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How to access the new RSV vaccine, and how much will it cost? Your questions answered

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This story idea came from audience members, like you, who asked about the RSV vaccine. Email us your questions. We are listening: ask@cbc.ca.


It’s that time of year, respiratory illnesses are going around — including respiratory syncytial virus (RSV).

Typically, mild RSV symptoms can include runny nose, coughing, sneezing, wheezing, fever and a decrease in appetite and energy. For most people, it appears like a common cold.

However, older people and infants may be at greater risk of developing more severe outcomes from RSV, like a severe infection of the lower respiratory tract, which could lead to hospitalization.

This year, for the first time, a vaccine is available to help protect older adults against the virus. Health Canada approved Arexvy in August for adults aged 60 and over. There is no approved vaccine for children or younger adults.

In a clinical trial published earlier this year, Arexvy showed nearly 83 per cent efficacy in preventing lower respiratory tract disease caused by RSV. It also showed a 94 per cent efficacy in preventing severe RSV-associated illness, according to the FDA’s analysis of data.

Many of you wrote to us or left comments asking questions about where you can get the shot and how much it costs. Here’s what we know.

Will my province or territory cover the cost?

It depends where you live.

Ontario is currently the only province that is publicly funding the RSV vaccine to some people over 60. That includes people living in long-term care homes, elder care lodges, and some retirement homes licensed to provide dementia care services in the province.

Many provincial and territorial health authorities say they are waiting for guidance from the National Advisory Committee on Immunization (NACI) before deciding whether or not to include Arexvy in any publicly funded programs. NACI analyzes available evidence and provides guidance on who vaccines should be offered to, and how.

Alberta, B.C., Manitoba, New Brunswick, N.L., Nova Scotia, P.E.I., Saskatchewan and Yukon noted the vaccine would be available for purchase out-of-pocket in pharmacies or may be covered by private health insurance.

Other details may vary by province. For example, in Nova Scotia you will need a prescription to access the vaccine. New Brunswick said individuals will have to pay for both the vaccine and having it administered. B.C. told CBC News about their searchable database for pharmacies that will offer the shot.

There is no publicly available guidance for N.W.T. and Nunavut and they have not responded to our request by the time of publication.

What’s it going to cost me?

If you do have to pay out-of-pocket, provinces and territories told CBC News the vaccine will cost you in the range of $200 to $350, depending on where you live.

Why are some vaccines covered, but others aren’t?

It boils down to what the provincial and territorial health authorities decide to put on their drug plans for their province or territory.

Without guidance from NACI, those health authorities have been reluctant to include Arexvy for this season. It may be covered in the future, but that will depend on each province or territory and how they implement NACI’s guidance.

In an earlier email to CBC News, Health Canada said guidance from NACI on the use of the vaccine is expected next year.

Dr. Samir Sinha, director of geriatrics at Sinai Health System and the University Health Network in Toronto, says the biggest challenge when a vaccine isn’t publicly covered is that people feel it’s probably not important, and that’s not correct.

Some people may have coverage through a private drug plan, said Sinha.

“Because the effectiveness of this vaccine is quite significant, many insurers have already decided when they look at the data, despite not having a NACI recommendation … there’s such compelling evidence already in their view that they’re going ahead and covering it.”

Should I get it?

If you are eligible, that decision is up to you.

Health-care professionals are urging seniors to get the shot if they can access it.

“The reason I’m recommending that all of my patients above 60 get it is because RSV is a very, very common virus that’s been circulating for years, but one that we’ve been relatively helpless against,” said Sinha.

“The challenges with RSV is that, unlike influenza and COVID-19, we don’t actually have anything to give you other than oxygen and fluids,” he said.

“It’s been a tricky virus to create a vaccine for and we still don’t actually have any effective treatments for people who might catch RSV.”

In the U.S., research has shown adults over 65 have the highest mortality risk from RSV, and there was a six to eight per cent fatality rate among older adults hospitalized with RSV, according to a report from The National Institute on Ageing, a Canadian think tank focused on Canada’s aging population.

It’s unclear exactly how many people 60 and older in Canada are hospitalized or die from the illness each year, as experts say it’s not properly tracked.

When is the best time to get it?

If you can, Sinha says “get it now.”

“RSV starts to really circulate in November and all the way through to May. So if you get your vaccine now, it’ll last you two seasons and it may even last you a third,” he said.

Dr. Samir Gupta, a respirologist, clinician-scientist and associate professor in the Department of Medicine at the University of Toronto, agreed.

“I would recommend a two week gap before or after COVID or flu vaccination,” Gupta told CBC News in an email.

What are the side effects?

You might experience some side effects like a sore arm, tiredness and fatigue.

“You’re probably going to have some sort of reaction,” said Sinha. “A reaction is a good sign because it tells me that you have an immune system that’s working and responding to the vaccine.”

“But I advise my patients to not get the vaccine a day before a significant event like your granddaughter’s wedding, you know, because you might be down and out for a day or two,” he said.

He also added that if you’ve gotten the shingles vaccine and you can recall what your symptoms might have been around that, you might have a similar symptom profile because the RSV vaccine uses that same adjuvant therapy.

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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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