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Experts temper Pfizer vaccine concerns after elderly deaths in Norway – Global News

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As coronavirus vaccines make it into the arms of more Canadians every day, experts say it’s understandable that news of potential adverse reactions piques a certain amount of interest.

But there’s a difference between “adverse events following immunization” and adverse events “directly related to a vaccine,” said Alyson Kelvin, a virologist and assistant professor at Dalhousie University, who is currently working on COVID-19 vaccines with VIDO-InterVac.

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This is an important distinction, she said, particularly as we begin to question new reports like the deaths of elderly vaccine recipients in Norway.

“I could get the vaccine and five hours later get hit by a car, and that’s going to be recorded as an adverse event,” she said.

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“Just because it’s an adverse event, doesn’t mean it’s directly related to the vaccine. It just means that it happened after someone got a vaccination… In Norway’s case, we’re talking about adverse events following immunization.”

Deaths in Norway

While it’s far from unusual that new drugs, like the COVID-19 vaccine, come with side effects and potential safety concerns, the reports of over 30 deaths among elderly people in Norway have stirred worry.

But at this point, there’s little reason to be concerned, experts agree.






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Norway has prioritized the immunization of nursing-home residents, including those with serious underlying diseases. Of the about 45,000 people vaccinated with the Pfizer-BioNTech shot since mid-January, 33 deaths have been reported.

Those who died were aged 75 years and older, according to Norwegian health authorities. All were described as elderly, frail, with serious diseases and nearing the end of their lives independent of the vaccine.

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“We have to look at the collective global experience,” said Isaac Bogoch, an infectious disease specialist based out of Toronto General Hospital.

“There have been over 40 million doses administered globally, mostly to older populations, including those in long-term care. We haven’t heard those signals emerge from Canada, the United States, or the U.K. — all places that have formal mechanisms for evaluating adverse events.”

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Norwegian officials say there’s no evidence of a direct link between the vaccines and the deaths, but they are still investigating. However, they did provide some context, telling reporters Monday that an average of 400 people die every week in Norway’s nursing homes and long-term care facilities.

“It’s grim to speak about but we are vaccinating our oldest individuals who are not only more susceptible to COVID-19, they’re more susceptible to dying of any causes on a daily or weekly basis,” Kelvin said.

“But these things still need to be followed, even if they seem completely unrelated.”

She returned to her car accident analogy.

“Maybe someone drove up and hit me while I was standing on the corner, but maybe I was feeling lightheaded after getting the vaccine and it caused me to step in traffic,” she said.

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“These are important links we need to be making.”






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Adverse reaction reporting

Different countries have different mechanisms for determining adverse effects after vaccination.

How these events are reported and reviewed — and the sharing of that data globally — is paramount, Kelvin said.

Health Canada this month launched a new website that provides weekly reports on vaccine safety. It details how many people experience non-serious events, like soreness at the injection site, and serious events, like severe allergic reactions.

The deaths in Norway were reportedly associated with fever, nausea and diarrhea. While these sit on the more serious side of the spectrum, these outcomes would be minor to most.

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It’s the adverse events of “special interest” that deserve particular attention, said Kelvin.

“These are actually related to the vaccine,” she said.

As of Jan. 8, there have been 24 adverse events related to COVID-19 vaccination in Canada, but zero adverse events of special interest.

“Meaning that even though 24 adverse events have been reported, none of them have been directly linked to a life-threatening adverse event following immunization, that’s related to the vaccine,” Kelvin said.






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So far, there have been zero reported adverse events among Canada’s oldest demographic, categorized as 65-plus.

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Since the vast majority of Canada’s first batch of vaccines are being doled out to long-term care facilities, Kelvin said this indicates no sign of an increased risk of adverse events in that age group.

“We’re not getting any type of safety signals here in Canada,” she said.

Of all the doses administered as of Jan. 8, a mere 0.007 per cent resulted in an adverse event. It’s a minuscule number, Kelvin said, “even though some of those might be completely unrelated to the vaccine.”

“It seems that we’re continuing a very strong safety profile,” she added.

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Learning from Norway

Norway has no intention to change its recommendations on using the vaccine on the terminally ill. It will continue to vaccinate residents of care homes, including the frailest.

Pfizer told CNN on Saturday that it is working with the Norwegian Medicines Agency (NOMA) to gather all the relevant information, adding that NOMA has said that “the number of incidents so far is not alarming, and in line with expectations.”

