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Canada’s high-risk populations face COVID-19 vaccine barriers

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By Anna Mehler Paperny

TORONTO (Reuters) – As Canada‘s vaccination campaign ramps up, people at higher risk of transmitting COVID-19 often lack the resources to navigate labyrinthine booking systems or the documentation that would ease their path to inoculation.

Those without provincial health insurance, such as refugee claimants or undocumented workers, often perform front-line jobs or live in neighbourhoods that put them at high risk of infection. Immunizing this population is critical to tackling Canada‘s crushing third-wave of the pandemic, epidemiologists said.

But a recent study from Toronto’s ICES – previously known as the Institute for Clinical and Evaluative Sciences – found vaccination rates are lower among Ontario’s immigrants, refugees, and those new to the provincial health system.

Twenty-two percent of refugees had at least one dose of vaccine, as did 12% of recent provincial health plan registrants, well below the 38% for Canadian-born and long-term residents, the study found.

The study did not look at people who lacked provincial health insurance.

Ontario, Canada‘s most populous province, does not require people to have provincial health insurance to qualify for a COVID-19 vaccine. But it can be extremely difficult for people without a health card to sign up for a shot.

Nurse Shazmah Hussein sets aside two full days of her week to work the phones and help people navigate vaccine sign-ups at Toronto’s Crossroads Refugee Clinic. In an average day, she said she may help 17 people sign up for shots after getting bounced from one phone number or website to another.

Registering for a shot takes maybe 15 minutes for someone who has Ontario health insurance. For people without the health coverage, it can take 45 minutes, even for someone familiar with the system who speaks fluent English.

“They’ve cried on the phone and said, ‘Thank you so much, you’re my angel,'” said Hussein. “I don’t think I did anything special. But just because they’ve had such a hard time navigating … it makes me feel like I’ve moved a mountain.”

Reuters called 20 pharmacies in Toronto and the neighbouring Peel region that were offering vaccines. Seven said they required health cards. Even within the same retail chain, there was variation in what a person needed to get vaccinated.

Loblaw Co Ltd, which owns Shoppers Drug Mart, told Reuters a health card was not required and “we have been doing our best to clarify criteria with stores.”

On Friday, Toronto announced it is partnering with community agencies to help people without provincial health coverage register for a vaccine.

Byron Cruz, an advocate with Sanctuary Health in Vancouver, said those without a valid visa and other documents have avoided signing up for a vaccine out of fear of exposing themselves to immigration authorities.

A spokeswoman for the province of British Columbia’s health ministry said information “provided to public health for the purpose of the immunization plan will not be shared with other organizations.”

An Ontario Ministry of Health spokesperson said that province would adhere to privacy legislation but did not commit to not sharing the information with immigration authorities.

 

(Reporting by Anna Mehler Paperny; Additional reporting by Moira Warburton; Editing by Denny Thomas and Bill Berkrot)

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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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