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Alberta Premier Danielle Smith defends province’s fall immunization campaign

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Alberta Premier Danielle Smith speaks in Edmonton on Nov. 27. Neither the Premier nor Health Minister Adriana LaGrange denied that the provincial government had requested the changes to the immunization campaign, which runs annually in the fall.JASON FRANSON/The Canadian Press

Alberta Premier Danielle Smith defended the province’s pared-back fall immunization campaign on Thursday and encouraged people to speak with their doctors about vaccines, while her Health Minister acknowledged that hundreds of thousands of Albertans are without family physicians.

Earlier in the day, The Globe and Mail had reported, based on internal government documents, that the Alberta government had directed Alberta Health Services, the provincial health authority, to remove the words “influenza” and “COVID” from advertisements for the immunization campaign. The documents, obtained through a freedom of information request, also showed that Ms. Smith’s government had limited the information the province provided the public about vaccine benefits and efficacy.

The Premier said there are “lots of avenues” for people to get medical advice. “I don’t think they go to politicians to get medical advice, and I’m certainly not going to give it,” she added.

Ms. Smith made her remarks at a news conference with Health Minister Adriana LaGrange, where they were announcing $200-million in funding from a $1.1-billion bilateral agreement signed earlier in the day with Ottawa. The money is intended to support doctors dealing with overflowing hospitals amid a surge in respiratory illnesses. At the same news conference, Ms. LaGrange said roughly 700,000 Albertans don’t have access to primary-care providers.

Neither the Premier nor Ms. LaGrange denied that the provincial government had requested the changes to the immunization campaign, which Alberta runs annually in the fall.

Ms. Smith won the leadership of the United Conservative Party last year in a campaign focused largely on her opposition to Alberta’s pandemic public-health restrictions. She has voiced skepticism of vaccines, promoted alternative treatments, and has not been forthcoming about her own vaccination status.

When asked on Thursday if she stands behind her government’s approach this fall, she noted that Alberta’s COVID-19 vaccination rate is on par with the rest of the country. She did not address Alberta’s influenza vaccine coverage of just 22 per cent – the lowest in more than a decade.

When asked if she could point to evidence showing the government’s modified vaccination campaign had been effective, she did not answer the question directly. Instead, she read from a September news release announcing the immunization program. “I think that the message is pretty clear,” she said.

The documents obtained by The Globe showed that this news release underwent significant revisions before being shared publicly. The changes removed details about vaccine eligibility, age-specific immunization locations and the efficacy and types of vaccines being offered this season.

Ms. LaGrange said Alberta has moved from a pandemic state to what she called an “endemic state,” and that all respiratory viruses should be treated in the same manner. “So, the language and the documentation and the communication has to be in alignment,” she said.

Paul Parks, president of the Alberta Medical Association, also spoke at the news conference. He said the new funding announced Thursday is an “essential first step” toward fixing what’s wrong in health care. But he pushed back against the Premier’s comments on vaccination. “I don’t want to debate which province has better influenza immunization rates,” he said.

He stressed that vaccines protect people and the entire health care system. He said Alberta hospitals are overflowing with patients sick with respiratory illnesses, largely influenza, and that the cases are severe.

“We’re seeing two-year-olds out there now that are getting influenza and having encephalitis, which is an infection of the brain that may actually be life-threatening, and if they survive they may never be normal again,” he said, adding that some adult patients may require heart transplants because of organ damage from the virus.

After Dr. Parks had spoken, Ms. Smith stepped up to the microphone. “I’m not a doctor. So, as I’ve said, everybody should talk to their family doctor about the choices right for them,” she said. When asked why the province’s influenza immunization rate is so low this year, she responded, “I don’t know.”

David Shepherd, the Alberta NDP’s health critic, said at a separate news conference on Thursday that the UCP’s decisions on vaccine messaging are putting Albertans at risk. He said a vigorous immunization campaign could have saved lives and money, by decreasing pressure on hospitals.

“Everything we’re seeing in health care right now – patients being cared for in hallways, triple-bunked rooms, delays to kids’ chemotherapy treatment, the chaos, pressure and indignity to patients and health care workers – is because the UCP has chosen to let things get worse than they had to,” he said.

Mr. Shepherd accused Ms. Smith and Ms. LaGrange of being more concerned about losing political ground with vaccine skeptics who support them than they are about everyday Albertans. He noted that Albertans have not heard from the provincial Chief Medical Officer of Health, Mark Joffe, throughout the current crisis at hospitals. He also underlined that Ms. Smith had dismissed Dr. Joffe’s predecessor, Deena Hinshaw.

“This is a government with a repeated pattern of working to take control over public health,” Mr. Shepherd said. “And that includes, it seems, communication and messaging.”

 

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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.

The Canadian Press. All rights reserved.

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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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