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Ontario unveils new details about who will become eligible for a COVID-19 vaccine in Phase 2 – CTV Toronto

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TORONTO —
Adults over 50 living in COVID-19 hotspot neighbourhoods, various frontline workers, and those with a wide range of health conditions will soon qualify to receive a vaccine as Ontario prepares to roll out Phase 2 of its vaccine plan.

A new document released by the province Tuesday evening lays out exactly who will be eligible once Phase 2 officially begins in April. The document includes some modifications to the original plan and provides some more detail about who will be eligible.

One of the changes under the revised guidelines provided from the province is that adults over 50 in certain hotspot neighbourhoods will be eligible in Phase 2.

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Most public health units within the GTA have been acknowledged by the province to contain hotspot areas with increased COVID-19 transmission.

In Toronto, public health officials have identified the Northwest part of the city and certain parts of Scarborough as areas where COVID-19 transmission has been high.

The province says that adults living in hotspot areas should be vaccinated, starting with the oldest and working down to those who are 50 and over.

Adults 50+ in the highest risk communities will be offered vaccines in April while those in the remaining hotspot communities will be offered vaccines in May.

Those with health conditions included

The new guidelines also spell out exactly what sort of conditions will qualify people for a vaccine under Phase 2. Those with health conditions are divided into three groups: highest risk, high risk, and at-risk.

Those in the highest risk category will be prioritized first. They include organ transplant recipients, certain stem cell recipients, those with neurological diseases in which respiratory function may be compromised, those with haematological cancers, and those with kidney disease.

The next highest priority group includes those who are obese, those receiving treatments causing immunosuppression, and those with intellectual and developmental disabilities.

The third group includes a wide range of conditions, including stroke, autoimmune disorders, diabetes, respiratory diseases, dementia, all other types of cancer, heart disease, hypertension with end organ damage, mental disorders, substance use disorders, sickle cell disease, pregnancy, immunocompromising health conditions, liver disease, spleen problems, thalassemia, and disabilities requiring direct support care in the community.

The province says the identified health conditions are those which have been found to increase the risk of severe outcomes from COVID-19 infection.

The highest risk group and their caregivers will be offered a vaccine at the start of April, followed by the next group in late April and the third group in mid-May.

Ontario health officials are also acknowledging that the province’s COVID-19 vaccine rollout will move at a different pace depending on which area people live in.

In the guidance document, the province says that it is “trying to ensure provincial consistency while maintaining regional and local flexibility to respond to local and regional contacts and data.”

Provincial officials also acknowledge that “it is likely that vaccination of Phase 2 populations will begin before all Phase 1 populations have been offered the first dose of vaccine, and that there will be overlap of the end of Phase 1 in the beginning of Phase 2.”

Anyone who became eligible in Phase 1 will continue to be eligible in Phase 2 and beyond.

The document reflects the reality that is already unfolding on the ground. Some public health units have already moved on to start vaccinating those who are 70 and over, despite provincial guidelines indicating that age group will only start receiving vaccines in late April.

And despite the fact that the guidance document still indicates that those 75 and over will become eligible at the start of April, the province opened vaccine bookings to all those 75 and over on Monday.

Many essential workers included

Broadly, adults between 60 and 79, those living in high-risk congregate settings and essential workers who cannot work from home are also among those included in Phase 2.

The first group of workers includes education workers, school bus drivers, food manufacturing workers and others.

The second group includes front-facing government workers, essential retail workers, restaurant workers, social workers, court workers, public transit workers and others.

A full list of those who are eligible is posted on the province’s website.

Phase 2 officially runs from April to July and will include 9 million people, according to the provincial plan.

Phase 3, where any adult below 59 years old can get a shot, is officially set to begin in July.

However officials have said that the program is expected to progress more quickly, with vaccines expected to arrive in larger quantities and with the adoption of a policy spacing out first and second doses four months apart.  

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Pasteurized milk includes remnants of H5N1 bird flu, U.S. officials say – CBC News

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The U.S. Food and Drug Administration says that samples of pasteurized milk have tested positive for remnants of the bird flu virus that has infected dairy cows.

The agency stressed that the material is inactivated and that the findings “do not represent actual virus that may be a risk to consumers.” Officials added that they’re continuing to study the issue.

“To date, we have seen nothing that would change our assessment that the commercial milk supply is safe,” the FDA said in a statement on Tuesday.

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The announcement comes nearly a month after an avian influenza virus that has sickened millions of wild and commercial birds in recent years was detected in dairy cows in at least eight states. The Agriculture Department (USDA) says 33 herds have been affected to date.

