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Provinces doing 'extraordinary' job to avoid wasting doses of COVID-19 vaccine – CollingwoodToday

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OTTAWA — Prime Minister Justin Trudeau tried to calm anxieties over COVID-19 vaccines Friday by reporting that the CEO of Pfizer is promising Canada’s deliveries will be fully restored in three weeks.

Trudeau spoke to Albert Bourla by phone Thursday evening, a week after the company informed Canada its deliveries of COVID-19 vaccines were going to be drastically cut over the next month while the company expands its production facility in Belgium.

“The next few weeks will be challenging when it comes to deliveries,” Trudeau said Friday.

“That said, Dr. Bourla assured me that hundreds of thousands of Pfizer doses will be delivered the week of Feb. 15 and in the weeks to follow.”

Canada is getting only one-third of its promised doses between Jan. 18 and Feb. 7, including none next week. Deliveries the week of Feb. 8 aren’t yet confirmed.

Trudeau said Canada will be caught up to its delivery schedule by the end of March, with all four million promised doses delivered by then.

He said there will be enough delivered from Moderna and Pfizer by September to vaccinate all Canadians who want it.

“We’re working around the clock to get as many vaccines as we can, as fast as we can,” he said. “It’s what I’m thinking about when I wake up, when I go to bed, and every hour in between.”

Gary Kobinger, a vaccine expert and director of the Research Centre on Infectious Diseases at Université Laval in Quebec City, said this week if we can get half the population immunized against COVID-19, it will start to have a real impact on the pandemic, but the magic number to see the spread start to plummet is 70 per cent.

With the two vaccines it has approved, and the delivery schedules promised from Pfizer and Moderna, Canada won’t get enough doses to get to 50 per cent until after Canada Day. Children have also not yet been approved to get any vaccine, with trials on kids as young 12 underway now, and those as young as five expected to start in the spring.

Ashleigh Tuite, an infectious disease epidemiologist at the University of Toronto, said the month-long delay in doses isn’t going to affect herd immunity because Canada wasn’t going to be anywhere near herd immunity by the middle of February even on the original vaccine delivery schedule.

But she said on an individual level, delaying the vaccination of highly vulnerable people can have an impact, particularly at a time when we have record numbers of cases and “raging epidemics” in long-term care homes. 

“If you delay the time that it takes for the vaccines to get into those people’s arms, you’re delaying the ability to protect those people from getting infected and from having bad outcomes,” she said. “So it does have an impact.”

While COVID-19 can cause severe illness in anybody, the risks to people over the age of 60 are far greater overall. Health Canada reports that as of mid-January, people over the age of 60 account for about one-fifth of the total cases of COVID-19, but almost three-quarters of all hospitalizations, two-thirds of admissions to intensive care, and 96 per cent of deaths.

In Ontario alone since Jan. 1, 550 long-term care residents and two workers have died of COVID-19. There are 252 ongoing outbreaks in long-term care homes in Ontario, and 164 outbreaks in retirement residences.

Fears about future delivery delays grew Friday, when AstraZeneca warned European nations initial deliveries of its vaccine would be smaller than expected because of production issues.

Johnson & Johnson warned officials in the United States that it was about two months behind schedule producing doses of its vaccine.

Both companies have applied for approval of their vaccines in Canada but are still in the midst of final clinical trials and the reviews are not complete. It’s expected both could be approved for use here by early spring.

Health Canada did say this week that provincial vaccine workers were doing an “extraordinary” job preventing many doses of precious COVID-19 vaccine from going to waste.

Canada has received more than 1.1 million doses of COVID-19 vaccines from Pfizer-BioNTech and Moderna since mid-December, and has now given at least one dose to more than 767,000 people.

A spokeswoman says “wastage has been very minimal” and well below initial estimates.

Before the vaccination campaign began, there were concerns that as many as one-fifth of the doses delivered to Canada could end up being wasted due to intense cold-chain requirements and the complexity of distribution.

The federal department did not provide statistics but said provinces and territories are reporting their experiences and waste has not been a notable problem thus far. 

Both vaccines have to be kept frozen, but the Pfizer-BioNTech vaccine is particularly delicate and must be stored at temperatures below -60 C until just before it is used.

