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Drugstores ramp up COVID-19 testing as part of health-care push – BNN

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Bolstered by early successes, drugstores are accelerating their push into traditional health care amid the COVID-19 pandemic.

Loblaw Companies Ltd., which began offering COVID-19 testing for patients at a handful of its Alberta pharmacy locations in June, plans to expand the program to all 234 of its pharmacies in the province by Sept. 1.

The company says it has reached out to all 10 provinces to discuss in-store testing outside Alberta, with Ontario Premier Doug Ford this week acknowledging the possibility.

The swab tests are only for those with no symptoms or any known contact with coronavirus patients and may be useful for teachers returning to school or Canadians who take care of an older family member, said Theresa Firestone, head of health and wellness at Shoppers Drug Mart. Loblaw-owned pharmacy locations include Shoppers stores as well as Independent Foods and No Frills.

“It’s very convenient. We’re in every community. The other plus is they don’t have to line up with people who may have symptoms. We’ve shared that with Ontario and with other provinces, so at this point we’re looking forward to what they may decide,” Firestone said.

London Drugs also conducts COVID-19 tests in Alberta. It began offering the service at six locations during the past two weeks and plans to roll it out at nine more by October. Like Shoppers, it bills Alberta Health Services for testing costs.

The service builds on other responses to the pandemic such as online pharmacist consultations and a pilot program where patients consult virtually with doctors in a private room in the store.

London Drugs, whose 82 stores are located across all four Western provinces, is among the pharmacy retailers beefing up their role in a health-care system grappling with an aging population.

“With the extended hours of operation, you can basically go in when our stores are open and be able to find a pharmacist to ask a question. So what we’re able to do at that point is basically help triage the system,” said Chris Chiew, head of pharmacy at the Richmond, B.C.-based retailer.

London Drugs has also hired diabetes educators to test blood sugar and cholesterol levels and assist patients with weight management and diet.

Shoppers has stepped even further into the realm of physicians, opening one of three planned medical clinics with doctors who cater to a roster of patients and walk-in services.

“There are a number of Canadians who don’t have access to a family physician. And we thought there was an opportunity for us to really play a role here in terms of access,” Firestone said.

Drugstores can also handle the bureaucratic side of health care, freeing up doctors to spend more time with patients, she said.

“Looking for PPE (personal protective equipment), sorting out their waiting rooms so that people are socially distanced, managing virtual care…we’re able to take that burden on for them,” Firestone said.

Community access and convenience are a critical advantage drugstores can cultivate as thinning profit margins prompt them to look beyond over-the-counter sales for income.

“Drugstores have faced tighter margins for generic drugs in recent years and have been looking for alternative sources of revenue,” said University of Calgary economics professor Aidan Hollis.

Some provinces now allow pharmacists to vaccinate patients – flu shots, for example – and write prescriptions for certain medication, such as birth control, as well as extend prescription refills for chronic medications.

“In addition, pharmacies find it attractive to draw patients in for health care even if they don’t earn profits on supplying health care: once the patients are there they may purchase other goods,” Hollis said.

Drugstore chains under the umbrella of McKesson Canada, including Rexall, Guardian and I.D.A., have also started to offer the tests and have conducted more than 6,000 to date.

Metro Inc. declined to comment on any attempts to provide COVID-19 testing. The bulk of the company’s Jean Coutu drugstores are located in Quebec, which unlike some provinces does not allow pharmacists to conduct testing via nose and mouth swabs.

B.C., Saskatchewan and Manitoba have not expressed particular interest in asymptomatic testing in pharmacies, according to London Drugs, which has reached out to all three provinces.

“They have the capacity right now to be able to do the number of tests that they want to do,” Chiew said.

Ontario conducted 24,353 tests last week and can process up to 33,000 weekly through its provincial lab network, the health ministry said.

“We are looking at ways of enhancing access to testing. Having pharmacies function as testing centres is currently under consideration,” spokeswoman Miriam Mohamadi said in an email.

“How to integrate pharmacies into the COVID-19 diagnostic network, specifically how they would function and for whom they would be appropriate, is being explored.”

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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.

The Canadian Press. All rights reserved.

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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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