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LILLEY: Trudeau government plagued by vaccine troubles – Toronto Sun

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Mistakes early in this process coming home to roost

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The one job in Canadian politics I wouldn’t want to have right now is Anita Anand’s position in trying to secure vaccines.

There is the global demand that far outstrips supply, there is vaccine nationalism and the threat of export controls, we have production delays and the fact that mistakes by the Trudeau government early in this process are coming home to roost.

Add to all of that the daily media questions, the demands of premiers, mayors and average citizens all wanting to know when vaccine doses are arriving.

It’s a moving target and the answer to any of these questions can change in the blink of an eye. We were supposed to be getting 846,000 Moderna doses this week but that was delayed. The shipment was split with 255,600 doses arriving on March 24 and the remaining 590,400 on March 30.

That is already a week behind schedule for a system that is running pretty much on a just in time delivery model. Now that second shipment is scheduled for April 1 and sources I have spoken to in various governments say there is word the doses expected April 5 could be delayed.

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Anand said Friday that Canada’s strategy of “managing the bumps in the road” includes our diversified vaccine portfolio and taking supplies from a variety of manufacturers and locations.

  1. A healthcare worker prepares to administer a Pfizer/BioNTEch coronavirus disease (Covid-19) vaccine at The Michener Institute, in Toronto, Ontario on December 14, 2020.

    Tam’s office admits rocket ship modelling takes ‘simplified approach’ to projections

  2. Premier Doug Ford didn't mince words during a briefing on Friday, March 26, 2021, when he harangued Prime Minister Justin Trudeau for an inconsistent delivery of vaccines to Ontario that is making it difficult for provincial health officials to get shots in arms.

    Ford says vaccine supply ‘becoming a joke’

It works to a degree, but with India currently halting shipments and the EU threatening to, Canada is in a tough spot.

“We’ve been assured that the doses have been cleared to leave Europe for next week and the week after,” Anand said.

Yet the way that EU export controls work, they could pull their authorization to allow the shipments at any time. One of the key metrics the EU says it will use to determine if exports can continue is how the epidemiological status of the receiving country compares to member states.

Right now, Canada is in a better position in terms of COVID infections per million people than every country in the EU other than Portugal. We should expect vaccine delays from Europe for both Pfizer and Moderna doses.

That leaves AstraZeneca as the other approved vaccine that is actually manufacturing. Johnson & Johnson can’t give a supply date.

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When it comes to AstraZeneca, Canada is really dependent on the generosity of other countries. We secured a shipment of 500,000 doses from the Serum Institute of India, but the remaining 2.9 million doses we are supposed to be getting from there are now up in the air. India has stopped major exports and we don’t know how long that will last.

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The United States has offered up 1.5 million doses that they don’t need and are set to expire before they could use them but that is not a steady supply. Not a single shipment of the 20 million AstraZeneca doses Canada has contracted the company for have shipped — we’ve only received bonus doses.

Right now, by my count, Canada sits at about 52nd in the world in vaccinating our population per capita. Many of the European countries dealing with more severe outbreaks are ahead of us on the vaccine front, but that won’t save us from losing out on doses if Germany, Italy or Spain complain about exports to Canada.

We are a G7 country, we are a top 10 economy and we are in worse shape than many developing countries on the vaccine front. Canada should be a leader in both developing and manufacturing vaccines. The Brits started with nothing a year ago and now lead the world — we chose not to and our population is suffering.

That’s on Trudeau and Anand and it’s another reason I wouldn’t want her job today.

blilley@postmedia.com

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Will Doug Ford’s opposition to vaccine passports survive the fall? – TVO

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The Ontario COVID-19 Science Table issued a brief earlier this week laying out the arguments in favour of some kind of “vaccine certificate” system for domestic use in Ontario: a more rigorous kind of proof of vaccination than the receipts people are currently issued that could be used to exclude the unvaccinated from the highest-risk non-essential places, such as bars, restaurants, gyms, and theatres.

There is one problem — one expressly conceded in the document: the authors note that they can’t say with scientific confidence that such certificates would reduce COVID-19 transmission or increase vaccination uptake. It’s still a novel pandemic, after all.

“You also have to remember this is a new virus, and population-wide coverage of these vaccines is also new,” says co-author Karen Born, an assistant professor at the University of Toronto’s Institute for Health Policy, Management and Evaluation. She acknowledges that the case for certificates — more commonly known as vaccine passports — can’t cite peer-reviewed literature to make the case yet, because it doesn’t exist. But, she says, “just because there’s no evidence to date doesn’t mean we can’t make that pragmatic case.”

