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Opposition NDP urges Alberta government not to switch drugs for some patients – rdnewsnow.com

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Health Minister Tyler Shandro announced a month ago that 26,000 patients already getting provincially funded biologic drugs would gradually be switched to biosimilar ones.

Biologics are complex drugs derived from living cells. Biosimilars mimic the original drugs but are based on expired patents and can be delivered at less cost.

The government notes Health Canada has signed off on switching to biosimilars as safe and effective, and that similar policies are in place in the United Kingdom, Poland, Norway and Austria.

Shandro has said Alberta is also following the lead of British Columbia and Manitoba and expects the move to save up to $380 million over the next four years. Added savings are expected as more biosimilar drugs come on the market.

Crohn’s and Colitis Canada has said the switch could lead to adverse reactions in some patients. Some of the people with Shepherd on Wednesday expressed the same worry.

Wilma Ritter, diagnosed at age four with juvenile rheumatoid arthritis, said the biologic drug Remicade has allowed her to avoid a life of dependency.

“Now I can walk. I work. I live independently without any supports. Now I pay income tax instead of getting the government to give me money to live,” she said.

“Being forced to stop using Remicade is putting my stability as a person with an autoimmune disorder at risk. Switching to a biosimilar will not work for everyone. And there is also no way to predict who it will work for and who it will not.”

Shepherd said the government is wrong to make the change mandatory for existing patients.

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“It’s important to introduce biosimilars (to new patients),” he said. “I recognize that there are indeed costs that we need to reckon with and I think it’s reasonable for government to move forward.

“My disagreement is with the manner in which it is moving forward… chaotic, rushed, not thought through, not considering long-term potential consequences.”

Shandro, in a statement, said that keeping existing patients on biologics is unnecessary and ultimately self-defeating.

“There is no scientific evidence that switching to biosimilars puts patients at added risk; there is overwhelming evidence that biosimilars are clinically equivalent to biologics,” he said.

“Grandfathering patients currently on biologics would cancel almost all the savings we’re projecting …. Those savings are all to be reinvested in the health system.”

The plan is to have the 26,000 patients switched over by July 1. The change will not affect patients on private drug plans or those paying out of pocket. It is not to apply to pregnant women or children.

Patients will be able to apply for medical exemptions, which could be granted following a review by doctors, to prevent a switch.

The province says its spending on biologics has been soaring over the last five years. It says the cost has been growing an average of 16 per cent a year and reached $238 million in 2018-19.

It says that biologics represent almost one-fifth of the government’s total spending on drugs provided to fewer than two per cent of patients.

(Dean Bennett)

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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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Bizarre Sunlight Loophole Melts Belly Fat Fast!

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