Health
Alberta joins Ontario in lowering minimum age for AstraZeneca vaccine – Preeceville Progress
Two provinces will offer the Oxford-AstraZeneca vaccine to those aged 40 and over starting Tuesday, officials announced Sunday following days of mounting pressure to lower the minimum age.
Alberta and Ontario had previously stuck to the National Advisory Committee on Immunization’s recommendation to offer the AstraZeneca shot to those 55 and over due to a slightly elevated risk of an extremely rare blood clot disorder.
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But as hospitalizations surged to unprecedented levels in Ontario and Alberta saw unparalleled rates of COVID-19, their governments announced matching plans to expand eligibility.
“Alberta is lowering the minimum age to receive the AstraZeneca COVID-19 vaccine from 55 to 40,” Alberta Premier Jason Kenney tweeted on Sunday night. “This decision is based on growing scientific knowledge about the vaccine.”
He said more information would come Monday, and bookings would open Tuesday.
The office of Ontario Health Minister Christine Elliott made a similar announcement hours earlier.
“Based on current supply, Ontario will begin offering the AstraZeneca COVID-19 vaccine to individuals aged 40 and over at pharmacy and primary care settings across the province effective Tuesday,” spokeswoman Alexandra Hilkene said in an email.
The statement came after Elliott’s federal counterpart told a news conference that such a move was well within the provinces’ jurisdiction.
“NACI provides advice to provinces and territories,” Health Minister Patty Hajdu said. “They can adjust their use for AstraZeneca as per their desire and the advice from their own public health authorities and medical expertise.”
She noted that Health Canada has licensed the AstraZeneca shot for use in people over the age of 18.
“NACI continues to review the advice on AstraZeneca use and will have updated guidance in the very near future,” Hajdu added.
Anthony Dale, president and CEO of the Ontario Hospital Association, tweeted that there is “‘surplus supply at risk of expiring.”
The head of the Ontario Pharmacists Association said most AstraZeneca doses in Ontario don’t expire until the end of May, but that a timer starts ticking as soon as a vial — which contains 10 doses — is punctured.
“Once a vial is punctured, it is only viable for up to 48 hours when stored in a fridge or six hours when not in the fridge,” Justin Bates said.
He said vaccine hesitancy around AstraZeneca has led to last-minute appointment cancellations, meaning some of those doses could go to waste — something pharmacists are working hard to avoid.
Many Ontario physicians took to social media to express their frustration with the province’s lack of action on the issue ahead of Sunday’s announcement.
“Pharmacies, listen up. DO NOT WASTE A SINGLE DOSE OF THE AZ VACCINE. Explain the risk and obtain informed consent to administer to people under age 55,” Dr. Brian Goldman said in a tweet Sunday.
Dr. Irfan Dhalla, vice-president of Unity Health Toronto, agreed.
“It’s hard to imagine the provincial government coming after pharmacies or family doctors for using AZ in people (under) 55,” he tweeted.
Later, he praised Elliott’s decision and urged the province to send more to COVID-19 hot spots.
Steven Del Duca, who heads up the Liberal party in the province, took that call even further.
“Doug Ford must release the AstraZeneca vaccine from pharmacy freezers and get it into the arms of anyone over 18 in a hot spot,” he tweeted Sunday. “(Patty Hajdu) was clear: there is nothing stopping him from getting shots into arms.”
Those in Alberta had made similar calls.
“It sounds like Alberta is having trouble using its AstraZeneca. Lower the minimum age; Gen X can help!” Lisa Young, a political science professor at the University of Calgary, tweeted earlier in the week.
Some have been hesitant to get the AstraZeneca vaccine due to a rare blood clotting condition, which has thus far affected two Canadians — one in Quebec and one in Alberta.
More than 700,000 doses of AstraZeneca have been administered in this country.
The global frequency of the blood clot disorder, known as vaccine-induced immune thrombotic thrombocytopenia, or VITT, has been estimated at about one case in 100,000 to 250,000 doses.
The risk of developing blood clots due to COVID-19 is much higher, and experts say people should accept the first vaccine they’re offered.
Meanwhile, the federal government announced Sunday that it was mobilizing its own resources and co-ordinating with lesser-hit provinces to send health-care workers and other support to help Ontario as it battles record-breaking COVID-19 numbers.
It wasn’t immediately clear how the Ontario government would respond to Ottawa’s offer.
Hospitalizations and admissions to intensive care units continued to reach record heights in the province, which reported 4,250 new COVID-19 infections in the last 24 hours.
Ontario announced a number of new restrictions to quell the skyrocketing numbers, but has faced pressure to roll back limits on outdoor activities, which critics have said will do little to stop the spread.
Meanwhile, data released by Canada’s chief public health officer indicated the average daily number of hospitalizations and deaths in the country jumped by more than 30 per cent between April 9 and 15 compared to the week before.
The latest national figures showed an average of 3,428 people with COVID-19 were being treated in Canadian hospitals each day during the most recent seven-day reporting period, representing a 34 per cent increase over the week before.
An average of 41 people died each day during the same stretch, which is 38 per cent higher than the previous week.
Chief Public Health Officer Dr. Theresa Tam said cases, test positivity rates and intensive care admissions are all rising as Canada battles a wave of COVID-19 that is driven by more contagious virus variants.
