MONTREAL — Pharmacies are pushing to get involved in Canada’s vaccination effort, pitching their expansive networks and experience with vaccine distribution as potential selling points.
Nationwide chains Shoppers Drug Mart Corp. and London Drugs Ltd. say they have had conversations with the federal and provincial governments about co-operating on vaccine distribution once the doses become more widely available, although there are currently no plans to do so.
“Pharmacies are ready and willing right now to help with that injection of those COVID vaccines,” said Chris Chiew, general manager of pharmacy for London Drugs. “We reach every single corner of each province of all of Canada, and by having all pharmacists involved, you’re actually able to get a larger percentage of the population in a faster period of time.”
A partnership with pharmacies could be a welcome opportunity for provincial health authorities in Canada, which face the daunting logistical task of distributing tens of millions of COVID-19 vaccinations in 2021.
So far, the government has tightly controlled distribution of COVID-19 vaccines since the first doses of the Pfizer-BioNTech vaccine were administered in Canada on Dec. 14. But the federal government’s approval of Moderna’s vaccine last week, along with the expected approval of a number of other vaccine candidates in the coming months, means the distribution effort will soon ramp up.
The federal government has said it expects immunization for the general population to begin in April 2021. Ultimately, provincial health authorities are responsible for deciding how to distribute the vaccine to their residents, and the actual rollout could work differently in varying parts of the country.
The pharmacies’ outreach comes as they have embraced an increasing role in public health in recent years, expanding their businesses beyond just filling prescriptions. The result has been a new area of growth for the pharmacies’ bottom lines as they include vaccines and other basic health services such as travel health consultations among their offerings.
What began with flu shots has now broadened to include travel vaccines and immunizations against other diseases like shingles, said Jeff Leger, president of Shoppers Drug Mart.
“The role of the pharmacist has been changing,” Leger said.
Pharmacies’ experience with distributing vaccines means they have already figured out many of the logistical challenges associated with the COVID-19 shots, Chiew and Leger said, from keeping the doses cold in transit to ensuring that pharmacists are properly trained in how to administer them.
Pharmacies also have digital notification systems in place for communicating with their clients, which could be useful for staying in touch with vaccine recipients, the vast majority of whom will have to return for a second shot about a month after their initial dose.
Consumers may ultimately prefer receiving their shot at a nearby pharmacy instead of a larger clinic, said Kelly Grindrod, a professor at the University of Waterloo’s school of pharmacy. Pharmacies have become the default option for many people looking to get vaccines, Grindrod said, a shift from a decade ago, when people mostly got them at doctors’ offices.
That shift in attitudes could make pharmacies an attractive distribution channel, since governments will want to make the vaccination process as frictionless as possible to encourage people to go, she added.
“Convenience is a big thing when you’re vaccinating people,” Grindrod said.
An alternative to using pharmacies would be to offer the vaccine at a smaller set of locations run by provincial health authorities, similar to how COVID-19 testing has been administered in Canada, said Ian Culbert, executive director of the Canadian Public Health Association.
Culbert said it would be cheaper and more efficient to distribute the vaccine that way, since it would cut down on the logistical costs of delivering the doses to more locations. Having pharmacists inject the vaccine as opposed to public health workers would also be more expensive, since they are paid per shot administered, he said.
“I’m not saying pharmacies couldn’t do it,” Culbert said. “I’m saying a concentration of our resources through a centralized stream of vaccination clinics is the way to go.”
Chiew and Leger both cited their pharmacies’ efforts distributing the flu vaccine in the midst of the pandemic as an example of how they could be effective partners with governments for rolling out the COVID-19 vaccine.
With the exception of the Pfizer-BioNTech vaccine, which has to be kept at extra-low temperatures, the vaccines in development can all be handled and distributed like ordinary flu shots, Chiew and Leger said.
Neither London Drugs nor Shoppers expects to have a major role in distributing the Pfizer-BioNTech vaccine, which until a week ago was the only COVID vaccine approved in Canada. Still, London Drugs has purchased several specialized freezers, each of which ranges in price from $10,000 to $20,000, in case the company is called on to handle the vaccine, Chiew said.
This report by The Canadian Press was first published Dec. 31, 2020.
