They are finally here! Vaccinations against COVID-19 were at last approved for the youngest people ages 6 months to 5 years old. Studies in children have been done showing definite protective benefits and no major adverse reactions occurring. The first step was the FDA approval after an advisory panel deliberated the week of June 13 — only 2 days — to vote unanimously to recommend authorization, stating the benefits outweigh any risks for young kids.
Ottawa Public Health is starting to administer the monkeypox vaccine to eligible residents, one week after the first case was confirmed in the capital.
As of Friday, there were 30 cases of monkeypox in Ontario, including 26 in Toronto and one in Ottawa. According to Public Health Ontario, there are two suspected cases of monekypox under investigation in Ottawa.
The health unit says it is “closely monitoring” the monkeypox situation, adding the risk to the general public remains “very low.”
“OPH has been offering and administering vaccines to help protest those who have had close contact with someone who has tested positive for monkeypox,” said a statement from Ottawa Public Health.
“We have been and will continue to follow up with all close contacts.”
Ottawa Public Health received a “very limited supply of vaccines on Thursday to offer protection for those at “highest risk.”
“We will begin offering vaccination this weekend to the highest priority individuals based on the latest provincial eligibility criteria,” OPH said. “Those who are eligible will be contacted directly. As supply increases, we will continue to work with community partners to expand access to anyone eligible.”
Monkeypox is a rare viral disease caused by a virus usually found to be endemic in Central and Western Africa. Health officials have said that monkeypox is spread person-to-person through contact with infected lesions, scabs or bodily fluids.
“Most transmission of monkeypox in Canada has occurred between close contacts like intimate partners or household members,” Ottawa Public Health says on its website.
Symptoms include fever, chills, headache, muscle aches, exhaustion, swollen lymph nodes and new rash or lesions.
In Toronto, two monkeypox vaccination clinics were being held with expanded eligibility.
Officials in Toronto said the clinics are for people over the age of 18 who are transgender or cisgender who self-identify as a man and “to the community of gay, bisexual and other men who have sex with men.
With files from CTV News Toronto’s Katherine DeClerq
Saskatchewan HIV, HCV education program continuing at USask College of Medicine – USask News
The education program helps address the complexities driving sexually transmitted and blood borne infection (STBBI) rates in Saskatchewan and their impact on patient care. Content will include the clinical treatment and management of infections and will feature the involvement of HIV/HCV experienced care providers, organizations, and community members to create made-in-Saskatchewan solutions to the province’s unique environment and challenges.
Critical to the past and continuing success of this program are faculty and staff in the Department of Medicine’s Division of Infectious Diseases at the USask College of Medicine. Infectious disease specialists Dr. Alex Wong (MD) and Dr. Beverly Wudel (MD) will oversee the creation and delivery of the medical education, with additional guidance provided by an advisory group of family physicians experienced in providing HIV and HCV care in clinics across the province.
“We’re very pleased to have worked with our partners and colleagues already involved in delivering this important program to now be able to continue this critical work,” said Dr. Jim Barton (MD), CME associate dean. “This would not have been possible without the support of our provincial government. And we are happy to make this announcement today, on National HIV Testing Day in Saskatchewan.”
For the past 10 years, Saskatchewan has had the highest rate of new HIV and Hepatitis C diagnoses in Canada and the fastest growing rate of syphilis infections in the country, resulting in an urgent need to educate primary care providers to recognize, test, treat, and manage these infections in their clinical practices.
“The government is pleased to fund initiatives and programs that improve the capacity and confidence of health-care providers to diagnose and treat sexually transmitted and blood borne infections (STBBIs),” said Minister of Health Paul Merriman. “Programs like the STBBI Treatment Education Program for Saskatchewan (STEPS) will help improve access to health-care professionals in more communities across the province, and reduce the stigma many feel around testing and treatment.”
Up to March 2022, the STBBI primary care provider education program was delivered by the Saskatchewan Infectious Disease Care Network (SIDCN) as the Primary Care Capacity Improvement: Treatment as Prevention Project, with four years of funding from the Public Health Agency of Canada, Harm Reduction Grant. This new STBBI program, renamed STEPS, will feature the continuation and growth of education originally offered by the SIDCN.
“I am so grateful that the amazing work that was being done will continue—now with the educational leadership of CME, the involvement of experienced medical experts and staff, the important guidance of existing project stakeholders, and the support of the Ministry of Health,” said Dr. Satchan Takaya (MD), infectious diseases specialist.
STEPS will build from and utilize resources used by SIDCN’s past project. This will include the continuation of the popular HIV and HCV Virtual Classrooms that discuss testing, treating, and managing these infections in Saskatchewan. Based on feedback, a new Syphilis Virtual Classroom will be launched along with several other new presentations all related to addressing and managing STBBIs in the province.
