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B.C. unveils plan to vaccinate millions by September – Toronto Star

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Nearly one year after the first case of COVID-19 was identified in B.C., the province announced its plan to have everyone who wants a vaccine immunized by September.

B.C. has distributed 100,000 immunizations in the past six weeks, and the province announced its timeline for the general population on Jan. 22.

Beginning in late-February, the province will move on to Phase 2 of the vaccination rollout. From December to March 800,000 doses of vaccine are expected to arrive in B.C., from April to June 2.6 million doses, and June to September six million doses are expected in the province.

“The plan forward is one that will put 4.3 million British Columbians in a vaccinated situation by the end of September,” Premier John Horgan said.

“By the end of September everyone who wants a vaccination will have one and the community immunity that we’re all striving for will be a reality,” Horgan said.

The plan depends on a consistent supply of vaccine, which has been disrupted recently with Pfizer upscaling its production plant in Europe, Horgan said. New vaccines, not yet approved by Health Canada, will also allow amendments to the plan going forward.

The province announced plans Friday to establish vaccine distribution in clinics in 172 communities in March through local health authorities in partnership with businesses, volunteers and municipalities.

It will be the largest immunization program in the history of the province, provincial health officer Dr. Bonnie Henry said, with 8.6 million immunizations (two doses per person, 35 days apart) planned in the coming months.

People born in 1941 and earlier who were not immunized in Phase 1 are eligible to receive the vaccine in Phase 2, starting in late February and early March, as the age group eligible for vaccine moves down from there in five-year increments. Starting in mid-to-late February, health authorities will be reaching out to seniors 80 years and older and Indigenous seniors 65 and older, and Indigenous Elders, to provide information on how to pre-register for immunization appointments.

Hospital staff, community general practitioners, and medical specialists not immunized in Phase 1 will be eligible in Phase 2 as well as vulnerable populations living in congregate settings and shelters and staff in community home support and home care programs.

People aged 16 to 69 who are considered extremely vulnerable will also be eligible during this time including those with specific cancers, people receiving immunotherapy, sever respiratory conditions, rare diseases, immunosuppression therapies, adults on dialysis, people who have had their spleen removed, women who are pregnant with significant heart disease (congenital or acquired) and those with significant neuromuscular conditions requiring respiratory support.

Vaccinations to begin on general population in April

Phase 3 (April to June) will broaden the vaccine distribution into the general population. Starting with B.C. residents aged 60 to 79, who will likely get their first shot in April.

As more vaccines are approved, particularly those with less stringent transportation and temperature restrictions, other age groups may be considered during Phase 3 — specifically those between the ages of 18 and 64 who are front-line essential workers or work in specific industries.

When Phase 4 begins (July to September) vaccinations will be available for those aged 59 and under, moving down in five-year cohorts to age 18.

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When vaccine distribution starts coming to the general population in Phases 3 and Phase 4 clinics will be held at large centres including school gymnasiums, arenas, convention and community halls and mobile clinics in self-contained vehicles will be available for some rural communities and for those who are homebound due to mobility issues, with more details coming on those operations in late February and early March.

The province’s communication plan launching in late-February will let residents know when they can expect to be vaccinated, how and where to pre-register and how to access vaccination clinics. Residents can register two to four weeks before being eligible for a vaccine.

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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.

The Canadian Press. All rights reserved.

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