Jon Victor, The Canadian Press
2 COVID-19 deaths in Manitoba as province announces 180 more cases – CBC.ca
There are 180 new COVID-19 cases in Manitoba on Saturday and two more people have died from the illness, the province says in a news release.
The latest deaths are two men: one in his 70s from the Southern Health region and one in his 80s from the Winnipeg health region, the release says.
Just under half the new cases on Saturday — 83 — are in the Winnipeg health region, the release says. There are also 69 new cases in the Northern Health Region, which has seen a sharp uptick in cases this week due to outbreaks in several communities, health officials have said.
A COVID-19 outbreak has been declared at the Lynn Lake Hospital, the release says, while an outbreak previously declared in Winnipeg’s Seven Oaks General Hospital’s 4U4-7 unit is now over.
Lynn Lake, a small northwestern Manitoba town of fewer than 500 people, was already dealing with an outbreak of its own. As of Wednesday, the community had 121 known active cases of the illness.
The health district that includes Lynn Lake now has a total of 145 active cases, according to the province’s data portal.
The remaining new cases are spread out between the Southern and Interlake-Eastern health regions (with 10 each) and the Prairie Mountain Health region (with eight).
The update comes one day after the provincial government asked people for their input on the possibility of lifting some pandemic restrictions next week.
Manitoba’s current public health orders banning most gatherings and the sale of non-essential goods are set to expire on Friday.
Because of a data error, one previously reported death has been removed from Manitoba’s totals, the release says. That brings the province’s COVID-19 death toll to 761.
Manitoba’s five-day test positivity rate increased slightly to 10.2 per cent, up from 10 on Friday. In Winnipeg, that rate dropped from 7.2 per cent on Friday to seven per cent.
There are now 283 COVID-19 patients hospitalized in Manitoba — down by one from Friday — including 36 who are in intensive care, one more than Friday.
The province reminded people to check restrictions in other regions before they go anywhere if they have to travel. In Ontario, new public health rules say people can only go to another residence or cottage in the province for less than 24 hours to do essential business, the release says. If they stay any longer, they may have to stay and self-isolate for 14 days.
There have now been 27,322 COVID-19 cases identified in Manitoba. To date, 23,575 are considered recovered, while another 2,986 are still listed as active — though health officials have recently said that number is inflated by a data entry backlog, and there are likely only about half as many active cases.
There were 2,043 COVID-19 tests done in Manitoba on Friday, which brings the total number completed in the province to 450,104.
Canada says first COVID-19 vaccine for refugees in Jordan offers glimmer of hope – Powell River Peak
OTTAWA — Canada’s international development minister says the world’s first inoculation of a refugee against COVID-19 this week is an important milestone in ending the pandemic everywhere.
Karina Gould told The Canadian Press in a statement that it was encouraging to see the rollout of new vaccinations because “it brings an early glimmer of hope to the most vulnerable people right across the globe as we fight this terrible pandemic.”
A woman living in the northern Jordanian city of Irbid who had fled northern Iraq became the first United Nations registered refugee to receive the COVID-19 vaccine on Thursday.
Before the pandemic, Canada committed $2.1 billion in security, humanitarian and development funds to help Jordan and neighbouring Lebanon cope with the massive influx of refugees they face due to the crises in Syria and Iraq.
Since the pandemic began, Canada has committed more than $865 million to the ACT-Accelerator, a global effort to ensure low- and middle-income countries have equitable access to medical treatments during the pandemic. It has also committed $220 million to its partner initiative, the COVAX Facility, to help buy vaccine doses for low- and middle-income countries.
“While we’re fighting for the health of our own citizens, I am committed to ensure we’re not leaving the rest of the world behind,” said Gould, who was appointed Friday as the co-chair of the COVAX international engagement group.
The appointment will see Gould working with the Indonesian foreign minister, the Ethiopian health minister and Gavi, the Vaccine Alliance, which has emerged in the last two decades as the major distributor of vaccines to poor countries.
“Canada has invested $865 million into global health efforts against COVID-19 and continues to make equitable access to a vaccine and health solutions to the pandemic a reality for all, including refugees living in precarious conditions,” said Gould.
In an updated mandate letter released Friday, Prime Minister Justin Trudeau told Gould to work with new Foreign Affairs Minister Marc Garneau and other cabinet colleagues to “reinforce international efforts to ensure that people around the world have access to health interventions to fight COVID-19, including vaccines, therapeutics and strengthened health systems.”
