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Pfizer presses Health Canada to increase doses taken from each vial – The Globe and Mail

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A health-care worker prepares a dose of the Pfizer-BioNTech COVID-19 vaccine at a UHN COVID-19 vaccine clinic in Toronto on Jan. 7, 2021.

Nathan Denette/The Canadian Press

Pfizer-BioNTech is pushing Health Canada to amend its COVID-19 vaccine label and formally recognize that each vial contains six doses rather than five, which would allow the company to send fewer vials to Canada but could complicate the vaccination program.

Pfizer submitted a request to Health Canada on Friday to amend the vaccine label, company spokesperson Christina Antoniou said on Tuesday. The company’s contract with Canada is based on delivering doses, rather than a set number of vials, she said.

“Obtaining six doses from the current multi-dose vial … can help minimize vaccine wastage and enable the most efficient use of the vaccine,” she said.

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Medical staff in Canada have sometimes been able to withdraw six doses, but officials have said it’s not consistent. However, Pfizer said with specialized syringes, a sixth dose can be reliably pulled from each vial. These syringes are in short supply around the world.

The United States and European Union have already accepted the requested change.

Canada is buying 40 million doses from Pfizer. If Health Canada approves the change, Canada could get about 6.7 million vials rather than eight million. The change could increase the number of people who can receive the vaccine worldwide. However, it could also be a challenge for Canada’s vaccination program, which has already hit several speed bumps.

SQUEEZING EVERY LAST DROP

Each dose of Pfizer’s COVID-19 vaccine must be 0.3 ml. The company says if low-dead space syringes are used then six doses can be withdrawn from each vial of the vaccine. However, if standard syringes are used then medical professionals may only be able to extract five doses.

High-dead space syringe

0.092 ml of fluid retained

Low-dead space syringe

THE GLOBE AND MAIL, SOURCE:

PUBLIC HEALTH ENGLAND

SQUEEZING EVERY LAST DROP

Each dose of Pfizer’s COVID-19 vaccine must be 0.3 ml. The company says if low-dead space syringes are used then six doses can be withdrawn from each vial of the vaccine. However, if standard syringes are used then medical professionals may only be able to extract five doses.

High-dead space syringe

0.092 ml of fluid retained

Low-dead space syringe

THE GLOBE AND MAIL, SOURCE: PUBLIC HEALTH ENGLAND

SQUEEZING EVERY LAST DROP

Each dose of Pfizer’s COVID-19 vaccine must be 0.3 ml. The company says if low-dead space syringes are used then six doses can be withdrawn from each vial of the vaccine. However, if standard syringes are used then medical professionals may only be able to extract five doses.

High-dead space syringe

0.092 ml of fluid retained

Low-dead space syringe

THE GLOBE AND MAIL, SOURCE: PUBLIC HEALTH ENGLAND

Shipments from Pfizer have had delays, and Canada will get no shots this week. Officials hope vaccine candidates from Johnson & Johnson and AstraZeneca will soon be approved in Canada, but so far no delivery is expected before April.

A spokesperson for Procurement Minister Anita Anand said she could not comment until Health Canada decides whether to change the product information.

Late Tuesday, Martin Bégin, a spokesperson for Health Canada, confirmed the regulator has received Pfizer’s request. He was unable to provide a timeline for a decision.

In a statement to The Globe on Monday, Health Canada spokesperson Maryse Durette said the extra volume per vial acts as “a safeguard against potential loss of volume that can occur during storage, preparation and administration of the vaccine, and can result in overages that may amount to an extra dose or two. The monograph of the product would not change because of extra volume in the vial.”

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If health professionals use what’s called a low dead space syringe to extract each dose, Ms. Antoniou said, six doses can be consistently drawn. Dead space is vaccine that is left in a syringe after an injection. “If standard syringes and needles are used, there may not be sufficient volume to extract a sixth dose from a single vial,” Ms. Antoniou said. Some needles can limit dead space.