The Public Health Agency of Canada did not respond to a request for comment on Norway’s reports by time of publication, however, there is no reason to believe Canada would consider changing its recommendation either, Kelvin said, pointing to the data.

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However, Kelvin believes there’s value in investigating whether possible vaccine side effects could aggravate or exacerbate underlying illnesses, which was echoed by Steinar Madsen, the medical director at the Norwegian Medicines Agency.






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He told Bloomberg this week that the side effects of immunization can, in some cases, “tip the patients into a more serious course of the underlying disease,” but emphasized that “COVID-19 is far more dangerous to most patients than vaccination.”

In the meantime, “emotion needs to be tempered with data and time,” said Bogoch.

“Do we see a signal amongst the noise of the millions and millions of doses administered? No, not really,” he said.

“Does that mean we don’t see that signal or that we aren’t looking for it? Of course not. We have to be open-minded about data that emerges but look at that data in an objective manner.”

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— with files from Reuters and The Associated Press

© 2021 Global News, a division of Corus Entertainment Inc.

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Telus prioritizing ‘most important customers,’ avoiding ‘unprofitable’ offers: CFO

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Telus Corp. says it is avoiding offering “unprofitable” discounts as fierce competition in the Canadian telecommunications sector shows no sign of slowing down.

The company said Friday it had fewer net new customers during its third quarter compared with the same time last year, as it copes with increasingly “aggressive marketing and promotional pricing” that is prompting more customers to switch providers.

Telus said it added 347,000 net new customers, down around 14.5 per cent compared with last year. The figure includes 130,000 mobile phone subscribers and 34,000 internet customers, down 30,000 and 3,000, respectively, year-over-year.

The company reported its mobile phone churn rate — a metric measuring subscribers who cancelled their services — was 1.09 per cent in the third quarter, up from 1.03 per cent in the third quarter of 2023. That included a postpaid mobile phone churn rate of 0.90 per cent in its latest quarter.

Telus said its focus is on customer retention through its “industry-leading service and network quality, along with successful promotions and bundled offerings.”

“The customers we have are the most important customers we can get,” said chief financial officer Doug French in an interview.

“We’ve, again, just continued to focus on what matters most to our customers, from a product and customer service perspective, while not loading unprofitable customers.”

Meanwhile, Telus reported its net income attributable to common shares more than doubled during its third quarter.

The telecommunications company said it earned $280 million, up 105.9 per cent from the same three-month period in 2023. Earnings per diluted share for the quarter ended Sept. 30 was 19 cents compared with nine cents a year earlier.

It reported adjusted net income was $413 million, up 10.7 per cent year-over-year from $373 million in the same quarter last year. Operating revenue and other income for the quarter was $5.1 billion, up 1.8 per cent from the previous year.

Mobile phone average revenue per user was $58.85 in the third quarter, a decrease of $2.09 or 3.4 per cent from a year ago. Telus said the drop was attributable to customers signing up for base rate plans with lower prices, along with a decline in overage and roaming revenues.

It said customers are increasingly adopting unlimited data and Canada-U.S. plans which provide higher and more stable ARPU on a monthly basis.

“In a tough operating environment and relative to peers, we view Q3 results that were in line to slightly better than forecast as the best of the bunch,” said RBC analyst Drew McReynolds in a note.

Scotiabank analyst Maher Yaghi added that “the telecom industry in Canada remains very challenging for all players, however, Telus has been able to face these pressures” and still deliver growth.

The Big 3 telecom providers — which also include Rogers Communications Inc. and BCE Inc. — have frequently stressed that the market has grown more competitive in recent years, especially after the closing of Quebecor Inc.’s purchase of Freedom Mobile in April 2023.

Hailed as a fourth national carrier, Quebecor has invested in enhancements to Freedom’s network while offering more affordable plans as part of a set of commitments it was mandated by Ottawa to agree to.

The cost of telephone services in September was down eight per cent compared with a year earlier, according to Statistics Canada’s most recent inflation report last month.

“I think competition has been and continues to be, I’d say, quite intense in Canada, and we’ve obviously had to just manage our business the way we see fit,” said French.

Asked how long that environment could last, he said that’s out of Telus’ hands.

“What I can control, though, is how we go to market and how we lead with our products,” he said.

