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Why Israel is leading the world with COVID-19 vaccinations – CBC.ca

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Every day, the online research publication Our World In Data releases information about vaccine doses being administered across the globe. And every day, one country emerges as a world leader: Israel.

For example, when the University of Oxford-based organization released its Jan. 1 data, the total number of vaccination doses administered per 100 people for Canada was 0.26. For the U.S., it was 0.84. The United Kingdom: 1.47. And for Israel it was 11.55, 44 times more than Canada.

But Israel, with a population of nine million, was also tied for third in the world in total number of doses (1 million), behind China (4.5 million) and the U.S. (2.79 million). Canada’s dose count totalled just under 100,000.

As Max Roser, founder and director of Our World In Data tweeted on Friday: “the country is rapidly getting to a point where mass deaths and mass lockdowns are over.”

The reasons for Israel’s success are multifaceted, and there may be lessons that Canada can learn.

‘Should be commended for it’

“I think it’s remarkable watching how organized Israel is in terms of getting access to a tremendous amount of vaccines and mobilizing vaccine rollout in a very expedited manner,” said Dr. Isaac Bogoch, an infectious diseases physician and member of the Ontario government’s vaccine distribution task force.

“And they should be commended for it.”

But the rollout is not without some controversy. Palestinians in the occupied West Bank and in the Gaza Strip will not be vaccinated by Israel, a responsibility that some aid groups believe Israel shares with Palestinian officials.

Still, the country continues to garner praise. Since the start of its vaccination campaign on Dec. 20, Israel has inoculated just over 11 per cent of its population — one million of its citizens — and aims to vaccinate a quarter of all Israelis by the end of the month.

Certainly, Israel’s small size, and dense population, especially compared to a sprawling country like Canada, gives it an inherent advantage in terms of reaching its population with a vaccine, suggested Allon Moses, director of the Hadassah Medical Organization’s Department of Clinical Microbiology and Infectious Diseases.

Moses said the fact that Israel’s medical services are centralized, provided by four main health maintenance organizations (HMOs) has made it easier to reach the population through emails and advise people to make appointments. (Everyone over the age of 18 must register with one of the four government-subsidized HMOs.)

WATCH | The National reports on Canada’s challenges with vaccination rollout

The provinces are behind targets of getting COVID-19 vaccine into Canadians’ arms, and experts say logistical challenges are largely to blame but are hopeful the arrival of the Moderna vaccine will help speed things up. 3:22

Israel’s experience in war and battle has also meant the country “is built on dealing with emergency, the country is built on recruiting soldiers to help,” Moses said.

About 700 paramedics on reserve duty have joined the civilian vaccination campaign in order to make the operation more efficient, the Israel Defence Forces said in a statement.

“So we are a small country with a relatively good infrastructure of medicine and a lot of good-willed people who are willing to help to get the country to be vaccinated in record time,” Moses said.

Digitized medical record system

Nadav Davidovitch, director of the School of Public Health at Ben Gurion University, also lauded the country’s digitized medical record system as “one of the best in the world,” which is helping with the organization of vaccination efforts and helping keep track of those on the priority list who should get a shot.

Perhaps most significantly, Israel was able to secure a large supply of vaccines — although how many has not been disclosed — but enough to vaccinate a million of its population. (Israel will have a two-week break in the vaccination of the general public due to an expected shortage of vaccines, the Jerusalem Post reported.)

Davidovitch said Israel and its tech-based economy, and connections to the pharmaceutical industries, made it an attractive candidate for Pfizer to supply its vaccines.

“It’s important to have vaccines being distributed in a place that will be very successful,” Davidovitch said. 

As well, Davidovtch said Israel had been preparing for a couple months in advance for the vaccine rollout. 

There have been more than 150 vaccine clinics running across the country, while vaccination vans travel to periphery towns.