The program will be targeted to primary care providers, family medicine residents, nurse practitioners and registered nurses, as well as other allied health-care professions. A limited number of clinical mentorship opportunities will be available for physicians and nurse practitioners who can benefit from applying virtual classroom content in a clinical setting under the guidance of experienced HIV and HCV specialists and physicians.
By housing a new STBBI program within CME, there is an opportunity to reach more learners and showcase the expertise and support of faculty from the Infectious Disease Department and Family Medicine. The program will also provide opportunities for collaborating with other STBBI stakeholders and strengthen the efforts needed to support front-line providers and improve access to clinically informed and stigma-free STBBI health care.
Health Minister Adrian Dix must come clean on why B.C. is restricting fourth COVID-19 vaccinations – The Georgia Straight
Former senior civil servant and diplomat Norman Spector shared a fascinating article with me this weekend from the Ottawa Citizen.
A family physician in the national capital, Dr. Nili Kaplan-Myrth, hoped to conduct mass vaccinations for people who want a fourth dose of COVID-19 but don’t qualify under Ontario’s rules.
She reportedly wanted to create a large outdoor “jabalooza” clinic but health officials refused to provide her with vaccines.
Ontario restricts access to fourth shots of COVID-19 vaccines to those who are 60 years of age or older.
Next door in Quebec, people can get fourth shots if they are 18 and older.
“I am receiving lots of individual requests for help,” Kaplan-Myrth tweeted on Sunday (June 26). “I can’t give you the vaccine at this time, but hands up (and DM) if you as plaintiffs want to bring this to court as a group. Would require a litigation team.”
There’s a tremendous amount of scientific data showing that COVID-19 vaccines lessen the severity of COVID-19. They reduce the likelihood of dying or being hospitalized from the disease.
However, COVID-19 vaccine effectiveness wanes over time. This is why Kaplan-Myrth is such a strong advocate for booster shots. She believes that these boosters are particularly important when so many people are not wearing masks indoors.
Keep in mind that COVID-19 initially presents as a respiratory infection.
In some cases, however, it causes serious brain injuries and cardiovascular problems. It’s especially dangerous for the immunocompromised, who are at higher risk of suffering severe COVID-19.
That’s because the virus that causes COVID-19 not only damages blood vessels and triggers blood clots, but also disrupts the immune system. Researchers have even linked immune dysfunction to serious brain injuries, which is explained in the video below.
B.C. doesn’t want most under-70s to get fourth shots
In the face of all of this, B.C. continues adopting a hard line on the distribution of fourth vaccine doses.
This is the case even after Global News B.C. reporter Richard Zussman revealed that 226,000 doses intended for the vaccine-hesitant will expire at the end of July.
In B.C., you have to be 70 years of age or older and have gone six months since a previous COVID-19 vaccination to qualify for a fourth dose.
There are exceptions: Indigenous people, for example, can get a fourth dose if they’re 55 or older.
Below, you can read other exceptions listed by the B.C. Centre for Disease Control for those between the ages of 60 and 69.
However, when the Georgia Straight asked the Ministry of Health about who qualified for a fourth COVID-19 vaccination, it did not include what’s written after the letter “d”: “Caregiver of a frail elderly or moderately to severely immunosuppressed person”.
So it remains unclear in B.C. if a person between 60 and 69 who is a caregiver for either a frail elderly person or a moderately to severely immunosuppressed person is able to receive a fourth COVID-19 vaccination.
Yet it seems pretty clear from the exemptions above that if you are a cancer survivor or have kidney disease or have heart disease or have multiple sclerosis or have had a transplant and you’re under 70 in B.C., you will not qualify for a fourth COVID-19 vaccination under existing rules.
Why is B.C. being more restrictive with COVID-19 booster shots than Ontario, Quebec, Saskatchewan (where you only need to be 50-plus), as well as the entire United States?
Health Minister Adrian Dix needs to come clean on that.
What possible justification is there for withholding a fourth COVID-19 shot for British Columbians under 70, especially the immune-compromised, when 226,000 vaccine doses are set to expire next month?
Why is Dix so convinced that he knows better than the governments of Ontario, Quebec, and Saskatchewan?
We don’t know the answer.
That’s in part because our pusillanimous B.C. Liberal MLAs refuse to hold the provincial NDP government accountable for its COVID-19 policies.
Some on social media are speculating that the booster shots are being withheld as part of a population-level experiment—conducted without the people’s consent—on the efficacy of delaying second booster shots.
Dix and provincial health officer Dr. Bonnie Henry, through their actions, are giving oxygen to this hypothesis.
Who knows? There might even be a scientific justification for withholding booster shots.
But in the absence of evidence provided by the B.C. government, the health minister must get in front of a microphone on Monday (June 27) and provide a coherent explanation.
Failure to do so will only fuel more suspicion about the motives behind the government’s policy.
Perhaps it’s worth noting that in January 2021, Science published a study involving 188 people, which offered a glimmer of hope.
