OTTAWA —
Canada’s chief public health officer says new COVID-19 cases are starting to tick back up after a month-long decline, giving urgency to the question of who should receive doses of the newly approved Oxford-AstraZeneca vaccine due to arrive in Canada Wednesday.
The “moderate increase” at the national level noted by Dr. Theresa Tam is in keeping with models forecasting a spike in cases over the next two months unless stricter public health measures are imposed to combat more contagious strains of the virus.
“The concern is that we will soon see an impact on hospitalization, critical care and mortality trends,” Tam said Tuesday.
Canada saw 2,933 new cases on average over the past week, a figure similar to last Friday’s numbers that revealed week-over-week increases of between eight and 14 per cent in Ontario, Alberta and British Columbia.
The uptick comes as provinces figure out how to allocate their various vaccines, especially as Canada receives 500,000 doses of the Oxford-AstraZeneca vaccine produced at the Serum Institute of India. About 445,000 doses of the Pfizer-BioNTech vaccine are also arriving this week, said Procurement Minister Anita Anand.
Guidance on the Oxford-AstraZeneca vaccine has caused some confusion. Health Canada authorized its use last week for all adults but the National Advisory Committee on Immunization recommends it not be administered to people 65 and over.
The advisory committee cites concern over limited data from clinical trials for older patients. Health Canada also acknowledges that issue. But the advisory panel, which recommends how vaccines should be used, says the limitation means seniors should take priority for the two greenlighted mRNA vaccines — Pfizer-BioNTech and Moderna — where dearth of data is not an issue.
Alberta’s health minister said Monday the province will not give Oxford-AstraZeneca’s vaccine to anyone over 65. British Columbia, Saskatchewan, Ontario and Prince Edward Island are on similar courses, though details on who will get those jabs is not always clear.
“With clinical testing of AstraZeneca limited to those under 65, we will need to adjust our plan to look at a parallel track for some of these more flexible vaccines in order to cast the widest net possible,” the B.C. health ministry said in an email.
Provincial health officer Dr. Bonnie Henry said B.C. will use the Oxford-AstraZeneca vaccine to target younger people who have more social interactions and who would have to wait much longer for the other vaccines.
Ontario Health Minister Christine Elliott characterized Oxford-AstraZeneca as “very versatile ” because it lacks the same cold-storage requirements as the two other vaccines in use in Canada. It won’t go to seniors, but she said shots might be administered in correctional facilities for that reason.
P.E.I. will target AstraZeneca at “healthy younger individuals who are working in certain front-line, essential services,” said Dr. Heather Morrison, the province’s chief medical officer of health.
Health officials in Quebec and New Brunswick say they await further advice from health authorities and are taking time to examine how to deploy the latest vaccine.
Nova Scotia’s chief medical health officer Dr. Robert Strang said the province has yet to give an answer to Ottawa “about whether we actually want to take the vaccine.” All provinces must provide a response by midday Thursday, he said.
Two experts say essential workers who are more likely to contract and transmit COVID-19 should be prioritized for immunization with the Oxford-AstraZeneca doses.
Caroline Colijn, a COVID-19 modeller and mathematician at Simon Fraser University, and Horacio Bach, an adjunct professor in the division of infectious diseases at the University of British Columbia, also say the Oxford-AstraZeneca vaccine could be better promoted by provincial health officials as a strong alternative to the Pfizer-BioNTech and Moderna vaccines.
Oxford-AstraZeneca reported their vaccine is about 62 per cent effective at preventing COVID-19 while Pifzer-BioNTech and Moderna have said the efficacy of their vaccines is about 95 per cent.
But Colijn and Bach say the fact there have been no hospitalizations from severe illness and no deaths among those receiving the Oxford-AstraZeneca vaccine needs to be underscored because people awaiting immunization seem to be fixated on the higher efficacy data for the first two vaccines approved in Canada.
“If the AstraZeneca vaccine will prevent you from getting really sick that’s still a win for you,” Colijn said.
“I see this huge, huge benefit of vaccinating young people, particularly people with high contact, essential workers, sooner.”
No province has been spared from the increase in new variants circulating across the country, though several continue to ease anti-pandemic restrictions.
Modelling from the Public Health Agency of Canada projected a steep surge in new cases starting late last month — and reaching 20,000 new cases a day before May — if public health measures weren’t tightened. Since that Feb. 19 forecast, restrictions in many regions have loosened as Canadians return to restaurants, cinemas and hair salons.
But Tam said Canada is gaining ground on “the vaccine-versus-variants leg of this marathon” every day.
“Canada is prepared, and Canada remains on track,” she said.
Provinces have now reported 1,257 cases of the B.1.1.7 mutation that was first identified in the United Kingdom, 99 cases of the B. 1.3.5.1 strain first identified in South Africa, and three of the P. 1 variant first identified in Brazil.
