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Health experts urging quicker vaccine rollout as COVID-19 cases surge, doses sit in freezers – CTV News

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TORONTO —
Health experts and seniors advocacy groups are urging provinces to speed up COVID-19 vaccinations as coronavirus infections surge following the holiday season.

Since the first vaccine was administered three weeks ago, on Dec. 14, slightly more than 121,000 people have received Pfizer or Moderna shots. That’s 0.319 per cent of the Canadian population. As of Monday afternoon, only Prince Edward Island had administered doses to more than 1 per cent of its population, according to the CTVNews.ca vaccine tracker. In Ontario, more than 110,000 doses — or more than 70 per cent of the province’s supply — sit in freezers, with approximately 42,000 administered in three weeks.

“Vaccine helps nobody if it’s in the closet,” Laura Tamblyn Watts, CEO of CanAge, a national seniors advocacy organization, told CTV News Channel on Monday.

“This needs to be a 24-7 initiative as we have seen in other countries. Vaccine spread is what we need to do. We need to make sure that it gets into the arms of people who need it because the virus does not stop for holidays.”

The calls for a speedier rollout come following weeks of an intensified second wave of COVID-19 infections around the country that has included new outbreaks in long-term care and retirement homes where much of Canada’s most vulnerable people live. Since mid-December, Canadian health officials have recorded more than 130,000 new infections. The majority of those infections have been in Ontario and Quebec, two provinces that have differing immunizations strategies. In Quebec, health officials have suggested they may forego second doses of Pfizer or Moderna vaccines in favour of immunizing more people with available shipments.

DOSING TWO-SHOT VACCINES

It’s a strategy that has faced a range of reactions from health experts, some of whom say the idea could help speed up immunity and others who say it’s too risky.

Quebec’s plan to speed up vaccination by delaying or even eliminating the second dose of the Pfizer or Moderna vaccines could backfire, said Dr. Colin Furness, an epidemiologist and assistant professor at the University of Toronto, who said that strategy uses people as “experimental subjects” without their consent.

“We also think that giving people partial immunity might actually provide an excellent opportunity for COVID-19 to mutate around the vaccine,” he told CTV News Channel on Monday. “I think that we need to proceed with what’s been proven.”

Other experts have said that using up all current shipments, rather than holding back some doses for later, is a more appropriate strategy. Infectious disease expert Dr. Sumon Chakrabarti said everyone should get both, but the one-dose strategy could work in the meantime to speed things up.

“Having many people that are partially protected, I think, is better on the whole than having a few people that are fully protected and still a lot of people who are vulnerable,” he told CTV News Channel.

MANAGING COLD LOGISTICS

One of the major slow-downs with the initial shipments of COVID-19 vaccines was the complicated storage requirements of the Pfizer-BioNTech product, which needs to be kept at temperatures between -60 C and -80 C until injection. Ontario has been particularly cautious with this guidance compared to Quebec, British Columbia and other jurisdictions around the world, said Dr. Samir Sinha, the Director of Geriatrics at Mount Sinai and the University Health Network in Toronto.

While much has been made about the difficulty of transporting the Pfizer vaccine, Dr. Sinha says that might not have been necessary.

“When you actually read the product monograph, you can actually transport these vaccines with dry ice and other things,” he said, adding that West Virginia vaccinated all 214 of its long-term care facilities by Dec. 30.

“If West Virginia can get it done, why can’t we get this done in Ontario?” he said on CTV News Channel on Monday.

“We’ve got health professionals who’ve been raising their hands saying ‘If it’s just a matter of you need more people, we’re willing to do this 24-7.’” 

IMMUNIZING LONG-TERM CARE

Long-term care and retirement homes have facilitated mass immunizations before, as recently as last fall, noted Sinha. In October, there was concern that those facilities would bear the brunt of what some called a “twindemic” of influenza and COVID-19. Instead, provinces mobilized long-term care and retirement homes quickly.

“These homes, without a whimper, got all their residents and staff vaccinated within a week or two,” he said. “We have tens of thousands of dose[s] of just the Moderna vaccine that are still sitting in fridges and freezers that have been here long enough.”

Sinha’s is the same message that CanAge CEO Tamblyn Watts has for federal and provincial officials: use the systems that have long been in place.

“This is a vaccine problem, not really a logistics problems,” said Tamblyn Watts. “We have existing systems to put vaccine into people … Get public health involved, get doctors involved, get pharmacists involved. Don’t keep it so off to the side that people can’t get vaccinated.”

‘CUTTING DOWN BUREAUCRACY’

Though much red tape was cut to expedite the development of COVID-19 vaccines in 2020, the distribution of those vaccines in Canada may be facing official procedures contributing to the slow rollout. “There is something to be said about the bureaucracy of what’s been going on recently,” said Dr. Zain Chagla, an infectious disease specialist and associate professor at McMaster University in a phone interview with CTVNews.ca on Monday, noting public health protocols, the implementation of registration systems, and the development of teams to go into a variety of health facilities, to name a few procedures.

Compared to other countries, Canada has procured the most vaccine doses per citizen, but is falling behind in the rollout. Israel has vaccinated more than 14 per cent of its population, according to Our World in Data. The U.S. has vaccinated millions, or more than 1.2 per cent of its population. Health officials in Canada could consider looking at global models for the future rollout, particularly models that are “good enough” and not based on “perfection.”

“They don’t necessarily deal with models where there’s perfection around tracking, there’s perfection around registration and all that stuff,” he said. “It gives us a good scope to start looking at how [we can] minimize the bureaucracy in rollout.”

‘THE WAY FORWARD’

The irony of the vaccine rollout is that putting needles into arms is not difficult, added Chagla. While there are certainly human resource and training issues related to staffing and proper care at nursing homes and other facilities, injecting needles is not one of them. 

“Most nursing students and medical students as well as other health professionals — it’s a core competency off the bat,” said Chagla.

Provinces will have to find a way to register individuals quickly and on a mass scale who can help with administering vaccines, but also other health professionals like pharmacy technicians to handle medications appropriately, non-clinical professionals to work through clerical procedures like registration and consent.

“Realistically, there’s a huge human resource potential to tap into to optimize all of that, such that every community has access to vaccine,” he said. 

“Honestly, the way forward is not with hospitals,” he added, though the finicky Pfizer vaccine may be best for hospital use considering it must be stored at extreme cold temperatures. Instead, the rollout of more COVID-19 vaccines, first with Moderna, will depend on more than hospital systems but also public health and primary care, said Chagla.

“Realistically, that Moderna campaign really does need to be taken to communities and engaged at all levels,” he said.

“There is certainly a big lesson to be learned here in that, and a lesson to be learned in cutting down bureaucracy and how to recruit the community appropriately, because there are resources out there.” 

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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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