People wait to receive a Pfizer COVID-19 vaccine in Soroka Hospital in Beersheba, Israel, Tuesday, Dec. 29. ‘We are a small country with a relatively good infrastructure of medicine and a lot of good-willed people who are willing to help to get the country to be vaccinated in record time,’ one expert said. (Tsafrir Abayov/The Associated Press)

In comparison, Ontario, with a population of 14.5 million, has only 19 vaccination clinics across the province. These 19 sites all contain the special freezers needed to store the Pfizer-BioNTech vaccine.

Pfizer has advised Canadian health officials to administer early doses of the vaccine at the sites where they are first delivered in large batches. Health officials have been told by Pfizer that too much movement of the vaccine can lead to deterioration.

Repackage vaccine

But according to Israel’s health ministry, it is the first country in the world to repackage the vaccine to distribute it across the country.

“Fortunately, the solution for safe transport of the vaccines allows us to vaccinate in small and remote locations, in retirement homes and nursing homes,” Hezi Levy, Director General of the Ministry of Health, said in a statement.

Vivian Bercoviic, a former ambassador of Canada to Israel, suggested that politics may also be at play. With an election slated for March, a successful vaccine rollout campaign certainly would be a boon for the political fortunes of Israeli Prime Minister Benjamin Netanayhu.

“So he knows that if he is able to turn Israel into this beacon of accomplishment in terms of national vaccination program, it will not only reflect well on him personally, but it’ll be a matter of national pride.”

(Our World In Data)

Bogoch said that while Israel deserves all the praise it receives for its speed in administering the vaccine, it is easier for smaller countries to more efficiently administer vaccines in general.

“Canada has pretty significant logistical hurdles just based on the size of the country. We have rural populations, we have remote Indigenous populations, and everybody needs access to this,” he said. “Even the northern part of the country is also going to pose some significant challenges as well.”

Bogoch said that it’s pretty clear that per capita, Israel certainly has access to significantly more vaccines to begin with per capita. And because Israel has so many, it likely started planning administering the vaccines much earlier. 

Dr. Zain Chagla, an infectious diseases physician at St. Joseph’s Healthcare Hamilton, Ont., said Canada could take some lessons from Israel.

He said Canadian officials could also learn how Israel is setting up its registration system and how it appears to be managing through bureaucratic hurdles.

But most importantly, Canada could learn how Israeli officials been able to transport the vaccine around to other locations.

“Israel has been able to move the vaccine around to multiple different places, multiple different sites, pop ups and that type of thing,” said Chagla, who is also an associate professor at McMaster University.

“The ability to not centralize in a single place, does help with the distribution. They can mobilize more volunteers.”

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Looking for the next mystery bestseller? This crime bookstore can solve the case

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WINNIPEG – Some 250 coloured tacks pepper a large-scale world map among bookshelves at Whodunit Mystery Bookstore.

Estonia, Finland, Japan and even Fenwick, Ont., have pins representing places outside Winnipeg where someone has ordered a page-turner from the independent bookstore that specializes in mystery and crime fiction novels.

For 30 years, the store has been offering fans of Agatha Christie’s Hercule Poirot or Arthur Conan Doyle’s Sherlock Holmes a place to get lost in whodunits both old and new.

Jack and Wendy Bumsted bought the shop in the Crescentwood neighbourhood in 2007 from another pair of mystery lovers.

The married couple had been longtime customers of the store. Wendy Bumsted grew up reading Perry Mason novels while her husband was a historian with vast knowledge of the crime fiction genre.

At the time, Jack Bumsted was retiring from teaching at the University of Manitoba when he was looking for his next venture.

“The bookstore came up and we bought it, I think, within a week,” Wendy Bumsted said in an interview.

“It never didn’t seem like a good idea.”

In the years since the Bumsteds took ownership, the family has witnessed the decline in mail-order books, the introduction of online retailers, a relocation to a new space next to the original, a pandemic and the death of beloved co-owner Jack Bumsted in 2020.

But with all the changes that come with owning a small business, customers continue to trust their next mystery fix will come from one of the shelves at Whodunit.

Many still request to be called about books from specific authors, or want to be notified if a new book follows their favourite format. Some arrive at the shop like clockwork each week hoping to get suggestions from Wendy Bumsted or her son on the next big hit.

