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Booster shots recommended for high-risk teens: NACI – Calgary Herald

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The National Advisory Committee on Immunization is now recommending teenagers with underlying conditions or at high risk of COVID-19 exposure get a booster shot weeks after Alberta opened up third shots for the same population.

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The advice comes as more provincial health officers are transitioning to a position of learning to live with COVID-19 and loosening public health restrictions.

Dr. Theresa Tam, Canada’s chief public health officer, says kids and adolescents are still at low risk of serious illness in general from COVID-19, but because of the high rate of infection due to Omicron, more kids are being admitted to hospital.

Health Canada data suggest in the last week 251 children under 12 and 84 adolescents between 12 and 19 were admitted to hospital with COVID-19.

NACI’s new advice for those between 12 and 17 is to get a booster if they have an underlying medical condition or live in congregate settings or racialized or marginalized communities that have been hard hit by COVID-19 infections.

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The booster should be six months after their last dose, and would include fourth doses for teenagers with severely compromised immune systems who got a third dose as part of the primary vaccination series.

Alberta opened up booster shots to teenagers with underlying health conditions earlier in January, with a Jan. 6 news release stating this section of the population is eligible for a third dose eight weeks after getting their second dose.

“We know that the third dose of vaccine strengthens protection against both infection and severe outcomes from the Omicron variant,” said Dr. Deena Hinshaw, Alberta’s chief medical officer of health, in the Jan. 6 release. “I believe it is critical to use every tool at our disposal right now to protect the people and system we rely on to take care of us when we are sick.”

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Hinshaw and other health officials have consistently promoted booster shots for all eligible Albertans since late last year.

Children aged 12 to 17 can receive a booster shot if they have received (CAR)-T-cell therapy, if they have a moderate to severe primary immunodeficiency and if they are receiving am immunosuppressive therapy. Transplant recipients and those on dialysis also qualify as do patients with advanced HIV infections, patients receiving cancer treatment and those taking medication for autoimmune diseases.

Data posted online show 0.8 per cent of Albertans aged 12 to 14 have received a booster shot while 9.3 per cent of Albertans aged 15 to 19 have received a third dose. A total of 1.4 million Albertans have received a booster while 6,485 people in the province have received a fourth dose, which is currently only open to anyone over the age of 18 who is immunocompromised.

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Earlier this week, NACI updated its recommendations to say all children aged five to 11 should get fully vaccinated and immunocompromised children should receive three doses. Alberta public health experts say that recommendations could help boost Alberta’s lagging vaccination rate in that age range.

Jia Hu of 19 to Zero said Friday he hopes that the latest recommendation could also help a plateauing rate of immunizations among teenagers.

“We’re kind of plateauing on all fronts now it seems,” said Hu in an email Friday. “I think when they said should for the younger ones, they had to same the same for the 12 to 17s, as they face a very similar risk environment as the younger kids.”

Tam said NACI is now looking at what to tell people about getting a booster shot after they have been infected with COVID-19, after the number of people infected with Omicron hit new highs.

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How high is hard to know, because the widespread PCR testing used in previous waves disintegrated under the sheer weight of Omicron’s infection rate. Tam said indicators including the percentage of tests coming back positive and wastewater tracking are continuing to show Omicron is starting to wane.

Tam said there are also immunity studies underway looking to test for Omicron antibodies in blood samples that will give us a far better picture of population-based immunity and help drive more decisions about whether COVID-19 is shifting into endemic status.

An endemic virus is one that is constantly present in an area, usually with mostly mild impacts, such as flu. The World Health Organization warned it’s too early to see COVID-19 as endemic because of the widespread infection rates all over the world, but Tam said she is “certainly cautiously optimistic” we’re getting close.

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Many provinces are moving to lift restrictions and treat COVID-19 waves more like flu seasons. Saskatchewan moved Friday to stop requiring people who come into close contact with COVID-19 to isolate, and those who get sick will only have to isolate for five days regardless of vaccination status.

“So many of us, on any given time, are notified as a close contact and it’s really not feasible for us to isolate every time we’re a close contact,” chief medical health officer Dr. Saqib Shahab said Thursday.

Ontario chief medical health officer Dr. Kieran Moore said Thursday we have lived with the fear of COVID-19 driving decisions for two years and we need to adjust our thinking now, as Omicron starts to wane.

British Columbia’s chief public health officer Dr. Bonnie Henry said Friday that she expects some restrictions to be lifted by Feb. 21. She said the province will be able to do so partly because 90 per cent of people in the province 12 and older have received two doses of vaccine.

Alberta Premier Jason Kenney said this week that he would like to see the province’s restriction exemption program, widely regarded as a vaccine passport, to be lifted as soon as pressures on the healthcare system are eased. He said he hopes that will come after the first quarter of 2022.

Alberta reported 3,036 cases on Friday, bringing active reported cases to 41,300. There are 1,496 Albertans in Hospital with COVID-19, including 105 in intensive care. An additional 13 deaths were recorded Friday.

dshort@postmedia.com

— With files from The Canadian Press 

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B.C. mayors seek ‘immediate action’ from federal government on mental health crisis

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VANCOUVER – Mayors and other leaders from several British Columbia communities say the provincial and federal governments need to take “immediate action” to tackle mental health and public safety issues that have reached crisis levels.

Vancouver Mayor Ken Sim says it’s become “abundantly clear” that mental health and addiction issues and public safety have caused crises that are “gripping” Vancouver, and he and other politicians, First Nations leaders and law enforcement officials are pleading for federal and provincial help.

In a letter to Prime Minister Justin Trudeau and Premier David Eby, mayors say there are “three critical fronts” that require action including “mandatory care” for people with severe mental health and addiction issues.

The letter says senior governments also need to bring in “meaningful bail reform” for repeat offenders, and the federal government must improve policing at Metro Vancouver ports to stop illicit drugs from coming in and stolen vehicles from being exported.

Sim says the “current system” has failed British Columbians, and the number of people dealing with severe mental health and addiction issues due to lack of proper care has “reached a critical point.”

Vancouver Police Chief Adam Palmer says repeat violent offenders are too often released on bail due to a “revolving door of justice,” and a new approach is needed to deal with mentally ill people who “pose a serious and immediate danger to themselves and others.”

This report by The Canadian Press was first published Sept. 16, 2024

The Canadian Press. All rights reserved.

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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.

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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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