Delays Turn Canada’s Covid Vaccination Optimism Into Anxiety - The New York Times | Canada News Media
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Delays Turn Canada’s Covid Vaccination Optimism Into Anxiety – The New York Times

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After quickly approving a vaccine and getting an early start to inoculations, Canadians worry as the country falls behind in vaccinations.

OTTAWA — Canada seemed to be off to a quick start. Its regulator had approved a coronavirus vaccine codeveloped by Pfizer just ahead of the United States, and national newscasts were soon filled with images of people getting their first injections.

But the hopes raised by the vaccination launch in December — buoyed, too, by news that Canada had ordered doses equal to 10 times its population — have soured. Production issues at Pfizer and Moderna, makers of the only two vaccines currently approved in Canada, have led to reduced shipments — including some weeks in which no vaccine has arrived at all.

But while the disruptions have become the talk of the nation, more fundamental factors involving Canada’s strategic decisions and its production realities have always meant that the launch of vaccinations would be more of a test run than a full-on rollout.

Even if Canada gets back on schedule, this nation of 37.5 million people is expected to receive just six million doses by the end of next month. To date, only about 1.5 million people have been injected.

Updates of a global ranking of vaccinations now receive nearly as much attention as hockey scores in the Canadian media. As Britain and even the United States, despite its problems, continue to rise in the rankings, Canada has dropped well down the list, sandwiched this week between Bangladesh and Romania.

The nation’s vaccine anxiety has, according to polls, led to a drop in approval ratings for Prime Minister Justin Trudeau’s performance during the pandemic. Nearly 60 percent of Canadians think the country should be performing better or at least as well as other industrialized nations, one poll found.

It’s also prompted sometimes heated criticism from the Conservative opposition in Parliament and from several provincial premiers whose governments are responsible for sticking needles into arms.

“While the world is vaccinating by the millions, the government can only deliver a few thousand,” Erin O’Toole, the Conservative leader, said in Parliament on Tuesday. “Where is the plan to get vaccines into the arms of Canadians?”

Carlos Osorio/Reuters

Mr. Trudeau, while acknowledging the impatience, has tried to offer assurances.

“People are worried, people are tired of this pandemic,” he said at a news conference last week. “There’s a lot of anxiety, and there’s a lot of noise going on right now. That’s why I want to reassure Canadians that we are on track.”

Canada has not been alone. Short shipments of vaccines have also led to tensions in Europe and other parts of the world

The pressure on Mr. Trudeau may begin to ease. After slowing and briefly cutting off shipments to Canada while it modified a factory in Belgium to increase production, Pfizer sent its largest shipment of vaccine so far to Canada this week. Part of that shipment, however, was delayed by severe weather as it transited through the United States.

While the prime minister has said that Pfizer’s renewed deliveries will allow Canada to hit its target of six million doses by the end of March, that still means the overwhelming majority of Canadians will still be waiting, probably well into summer, for their shots.

Vaccine and infection control specialists say that Canada’s start was always going to be sluggish because of several key factors, notably its decision last year to spread its 414 million orders among seven different companies to reduce risk rather than bet on a single vaccine in exchange for early delivery. Only two of those companies have vaccines approved for use in Canada so far.

And Canada faces inherent disadvantages, too: primarily the lack of an established vaccine producer headquartered in the country and its relatively limited production capacity to make the vaccines developed by foreign companies.

Blair Gable/Reuters

Experts said that the short or delayed shipments so far should not have surprised anyone.

“There’s never been a vaccine rollout where there weren’t shortages because of issues around working the bugs out of the manufacturing,” said Dr. Scott Halperin, a professor of medicine at Dalhousie University in Halifax and the medical director of the Canadian Center for Vaccinology. “So anybody who didn’t anticipate that there’d be some hiccups in the manufacturing process just wasn’t aware of the past.”

Dr. David N. Fisman, a professor of epidemiology at the University of Toronto’s Dalla Lana School of Public Health, attributed the national hand-wringing to another factor.