There have been 870,033 cases of COVID-19 in Canada and 22,017 deaths as of Monday night.
There were 30,430 active cases across Canada, with an average of 42 deaths reported daily over the past week.
Provinces are also figuring out whether to stick to the original injection schedules or extend the interval between doses beyond three or four weeks. The national advisory committee is expected to update its recommendations this week.
Ontario is waiting for that guidance, while B.C. is pushing ahead with its plan to prolong the interval to four months.
Dr. Bonnie Henry, B.C.’s provincial health officer, said Monday the decision was based on local and international evidence that shows the first dose of the Pfizer-BioNTech and Moderna vaccines provides “miraculous” 90 per cent protection from the virus.
This report by The Canadian Press was first published March 2, 2021.
— With files from Camille Bains, Kevin Bissett, Laura Dhillon Kane and Holly McKenzie-Sutter.
Vancouver Canucks winger Dakota Joshua has announced he’ll miss the start of training camp following surgery for testicular cancer.
Joshua said in a statement posted to social media by the team Tuesday that he felt a lump on one of his testicles this summer and later had surgery to successfully remove the tumour.
The 28-year-old from Dearborn, Mich., said he plans on returning to play “as soon as possible” and is “working hard every day” to rejoin his teammates.
Joshua said the last several weeks have been “extremely challenging” and encouraged men to get checked regularly for testicular cancer.
The six-foot-three, 206-pound forward had a career-high 18 goals and 14 assists in 63 games for the Canucks last season and signed a new four-year, US$13-million deal with Vancouver at the end of June.
The Canucks are set to open their training camp in Penticton, B.C., on Thursday.
This report by The Canadian Press was first published Sept. 17, 2024.
TORONTO – Coach John Herdman isn’t putting too much stock in the fact that Toronto FC, since losing 4-0 in Columbus on July 6, has posted a better league record than the defending MLS champion.
Toronto, which beat visiting Austin 2-1 on Saturday, has won four of six league outings (4-2-0) since that setback at Lower.com Field while the Crew are 3-2-2.
“I don’t put any credence (in that),” said Herdman. “I just look at their squad and I salivate.”
Its easy to see why.
Columbus provided a league-high five players to the MLS all-star game on its home field in July in defenders Rudy Camacho and Steven Moreira, midfielder/captain Darlington Nagbe and forwards Cucho Hernandez and Diego Rossi.
Herdman sees layers of talent behind those all-stars.
“You see the way that they’re able to almost carbon-copy players. One comes in, another goes out … and they feel like they have a very similar profile. So to be able to take (Christian) Ramirez out and then bring (Canadian forward Jacen) Russell-Rowe in as a power forward, you look and go ‘Whoa, that’s good to have.'”
Federico Bernardeschi was Toronto’s lone all-star.
Columbus (14-5-8) comes to BMO Field on Wednesday in third place in the Eastern Conference, five places and 14 points ahead of Toronto (11-15-3). A playoff position already clinched, the Crew are hoping to leapfrog Cincinnati into second spot.
Coach Wilfried Nancy is looking forward to matching wits against Herdman.
“John is going to cook (up) something,” the Frenchman said with a belly laugh. “I know John. When we played a game in (the) pre-season, it wasn’t a pre-season game. It was a real game. But this is John. That’s why I like him, because he’s intense all the time.”
“They’re going to try to go all-in. They’re going to try to press us, they’re going to try to match us,” he added. “They know exactly the way we want to play so we’ll have to be clever and creative also.”
Herdman, meanwhile, says TFC will have to play error-free football.
While the Crew have failed to score in their last two outings (a 4-0 loss to visiting Seattle and 0-0 draw at rival FC Cincinnati), Toronto is hurting in its backline.
Nicksoen Gomis and Henry Wingo both left the Austin game early with hamstring injuries with Herdman estimating that Gomis will be out three to four weeks and Wingo 10-12 days. Veteran Kevin Long missed the Austin game after tweaking his hamstring in training and will undergo a fitness test ahead of the game.
Shane O’Neill, meanwhile, is suspended for yellow-card accumulation.
“A tricky situation,” said Herdman.
The Crew are a formidable opponent.
Columbus is tied with Real Salt Lake for fifth in the league in averaging 1.93 goals a game. Only Inter Miami (2.32), Portland Timbers (2.00), Los Angeles Galaxy (1.97) and Colorado Rapids (1.96) score more.
And Columbus boasts the league’s stingiest defence, conceding 1.04 goals a game. In contrast, the Toronto defence is tied for 22nd at 1.76 goals a game.
Toronto has conceded 51 goals, 23 more than Columbus, which has collected more points (7-3-4, 25 points) on the road in league play this season than Toronto has at home (7-7-0, 21 points).
