Ontario family waits a week for answers after 2 young children get adult dose of COVID-19 vaccine - CTV News Toronto | Canada News Media
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Ontario family waits a week for answers after 2 young children get adult dose of COVID-19 vaccine – CTV News Toronto

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An Ontario family was forced to wait a week for answers after their two children were mistakenly given an adult dose of a COVID-19 vaccine instead of the paediatric version, leading to many sleepless nights.

On Dec. 22, Angela and Felipe Neto took their two youngest kids, aged six and eight, to a COVID-19 vaccine clinic in Napanee, Ont. for their first shot.

“After they received the shots and we were waiting to see if they were good to go and then a lady got us to the other room and informed us the kids have been vaccinated with the adult version of Moderna, which is not even tested for children,” Felipe Neto told CTV News Toronto last week.

“And then I asking about what we should expect and she had no idea.”

After asking for a new receipt that showed the adult dose, the family was simply told to monitor the children for any negative reactions. No further information was given to the family, who said they aren’t sure what to watch out for.

Felipe Neto said that he and his wife barely slept that first night.

“What if their hearts stopped beating and I’m sleeping because they took an untested vaccine. That’s so scary,” he said.

Angela Neto said that she called her colleagues, who work as nurses at a hospital in Kington, Ont., for advice

The children have not experienced any severe side effects to the adult vaccine dose, which the family is grateful for, but they say that it was the confusion and lack of communication that bothered them the most.

“It’s way too scary when someone tells you, ‘Oh, sorry. We messed up with your kids and we don’t know what may happen.’ What can happen?They can die? We don’t know. Holy cow,” Felipe Neto said.

“We were not causing a scene or anything. I understand mistakes happen. But to be put in a room aside, leave your kids alone to receive this kind of news and a goodbye, go home and see what happens… what is being done? Did they open an investigation? What is happening?”

An official with the Kingston, Frontenac and Lennox & Addington (KFL&A)Public Health Unit got back to the family on Dec. 31 after numerous calls. The official apologized for the mistake and told the family that the kids should still get a second dose of vaccine.

KFL&A Public Health told CTV News Toronto in a statement Tuesday they do not comment on individual medical cases, but there are processes in place to review all incidents that are reported.

This includes “a review of the incident with staff involved and immediate actions taken to mitigate future recurrences as well as identified opportunities to improve clinical practices.”

“If a vaccine error or deviation occur, clinic practices would adhere to the most up to date Ministry of Health guidance document.”

According to provincial guidelines updated on Dec. 30, 2021—which have yet to be published online—if an adult’s shot of Moderna is administered to a child under the age of 12, it should be considered as a “valid dose.”

These children should still book a second shot of paediatric Pfizer vaccine, the government says, adding that officials should inform parents of “the potential for local and systemic adverse events.”

WHAT HAPPENS IF YOU GET THE WRONG DOSE IN ONTARIO?

Regardless of the error, the provincial guidelines say that the recipient of the erroneous vaccine should be informed of any possible side effects and be provided with recommendations for future doses. All errors should also be reported to the Canadian Medication Incident Reporting and Prevention System, as well as the local public health unit.

Here is what the guidelines say should happen if a child is given an incorrect dose of COVID-19 vaccine in Ontario:

A child under the age of five gets a pediatric dose of COVID-19 vaccine: Children under the age of five are not yet eligible to get the shot. If t his occurs, a second dose may be offered at the recommended interval when they do become eligible.

A child under the age of 12 gets an adult dose of Pfizer: A second dose of the paediatric Pfizer dose should be offered at the recommended interval.

A child under the age of 18 gets the AstraZeneca vaccine: They should get the second dose of the correct age-appropriate Pfizer dose when eligible.

A child under the age of 18 gets the Janssen vaccine: No second dose is necessary. The vaccine series is considered complete.

If a child between the ages of 12 and 17 get a paediatric dose of Pfizer: This should be considered a valid dose and when eligible, the individual should get a second adult dose of Pfizer. If the paediatric dose was given as a second shot, the series should be complete. However, the province says that a repeated dose of the adult vaccine “may be administered at the Ontario recommended interval after the dose given in error” based on clinical judgement.

If someone aged 18 and up receives a paediatric dose: The dose is considered invalid and the individual should get the age-appropriate dose as soon as possible. The second dose should be given at the recommended interval following the age-appropriate vaccine.

If a child gets a paediatric dose within 14 days of another vaccine: The dose is considered valid and the series should be completed as normal.

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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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