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List of priority populations for Phase 1 of Ontario's vaccine distribution plan – Richmond News

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The Ontario government has issued a memo to the province’s regional medical officers of health spelling out who’s next in line to receive a COVID-19 vaccine.

The province offered new guidance to regional medical officers of health as supply of the COVID-19 vaccines starts to gradually increase.

The province says all residents of long-term care homes have had an opportunity to receive their first dose of a COVID-19 vaccine. Those remaining in the immediate priority groups for the first dose are set to receive their vaccine dose next.

Those include:

Staff and essential caregivers in long-term care homes, high-risk retirement homes and First Nations elder care homes. 

Patients in hospitals who have a confirmed admission to a long-term care home, retirement home or other congregate care home for seniors.

Highest-priority health-care workers — such as paramedics and staff in critical care units, emergency departments and COVID-19 medical units — followed by very high priority health-care workers — such as those in surgical care, obstetrics, assisted living facilities and palliative care settings. These categories are laid out in the Ministry of Health’s guidance on health care worker prioritization.

Indigenous adults in northern, remote and higher-risk communities, including on-reserve and urban communities.

The government says the next groups in line for a vaccine will receive their shots “when all reasonable steps have been taken to complete first-dose vaccinations” for the first priority group. They include:

Adults 80 years of age and older.

Staff, residents and caregivers in retirement homes and other congregate care settings for seniors.

Health-care workers who the Ministry of Health as categorized as “high priority,” such as staff in mental health and addictions services, and sexual health clinics. 

All Indigenous adults.

Adult recipients of chronic home care.

The province also laid out intervals for when to administer the second dose of the Pfizer-BioNTech vaccine. Those who live in long-term care, high-risk retirement and First Nations elder care homes should get the second dose 21 to 27 days after receiving the first, as should residents of other types of congregate care homes for seniors and people 80 years and older. 

Everyone else should receive the second dose between 35 and 42 days after getting the first shot. 

This report by The Canadian Press was first published Feb. 14, 2021. 

The Canadian Press

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Populations Eligible for Phase Two COVID-19 Vaccination | Ontario Newsroom – Government of Ontario News

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Ontario Newsroom | Salle de presse de l’Ontario

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Ontario releases new detailed list of those eligible for COVID-19 vaccine in Phase 2 – CTV Toronto

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TORONTO —
The Ontario government has released a detailed list of people who will be prioritized for the COVID-19 vaccine in Phase 2 of the province’s distribution plan, which officials say focuses on age and at-risk groups.

Speaking to reporters on background Friday, officials said the province is still on track to begin Phase 2 of the vaccination plan in April.

About 9 million Ontario residents are expected to receive their first dose of a vaccine in this phase, which is expected to be complete by at least July.

Under Phase 2, the government will begin mass immunization of adults between the ages of 60 and 79 (in declining five-year increments), people in high-risk congregate settings, individuals with high-risk chronic conditions and their caregivers, people who cannot work from home and at-risk populations.

The list of individuals eligible for the vaccine in Phase 2 has expanded since it was first released in mid-January to encompass more at-risk groups and to take COVID-19 hot spots into account. Officials say they hope the adjustments will prevent deaths, hospitalizations and admissions to the intensive care units.

On Friday, officials released a detailed list of who will be eligible for the vaccine in Phase 2 based on each categorization:

Based on health conditions

Vaccinations for individuals based on highest-risk health conditions are expected to begin in April.

Highest risk: Organ transplant recipients, Hematopoietic stem cell transplant recipients, people with neurological diseases in which respiratory function may be compromised, hematological malignancy diagnosed (<1 year), kidney disease

High-risk: Obesity (BM1 >40), other treatments causing immunosuppression such as chemotherapy and immunity-weakening medications, intellectual or developmental disabilities

At risk: immune deficiencies, autoimmune disorders, stroke or cerebrovascular disease, dementia, diabetes, liver disease, all other cancers, respiratory diseases, spleen problems, heart disease, hypertension with end organ damage, diagnosis of mental disorder, substance use disorders, thalassemia, pregnancy, immunocompromising health conditions, and other disabilities requiring direct support

Based on congregate settings

Vaccinations based on congregate settings are expected to begin in April along with essential caregivers.

