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Alberta finalizing bivalent COVID vaccine plans as wait irks advocates – Calgary Herald

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Dr. Jia Hu said having more targeted vaccines should generate a better immune response and more protection against Omicron infection

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Alberta is finalizing plans for rolling out new bivalent COVID-19 vaccine booster shots, which target multiple strains of the coronavirus.

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The province says it’s reviewing the early September Health Canada approval of Moderna’s updated vaccine.

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But one Alberta vaccine advocacy group is questioning why the province hasn’t yet announced details of its plans for the new vaccine, when provinces including Ontario, British Columbia and Saskatchewan have started their bookings.

“The question is, what’s the advantage of waiting?” said Sarah Mackey with Vaccine Hunters Alberta.

“What do they expect to review that they don’t expect that the Health Canada review process and the (National Advisory Committee on Immunization) review process caught?”

In a statement to Postmedia, Alberta Health said availability of the bivalent vaccine will be subject to the province’s allocation of federal government supply. Public Health Canada data on vaccine distribution says Alberta had received 32,300 doses of the bivalent shots as of Sept. 8.

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The Moderna bivalent vaccine booster shot is the first to be approved in Canada. It targets the previously prevalent strain of the virus and the Omicron variant BA.1, which strained Alberta’s health-care system during a wave of infections last winter.

A Pfizer bivalent vaccine targeting the Omicron subvariants BA.4 and BA.5, which are dominant in Alberta, is available in the United States, with an application also submitted to Health Canada.


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Having more targeted vaccines should generate a better immune response and more protection against Omicron infection, said Calgary public health physician Dr. Jia Hu.

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He said there isn’t real-world data from clinical trials for the vaccines, but immune data show the new vaccines generate higher antibody responses than previous offerings.

“We don’t think they’ll be magic bullets in terms of how well the original vaccine worked against the original COVID, but it does certainly seem to give your immune response an increased performance,” Hu said.

It’s not unreasonable for Albertans currently eligible for a booster shot to wait until the bivalent shot is available, Hu said.

“I think this is one of the few times where it may actually make sense to wait,” he said. He added having some booster protection will be important for all Albertans to protect themselves and those around them as fall approaches.

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“It’s been a nice summer, people have been able to live more normally, and that’s good. But I think we want to take all the precautions we can to keep everyone safe.”

Dr. Jia Hu poses for a photo in Prince’s Island Park. Saturday, June 26, 2021. Brendan Miller/Postmedia

Mackey said she counts this latest bivalent vaccine as Alberta’s 10th COVID-19 vaccine rollout, when including other brands and doses. She argued the process should be routine by now.

She said she’s spoken to many Albertans waiting on the new shot to become available to get boosted, forgoing protection as they wait for the province to roll out the vaccine.

“They have been late to the party every single time. There’s a complete lack of communication every single time,” she said. “It’s just inexcusable that again and again and again we’re behind the 8-ball.”

As of Sept. 5, the last date for which data is available, 82.6 per cent of eligible Albertans had received at least two shots of COVID-19 vaccine, and 41.8 per cent had at least one booster shot.

jherring@postmedia.com

Twitter: @jasonfherring

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Some Ontario docs now offering RSV shot to infants with Quebec rollout set for Nov.

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Some Ontario doctors have started offering a free shot that can protect babies from respiratory syncytial virus while Quebec will begin its immunization program next month.

The new shot called Nirsevimab gives babies antibodies that provide passive immunity to RSV, a major cause of serious lower respiratory tract infections for infants and seniors, which can cause bronchiolitis or pneumonia.

Ontario’s ministry of health says the shot is already available at some doctor’s offices in Ontario with the province’s remaining supply set to arrive by the end of the month.

Quebec will begin administering the shots on Nov. 4 to babies born in hospitals and delivery centers.

Parents in Quebec with babies under six months or those who are older but more vulnerable to infection can also book immunization appointments online.

The injection will be available in Nunavut and Yukon this fall and winter, though administration start dates have not yet been announced.

This report by The Canadian Press was first published Oct. 21, 2024.