Pfizer did not provide The Globe with the data to show how often six doses are retrieved from a vial. The Globe asked the Ontario, B.C. and Quebec governments, but they did not provide such information.

The low dead space syringes are a “niche” item, said Troy Kirkpatrick, a spokesperson for BD, the medical technology company supplying the United States with syringes. BD is selling syringes to Canada, but not low dead space ones. The federal government was unable to tell The Globe which company supplies those.

Of the 145 million syringes Canada has bought for the vaccination program, 37.5 million are the kind that would be required if Health Canada approves Pfizer’s request, Ms. Anand’s office said. Her office was unable to say on Tuesday when they would all be delivered.

Ms. Antoniou said six low dead space syringes are needed for each vial.

Until now, the syringes “have historically had low demand,” Mr. Kirkpatrick said, and “no vaccine manufacturer identified the need for these types of devices when production capacity was increased.” He said the company is meeting its current contracts, and advising governments it will “take time” to increase production.

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Canada has also bought 40 million vaccine doses from Moderna. On Tuesday, the company said its shots require standard syringes.

At the University Health Network in Toronto, one of Canada’s largest hospital groups, Emily Musing, a vice-president and professional pharmacist, said staff have been able to “more consistently” get a sixth dose when using a one-milliliter syringe.

However, the hospital ran out and had to use three-ml syringes. “We found with the larger syringes, we were not able to pull up as many sixth doses,” she said.

Neither of those is as reliable as the low dead space syringe, Ms. Antoniou said.

Even without the requirement for the specialized syringe, some public health units were facing supply challenges. In Ontario, one health unit is asking pet clinics for syringes that are specialized enough to get a sixth dose from a vial.

“With an aim to maximize the efficiency of our approach to vaccine delivery, we have reached out to local veterinary clinics and community partners to ask for contributions of syringes,” said Piotr Oglaza, medical officer of health at Hastings Prince Edward public health, which includes the city of Belleville.

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Andrew Blais, who works for a pet hospital in the region, said he was shocked to receive a request from the health unit on Monday for the clinic to donate 1 cc-size syringes. “It felt outrageous that they were even thinking about veterinary clinics,” he said. “I would have thought maybe they would start with public health agencies or other government-funded [agencies].”

“There was definitely a feeling of panic to it,” he said.

Alexandra Hilkene, a spokeswoman for Ontario Health Minister Christine Elliott, said it’s Ottawa’s responsibility to procure syringes for vaccinations. However, she said the province can get additional supplies to help local public health units. She said Ontario sent three-ml syringes to Hastings Prince Edward on Jan. 22 and 25 for a total of 1,000. But those are not the specialized syringes to extract six doses.

Alberta’s health authority said it is buying low dead space syringes and other supplies to supplement shipments from Ottawa.

The federal government has not disclosed how much it is paying Pfizer for the vaccines. A New York Times report suggests that the reduction in vials shipped by Pfizer won’t change how much the U.S. pays. Reuters reports that Sweden is withholding payment until it gets clarity on Pfizer’s billings. The company told a local newspaper it charged for six doses per vial.

With reports from James Keller, Andrea Woo and Les Perreaux.

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Roots sees room for expansion in activewear, reports $5.2M Q2 loss and sales drop

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TORONTO – Roots Corp. may have built its brand on all things comfy and cosy, but its CEO says activewear is now “really becoming a core part” of the brand.

The category, which at Roots spans leggings, tracksuits, sports bras and bike shorts, has seen such sustained double-digit growth that Meghan Roach plans to make it a key part of the business’ future.

“It’s an area … you will see us continue to expand upon,” she told analysts on a Friday call.

The Toronto-based retailer’s push into activewear has taken shape over many years and included several turns as the official designer and supplier of Team Canada’s Olympic uniform.