Columbus’ roster also includes Canadian wingback Mo Farsi, who scored in the July win over Toronto.
The Columbus game is the first of four in an 11-day stretch that will see TFC club visit Colorado on Saturday, Vancouver on Sept. 25 in the Canadian Championship final and Chicago on Sept. 28. Toronto will then close out the regular season at home to the New York Red Bulls on Oct. 2 and Inter Miami on Oct. 5.
If the playoffs were to start tomorrow, Toronto would face ninth-place D.C. United in a wild-card matchup with the winner advancing to take on the East’s top seed — currently Miami — in the best-of-three first round.
Herdman would like a different scenario, with his eyes set on overtaking seventh-place Charlotte, which has two points and a game in hand over Toronto. The seventh-place side takes on No. 2 — currently Cincinnati — in the first round.
“We’re looking up, not down at the moment,” said Herdman. “It’s a good motivation for the lads to see that next level on the table. And it has been raised. If we’re able to get to that point, it means you’re not headed down to Miami in the heat, which is a tough place to go.”
“We’ll take whatever comes,” he added. “But the critical part is to get into these playoffs. That’s the key mission at the moment.”
Toronto has not made the post-season since 2020 when, after finishing second overall in the Supporters’ Shield standings, it was upset by Nashville after extra time at the first hurdle.
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This report by The Canadian Press was first published Sept. 17, 2024
MIAMI GARDENS, Fla. (AP) — The Miami Dolphins placed Tua Tagovailoa on injured reserve Tuesday after the quarterback was diagnosed with his third concussion in two years.
Tagovailoa will be sidelined for at least four games. He will be eligible to return in Week 8 when the Dolphins host Arizona, but has to complete a series of tests and assessments required by the NFL’s concussion protocol before he can return to the field.
Tagovailoa was hurt last Thursday night when he collided with Buffalo defensive back Damar Hamlin. He ran for a first down and then initiated the contact by lowering his shoulder into Hamlin instead of sliding.
Players from both teams immediately motioned that Tagovailoa was hurt, and as he lay on the turf the quarterback exhibited some signs typically associated with a traumatic brain injury. He remained down on the field for a couple of minutes, got to his feet and walked to the sideline. The Dolphins diagnosed him with a concussion a few minutes later.
Coach Mike McDaniel has since cautioned against speculation on the quarterback’s future, stressing that he’s more focused on Tagovailoa getting healthy than what this latest concussion means for the team or for his career. Tagovailoa this week began the process of consulting neurologists about his health amid reports that he has no plans to retire.
Others around the NFL have offered their opinions on Tagovailoa’s future, including Raiders coach Antonio Pierce, who suggested he should retire.
“As far as Tua’s career is concerned, I think it’s an utmost priority of mine for Tua to speak on Tua’s career,” McDaniel said Monday. “Reports are reports. As far as I’m concerned, I’m just worried about the human being and where that’s at day to day. I’ll let Tua be the champion of his own career.”
McDaniel said Tagovailoa was at the team’s practice facility on Monday, greeting teammates and working with trainers.
“He’s doing good, man. Talked to him, he’s in good spirits,” receiver Jaylen Waddle said Monday. “(He’s) got the team in good spirits and everybody praying for him and hoping (for his) health.”
Head injuries have become a familiar, scary occurrence throughout Tagovailoa’s career.
In a September 2022 game against the Bills, he took a hit from linebacker Matt Milano, which caused him to slam to the ground. He appeared disoriented afterward and stumbled as he tried to get to his feet. He was cleared to return to that game and later said it was a back injury that caused the stumble. He was not diagnosed with a concussion.
Four days later, he got hit again during a Thursday night game at Cincinnati in which he was briefly knocked unconscious and was taken off the field on a stretcher. As he lay on the turf, his fingers appeared to display the “fencing response,” an involuntary motion typically associated with a brain injury. That time, he was placed in the concussion protocol.
The NFL and the players’ union made changes to the concussion protocol after those two incidents with Tagovailoa. Players who have problems with balance or stability are now prohibited from returning to a game.
Tagovailoa briefly considered retirement, but instead returned and studied ways to better protect himself on the field, including taking jiu-jitsu classes ahead of the 2023 season.
Tagovailoa has said he spoke to numerous neurologists who told him they did not believe he would be more susceptible to head injuries than any other player moving forward, nor would he be at a higher risk for chronic traumatic encephalopathy (CTE), the brain disease associated with repeated blows to the head. He was also diagnosed with a concussion while in college at Alabama.
With Tagovailoa sidelined, the Dolphins will go with backup Skylar Thompson when play at Seattle on Sunday. Miami also signed Tyler Huntley off the Ravens’ practice squad.
