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Enough excuses: province's vaccine rollout a failure – Winnipeg Free Press

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Manitoba was scheduled to dole out between 8,000 to 9,000 doses of COVID-19 vaccine per day this week. So far, the province is doing a little more than half that. This weekend, the vaccine rollout is scheduled to scale down again, as it does most weekends. The province is expecting to administer just over 4,000 doses Easter Sunday.

Despite a shipment of over 123,000 doses expected to arrive in Manitoba this week from three separate suppliers, the province is projecting to administer only 5,000 to 9,000 doses a day over the next three weeks. That’s not even close to half the theoretical capacity of 20,918 daily doses the province claims it can do.

Despite a shipment of over 123,000 doses expected to arrive in Manitoba this week from three separate suppliers, the province is projecting to administer only 5,000 to 9,000 doses a day over the next three weeks. (Muhammad Sajjad / The Associated Press files)

There is still no urgency here.

The excuses are piling up: the province says it’s falling behind on data entry, so not all numbers are up to date; the government had trouble hiring “navigators” at the RBC Convention Centre “super-site,” which caused bottlenecks over the weekend; next week’s Moderna vaccine shipment is going to be late; it takes longer to get vaccines through smaller supply chains like pop-up clinics and focused immunization teams; the province is still not getting enough supply from the federal government.

Daily vaccines administered

Click to Expand

March 17 — 4,794
March 18 — 5,075
March 19 — 5,455
March 20 — 5,088
March 21 — 2,642
March 22 — 3,262
March 23 — 6,938
March 24 — 5,810
March 25 — 5,060
March 26 — 5,738
March 27 — 5,385
March 28 — 5,026
March 29 — 4,733
March 30 — 5,282

— Daily increases in total doses administered as reported on Manitoba COVID-19 vaccinations — summary statistics dashboard. Includes super-sites, pop-up clinics, focused immunization teams, pharmacies and medical clinics. Does not include First Nations.

The excuses are wearing thin. If there was a supply problem a month ago, there isn’t one now. The province has received 248,180 doses of vaccine (all of which it’s had since March 26) and has administered 199,322 of them, including on First Nations, in pharmacies and medical clinics. The province still has an inventory of almost 50,000 doses, an amount that is expected to soar with the arrival of more shipments this week.

If data isn’t being entered into the system quickly enough, the province should hire data entry staff. While they’re at it, they should fix the online vaccine reporting. Right now, the province is reporting two sets of conflicting data sets on how many vaccines are administered each day (both are showing the province is well behind in its projections).

Also, why the slowdown on weekends? The province has not been scheduling vaccinations through pop-up clinics or focused immunization teams on Sundays. People are still dying from COVID-19 and more contagious variants are spreading rapidly. This is not the time to take Sundays off.

A person sits outside the convention centre after receiving their COVID-19 vaccination Wednesday afternoon. (Daniel Crump / Winnipeg Free Press)

A person sits outside the convention centre after receiving their COVID-19 vaccination Wednesday afternoon. (Daniel Crump / Winnipeg Free Press)

Manitoba is getting at least 500,000 doses over the next nine weeks (likely far more), enough to do 8,000 doses a day, not including the nearly 50,000 doses sitting in freezers, or shipped to third parties.

Last week, provincial officials said all available doses were booked and they would run out in five days if no new supply arrived. New supply did arrive (just under 15,000 doses) and they’re nowhere near depleting their inventory. This week, the province said all available doses are booked and they would run out in seven days if more supply didn’t arrive. Over 123,000 doses are scheduled to arrive. At this rate, the province will be further behind this time next week.

There has been no ramping up of the vaccine program. The province has been averaging around 5,000 doses a day (not including First Nations, which are doing around 2,000 doses a week). Manitoba has been stuck at that level for two weeks. Provincial officials can’t blame it on delays in data entry because the data eventually gets caught up. If Manitoba was ramping up, an upward trend would emerge. It hasn’t.

Premier Brian Pallister continues to blame a lack of supply for the slow rollout, insisting the province could do far more if it had more doses from the federal government. (Mikaela MacKenzie / Winnipeg Free Press)

Premier Brian Pallister continues to blame a lack of supply for the slow rollout, insisting the province could do far more if it had more doses from the federal government. (Mikaela MacKenzie / Winnipeg Free Press)

Premier Brian Pallister continues to blame a lack of supply for the slow rollout, insisting the province could do far more if it had more doses from the federal government. It’s no longer just a tired excuse, it’s an insult to Manitobans (one the many reasons the premier’s approval rating has taken a nosedive in the polls).

“There are going to be hiccups along the way,” he said Wednesday.

These aren’t hiccups. This is evidence of a poorly rolled-out program.

The tens of thousands of doses still sitting in freezers should be in Manitobans’ arms. If they were, more people would be protected against serious illness, including death. This is a major failure.

tom.brodbeck@freepress.mb.ca

Tom Brodbeck

Tom Brodbeck
Columnist

Tom has been covering Manitoba politics since the early 1990s and joined the Winnipeg Free Press news team in 2019.

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Health

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.

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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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