It showed that more than 95 percent of those who had recovered from COVID-19 had immune systems demonstrating “durable” memories of the virus, lasting up to eight months.
This prompted speculation on the National Institutes of Health website that the immune systems of those who are vaccinated would have lasting memories of the virus.
But a study of 188 people is insufficient as the basis for an entire provincewide policy.
Some might wonder if the government isn’t making fourth doses of COVID-19 vaccines available to those under 70 because of the cost of distribution or due to the labour shortage in the health-care sector.
Others might suspect it’s because the B.C. government thinks everyone is going to get COVID-19 anyway, so why bother?
If that’s the real reason, it’s a monumental disservice to those with compromised immunity. This should demand a response from Human Rights Commissioner Kasari Govender that goes well beyond writing a letter to Henry. Like by holding a public inquiry under section 47.15 of the B.C. Human Rights Code.
In the meantime, show us the evidence, Minister Dix, for why so many British Columbians are being denied a fourth COVID-19 vaccination.
And if you’re unwilling to do that, then please step aside so another health minister can do this in your place.
Frank Bures: COVID shots for tots | Column | winonadailynews.com – Winona Daily News
The CDC signed off on the vaccines June 18 with another unanimous vote. The two vaccines consist of the Pfizer mRNA version in adults, but a much-reduced dose of 3 micrograms instead of 30 micrograms, given in three doses to induce a high level of antibodies equivalent to young adults. The first two doses are spaced three weeks apart, and the third at least two months later. The study found only 10 COVID cases in the three-dose group and seven in the placebo group for an efficacy of 80%. The study included only a small number of patients. Most of the infectious disease and pediatrician experts cautioned not to lose sight of the fact that the vaccines were saving children’s lives.
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The Moderna mRNA vaccine is the same as the adult one but only a quarter of the dose at 25 micrograms in a two-dose series given four weeks apart. Both this and the Pfizer vaccine achieved the same levels of immunity that have protected young adults against severe disease. None of the developed COVID vaccines have achieved the ideal of elimination of the infection. But they have saved many lives.
In children, the risk from COVID is very real, even though hospitalization and deaths are lower than in adults. In children ages 1-4, COVID is the fifth leading cause of death. One source that looked at the period from January 2020 through May 2022 said 202 kids in this age group died from COVID. Another source quoted 480 kids dead from COVID. That’s more deaths per year than hepatitis, meningitis, rotavirus, and other common infectious diseases each caused before routine vaccinations for them were recommended. And the risk wasn’t limited to any particular group. More than half of the youngsters hospitalized due to COVID had no underlying conditions.
These vaccines have proven to be some of the safest of any for adults. In the preliminary studies in this age group the adverse reactions/side effects were mostly mild and short lived, much like those in adults, and similar to those from other vaccines. The main one was pain and redness or tenderness at the injection site. There might be some irritability, fatigue, or sleepiness, loss of appetite, headache, abdominal pain or discomfort, mild diarrhea, vomiting. But everyone got better quickly! Fevers were uncommon and mild in the participants. Those can be treated with acetaminophen.
A pediatric infectious disease specialist at Children’s Hospital, Denver, Colo., said it’s important to keep in mind that COVID-19 is now one of the vaccine-preventable diseases with the highest mortality rate. Hospitalization rates for children with COVID were five times higher during the recent wave than the worst previous points of the pandemic. Katherine Poehling, director of pediatric population health at Wake forest School of Medicine, said, “I am struck by these numbers. I’m also concerned there’s a real underappreciation of the potential severity.” FDA commissioner Robert Califf said, “Any death of a child is tragic, and should be prevented if possible.”
It’s a guarantee that, if a respiratory germ gets into a home, it gets into everyone living there. It may not take hold in each individual to create what we call disease for a host of reasons, but the microbe made the rounds, positive test or not. That includes every kid kissing you or sharing food with you.
The COVID variants currently crawling down our craws are killing fewer Americans daily than during any other period except the summer of 2021. But the country is now recording 10 times as many cases as it was at that time, indicating that a smaller number of cases are causing deaths. But COVID is still killing an average of 314 people a day. These darling little Petri (not “peach tree”) dishes we parents and grandparents love to hug and kiss can be vectors of so many viruses. The vaccines are a tool to help prevent that spread and contagion. It’s an incomplete tool, but it’s part of a larger effort to stop infections, along with hand washing, etc.
Maybe you could liken it to a fork among our eating utensils. We could eat most everything on the plate with that fork, but a knife and spoon sure help us to divide and down the delectables we can’t spear. The vaccines are essentially safe and a valuable tool. One preventable child’s death is one too many. Get your tot shot!
Dr. Bures, a semi-retired dermatologist, since 1978 has worked Winona, La Crosse, Viroqua and Red Wing. He also plays clarinet in the Winona Municipal Band and a couple dixieland groups. And he does enjoy a good pun.
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