FDA officials didn’t indicate how many samples they tested or where they were obtained. The agency has been evaluating milk during processing and from grocery stores, officials said. Results of additional tests are expected in “the next few days to weeks.”

WATCH | Bird flu spread in U.S. cows:

Bird flu is spreading in cows. Are humans at risk? | About That

15 days ago

Duration 8:54

For the first time ever, avian influenza, or H5N1 bird flu, was detected in roughly a dozen dairy cow herds across the U.S. About That producer Lauren Bird explores why scientists and public health officials are concerned about the cross-species transmission and whether humans are now at higher risk.

The polymerase chain reaction (PCR) lab test the FDA used would have detected viral genetic material even after live virus was killed by pasteurization, or heat treatment, said Lee-Ann Jaykus, an emeritus food microbiologist and virologist at North Carolina State University

“There is no evidence to date that this is infectious virus, and the FDA is following up on that,” Jaykus said.

Officials with the FDA and the USDA had previously said milk from affected cattle did not enter the commercial supply. Milk from sick animals is supposed to be diverted and destroyed. Federal regulations require milk that enters interstate commerce to be pasteurized.

Tests for viable virus underway, agency says

Because the detection of the bird flu virus known as Type A H5N1 in dairy cattle is new and the situation is evolving, no studies on the effects of pasteurization on the virus have been completed, FDA officials said. But past research shows that pasteurization is “very likely” to inactivate heat-sensitive viruses like H5N1, the agency added.

The agency said it has been evaluating milk from affected animals, in the processing system and on the shelves. It said it is completing a large, representative national sample to understand the extent of the findings.

The FDA said it is further assessing any positive findings through egg inoculation tests, which it described as a gold standard for determining viable virus.

Matt Herrick, a spokesperson for the International Dairy Foods Association, said that time and temperature regulations for pasteurization ensure that the commercial U.S. milk supply is safe. Remnants of the virus “have zero impact on human health,” he wrote in an email.

Scientists confirmed the H5N1 virus in dairy cows in March after weeks of reports that cows in Texas were suffering from a mysterious malady. The cows were lethargic and saw a dramatic reduction in milk production. Although the H5N1 virus is lethal to commercial poultry, most infected cattle seem to recover within two weeks, experts said.

To date, two people in the U.S. have been infected with bird flu. A Texas dairy worker who was in close contact with an infected cow recently developed a mild eye infection and has recovered. In 2022, a prison inmate in a work program caught it while killing infected birds at a Colorado poultry farm. His only symptom was fatigue, and he recovered.


The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Science and Educational Media Group. The AP is solely responsible for all content. 

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Remnants of bird flu virus found in pasteurized milk, FDA says – Hamilton Spectator

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The U.S. Food and Drug Administration said Tuesday that samples of pasteurized milk had tested positive for remnants of the bird flu virus that has infected dairy cows.

The agency stressed that the material is inactivated and that the findings “do not represent actual virus that may be a risk to consumers.” Officials added that they’re continuing to study the issue.

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Interior Health delivers nearly 800K immunization doses in 2023

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Interior Health says it delivered nearly 800,000 immunization doses last year — a number almost equal to the region’s population.

The released figure of 784,980 comes during National Immunization Awareness Week, which runs April 22-30.

The health care organization, which serves a large area of around 820,000,  says it’s using the occasion to boost vaccine rates even though there may be post-pandemic vaccine fatigue.

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“This is a very important initiative because it ensures that communicable diseases stay away from a region,” said Dr. Silvina Mema of Interior Health.

However, not all those doses were for COVID; the tally includes childhood immunizations plus immunizations for adults.

But IHA said immunizations are down from the height of the pandemic, when COVID vaccines were rolled out, though it seems to be on par with previous pre-pandemic years.

Interior Health says it’d like to see the overall immunization rate rise.

“Certainly there are some folks who have decided a vaccine is not for them. And they have their reasons,” said Jonathan Spence, manager of communicable disease prevention and control at Interior Health.

“I think there’s a lot of people who are hesitant, but that’s just simply because they have questions.

“And that’s actually part of what we’re celebrating this week is those public health nurses, those pharmacists, who can answer questions and answer questions with really good information around immunization.”

Mima echoed that sentiment.

“We take immunization very seriously. It’s a science-based program that has saved countless lives across the world and eliminated diseases that were before a threat and now we don’t see them anymore,” she said.

“So immunization is very important.”

 

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