But consumers have had plenty of choice when it comes to workout gear and other apparel suited to their sporting needs. On top of the slew of athletic brands like Nike and Adidas, shoppers have also gravitated toward Lululemon Athletica Inc., Alo and Vuori, ramping up competition in the activewear category.

Roach feels Roots’ toehold in the category stems from the fit, feel and following its merchandise has cultivated.

“Our product really resonates with (shoppers) because you can wear it through multiple different use cases and occasions,” she said.

“We’ve been seeing customers come back again and again for some of these core products in our activewear collection.”

Her remarks came the same day as Roots revealed it lost $5.2 million in its latest quarter compared with a loss of $5.3 million in the same quarter last year.

The company said the second-quarter loss amounted to 13 cents per diluted share for the quarter ended Aug. 3, the same as a year earlier.

In presenting the results, Roach reminded analysts that the first half of the year is usually “seasonally small,” representing just 30 per cent of the company’s annual sales.

Sales for the second quarter totalled $47.7 million, down from $49.4 million in the same quarter last year.

The move lower came as direct-to-consumer sales amounted to $36.4 million, down from $37.1 million a year earlier, as comparable sales edged down 0.2 per cent.

The numbers reflect the fact that Roots continued to grapple with inventory challenges in the company’s Cooper fleece line that first cropped up in its previous quarter.

Roots recently began to use artificial intelligence to assist with daily inventory replenishments and said more tools helping with allocation will go live in the next quarter.

Beyond that time period, the company intends to keep exploring AI and renovate more of its stores.

It will also re-evaluate its design ranks.

Roots announced Friday that chief product officer Karuna Scheinfeld has stepped down.

Rather than fill the role, the company plans to hire senior level design talent with international experience in the outdoor and activewear sectors who will take on tasks previously done by the chief product officer.

This report by The Canadian Press was first published Sept. 13, 2024.

Companies in this story: (TSX:ROOT)

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Talks on today over HandyDART strike affecting vulnerable people in Metro Vancouver

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VANCOUVER – Mediated talks between the union representing HandyDART workers in Metro Vancouver and its employer, Transdev, are set to resume today as a strike that has stopped most services drags into a second week.

No timeline has been set for the length of the negotiations, but Joe McCann, president of the Amalgamated Transit Union Local 1724, says they are willing to stay there as long as it takes, even if talks drag on all night.

About 600 employees of the door-to-door transit service for people unable to navigate the conventional transit system have been on strike since last Tuesday, pausing service for all but essential medical trips.

Hundreds of drivers rallied outside TransLink’s head office earlier this week, calling for the transportation provider to intervene in the dispute with Transdev, which was contracted to oversee HandyDART service.

Transdev said earlier this week that it will provide a reply to the union’s latest proposal on Thursday.

A statement from the company said it “strongly believes” that their employees deserve fair wages, and that a fair contract “must balance the needs of their employees, clients and taxpayers.”

This report by The Canadian Press was first published Sept. 12, 2024.

The Canadian Press. All rights reserved.

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Transat AT reports $39.9M Q3 loss compared with $57.3M profit a year earlier

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MONTREAL – Travel company Transat AT Inc. reported a loss in its latest quarter compared with a profit a year earlier as its revenue edged lower.

The parent company of Air Transat says it lost $39.9 million or $1.03 per diluted share in its quarter ended July 31.

The result compared with a profit of $57.3 million or $1.49 per diluted share a year earlier.

Revenue in what was the company’s third quarter totalled $736.2 million, down from $746.3 million in the same quarter last year.

On an adjusted basis, Transat says it lost $1.10 per share in its latest quarter compared with an adjusted profit of $1.10 per share a year earlier.

Transat chief executive Annick Guérard says demand for leisure travel remains healthy, as evidenced by higher traffic, but consumers are increasingly price conscious given the current economic uncertainty.

This report by The Canadian Press was first published Sept. 12, 2024.

Companies in this story: (TSX:TRZ)

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