This category includes at-risk staff, essential caregivers and residents in the following congregate settings: supportive housing, developmental services, emergency homeless shelters, other homeless populations not in shelters, mental health and addictions congregate settings, homes for special care, violence against women shelters and anti-human trafficking residents, children’s residential facilities, youth justice facilities, Indigenous healing and wellness, provincial and demonstration schools, on-farm temporary foreign workers, bail beds and Indigenous bail beds, adult correctional facilities.

Employees who cannot work from home

Vaccinations based on employment is expected to begin in June.

First group of workers to get vaccine: elementary and secondary school staff, workers responding to critical events, childcare and licenced foster care workers, food manufacturing workers, agriculture and farm workers.

Remaining workers unable to work remotely: high-risk and critical retail workers, remaining manufacturing labourers, social workers, courts and justice system workers, lowest-risk retail workers, transportation, warehousing and distribution, energy, telecom, water and wastewater management, financial services, waste management, mining, oil and gas workers.

Hot spots with high rates of death, hospitalizations and transmission

Some public health units will receive up to 920,000 doses of the vaccine to target hot spots, with a continued age focus.

Here are the priority regions:

• Durham

• Halton

• Hamilton

• Niagara

• Ottawa

• Peel Region

• Simcoe Muskoka

• Waterloo

• Wellington Dufferin Guelph

• Windsor-Essex

• York

• Toronto

• South West

Officials stressed that the timeline presented on Friday is dependent on vaccine supply.

Where are we in Phase 1?

The province is still moving through Phase 1 high-priority groups in its vaccination efforts.

As of March 5, nearly 80 per cent of long-term care residents in Ontario have been fully immunized against the novel coronavirus. Over 67 per cent of long-term care staff and more than 52 per cent of staff at retirement homes have received at least their first dose of the vaccine

More than 820,000 doses of the COVID-19 vaccine have been administered so far, with more than 260,000 Ontarians fully immunized.

Both the Pfizer-BioNTech and Moderna vaccines require a second dose to be fully effective. The National Advisory Committee on Immunization recently recommended that health officials can extend the interval for the second dose to about four months instead of the typical 21-day or 28-day wait.

Ontario officials have said it will move to this recommendation as of March 10, “with some limited exceptions.”

“This will allow Ontario to rapidly accelerate its vaccine rollout and maximize the number of people receiving first dose within a context of limited supply,” officials said in a presentation.

Speaking to reporters on Friday afternoon, the head of the COVID-19 vaccine task force in Ontario said the province has seen a “seismic shift in our vaccination opportunities” over the past week.

“We have a steady flow of vaccines, and we have confidence that that flow will continue uninterrupted, or we are gaining confidence  every day that that flow will continue uninterrupted, for the vaccines arriving in Ontario,” retired Gen. Rick Hillier said.

On Feb. 26, the AstraZeneca vaccine was approved for use by Health Canada. Ontario is expected to receive 194,500 doses of this vaccine next week and will be given to people between the ages of 60 and 64.

Ontario is also expecting about 173,160 doses of the Pfizer-NioNTech vaccine next week and 174,330 doses for the next two following weeks.

The province is also expecting about 160,500 doses of the Moderna vaccine next week and 323,200 doses the following week.

A fourth vaccine was approved by Health Canada on Friday. Johnson & Johnson’s COVID-19 vaccine only requires one dose for full immunization, something Hillier called a “game-changer.”

How will people get the vaccine?

Provincial officials said they expect about 80 per cent of vaccinations in Ontario to take place at an immunization clinic in Phase 2 and Phase 3.

The start date for the province’s online booking system and call centre remains the same—March 15. If public health units want to begin mass immunizations at an earlier date, they will have to use their own systems.

