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Ontario to cover RSV vaccine for nursing home residents as province unveils fall COVID-19, flu shot plans – The Globe and Mail

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Toronto Public Health nurse Carla Hidalgo Fernandez inoculates Pablo Efrain Mejia, 73, with his third Moderna COVID-19 vaccine on Feb. 3, 2022.Fred Lum/the Globe and Mail

Ontario seniors living in nursing homes will be the first in Canada to receive public coverage for a new vaccine against respiratory syncytial virus, the province said Thursday as it unveiled plans for a fall immunization blitz that also features updated shots for COVID and the flu.

Until this year, there were no approved vaccines to mitigate the toll of RSV, a pathogen that is most dangerous to infants and the elderly. Health Canada approved the first RSV vaccine for people 60 and older last month.

“I think it’s smart that we’re prioritizing people living in long-term care settings,” said Samir Sinha, the director of geriatrics at the Mount Sinai and University Health Network hospitals. “This would be a population that is not only highly vulnerable but probably would be less likely to be able to afford to pay for the vaccine itself.”

For now, Ontario is only planning to cover the RSV vaccine for people living in long-term care homes and some retirement homes for high-risk seniors, but the shot will be available in pharmacies across the country for those who have private drug insurance or are able to pay the $230 out-of-pocket cost, according to GSK, the company that makes the shot, called Arexvy.

RSV came to broad public attention last year as one of the viral illnesses that, along with influenza and COVID, caused a “tripledemic” that pummelled hospitals.

Kieran Moore, Ontario’s Chief Medical Officer of Health, said officials tracking hospital use last year found that, on average, 180 seniors were in Ontario hospitals every day with RSV during the height of viral illness season in December and January.

“That was almost the same burden as influenza,” Dr. Moore said in an interview Thursday. “That really convinced me of the impact of this.”

On the COVID front, Dr. Moore said he expects 350,000 doses of a reformulated shot from Moderna to be distributed to high-risk patients and settings – such as nursing homes and hospitals – by the end of September. The jabs should be available to people at lower risk of serious COVID illness beginning in mid-October, Dr. Moore said.

The tweaked Moderna shot, which targets a member of the Omicron family called XBB.1.5., was approved by Health Canada on Tuesday; the regulator is expected to approve a revised Pfizer-BioNTech shot shortly.

The National Advisory Committee on Immunization (NACI) recommends that everyone who hasn’t had a COVID shot or infection in the last six months get a jab with the reformulated shot this fall.

Dr. Moore said Ontario’s goal is to offer people their COVID and flu shots at the same time.

The province has ordered 6.1 million doses of various types of influenza vaccines, including a high-dose version for seniors, as well as 5.7 million doses of COVID vaccines. Rapid antigen tests for COVID will still be available through public-health offices and, as of this month, health care providers such as doctors can order them to share with patients for free.

Dr. Moore said that although the provincial health system is girding itself for another tough respiratory virus season, there are reasons to believe this year won’t be as punishing as the last. This year’s flu vaccine, for instance, looks like it will provide good coverage, based on the experience of the southern hemisphere.

“We anticipate a good match this year for influenza and the two strains that we anticipate circulating, which is great,” Dr. Moore said.

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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.

The Canadian Press. All rights reserved.

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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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