“I think the conditions within the market will have to adjust accordingly over time. We’ve continued to focus on digitization, continued to bring our cost structure down to compete, irrespective of the price and the current market conditions.”

Still, Canada’s telecom regulator continues to warn providers about customers facing more charges on their cellphone and internet bills.

On Tuesday, CRTC vice-president of consumer, analytics and strategy Scott Hutton called on providers to ensure they clearly inform their customers of charges such as early cancellation fees.

That followed statements from the regulator in recent weeks cautioning against rising international roaming fees and “surprise” price increases being found on their bills.

Hutton said the CRTC plans to launch public consultations in the coming weeks that will focus “on ensuring that information is clear and consistent, making it easier to compare offers and switch services or providers.”

“The CRTC is concerned with recent trends, which suggest that Canadians may not be benefiting from the full protections of our codes,” he said.

“We will continue to monitor developments and will take further action if our codes are not being followed.”

French said any initiative to boost transparency is a step in the right direction.

“I can’t say we are perfect across the board, but what I can say is we are absolutely taking it under consideration and trying to be the best at communicating with our customers,” he said.

“I think everyone looking in the mirror would say there’s room for improvement.”

This report by The Canadian Press was first published Nov. 8, 2024.

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TC Energy cuts cost estimate for Southeast Gateway pipeline project in Mexico

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CALGARY – TC Energy Corp. has lowered the estimated cost of its Southeast Gateway pipeline project in Mexico.

It says it now expects the project to cost between US$3.9 billion and US$4.1 billion compared with its original estimate of US$4.5 billion.

The change came as the company reported a third-quarter profit attributable to common shareholders of C$1.46 billion or $1.40 per share compared with a loss of C$197 million or 19 cents per share in the same quarter last year.

Revenue for the quarter ended Sept. 30 totalled C$4.08 billion, up from C$3.94 billion in the third quarter of 2023.

TC Energy says its comparable earnings for its latest quarter amounted to C$1.03 per share compared with C$1.00 per share a year earlier.

The average analyst estimate had been for a profit of 95 cents per share, according to LSEG Data & Analytics.

This report by The Canadian Press was first published Nov. 7, 2024.

Companies in this story: (TSX:TRP)

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BCE reports Q3 loss on asset impairment charge, cuts revenue guidance

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BCE Inc. reported a loss in its latest quarter as it recorded $2.11 billion in asset impairment charges, mainly related to Bell Media’s TV and radio properties.

The company says its net loss attributable to common shareholders amounted to $1.24 billion or $1.36 per share for the quarter ended Sept. 30 compared with a profit of $640 million or 70 cents per share a year earlier.

On an adjusted basis, BCE says it earned 75 cents per share in its latest quarter compared with an adjusted profit of 81 cents per share in the same quarter last year.

“Bell’s results for the third quarter demonstrate that we are disciplined in our pursuit of profitable growth in an intensely competitive environment,” BCE chief executive Mirko Bibic said in a statement.

“Our focus this quarter, and throughout 2024, has been to attract higher-margin subscribers and reduce costs to help offset short-term revenue impacts from sustained competitive pricing pressures, slow economic growth and a media advertising market that is in transition.”

Operating revenue for the quarter totalled $5.97 billion, down from $6.08 billion in its third quarter of 2023.

BCE also said it now expects its revenue for 2024 to fall about 1.5 per cent compared with earlier guidance for an increase of zero to four per cent.

The company says the change comes as it faces lower-than-anticipated wireless product revenue and sustained pressure on wireless prices.

BCE added 33,111 net postpaid mobile phone subscribers, down 76.8 per cent from the same period last year, which was the company’s second-best performance on the metric since 2010.

It says the drop was driven by higher customer churn — a measure of subscribers who cancelled their service — amid greater competitive activity and promotional offer intensity. BCE’s monthly churn rate for the category was 1.28 per cent, up from 1.1 per cent during its previous third quarter.

The company also saw 11.6 per cent fewer gross subscriber activations “due to more targeted promotional offers and mobile device discounting compared to last year.”

Bell’s wireless mobile phone average revenue per user was $58.26, down 3.4 per cent from $60.28 in the third quarter of the prior year.

This report by The Canadian Press was first published Nov. 7, 2024.

Companies in this story: (TSX:BCE)

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