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Bringing PrEP prescribing into community pharmacies: Dal Health professor leads first of its kind project in Canada

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Dr. Kyle Wilby, an associate professor in the College of Pharmacy, is leading the project PrEP-Rx — Pharmacist Prescribing of Pre-Exposure Prophylaxis (PrEP) for HIV (Human Immunodeficiency Virus) in Nova Scotia.

PrEP consists of a combination of medications and is a highly effective way to prevent HIV for high-risk populations.

Dr. Wilby says having pharmacists prescribe PrEP brings it into the communities, and reduces the amount of contact time with the health care system, as you are being prescribed and given medication during one visit. He says it will also release burden on primary care.

This first-of-its-kind-demonstration project in Canada will consist of a six-month study in which 50 patients in Nova Scotia will be prescribed PrEP by pharmacists from ten different pharmacy sites. Researchers will ensure the pharmacists can care for their patients in partnership with the Halifax Sexual Health Centre. At the end of the study, the team will apply to add this to the government funded prescribing authorities that pharmacists have in Nova Scotia, which already includes birth control and UTI medications.

“For gay and bisexual men who have sex with men or transgender women, people who inject drugs, and HIV-negative heterosexual people who have HIV positive partners, PrEP changed the way the world prevents HIV,” Dr. Wilby says.

 

Improving access, fighting stigma

When asked about the need for this project, Dr. Wilby outlined the barriers to access and stigma.

“I’m a PrEP user myself, and it can be really difficult to get it in Nova Scotia because of the waitlists and limited access to family doctors and nurse practitioners. It’s also stigmatized because of the populations that are accessing it.”

His hope is that this project improves access to care and identifies other potential links to services needed for populations that are typically harder to reach.

This project is funded by an unrestricted research grant from Shoppers Drug Mart for $400,000 and is in partnership with the Nova Scotia College of Pharmacists, Pharmacy Association of Nova Scotia, Community-Based Research Centre, Nova Scotia Health and the Halifax Sexual Health Centre.

“I’m really proud that Dalhousie is able to lead this. I’m proud and humbled to be part of it. The pharmacy profession has a lot to offer, and we are ready to work with our health-care colleagues to help patients any way we can.”

For more information on this project, including recruitment criteria, please email preprx@dal.ca.

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The US is mailing Americans COVID tests again. Here’s how to get them

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WASHINGTON (AP) — Americans can once again order COVID-19 tests, without being charged, sent straight to their homes.

The U.S. government reopened the program on Thursday, allowing any household to order up to four at-home COVID nasal swab kits through the website, covidtests.gov. The tests will begin shipping, via the United States Postal Service, as soon as next week.

The website has been reopened on the heels of a summer COVID-19 virus wave and heading into the fall and winter respiratory virus season, with health officials urging Americans to get an updated COVID-19 booster and their yearly flu shot.

“Before you visit with your family and friends this holiday season, take a quick test and help keep them safe from COVID-19,” U.S. Health and Human Services Assistant Secretary for Preparedness and Response Dawn O’Connell said in a statement.

U.S. regulators approved an updated COVID-19 vaccine that is designed to combat the recent virus strains and, they hope, forthcoming winter ones, too. Vaccine uptake is waning, however. Most Americans have some immunity from prior infections or vaccinations, but under a quarter of U.S. adults took last fall’s COVID-19 shot.

Using the swab, people can detect current virus strains ahead of the fall and winter respiratory virus season and the holidays. Over-the-counter COVID-19 at-home tests typically cost around $11, as of last year. Insurers are no longer required to cover the cost of the tests.

Before using any existing at-home COVID-19 tests, you should check the expiration date. Many of the tests have been given an extended expiration from the date listed on the box. You can check on the Food and Drug Administration’s website to see if that’s the case for any of your remaining tests at home.

Since COVID-19 first began its spread in 2020, U.S. taxpayers have poured billions of dollars into developing and purchasing COVID-19 tests as well as vaccines. The Biden administration has given out 1.8 billion COVID-19 tests, including half distributed to households by mail. It’s unclear how many tests the government still has on hand.

The Canadian Press. All rights reserved.

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Free COVID tests are back. Here’s how to order a test to your home

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WASHINGTON (AP) — Americans can once again order free COVID-19 tests sent straight to their homes.

The U.S. government reopened the program on Thursday, allowing any household to order up to four at-home COVID nasal swab kits through the website, covidtests.gov. The tests will begin shipping, via the United States Postal Service, as soon as next week.

The website has been reopened on the heels of a summer COVID-19 virus wave and heading into the fall and winter respiratory virus season, with health officials urging Americans to get an updated COVID-19 booster and their yearly flu shot.

U.S. regulators approved an updated COVID-19 vaccine that is designed to combat the recent virus strains and, they hope, forthcoming winter ones, too. Vaccine uptake is waning, however. Most Americans have some immunity from prior infections or vaccinations, but under a quarter of U.S. adults took last fall’s COVID-19 shot.

Using the swab, people can detect current virus strains ahead of the fall and winter respiratory virus season and the holidays. Over-the-counter COVID-19 at-home tests typically cost around $11, as of last year. Insurers are no longer required to cover the cost of the tests.

Since COVID-19 first began its spread in 2020, U.S. taxpayers have poured billions of dollars into developing and purchasing COVID-19 tests as well as vaccines. The Biden administration has given out 1.8 billion COVID-19 tests, including half distributed to households by mail. It’s unclear how many tests the government still has on hand.

The Canadian Press. All rights reserved.

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Disability rights groups launching Charter challenge against MAID law

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TORONTO – A coalition of disability rights groups says it is launching a Charter challenge against a part of Canada’s law on medical assistance in dying.

The group, which also includes two individual plaintiffs, argues that what’s known as track two of the MAID law has resulted in premature deaths.

Under the law, patients whose natural deaths are not reasonably foreseeable but whose condition leads to intolerable suffering can apply for a track-two assisted death.

The coalition says track two of the MAID law has had a direct effect on the lives of people with disabilities and argues medically assisted death should only be available to those whose natural death is reasonably foreseeable.

The executive vice-president of Inclusion Canada – which is part of the coalition – says there has been an alarming trend where people with disabilities are seeking assisted death due to social deprivation, poverty and a lack of essential supports.

Krista Carr says those individuals should instead be supported in order to live better lives.

This report by The Canadian Press was first published Sept. 26, 2024.

The Canadian Press. All rights reserved.

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