“It looks more like we’ve gotten what we had been expecting, with occasional hiccups,” he said. “So I think most of the sound and fury really relates to just political point scoring. Is there anything the federal government realistically could have done to have received more vaccine earlier and magically stopped those hiccups?”

Doug Ford, Ontario’s conservative premier, proposed one answer, though its political viability has been questioned. During a news conference last month he urged President Biden to send Canada one million doses of vaccine from a Pfizer factory in Michigan that’s within driving distance of the international border.

“Our American friends, help us out,” said Mr. Ford, who has avoided criticizing Mr. Trudeau. “You have a new president, no more excuses.”

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Under Canada’s system, the provinces are responsible for running health care systems, including performing vaccinations, while the federal government regulates vaccines and drugs and negotiates prices. With the pandemic, Mr. Trudeau also took on responsibility for buying the country’s vaccine stockpile.

Carlos Osorio/Reuters

Brian Pallister, the premier of Manitoba, broke with that program last week and announced that his province will spend 36 million Canadian dollars to buy vaccines from a small company in Calgary, Alberta, that switched from developing a vaccine for cancer to the coronavirus.

“I just want a Canadian home field advantage,” Mr. Pallister, said as he called on other premiers to join him in “building a Canadian-made solution, not just for today but for tomorrow.”

But vaccine from the Calgary company, Providence Therapeutics, won’t speed up inoculation rates any time soon. The company, which has asked Mr. Trudeau’s government for financial aid, began the first phase of human trials for its vaccine only in late January.

Assuming its vaccine is approved, Providence expects to begin production late this year or early next year — long after Mr. Trudeau’s September target to vaccinate all Canadians.

Because Canada has released little information about its vaccine contracts, Mahesh Nagarajan, a professor at the Sauder School of Business at the University of British Columbia in Vancouver, said it’s impossible to determine if anything could have been done to speed deliveries.

But Dr. Nagarajan said the country’s relatively small population and its lack of membership in a trade bloc like the European Union put it in a comparatively weak negotiating position.

“When production is done in other places and when resources are scarce, you cannot simply assume people are going to ship things out,” said Dr. Nagarajan, adding that provincial efficiency in administering vaccines will probably determine whether Mr. Trudeau’s September target can be met.

Dr. Fisman said he is optimistic that Canada “will be awash in vaccine supply by summer.” Until then, he had some advice for Canadians.

“Folks need to take a few deep breaths and get through March and April,” he said. “I think we’re actually in an OK place.”

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Health Canada approves updated Moderna COVID-19 vaccine

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TORONTO – Health Canada has authorized Moderna’s updated COVID-19 vaccine that protects against currently circulating variants of the virus.

The mRNA vaccine, called Spikevax, has been reformulated to target the KP.2 subvariant of Omicron.

It will replace the previous version of the vaccine that was released a year ago, which targeted the XBB.1.5 subvariant of Omicron.

Health Canada recently asked provinces and territories to get rid of their older COVID-19 vaccines to ensure the most current vaccine will be used during this fall’s respiratory virus season.

Health Canada is also reviewing two other updated COVID-19 vaccines but has not yet authorized them.

They are Pfizer’s Comirnaty, which is also an mRNA vaccine, as well as Novavax’s protein-based vaccine.

This report by The Canadian Press was first published Sept. 17, 2024.

Canadian Press health coverage receives support through a partnership with the Canadian Medical Association. CP is solely responsible for this content.

The Canadian Press. All rights reserved.

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These people say they got listeria after drinking recalled plant-based milks

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TORONTO – Sanniah Jabeen holds a sonogram of the unborn baby she lost after contracting listeria last December. Beneath, it says “love at first sight.”

Jabeen says she believes she and her baby were poisoned by a listeria outbreak linked to some plant-based milks and wants answers. An investigation continues into the recall declared July 8 of several Silk and Great Value plant-based beverages.