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In the absence of iron-clad, gold-standard evidence, we can look to other provinces, such as Quebec and Manitoba, and to other countries — both Italy and France have announced they intend to implement a vaccine-certificate system.

But the most compelling case might be Israel, where the government relied on a form of vaccine certificate, the “Green Pass,” earlier this year to control access to some non-essential places while implementing a comprehensive vaccination of its population. The Green Pass was suspended on June 1. But on Thursday, in the face of a higher rate of new cases, the government announced it would return, terming it a policy of “soft suppression.”

(For those people who insist that we need to “learn to live with the virus”: that’s exactly what Israel says such measures are in service of: we’re allowed to choose how we live, intelligently, with a new endemic virus.)

While Israel has a higher share of its population fully vaccinated than Canada or Ontario, it’s still vulnerable to new pandemic waves. Although Ontario is currently seeing low numbers of cases and falling hospitalizations, it’s not hard to sketch out how a resurgence of COVID-19 could happen here in the next few months: the province will likely enter whatever comes after Step 3 in August, and both public schools and post-secondary education will resume in September. Many employers will start calling their workers back to offices in the fall, and all of these things will lead to increased spread of the disease.

Kieran Moore, the chief medical officer of health, has said he expects a new wave of infections in the fall. That’s in part why he repeatedly urges people to get their shots — to try to minimize the severity of a potential fourth wave.

True, the vaccines mean that cases are far less likely to turn into hospitalizations and deaths. But they haven’t changed one crucial thing: it takes only 300 or so people in Ontario’s intensive-care units to start delaying hospital procedures, and we’ve barely started to dig out from the procedure backlog that built up over the past 18 months. There are more than 4.5 million people currently unvaccinated in Ontario as of today; nearly 275,000 of those are over the age of the 60, according to the province’s daily data release. COVID-19 could still throw a wrench into our hospital system if spread isn’t controlled.

And what would the government do if ICU cases were to start creeping north of 200 again in the fall and show no sign of slowing? (Friday’s number is 136.) Another round of broad-spectrum lockdowns would overwhelmingly punish the large majority of people who’ve done the right thing and gotten their shots. It would also rightly enrage businesses that are just starting to get their customers back after a brutal year. Born cites gyms as an example of the kind of business that could be saved by a vaccine certificate in the event of a fourth wave. Movie theatres, already chafing under what they call “arbitrary and unreasonable” restrictions, are another example.

“This could allow for a faster reopening and also allow for increased capacity in those settings,” Born says. “We’re looking at places where certificates should be used and also where they shouldn’t — lower-risk settings and essential settings.”

It doesn’t make sense to let needed medical care be postponed once again in this pandemic because we didn’t maximize our vaccination coverage, especially given that a vaccine certificate could be implemented relatively quickly — we know that the province did the work to develop a digital pass before deciding to abandon the idea.

“It’s either, let’s do a shutdown, let’s close businesses and schools, or let’s lean into this kind of framework,” says Born. “The alternative is closures that we’re all familiar with at this point.”

Not only has the government failed to implement any kind of rigorous proof-of-vaccination policy; it also hasn’t clarified the legal rights of businesses or employers with respect to unvaccinated customers and employees, creating a fog of confusion that helps nobody (except anti-vaxxers).

Vaccine passes raise legitimate civil-rights concerns, and they should obviously be implemented carefully and thoughtfully; the science table’s brief has important advice on how to do that. When Premier Doug Ford says that it’s a constitutional right to take the vaccine or not, he’s not wrong. But the freedom not to be vaccinated should not require the rest of us — or the province’s hospital system — to be held hostage to people’s refusals. And it’s difficult to believe that a government that has compelled the speech of businesses to attack the federal Liberals and prohibited the speech of unions for its own electoral advantage is making a sincere defence of Ontarian’s Charter rights here. In any event, a vaccine certificate is arguably a less intrusive public-health measure than broader lockdowns.

That, then, is the logic behind calls for a vaccine passport: the government shouldn’t let a fourth wave delay needed medical care in our hospitals, and it shouldn’t use the blunt instrument of new lockdowns again. A vaccine certificate would give the Tories a smarter, more targeted alternative — if they’re willing to use it.

So far, Ford has made his position clear: he isn’t considering a vaccine passport. But events could very well press the issue by October, and then he and his cabinet would have a choice. Since I think they’ll end up flip-flopping on this issue out of simple necessity, it would be best if they’d do that sooner rather than later.