The booking system is being tested in six regions across Ontario until March 8, and as of 7:40 p.m. on March 2, has been used by 308 residents.

The province has earmarked the time between March 8 and the launch on May 15 as “process improvement” time.

first look at Ont. booking portal

The province will also be launching a pilot program in Toronto, Windsor and the Kingston, Frontenac and Lennox & Addington region that utilizes pharmacies and primary care providers to administer shots.

Pharmacies will use their own booking systems to schedule vaccination appointments. The majority of AstraZeneca vaccine doses are expected to go to both pharmacies and primary-care providers.

While officials refused to provide a date for when all Ontarians may receive the first dose of the vaccine, Hillier optimistically challenged officials to get a shot into the arm of every person in the province by June 20, the first day of summer.

“I want to say by the first day of summer, we want to have, vaccine supply dependent, we want to have a first needle in the arms of every person in Ontario, who is eligible for the vaccine, and who wants to get it.”

Under the current timeline presented by health officials, those over the age of 60 are expected to receive their first dose of a vaccine by the end of May. The timeline does not include a lot of information regarding the AstraZeneca vaccine, which will begin being administered to those between the ages of 60 and 75 this month.

Hillier added that with both the AstraZeneca and the new Johnson & Johnson vaccine, he hopes the province can “crush those timelines.”

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Ontario government plans to provide first dose of coronavirus vaccine to all residents over 60 by end of May – CP24 Toronto's Breaking News

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The Ford government says that it expects to administer the first dose of COVID-19 vaccines to all Ontarians over the age of 60 by the end of May, a full two months ahead of schedule.

Premier Doug Ford, along with Health Minister Christine Elliott, Solicitor General Sylvia Jones, Dr. David Williams, chief medical officer of health and retired Gen. Rick Hillier, chair of Ontario’s COVID-19 vaccination task force, provided an update on Phase Two of the rollout plan Friday afternoon.

Phase Two is scheduled to start in April and run until July. The government says approximately 9 million Ontarians are expected to receive their first dose of an approved vaccine during this time.

Ontarians aged 60 to 79 years old are placed at the top of the prioritization ladder in Phase Two, representing 2.5 million people. The government says it expects to administer the first dose to all Ontarians over the age of 60 by the end of May.

“In this last three to five days, we’ve had a seismic shift in our vaccination opportunities and in our program to roll it out,” Hillier said.

Seniors will continue to receive the Pfizer-BioNtech and Moderna vaccines while those under 64 will start receiving the newly approved AstraZeneca vaccine as early as next week.

As for required second doses, the government announced that it will delay the time interval between the first and second doses from roughly three weeks to four months starting on Mar. 10.

The National Advisory Committee on Immunization has recommended extending the vaccination dose interval for all Health Canada approved vaccines, while still maintaining effective immunization against the disease.

On Friday, Health Canada announced that Johnson & Johnson’s COVID-19 vaccine has received the green light for use across the country. This vaccine only requires one dose for full immunization.

Next in line to receive the vaccine in Phase Two are individuals in the at-risk category which is further broken down into three levels: those with health conditions and in congregate settings, those in specific hot spot zones, and workers who cannot work from home. This entire group represents roughly 6.5 million people across the province.

The government provided a list of these at-risk individuals based on those considered highest-risk, high-risk and at-risk. The highest-risk category includes organ transplant recipients and those with kidney disease, while the at-risk category includes those with dementia, diabetes and liver disease.

Phase Two will also target hot spots in all of Ontario’s 34 public health units across the province.

But the government says 13 public health units will receive up to a total of 920,000 additional doses to target historic and ongoing hot spots with high rates of death, hospitalization, and transmission. The hot spots include: Toronto, York, Peel, Durham, Halton, Hamilton, Niagara, Ottawa, Simcoe Muskoka, Waterloo, Wellington Dufferin Guelph, Windsor Essex and South West.

More to come.

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