-With files from Nicole Ireland

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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Polio is rising in Pakistan ahead of a new vaccination campaign

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ISLAMABAD (AP) — Polio cases are rising ahead of a new vaccination campaign in Pakistan, where violence targeting health workers and the police protecting them has hampered years of efforts toward making the country polio-free.

Since January, health officials have confirmed 39 new polio cases in Pakistan, compared to only six last year, said Anwarul Haq of the National Emergency Operation Center for Polio Eradication.

The new nationwide drive starts Oct. 28 with the aim to vaccinate at least 32 million children. “The whole purpose of these campaigns is to achieve the target of making Pakistan a polio-free state,” he said.

Pakistan regularly launches campaigns against polio despite attacks on the workers and police assigned to the inoculation drives. Militants falsely claim the vaccination campaigns are a Western conspiracy to sterilize children.

Most of the new polio cases were reported in the southwestern Balochistan and southern Sindh province, following by Khyber Pakhtunkhwa province and eastern Punjab province.

The locations are worrying authorities since previous cases were from the restive northwest bordering Afghanistan, where the Taliban government in September suddenly stopped a door-to-door vaccination campaign.

Afghanistan and Pakistan are the two countries in which the spread of the potentially fatal, paralyzing disease has never been stopped. Authorities in Pakistan have said that the Taliban’s decision will have major repercussions beyond the Afghan border, as people from both sides frequently travel to each other’s country.

The World Health Organization has confirmed 18 polio cases in Afghanistan this year, all but two in the south of the country. That’s up from six cases in 2023. Afghanistan used a house-to-house vaccination strategy this June for the first time in five years, a tactic that helped to reach the majority of children targeted, according to WHO.

Health officials in Pakistan say they want the both sides to conduct anti-polio drives simultaneously.

The Canadian Press. All rights reserved.

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White House says health insurance needs to fully cover condoms, other over-the-counter birth control

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WASHINGTON (AP) — Millions of people with private health insurance would be able to pick up over-the-counter methods like condoms, the “morning after” pill and birth control pills for free under a new rule the White House proposed on Monday.

Right now, health insurers must cover the cost of prescribed contraception, including prescription birth control or even condoms that doctors have issued a prescription for. But the new rule would expand that coverage, allowing millions of people on private health insurance to pick up free condoms, birth control pills, or “morning after” pills from local storefronts without a prescription.

The proposal comes days before Election Day, as Vice President Kamala Harris affixes her presidential campaign to a promise of expanding women’s health care access in the wake of the U.S. Supreme Court’s decision to undo nationwide abortion rights two years ago. Harris has sought to craft a distinct contrast from her Republican challenger, Donald Trump, who appointed some of the judges who issued that ruling.

“The proposed rule we announce today would expand access to birth control at no additional cost for millions of consumers,” Health and Human Services Secretary Xavier Becerra said in a statement. “Bottom line: women should have control over their personal health care decisions. And issuers and providers have an obligation to comply with the law.”

The emergency contraceptives that people on private insurance would be able to access without costs include levonorgestrel, a pill that needs to be taken immediately after sex to prevent pregnancy and is more commonly known by the brand name “Plan B.”

Without a doctor’s prescription, women may pay as much as $50 for a pack of the pills. And women who delay buying the medication in order to get a doctor’s prescription could jeopardize the pill’s effectiveness, since it is most likely to prevent a pregnancy within 72 hours after sex.

If implemented, the new rule would also require insurers to fully bear the cost of the once-a-day Opill, a new over-the-counter birth control pill that the U.S. Food and Drug Administration approved last year. A one-month supply of the pills costs $20.

Federal mandates for private health insurance to cover contraceptive care were first introduced with the Affordable Care Act, which required plans to pick up the cost of FDA-approved birth control that had been prescribed by a doctor as a preventative service.

The proposed rule would not impact those on Medicaid, the insurance program for the poorest Americans. States are largely left to design their own rules around Medicaid coverage for contraception, and few cover over-the-counter methods like Plan B or condoms.

The Canadian Press. All rights reserved.

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