Federal government has plans on how to distribute the COVID-19 vaccine and who gets it first - Alberta Daily Herald Tribune | Canada News Media
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Federal government has plans on how to distribute the COVID-19 vaccine and who gets it first – Alberta Daily Herald Tribune

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The advisory committee recommended those over 70 be first in line for the vaccine, followed by health care professionals and then essential workers

OTTAWA  – Ending COVID-19’s assault on Canada will require an effective vaccine and the government has already decided who will get it first and is looking to set up a massive logistics operation to deliver it across the country.

Earlier this week, the arm’s length National Advisory Committee on Immunization recommended elderly people, specifically those over 70, be first in line for the vaccine, followed by health care professionals and then essential workers like police, firefighters and grocery store employees.

It also suggests making sure the vaccine is available early to people in close quarter facilities, like meat-packing facilities, prisons and homeless shelters where the virus has been able to spread quickly.

In a statement this week, Canada’s chief public health officer Dr. Theresa Tam said she was confident that Canadians will understand that some people have to be at the front of the line.

“Throughout this pandemic, we have seen people come together to protect those most at risk,” she said. “We know Canadians will understand the need to prioritize some groups during the early weeks of COVID-19 vaccine roll-out until there is enough vaccine for everyone who wants it.”

The advisory committee also recommended the government take into account how quickly and where the virus is spreading when the vaccines become available and whether some vaccine candidates may be more effective in certain populations.

Dr. Zain Chagla, an infectious disease specialist in Hamilton, Ont., said given their mortality rates to the virus, putting the elderly first makes sense.

“If you’re gonna put bang for the buck, for the people that are gonna deal with the brunt of the disease that need an intervention now, it’s going to be that,” he said.

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He said vaccinating everyone in long-term care homes for example won’t solve the problem, but it will be a major benefit to the people living there.

“Anything is better than nothing and if you roll it out correctly, even a small supply can have very profound implications for a locked-off population,” he said.

The advisory committee also recommends considering potentially targeting people with specific conditions, like obesity and heart disease, for early vaccination, but says there is still a need for more evidence before settling on a policy like that.

Chagla said they know that older, obese people often do poorly with the virus, but it is not universal.

“We still don’t know why one 50-year-old who’s obese goes to the ICU and the other 50 year old doesn’t,” he said.

He said one thing that could be worth considering as a vaccine rolls out is targeting people that have been identified as potential superspreaders. He said early research has shown most infected people spread the virus in a limited fashion, while others spread it aggressively, so called superspreaders.

Our anticipated delivery schedules are in line with the EU, Japan, Australia, and other jurisdictions

He said prioritizing those people might do a lot to bring down overall cases.

“if you prioritize that group, even though it seems counterintuitive, because they’re the healthiest? Would you get a significant amount more of community control.”

Through one-off deals and the government involvement in the COVAX facility, an international partnership, Canada potentially has access to a dozen vaccine candidates, but no vaccine has so far cleared clinical trials.

The logistical challenge of shipping millions of doses of vaccine are also on the government’s mind and companies have until Monday to respond to a tender for the project with the government planning to award a contract before the end of the month.

Monday’s deadline is for companies to indicate how they will meet the government’s demands, with further negotiations on price to come if the firms can prove they can actually do the job.

The scale of the project is immense with more than 300 million potential vaccine doses set to be sent to the provinces and territories beginning as soon as January and running well into 2022. The rollout of the flu vaccine this month in Ontario has led to shortages as more people than normal seek a shot.

Some of the vaccines will be delivered to Canada, while others have to be picked up from pharmaceutical companies in Europe. The government wants the winning bidder to have warehouse space all over the country, enough to be able to quickly move the vaccine to places where it is needed.

The government said it is confident Canadians will be getting deliveries on the same timeline as our allies provided the vaccines meet Health Canada’s approval.

“Canada’s proactive approach to securing access to a diversity of COVID-19 vaccine candidates has put us in a strong position, with first deliveries on track to arrive during the beginning of 2021,” said Procurement Minister Anita Anand in a statement. “Our anticipated delivery schedules are in line with the EU, Japan, Australia, and other jurisdictions.”


Canada potentially has access to a dozen vaccine candidates, but no vaccine has so far cleared clinical trials.

Fabrizio Bensch/Reuters

All of the vaccine candidates have to be kept cold adding another layer of complexity to the process. Up to 20 million doses of one Pfizer’s vaccine candidate for example have to be kept below -80C, while the company is handling distribution of that vaccine the government is arranging regular deliveries of dry ice to keep it cold.

Another 56 million doses of vaccine will have to be kept frozen at around -20C and then an additional 200 million doses need to be kept between 2C and 8C. The government is looking for the winning bidder to be able to provide refrigerated warehouses and a detailed inventory tracking system to handle it all.

Prashant Yadav, a senior fellow at the Center for Global Development and an expert on health care logistics, said the challenge of distributing the COVID-19 vaccine will be unlike anything governments have had to deal with.

“It is like setting up Amazon Prime type of daily delivery capabilities nationwide, but not over a four-year planning horizon,” he said.

Proposal documents show the government is looking to have a contract with one entity to handle the full process, leaving the potential for companies to team up into consortiums.

A briefing for the project was attended by airlines like WestJet and Air Canada, shipping firms like FedEx and Purolator and pharmacies like Shoppers Drug Mart. The government wants whoever wins the bid to be ready to go by Dec. 15. and to have systems in place to track deliveries.

Yadav said it will be difficult for a single company to have the tools and expertise for the whole process and he suspects companies will work together.

“Those are the kinds of mixes and matches that need to happen and the combinations of how people will come together to offer the best solution.”

• Email: rtumilty@postmedia.com | Twitter:

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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.

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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.

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