“I don’t even have the words. I’m still processing that,” Jabeen says of her loss. She was 18 weeks pregnant when she went into preterm labour.

The first infection linked to the recall was traced back to August 2023. One year later on Aug. 12, 2024, the Public Health Agency of Canada said three people had died and 20 were infected.

The number of cases is likely much higher, says Lawrence Goodridge, Canada Research Chair in foodborne pathogen dynamics at the University of Guelph: “For every person known, generally speaking, there’s typically 20 to 25 or maybe 30 people that are unknown.”

The case count has remained unchanged over the last month, but the Public Health Agency of Canada says it won’t declare the outbreak over until early October because of listeria’s 70-day incubation period and the reporting delays that accompany it.

Danone Canada’s head of communications said in an email Wednesday that the company is still investigating the “root cause” of the outbreak, which has been linked to a production line at a Pickering, Ont., packaging facility.

Pregnant people, adults over 60, and those with weakened immune systems are most at risk of becoming sick with severe listeriosis. If the infection spreads to an unborn baby, Health Canada says it can cause miscarriage, stillbirth, premature birth or life-threatening illness in a newborn.

The Canadian Press spoke to 10 people, from the parents of a toddler to an 89-year-old senior, who say they became sick with listeria after drinking from cartons of plant-based milk stamped with the recalled product code. Here’s a look at some of their experiences.

Sanniah Jabeen, 32, Toronto

Jabeen says she regularly drank Silk oat and almond milk in smoothies while pregnant, and began vomiting seven times a day and shivering at night in December 2023. She had “the worst headache of (her) life” when she went to the emergency room on Dec. 15.

“I just wasn’t functioning like a normal human being,” Jabeen says.

Told she was dehydrated, Jabeen was given fluids and a blood test and sent home. Four days later, she returned to hospital.

“They told me that since you’re 18 weeks, there’s nothing you can do to save your baby,” says Jabeen, who moved to Toronto from Pakistan five years ago.

Jabeen later learned she had listeriosis and an autopsy revealed her baby was infected, too.

“It broke my heart to read that report because I was just imagining my baby drinking poisoned amniotic fluid inside of me. The womb is a place where your baby is supposed to be the safest,” Jabeen said.

Jabeen’s case is likely not included in PHAC’s count. Jabeen says she was called by Health Canada and asked what dairy and fresh produce she ate – foods more commonly associated with listeria – but not asked about plant-based beverages.

She’s pregnant again, and is due in several months. At first, she was scared to eat, not knowing what caused the infection during her last pregnancy.

“Ever since I learned about the almond, oat milk situation, I’ve been feeling a bit better knowing that it wasn’t something that I did. It was something else that caused it. It wasn’t my fault,” Jabeen said.

She’s since joined a proposed class action lawsuit launched by LPC Avocates against the manufacturers and sellers of Silk and Great Value plant-based beverages. The lawsuit has not yet been certified by a judge.

Natalie Grant and her seven year-old daughter, Bowmanville, Ont.

Natalie Grant says she was in a hospital waiting room when she saw a television news report about the recall. She wondered if the dark chocolate almond milk her daughter drank daily was contaminated.

She had brought the girl to hospital because she was vomiting every half hour, constantly on the toilet with diarrhea, and had severe pain in her abdomen.

“I’m definitely thinking that this is a pretty solid chance that she’s got listeria at this point because I knew she had all the symptoms,” Grant says of seeing the news report.

Once her daughter could hold fluids, they went home and Grant cross-checked the recalled product code – 7825 – with the one on her carton. They matched.

“I called the emerg and I said I’m pretty confident she’s been exposed,” Grant said. She was told to return to the hospital if her daughter’s symptoms worsened. An hour and a half later, her fever spiked, the vomiting returned, her face flushed and her energy plummeted.

Grant says they were sent to a hospital in Ajax, Ont. and stayed two weeks while her daughter received antibiotics four times a day until she was discharged July 23.

