasing this data regularly is vital so Nova Scotians can track the government’s progress on its main 2021 campaign promise: fixing health care.

The number of people in need of a family doctor has more than doubled between the 2021 summer election campaign and June 2024. Since September 2021 about 300 doctors have been added to the provincial health system, the Health Department said.

“We’ll know if Tim Houston is keeping his 2021 election promise to fix health care when Nova Scotians are attached to primary care,” Chender said.

This report by The Canadian Press was first published Sept. 11, 2024.

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Newfoundland and Labrador monitoring rise in whooping cough cases: medical officer

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ST. JOHN’S, N.L. – Newfoundland and Labrador‘s chief medical officer is monitoring the rise of whooping cough infections across the province as cases of the highly contagious disease continue to grow across Canada.

Dr. Janice Fitzgerald says that so far this year, the province has recorded 230 confirmed cases of the vaccine-preventable respiratory tract infection, also known as pertussis.

Late last month, Quebec reported more than 11,000 cases during the same time period, while Ontario counted 470 cases, well above the five-year average of 98. In Quebec, the majority of patients are between the ages of 10 and 14.

Meanwhile, New Brunswick has declared a whooping cough outbreak across the province. A total of 141 cases were reported by last month, exceeding the five-year average of 34.

The disease can lead to severe complications among vulnerable populations including infants, who are at the highest risk of suffering from complications like pneumonia and seizures. Symptoms may start with a runny nose, mild fever and cough, then progress to severe coughing accompanied by a distinctive “whooping” sound during inhalation.

“The public, especially pregnant people and those in close contact with infants, are encouraged to be aware of symptoms related to pertussis and to ensure vaccinations are up to date,” Newfoundland and Labrador’s Health Department said in a statement.

Whooping cough can be treated with antibiotics, but vaccination is the most effective way to control the spread of the disease. As a result, the province has expanded immunization efforts this school year. While booster doses are already offered in Grade 9, the vaccine is now being offered to Grade 8 students as well.

Public health officials say whooping cough is a cyclical disease that increases every two to five or six years.

Meanwhile, New Brunswick’s acting chief medical officer of health expects the current case count to get worse before tapering off.

A rise in whooping cough cases has also been reported in the United States and elsewhere. The Pan American Health Organization issued an alert in July encouraging countries to ramp up their surveillance and vaccination coverage.

This report by The Canadian Press was first published Sept. 10, 2024.

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