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Health Officials provide COVID-19 vaccine rollout plan for upcoming months – MY PG NOW

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BC Health officials outlined the provincial COVID-19 vaccine rollout plan for the upcoming months, which plans to make the vaccine readily available to all 4.3 million BC residents over 18 by September.

“The Government of Canada has committed that every Canadian who wants to be vaccinated against COVID-19 will have access to a vaccine before the end of September 2021,” explained BC Health Minister, Adrian Dix.

BC’s eldest citizens will be the first in line, as they are basing the rollout on 5-year-age cohorts.

“Adults older than 60 years may have at least 5 times increased odds of hospitalization and mortality from COVID-19 compared to those aged less than 45 years,” explained Dr.Bonnie Henry, “this increased risk appears to magnify at least to some degree even for those older than 60 years, with those aged over 80 years having double the mortality risk of those aged 65-69 years.”

Between April and September, Northern Health is expected to receive 28,000 doses a week, which amounts to 5,600 per day.

“In some cases, if we have a very small community that we’re going to for vaccinating the older age group- if it’s a very small community and vaccines are available it’s possible we may decide to vaccinate the whole community right then rather than coming back three or four times,” explained Dr. Penny Ballem, executive lead of the BC immunization rollout.

In March, the province will set up 172 vaccination clinics across the province, there will also be mobile sites set up wherever needed as well as home visits for those unable to go to clinics.

Starting in mid-to-late February, Health Authorities will be reaching out to seniors 80 years and older as well as Indigenous seniors aged 65 and up to give them more insight on how to pre-register for appointments.

Starting in mid-March and by five-year cohorts working backwards from age 75-79, citizens will be able to pre-register for a vaccine 2-4 weeks before they are eligible for their appointment.

Additionally, mobile sites will be set up wherever needed and home visits to support those who are unable to go to clinics will be available.

Health officials will begin pre-registering and setting up vaccination appointments in March, which will be available online.

FOUR PHASE PLAN:

  • More than 103,000 people in BC received a COVID-19 vaccine during the first phase of the rollout plan that ends in mid-February
  • Phase 2 expands immunizations to additional vulnerable populations, Indigenous communities and Elders, health-care staff and all seniors over the age of 80
  • In April, phase 3 begins and will expand to include people between the ages of 79 to 75 and work backwards in five-year cohorts to include anyone aged 60 and older.
  • People with certain underlying health conditions that make them clinically extremely vulnerable to the virus will be included in phase 3 as well.
  • Phase 4 is anticipated to begin in July for the rest of the eligible population, starting with people aged 59 to 55 and working backwards in five-year age groups until everyone over the age of 18 who wants a COVID-19 vaccine receives it.
  • Between July and August, anyone between the ages of 40-59 is expected to receive the vaccine
  • Anyone aged 18-39 can expect to be eligible for the vaccine between August and September

With each phase, more people will be eligible to be immunized and any extra available vaccines will be given to front-line workers between the ages of 18-64.

Additionally, BC Health officials explained that no one will lose their place in line if you cannot be immunized during your scheduled phase.

PEOPLE DEEMED EXTREMELY CLINICALLY VULNERABLE (REFERENCED IN PHASE 3)

  • Solid organ transplant recipients
  • With specific cancers, people with cancer that are undergoing active chemotherapy or anyone with lung cancer undergoing radical radiotherapy
  • With cancers of the blood or bone marrow such as leukemia, lymphoma or myeloma who are at any stage of treatment
  • Having immunotherapy or other continuing antibody treatments for cancer
  • Having other targeted cancer treatments that can affect the immune system, such as protein kinase inhibitors or PARP inhibitors
  • Who have had bone marrow or stem cell transplants in the last 6 months or who are still taking immunosuppression drugs
  • With severe respiratory conditions including all cystic fibrosis, severe asthma and severe chronic obstructive pulmonary disease (COPD)
  • With rare diseases that significantly increase the risk of infections (such as severe combined immunodeficiency (SCID), homozygous sickle cell disease)
  • On immunosuppression therapies sufficient to significantly increase risk of infection (biologic modifiers, high dose steroids, AZT, cyclophosphamide)
  • Who had a splenectomy (spleen removed)
  • Adults with very significant developmental disabilities that increase risk (details to come)
  • Adults on dialysis or with chronic kidney disease (stage 5)
  • Women who are pregnant with significant heart disease, congenital or acquired
  • Significant neuromuscular conditions requiring respiratory support

VACCINE SUPPLY:

  • Canada has secured 6 million doses of the vaccine to be distributed between January to March
  • The federal government is expecting to receive another 20 million doses between April and June, then 45 million from July to September
  • From mid-December 2020 to the end of March, BC expects to receive 792,675 doses
  • BC expects to receive approximately 2,640,000 doses from April to the end of June
  • From July to September, BC is expecting to receive nearly 6 million doses

These numbers only account for the two Health Canada approved vaccines, Moderna and Pfizer-BioNtech, and doesn’t account for the AstraZeneca vaccine, which health officials claim is likely to be approved before the end of March.

Both the Moderna and Pfizer-BioNtech vaccines require two doses administered about 35 days apart.

BC’s entire vaccine rollout plan is based on the findings and predictions of the National Advisory Committee on Immunization and doesn’t account for any unexpected delays in distribution.

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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.

The Canadian Press. All rights reserved.

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