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.
B.C. now has three clinics for ‘long-hauler’ COVID-19 patients with lingering symptoms – The Globe and Mail
British Columbia has launched a network of three clinics offering specialized treatments for COVID-19 patients still suffering from an array of ailments months after testing positive for the virus, with researchers using evidence from this care to better understand the long-term effects of the disease.
On Friday, a group of local health authorities announced units already operating at Vancouver General Hospital and St. Paul’s Hospital in Vancouver have now been joined by one this week at the Jim Pattison Outpatient Care and Surgery Centre in Surrey, still the B.C. community reporting the most new cases each day.
As the pandemic nears its first year in Canada, health authorities across the country are grappling with how to treat those patients, who refer to themselves as long haulers. Alberta has announced three similar clinics, while Ontario has one in Toronto and one in London.
Most patients at the trio of B.C. clinics will see a doctor at the facility three months after they first feel ill and then have follow-up visits after six months and then a year. “We’re truly building this plane as we’re flying it and we haven’t reached the 12-month mark,” said Zachary Schwartz, head of the recovery clinic at Vancouver General Hospital.
Though the scientific research to date varies, Jesse Greiner, the head of St. Paul’s clinic, told The Globe and Mail that a leading study showed up to 13 per cent of patients in the United Kingdom self-reported still having symptoms a month after first getting ill. A further 4.5 per cent reported having at least one symptom a month further along, and 2.5 per cent still felt sick at 12 weeks.
In B.C., 56,455 people were listed as recovered in the province’s Friday update, which means more than 1,400 people could still be fighting coronavirus-related symptoms three months or longer after first noticing them.
Dr. Schwartz, whose clinic began seeing long haulers in November, said the most common problem among patients is serious fatigue, but many also experience insomnia, ringing in their ears, tremors or a foggy brain.
“It’s a very individual disease, and everyone has a different history and story to them which makes treatment very difficult,” he said.
For Katy McLean, a Vancouver officer manager, her current experience is comparable to her recovery from a bad concussion once suffered after she fell down the stairs. More than four months after she first tested positive for coronavirus, the 42-year-old still finds it impossible to walk more than 10 minutes at a time and has to write everything down because of short-term memory loss.
“I feel like I have a brutal hangover every day and like I’ve smoked several packs of cigarettes,” she said.
Still, she said she is feeling positive after recently reducing her work hours to 80 per cent of full time. Ms. McLean has found success managing her fatigue by setting intentional goals for each day. She said she is also incredibly grateful to live with her partner, who is a nurse.
“If I had been living alone I think I probably would have had to go live with a family member because that’s how much my function has been impaired,” she said.
Dr. Greiner, the internist who is in charge of the clinic at St. Paul’s Hospital, said the most important treatment to date has been educating people about how their activities can lead to their symptoms flaring.
Often, people experience a worsening of their ailments two to three days after they exert themselves heavily while recovering, he said. But mental and emotional stress can also kick off these bouts of bad symptoms, he added. His clinic has seen 160 patients since it opened in the fall.
“The learning that happens from doing this over and over again really just takes time … listening to patients and really trying to hear their stories and understand what their suffering is and where it’s coming from,” Dr. Greiner said.
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B.C. records 508 new COVID-19 cases, 9 deaths as vaccine plan released – News 1130
VANCOUVER (NEWS 1130) — Health officials in B.C. say the risk of COVID-19 transmission in long-term care and in communities remains too high to lift restrictions, as they announce nine more people have died from the virus in the last 24 hours.
In a joint statement Friday, Health Minister Adrian Dix and Provincial Health Officer Dr. Bonnie Henry announced 508 more people have been contracted the coronavirus in the last 24 hours.
On the heels of an announcement of how the province will proceed with immunization, Dix and Henry remind British Columbians that following guidelines and public health orders continue to be critical.
“We need to remember our risk remains high right now, even as we protect more and more people with vaccine. We are not at the point where we can lift restrictions in our community or long-term care,” they write.
“We must continue to use our COVID-19 layers of protection and do all we can to stop transmission in our communities right now.”
BC’s #covid19 update Jan 21
Steady (but still high) new cases
Active cases & ppl isolated trending down
LTC outbreaks going down
Avg of more than 10 ppl dying every day in January
Acute care outbreaks still high
Better but a long way to go#bcpoli @NEWS1130 https://t.co/bNNqec8GoA pic.twitter.com/RBWbOY2ajH
— LizaYuzda (@LizaYuzda) January 22, 2021
So far, 110,556 doses of the vaccine have been administered. Of those, 2,202 are second doses.
A new outbreak has been declared at the North Fraser Pretrial Services Centre in Port Coquitlam, and outbreaks have been declared at Royal Inland Hospital in Kamloops, and Royal Columbian Hospital in New Westminster.
A total of 315 people are hospitalized, 74 are in intensive care.
Coronavirus: Dr. Bonnie outlines B.C.'s mass immunization plan | Watch News Videos Online – Globalnews.ca
Speaking at a press briefing on Friday, provincial health officer Dr. Bonnie Henry outlines the COVID-19 vaccine rollout schedule and when British Columbians can expect to start receiving their doses. The province says the goal is to provide 7.4 million doses and will prioritize vaccines based on age.
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