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96% of COVID-19 cases are among those not fully vaccinated, B.C. health officials say – Global News

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Ninety-six per cent of the COVID-19 cases recorded from June 15 to July 15 were among people who were either only partially vaccinated or not vaccinated at all, B.C.’s health minister says.

“If you take all the cases from June 15 to July 15, 78 per cent of those cases are among those who are unvaccinated,” Adrian Dix said.

“I think the evidence will encourage more people to get vaccinated. That tells you people should need to get vaccinated. We are seeing new cases and they are largely in unvaccinated people.”

Read more:
B.C. reports over 100 new COVID-19 cases for first time in five weeks

The B.C. government will not require people to get the vaccine, but will not stop private businesses from doing so.

The seven-day rolling average for new cases rose from 42 new cases a day one week ago, to 73 new cases a day on Friday.

Most of the new cases are linked to indoor social gatherings at people’s homes, Dix said.


Click to play video: 'COVID-19: B.C. reports 89 new cases of virus, highest daily total in more than a month'



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COVID-19: B.C. reports 89 new cases of virus, highest daily total in more than a month


COVID-19: B.C. reports 89 new cases of virus, highest daily total in more than a month

“We are not going to deny access to services. Based on your vaccinated. That is our position. It will not be mandatory in that sense. There will be requirements in certain sense if people are not vaccinated,” Dix said.

“I think if you are going to have someone over to your house for dinner, you should ask them if they have been vaccinated, and it’s ok to tell them not to come if they haven’t been.”


Click to play video: 'COVID-19: B.C. government provides $36.5M to 83 anchor tourist attractions, higher vaccination rates mean lower cases'



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COVID-19: B.C. government provides $36.5M to 83 anchor tourist attractions, higher vaccination rates mean lower cases


COVID-19: B.C. government provides $36.5M to 83 anchor tourist attractions, higher vaccination rates mean lower cases

As of Friday, 80.3 per cent of eligible people 12 and older in B.C. have received at least one vaccine.

The province is hoping to hit 85 per cent immunization.

All five health authorities have been adopting additional strategies to supplement the mass immunization clinics, including pop-up clinics for first doses at parks, amusement parks, and beaches.

Read more:
COVID-19: B.C. reports no deaths but 89 new cases, highest daily total in over a month

Dr. Navdeep Grewal of the South Asian COVID-19 Task Force said the province or private businesses should consider vouchers for food or sports tickets to encourage immunization.

“I think it is that final 10 per cent (of the population) we need to get vaccinated, so we can avoid the fourth wave in the fall and winter,” Grewal said.

“We need to find out where they are gathering, give them the information they need, and then give them that first dose that is so needed.”

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

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Run, don't walk, to the nearest clinic to get vaccinated before September, families told – CBC.ca

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Kids who are going back to local elementary and high schools in September must get their first COVID-19 shot by Saturday to ensure they’re eligible for their second dose and be fully vaccinated by Labour Day, according to the health unit. 

The Middlesex-London Health Unit (MLHU) says 73 per cent of those aged 12 to 17 in Middlesex-London already have their first shot, and just over a quarter have two doses. 

 “The uptake among this age group has been tremendous, right on board with some of our older population who was really eager to get vaccinated,” said Dr. Alex Summers, the associate medical officer of health for the MLHU. 

“We see eagerness for people to get vaccinated and we’re just delighted by that. 12 to 17-year-olds will be back in in-person activities, and that’s where they flourish, that’s where they want to be, and we want to be able to support them to do so in a way that COVID isn’t transmitting.” 

Vaccination is the “key ingredient” to maximizing the coming school year and making sure there are few disruptions. 

With school eight weeks away, Ontario health officials examine what the upcoming school year will look like. Overall, vaccine numbers are good but the data shows a lag in vaccination rates among eligible younger Canadians. If vaccine pickup does not improve before the beginning of the school year, Ontario’s Chief Medical Officer Dr. Kieran Moore is concerned about rising infections. 4:06

COVID-19 vaccines have yet to be approved for those under 12. 

“That’s why it’s really important to be gathering outdoors and making sure that everybody who is older than the age of 12 who is interacting with kids is vaccinated,” Summers said. “We can limit transmission among those who just can’t get the vaccine because they’re not old enough as we approach the school year.”

What exactly school will look like in September isn’t quite clear, but screening for symptoms, staying home when exhibiting symptoms, and wearing masks in classrooms are likely.

No appointments are required for COVID-19 vaccinations for anyone 12 or older for first or second doses at walk-in and mass vaccination sites. For more information on vaccinations and locations, visit the health unit’s website here.

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