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Pharmacies push to join COVID-19 vaccination effort as distribution ramps up – CTV News

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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.”

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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.

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New technology to advance women’s cancer care at Southlake

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NEWS RELEASE
SOUTHLAKE REGIONAL HEALTH CENTRE
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This Cancer Awareness Month, Southlake is adding advanced technologies to detect and treat breast cancer and other women’s cancers thanks to generous community donor support, most recently through the HERE is Where Cancer Meets its Match campaign. New cancer care technology, including new mammography machines, the MyoSure System and the MOLLI 2® System will make a measurable impact in diagnosing and treating women’s cancers in the communities Southlake serves.

Southlake is installing three new mammography machines to expand its breast cancer screening program to 1,500 more women each year. Two of these machines have new biopsy capabilities that will reduce the number of cancelled exams due to equipment failure, ensuring timely care for women. Women ages 40 to 49 years old will be able to self-refer for publicly funded mammograms through the Ontario Breast Screening Program starting this fall.

“Early detection is critical when treating breast cancer and other women’s cancers,” said Lorrie Reynolds, Director, Regional Cancer Program at Southlake. “We treat more than 1,700 breast cancer patients at Southlake every year. By adding advanced technology, like the new mammography machines, we’re ensuring women have the best experience at Southlake.”

Southlake is also introducing the MyoSure System, an innovative technology that can help detect female reproductive cancers. Damaged tissue in a woman’s uterus such as fibroids and polyps can now be removed in a precise, minimally invasive procedure that leaves the rest of the uterus intact. This will improve the overall patient experience by supporting faster recovery, reducing the risk of infection and giving more women the option to have children. An estimated 200 women per year will benefit from the MyoSure System.

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The new mammography machines and the MyoSure System build on Southlake’s recent investment in the MOLLI 2® System, a made-in-Canada wire-free breast localization technology.  This technology is considerably less invasive and more accurate when compared to wire-guided localization, resulting in a better patient experience and improved cosmetic outcomes.  More than 200 women each year will benefit from this innovative medical device as they are treated for breast cancer at Southlake.

“As a clinician caring for women with cancer in our community, I’m incredibly proud of the work Southlake is doing to advance women’s health and improve patient experiences,” said Sara Temple, MD, Surgical Oncologist and Chief of Surgery at Southlake. “Women who visit Southlake can be confident that they are receiving leading edge care, close to home when they need it most.”

The World Health Organization anticipates a 77 per cent increase in cancer diagnoses by 2050.  Southlake serves some of the fastest growing communities in Canada and anticipates that the number of patients requiring cancer care will grow. By investing in new technology, Southlake is ensuring that women in the communities it serves have access to leading edge cancer care. All of these investments were funded with support from community donors who generously gave to Southlake to support investments into women’s health at the hospital.

“The generosity of our donor community and the impact they have made for women receiving cancer diagnosis and treatment at Southlake is something we can all take great pride in,” said Jennifer Ritter, President and CEO of Southlake Foundation. “From our Women’s Health Initiative donors supporting new mammography machines, to the Ladies in Philanthropy for Southlake funding the MOLLI 2 System, to our long-standing partners The Edge Benefits and Pheasant Run Golf Club enabling the introduction of MyoSure System through their joint annual charity golf tournament, we are incredibly lucky to share a vision of access to exceptional care for everyone who depends on Southlake when they need us most. Thank you, to every donor who contributed to these important upgrades to care for women.”

Southlake Foundation’s HERE is Where Cancer Meets its Match campaign supports the Stronach Regional Cancer Centre at Southlake. For more information or to make a donation, visit: southlake.ca/HERE.

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Pasteurized milk includes remnants of H5N1 bird flu, U.S. officials say

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The U.S. Food and Drug Administration says that samples of pasteurized milk have tested positive for remnants of the bird flu virus that has infected dairy cows.

The agency stressed that the material is inactivated and that the findings “do not represent actual virus that may be a risk to consumers.” Officials added that they’re continuing to study the issue.

“To date, we have seen nothing that would change our assessment that the commercial milk supply is safe,” the FDA said in a statement on Tuesday.

The announcement comes nearly a month after an avian influenza virus that has sickened millions of wild and commercial birds in recent years was detected in dairy cows in at least eight states. The Agriculture Department (USDA) says 33 herds have been affected to date.

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FDA officials didn’t indicate how many samples they tested or where they were obtained. The agency has been evaluating milk during processing and from grocery stores, officials said. Results of additional tests are expected in “the next few days to weeks.”

WATCH | Bird flu spread in U.S. cows:

 

Bird flu is spreading in cows. Are humans at risk? | About That

15 days ago

Duration 8:54

For the first time ever, avian influenza, or H5N1 bird flu, was detected in roughly a dozen dairy cow herds across the U.S. About That producer Lauren Bird explores why scientists and public health officials are concerned about the cross-species transmission and whether humans are now at higher risk.

The polymerase chain reaction (PCR) lab test the FDA used would have detected viral genetic material even after live virus was killed by pasteurization, or heat treatment, said Lee-Ann Jaykus, an emeritus food microbiologist and virologist at North Carolina State University

“There is no evidence to date that this is infectious virus, and the FDA is following up on that,” Jaykus said.

Officials with the FDA and the USDA had previously said milk from affected cattle did not enter the commercial supply. Milk from sick animals is supposed to be diverted and destroyed. Federal regulations require milk that enters interstate commerce to be pasteurized.

Tests for viable virus underway, agency says

Because the detection of the bird flu virus known as Type A H5N1 in dairy cattle is new and the situation is evolving, no studies on the effects of pasteurization on the virus have been completed, FDA officials said. But past research shows that pasteurization is “very likely” to inactivate heat-sensitive viruses like H5N1, the agency added.

The agency said it has been evaluating milk from affected animals, in the processing system and on the shelves. It said it is completing a large, representative national sample to understand the extent of the findings.

The FDA said it is further assessing any positive findings through egg inoculation tests, which it described as a gold standard for determining viable virus.

Matt Herrick, a spokesperson for the International Dairy Foods Association, said that time and temperature regulations for pasteurization ensure that the commercial U.S. milk supply is safe. Remnants of the virus “have zero impact on human health,” he wrote in an email.

Scientists confirmed the H5N1 virus in dairy cows in March after weeks of reports that cows in Texas were suffering from a mysterious malady. The cows were lethargic and saw a dramatic reduction in milk production. Although the H5N1 virus is lethal to commercial poultry, most infected cattle seem to recover within two weeks, experts said.

To date, two people in the U.S. have been infected with bird flu. A Texas dairy worker who was in close contact with an infected cow recently developed a mild eye infection and has recovered. In 2022, a prison inmate in a work program caught it while killing infected birds at a Colorado poultry farm. His only symptom was fatigue, and he recovered.


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Remnants of bird flu virus found in pasteurized milk, FDA says

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The U.S. Food and Drug Administration said Tuesday that samples of pasteurized milk had tested positive for remnants of the bird flu virus that has infected dairy cows.

The agency stressed that the material is inactivated and that the findings “do not represent actual virus that may be a risk to consumers.” Officials added that they’re continuing to study the issue.

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