Rema Jamous Imseis, the Canadian representative for the UN High Commissioner for Refugees, said if refugees aren’t vaccinated, they run the risk of infecting people in their host countries.
“If you want to defeat the pandemic, you have to include refugees in the vaccine rollout around the world,” she said.
“That’s sort of the bigger context and what we’re doing is calling on all governments, Canada included, to ensure that refugees and other displaced populations are included.”
Jordan is also the home to the Zaatari refugee camp, one of the world’s largest, less than 15 kilometres from the Syrian border. It is home to almost 80,000 people, including more than 40,000 children, fleeing the carnage of Syria’s decade-long civil war and the unrest sparked by Islamic militants in Iraq.
Canada has deployed hundreds of military personnel to northern Iraq and neighbouring Kuwait as part of a Western effort to fight the Islamic State of Iraq and the Levant. Canada supplies the commander of the NATO training mission in northern Iraq that is trying to professionalize Iraqi security forces to protect its own citizens from ISIL.
“COVID has essentially been an emergency on top of an emergency for refugees around the world,” said Jamous Imseis.
“Canada came out early and strong as one of the donors to the COVAX initiative,” she added.
“But we also need Canada to use its influence with his friends and other countries around the world to ensure that that basic principle of equitable and global access to vaccines for everyone is something that we’re all working towards.”
This report by The Canadian Press was first published Jan. 15, 2021.
Ontario reports 3,056 COVID-19 cases and 51 deaths as province adjusts vaccine plan over Pfizer delays – Toronto Star
Ontario reported another 3,056 COVID-19 cases and 51 more deaths Saturday as the province announced plans to account for a temporary cut to vaccine deliveries from manufacturer Pfizer beginning later this month.
The seven-day average for new cases fell slightly to 3,218 cases daily, or 155 weekly per 100,000, according to the province’s latest report released Saturday morning. Ontario’s seven-day average for deaths rose to 59.7 daily, a record for the second wave.
Ontario’s reported infection rate is down somewhat this week while the rate of fatal cases continues to near the highest levels seen so far — that daily average is just shy of the province’s worst period in the first wave in early May, when it hit nearly 62 deaths daily.
Ontario has administered 14,460 more doses of the vaccine since its last daily update, with 189,090 vaccines given in total as of 8 p.m. the previous night. The province also says 19,333 people have completed their vaccinations, which means they have had both shots.
On Saturday, Chief Medical Officer of Health Dr. David Williams said the province will delay giving second doses of Pfizer’s COVID-19 vaccine to some patients after the pharmaceutical giant announced a production delay will cut deliveries to Canada by half early next month.
On Friday, Pfizer said it was cutting promised vaccine deliveries to several countries, including Canada, amid efforts to expand a production facility in Belgium. The move means that in the week of Jan. 25, Canada will see deliveries fall to about a quarter of the more than 200,000 doses it had expected, and to about half the schedule in early February.
Staff and residents of long-term-care homes and high-risk retirement homes who have already received their first doses of the Pfizer-BioNtech COVID-19 vaccine will receive their second dose within 27 days, Williams said in a statement. Everyone else who has been given their first dose will now get their booster shot between 21 and 42 days later, he said.
Anyone receiving does of the vaccine produced by Moderna will still get their second shot at the existing schedule of 28 days, Williams said.
There are 1,632 people currently hospitalized with COVID-19 in the province, including 397 patients in intensive care. There are 281 people on ventilators.
Locally, Health Minister Christine Elliott says 903 new cases are in Toronto, 639 in Peel, 283 in York Region, 162 in Durham and 152 in Ottawa.
Meanwhile, 27 more residents in long-term care have died for a total of 3,112 since the pandemic began, in the latest report released by the province.
Ontario is reporting three more LTC homes in outbreak, for a total of 246.
There are 90 more active positive cases among residents than the previous day for a total of 13,104.
Additionally, there are 65 more staff members with an active case, for a total of 5,134.
Since the pandemic began, 10 staff members in Ontario’s long-term care homes have died due to the virus, according to the province.
This data is self-reported by the long-term care homes to the Ministry of Long-Term Care. Daily case and death figures may not immediately match the numbers posted by the local public health units due to lags in reporting time.
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