“She has really excellent instincts on what we should be getting and what we should be promoting,” Micheal Bumsted said of his mother.

Wendy Bumsted suggested the store stock “Thursday Murder Club,” the debut novel from British television host Richard Osman, before it became a bestseller. They ordered more copies than other bookstores in Canada knowing it had the potential to be a hit, said Michael Bumsted.

The store houses more than 18,000 new and used novels. That’s not including the boxes of books that sit in Wendy Bumsted’s tiny office, or the packages that take up space on some of the only available seating there, waiting to be added to the inventory.

Just as the genre has evolved, so has the Bumsteds’ willingness to welcome other subjects on their shelves — despite some pushback from loyal customers and initially the Bumsted patriarch.

For years, Jack Bumsted refused to sell anything outside the crime fiction genre, including his own published books. Instead, he would send potential buyers to another store, but would offer to sign the books if they came back with them.

Wendy Bumsted said that eventually changed in his later years.

Now, about 15 per cent of the store’s stock is of other genres, such as romance or children’s books.

The COVID-19 pandemic forced them to look at expanding their selection, as some customers turned to buying books through the store’s website, which is set up to allow purchasers to get anything from the publishers the Bumsteds have contracts with.

In 2019, the store sold fewer than 100 books online. That number jumped to more than 3,000 in 2020, as retailers had to deal with pandemic lockdowns.

After years of running a successful mail-order business, the store was able to quickly adapt when it had to temporarily shut its doors, said Michael Bumsted.

“We were not a store…that had to figure out how to get books to people when they weren’t here.”

He added being a community bookstore with a niche has helped the family stay in business when other retailers have struggled. Part of that has included building lasting relationships.

“Some people have put it in their wills that their books will come to us,” said Wendy Bumsted.

Some of those collections have included tips on traveling through Asia in the early 2000s or the history of Australian cricket.

Micheal Bumsted said they’ve had to learn to be patient with selling some of these more obscure titles, but eventually the time comes for them to find a new home.

“One of the great things about physical books is that they can be there for you when you are ready for them.”

This report by The Canadian Press was first published on Sept. 15, 2024.



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Labour Minister praises Air Canada, pilots union for avoiding disruptive strike

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MONTREAL – Canada’s labour minister is praising both Air Canada and the union representing about 5,200 of its pilots for averting a work stoppage that would have disrupted travel for hundreds of thousands of passengers.

Steven MacKinnon’s comments came in a statement shared to social media shortly after Canada’s largest air carrier announced it had reached a tentative labour deal with the Air Line Pilots Association.

MacKinnon thanked both sides and federal mediators, saying the airline and its pilots approached negotiations with “seriousness and a resolve to get a deal.”

The tentative agreement averts a strike or lockout that could have begun as early as Wednesday for Air Canada and Air Canada Rouge, with flight cancellations expected before then.

The airline now says flights will continue as normal while union members vote on the tentative four-year contract.

Air Canada had called on the federal government to intervene in the dispute, but Prime Minister Justin Trudeau said Friday that would only happen if it became clear no negotiated agreement was possible.

This report from The Canadian Press was first published Sept. 15, 2024.

Companies in this story: (TSX:AC)

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As plant-based milk becomes more popular, brands look for new ways to compete

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When it comes to plant-based alternatives, Canadians have never had so many options — and nowhere is that choice more abundantly clear than in the milk section of the dairy aisle.

To meet growing demand, companies are investing in new products and technology to keep up with consumer tastes and differentiate themselves from all the other players on the shelf.

“The product mix has just expanded so fast,” said Liza Amlani, co-founder of the Retail Strategy Group.

She said younger generations in particular are driving growth in the plant-based market as they are consuming less dairy and meat.

Commercial sales of dairy milk have been weakening for years, according to research firm Mintel, likely in part because of the rise of plant-based alternatives — even though many Canadians still drink dairy.

The No. 1 reason people opt for plant-based milk is because they see it as healthier than dairy, said Joel Gregoire, Mintel’s associate director for food and drink.

“Plant-based milk, the one thing about it — it’s not new. It’s been around for quite some time. It’s pretty established,” said Gregoire.