“Knowing that my little one was just so affected and how it affected us as a family alone, there’s a bitterness left behind,” Grant said. She’s also joined the proposed class action.

Thelma Feldman, 89, Toronto

Thelma Feldman says she regularly taught yoga to friends in her condo building before getting sickened by listeria on July 2. Now, she has a walker and her body aches. She has headaches and digestive problems.

“I’m kind of depressed,” she says.

“It’s caused me a lot of physical and emotional pain.”

Much of the early days of her illness are a blur. She knows she boarded an ambulance with profuse diarrhea on July 2 and spent five days at North York General Hospital. Afterwards, she remembers Health Canada officials entering her apartment and removing Silk almond milk from her fridge, and volunteers from a community organization giving her sponge baths.

“At my age, 89, I’m not a kid anymore and healing takes longer,” Feldman says.

“I don’t even feel like being with people. I just sit at home.”

Jasmine Jiles and three-year-old Max, Kahnawake Mohawk Territory, Que.

Jasmine Jiles says her three-year-old son Max came down with flu-like symptoms and cradled his ears in what she interpreted as a sign of pain, like the one pounding in her own head, around early July.

When Jiles heard about the recall soon after, she called Danone Canada, the plant-based milk manufacturer, to find out if their Silk coconut milk was in the contaminated batch. It was, she says.

“My son is very small, he’s very young, so I asked what we do in terms of overall monitoring and she said someone from the company would get in touch within 24 to 48 hours,” Jiles says from a First Nations reserve near Montreal.

“I never got a call back. I never got an email”

At home, her son’s fever broke after three days, but gas pains stuck with him, she says. It took a couple weeks for him to get back to normal.

“In hindsight, I should have taken him (to the hospital) but we just tried to see if we could nurse him at home because wait times are pretty extreme,” Jiles says, “and I don’t have child care at the moment.”

Joseph Desmond, 50, Sydney, N.S.

Joseph Desmond says he suffered a seizure and fell off his sofa on July 9. He went to the emergency room, where they ran an electroencephalogram (EEG) test, and then returned home. Within hours, he had a second seizure and went back to hospital.

His third seizure happened the next morning while walking to the nurse’s station.

In severe cases of listeriosis, bacteria can spread to the central nervous system and cause seizures, according to Health Canada.

“The last two months have really been a nightmare,” says Desmond, who has joined the proposed lawsuit.

When he returned home from the hospital, his daughter took a carton of Silk dark chocolate almond milk out of the fridge and asked if he had heard about the recall. By that point, Desmond says he was on his second two-litre carton after finishing the first in June.

“It was pretty scary. Terrifying. I honestly thought I was going to die.”

Cheryl McCombe, 63, Haliburton, Ont.

The morning after suffering a second episode of vomiting, feverish sweats and diarrhea in the middle of the night in early July, Cheryl McCombe scrolled through the news on her phone and came across the recall.

A few years earlier, McCombe says she started drinking plant-based milks because it seemed like a healthier choice to splash in her morning coffee. On June 30, she bought two cartons of Silk cashew almond milk.

“It was on the (recall) list. I thought, ‘Oh my God, I got listeria,’” McCombe says. She called her doctor’s office and visited an urgent care clinic hoping to get tested and confirm her suspicion, but she says, “I was basically shut down at the door.”

Public Health Ontario does not recommend listeria testing for infected individuals with mild symptoms unless they are at risk of developing severe illness, such as people who are immunocompromised, elderly, pregnant or newborn.

“No wonder they couldn’t connect the dots,” she adds, referencing that it took close to a year for public health officials to find the source of the outbreak.

“I am a woman in my 60s and sometimes these signs are of, you know, when you’re vomiting and things like that, it can be a sign in women of a bigger issue,” McCombe says. She was seeking confirmation that wasn’t the case.

Disappointed, with her stomach still feeling off, she says she decided to boost her gut health with probiotics. After a couple weeks she started to feel like herself.

But since then, McCombe says, “I’m back on Kawartha Dairy cream in my coffee.”

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