Quebec, meanwhile, reported more than 1,300 new infections in the past 24 hours.
Nunavut counted three new cases of COVID-19, for a total of 22 active cases.
Prince Edward Island recorded three new cases, while Nova Scotia logged seven and New Brunswick added 10.
Farther west, Manitoba recorded 170 new cases of the virus and one added death, while Saskatchewan counted 289 new cases and one death.
Alberta, which is currently dealing with the highest rate of COVID-19 per capita in Canada, reported 1,516 new cases of the virus and three more deaths.
As of Sunday evening, Alberta’s rate of active COVID-19 cases was 405.6 per 100,000, compared to 282.26 per 100,000 in Ontario.
This report by The Canadian Press was first published April 18, 2021.
— With files from Morgan Lowrie in Montreal and Rob Drinkwater in Edmonton
Pregnant women urged to get whooping cough vaccine
Pregnant women in the Black Country are being urged to get vaccinated against whooping cough after a rise in cases.
The bacterial infection of the lungs spreads very easily and can cause serious problems, especially in babies and young children.
The Black Country Integrated Care Board (ICB) is advising pregnant women between 16 and 32 weeks to contact their GP to get the vaccine so their baby has protection from birth.
The UK Health Security Agency warned earlier this year of a steady decline in uptake of the vaccine in pregnant women and children.
Symptoms of the infection, also known as “100-day cough”, are similar to a cold, with a runny nose and sore throat.
Sally Roberts, chief nursing officer for the ICB, which covers Wolverhampton, Dudley, Walsall and Sandwell, said anyone could catch it, but it was more serious for young children and babies.
“Getting vaccinated while you’re pregnant is highly effective in protecting your baby from developing whooping cough in the first few weeks of their life – ideally from 16 weeks up to 32 weeks of pregnancy,” she said.
“If for any reason you miss having the vaccine, you can still have it up until you go into labour.”
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The number of measles cases has stabilized, according to the Montreal Public Health.
Since March 25, there have been no contaminations reported within the community.
“Our teams have identified all contact cases of measles,” said media relations advisor Geneviève Paradis. “It’s a laborious task: each measles case produces hundreds of contacts.”
All community transmission cases since February 2024 have been caused by returning travelers who were either unvaccinated or partially vaccinated.
Currently, there are 18 measles cases in Montreal – with 46 total in Quebec. This according to the April 18 figures from the provincial government.
“With the summer vacations approaching, if you’re travelling, it is essential to check if you are protected against measles,” explained Paradis.
According to Montreal Public Health, a person needs to have received two doses after the age of 12 months to be immunized against the virus.
They’ve launched a vaccination campaign throughout the region, and currently, 11,341 people have been vaccinated against measles in Montreal between March 19 and April 15.
Vaccination is also being provided in schools and at local service points.
“The vaccination operation is under the responsibility of the five CIUSSS of the territory,” concluded Paradis.
The World Health Organization has raised concerns about the spread of H5N1 bird flu, which has an “extraordinarily high” mortality rate in humans.
An outbreak that began in 2020 has led to the deaths or killing of tens of millions of poultry. Most recently, the spread of the virus within several mammal species, including in domestic cattle in the US, has increased the risk of spillover to humans, the WHO said.
“This remains I think an enormous concern,” the UN health agency’s chief scientist, Jeremy Farrar, told reporters in Geneva.
Cows and goats joined the list of species affected last month – a surprising development for experts because they were not thought susceptible to this type of influenza. US authorities reported this month that a person in Texas was recovering from bird flu after being exposed to dairy cattle, with 16 herds across six states infected apparently after exposure to wild birds.
The A(H5N1) variant has become “a global zoonotic animal pandemic”, Farrar said.
“The great concern of course is that in … infecting ducks and chickens and then increasingly mammals, that virus now evolves and develops the ability to infect humans and then critically the ability to go from human to human,” he added.
So far, there is no evidence that H5N1 is spreading between humans. But in the hundreds of cases where humans have been infected through contact with animals over the past 20 years, “the mortality rate is extraordinarily high”, Farrar said, because humans have no natural immunity to the virus.
From 2003 to 2024, 889 cases and 463 deaths caused by H5N1 have been reported worldwide from 23 countries, according to the WHO, putting the case fatality rate at 52%.
The recent US case of human infection after contact with an infected mammal highlights the increased risk. When “you come into the mammalian population, then you’re getting closer to humans”, Farrar said, warning that “this virus is just looking for new, novel hosts”.
Farrar called for increased monitoring, saying it was “very important understanding how many human infections are happening … because that’s where adaptation [of the virus] will happen”.
“It’s a tragic thing to say, but if I get infected with H5N1 and I die, that’s the end of it,” he said. “If I go around the community and I spread it to somebody else then you start the cycle.”
He said efforts were under way towards the development of vaccines and therapeutics for H5N1, and stressed the need to ensure that regional and national health authorities around the world had the capacity to diagnose the virus.
This was being done so that “if H5N1 did come across to humans, with human-to-human transmission”, the world would be “in a position to immediately respond”, Farrar said, calling for equitable access to vaccines, therapeutics and diagnostics.
Jeremy Hansen – The Canadian Encyclopedia
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