Because of that, it serves as an “entry point” for many consumers interested in plant-based alternatives to animal products, he said.

Plant-based milk consumption is expected to continue growing in the coming years, according to Mintel research, with more options available than ever and more consumers opting for a diet that includes both dairy and non-dairy milk.

A 2023 report by Ernst & Young for Protein Industries Canada projected that the plant-based dairy market will reach US$51.3 billion in 2035, at a compound annual growth rate of 9.5 per cent.

Because of this growth opportunity, even well-established dairy or plant-based companies are stepping up their game.

It’s been more than three decades since Saint-Hyacinthe, Que.-based Natura first launched a line of soy beverages. Over the years, the company has rolled out new products to meet rising demand, and earlier this year launched a line of oat beverages that it says are the only ones with a stamp of approval from Celiac Canada.

Competition is tough, said owner and founder Nick Feldman — especially from large American brands, which have the money to ensure their products hit shelves across the country.

Natura has kept growing, though, with a focus on using organic ingredients and localized production from raw materials.

“We’re maybe not appealing to the mass market, but we’re appealing to the natural consumer, to the organic consumer,” Feldman said.

Amlani said brands are increasingly advertising the simplicity of their ingredient lists. She’s also noticing more companies offering different kinds of products, such as coffee creamers.

Companies are also looking to stand out through eye-catching packaging and marketing, added Amlani, and by competing on price.

Besides all the companies competing for shelf space, there are many different kinds of plant-based milk consumers can choose from, such as almond, soy, oat, rice, hazelnut, macadamia, pea, coconut and hemp.

However, one alternative in particular has enjoyed a recent, rapid ascendance in popularity.

“I would say oat is the big up-and-coming product,” said Feldman.

Mintel’s report found the share of Canadians who say they buy oat milk has quadrupled between 2019 and 2023 (though almond is still the most popular).

“There seems to be a very nice marriage of coffee and oat milk,” said Feldman. “The flavour combination is excellent, better than any other non-dairy alternative.”

The beverage’s surge in popularity in cafés is a big part of why it’s ascending so quickly, said Gregoire — its texture and ability to froth makes it a good alternative for lattes and cappuccinos.

It’s also a good example of companies making a strong “use case” for yet another new entrant in a competitive market, he said.

Amid the long-standing brands and new entrants, there’s another — perhaps unexpected — group of players that has been increasingly investing in plant-based milk alternatives: dairy companies.

For example, Danone has owned the Silk and So Delicious brands since an acquisition in 2014, and long-standing U.S. dairy company HP Hood LLC launched Planet Oat in 2018.

Lactalis Canada also recently converted its facility in Sudbury, Ont., to manufacture its new plant-based Enjoy! brand, with beverages made from oats, almonds and hazelnuts.

“As an organization, we obviously follow consumer trends, and have seen the amount of interest in plant-based products, particularly fluid beverages,” said Mark Taylor, president and CEO of Lactalis Canada, whose parent company Lactalis is the largest dairy products company in the world.

The facility was a milk processing plant for six decades, until Lactalis Canada began renovating it in 2022. It now manufactures not only the new brand, but also the company’s existing Sensational Soy brand, and is the company’s first dedicated plant-based facility.

“We’re predominantly a dairy company, and we’ll always predominantly be a dairy company, but we see these products as complementary,” said Taylor.

It makes sense that major dairy companies want to get in on plant-based milk, said Gregoire. The dairy business is large — a “cash cow,” if you will — but not really growing, while plant-based products are seeing a boom.

“If I’m looking for avenues of growth, I don’t want to be left behind,” he said.

Gregoire said there’s a potential for consumers to get confused with so many options, which is why it’s so important for brands to find a way to differentiate themselves, whether it’s with taste, health, or how well the drink froths for a latte.

Competition in a more crowded market is challenging, but Taylor believes it results in better products for consumers.

“It keeps you sharp, and it forces you to be really good at what you’re doing. It drives innovation,” he said.

This report by The Canadian Press was first published Sept. 15, 2024.



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