This report by The Canadian Press was first published Jan. 22, 2021.

Mia Rabson, The Canadian Press

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Canada to donate up to 200,000 vaccine doses to combat mpox outbreaks in Africa

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The Canadian government says it will donate up to 200,000 vaccine doses to fight the mpox outbreak in Congo and other African countries.

It says the donated doses of Imvamune will come from Canada’s existing supply and will not affect the country’s preparedness for mpox cases in this country.

Minister of Health Mark Holland says the donation “will help to protect those in the most affected regions of Africa and will help prevent further spread of the virus.”

Dr. Madhukar Pai, Canada research chair in epidemiology and global health, says although the donation is welcome, it is a very small portion of the estimated 10 million vaccine doses needed to control the outbreak.

Vaccine donations from wealthier countries have only recently started arriving in Africa, almost a month after the World Health Organization declared the mpox outbreak a public health emergency of international concern.

A few days after the declaration in August, Global Affairs Canada announced a contribution of $1 million for mpox surveillance, diagnostic tools, research and community awareness in Africa.

On Thursday, the Africa Centres for Disease Control and Prevention said mpox is still on the rise and that testing rates are “insufficient” across the continent.

Jason Kindrachuk, Canada research chair in emerging viruses at the University of Manitoba, said donating vaccines, in addition to supporting surveillance and diagnostic tests, is “massively important.”

But Kindrachuk, who has worked on the ground in Congo during the epidemic, also said that the international response to the mpox outbreak is “better late than never (but) better never late.”

“It would have been fantastic for us globally to not be in this position by having provided doses a much, much longer time prior than when we are,” he said, noting that the outbreak of clade I mpox in Congo started in early 2023.

Clade II mpox, endemic in regions of West Africa, came to the world’s attention even earlier — in 2022 — as that strain of virus spread to other countries, including Canada.

Two doses are recommended for mpox vaccination, so the donation may only benefit 100,000 people, Pai said.

Pai questioned whether Canada is contributing enough, as the federal government hasn’t said what percentage of its mpox vaccine stockpile it is donating.

“Small donations are simply not going to help end this crisis. We need to show greater solidarity and support,” he said in an email.

“That is the biggest lesson from the COVID-19 pandemic — our collective safety is tied with that of other nations.”

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

Canadian Press health coverage receives support through a partnership with the Canadian Medical Association. CP is solely responsible for this content.

The Canadian Press. All rights reserved.

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How many Nova Scotians are on the doctor wait-list? Number hit 160,000 in June

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HALIFAX – The Nova Scotia government says it could be months before it reveals how many people are on the wait-list for a family doctor.

The head of the province’s health authority told reporters Wednesday that the government won’t release updated data until the 160,000 people who were on the wait-list in June are contacted to verify whether they still need primary care.

Karen Oldfield said Nova Scotia Health is working on validating the primary care wait-list data before posting new numbers, and that work may take a matter of months. The most recent public wait-list figures are from June 1, when 160,234 people, or about 16 per cent of the population, were on it.

“It’s going to take time to make 160,000 calls,” Oldfield said. “We are not talking weeks, we are talking months.”

The interim CEO and president of Nova Scotia Health said people on the list are being asked where they live, whether they still need a family doctor, and to give an update on their health.

A spokesperson with the province’s Health Department says the government and its health authority are “working hard” to turn the wait-list registry into a useful tool, adding that the data will be shared once it is validated.

Nova Scotia’s NDP are calling on Premier Tim Houston to immediately release statistics on how many people are looking for a family doctor. On Tuesday, the NDP introduced a bill that would require the health minister to make the number public every month.

“It is unacceptable for the list to be more than three months out of date,” NDP Leader Claudia Chender said Tuesday.

Chender said releasing this data regularly is vital so Nova Scotians can track the government’s progress on its main 2021 campaign promise: fixing health care.

The number of people in need of a family doctor has more than doubled between the 2021 summer election campaign and June 2024. Since September 2021 about 300 doctors have been added to the provincial health system, the Health Department said.

“We’ll know if Tim Houston is keeping his 2021 election promise to fix health care when Nova Scotians are attached to primary care,” Chender said.

This report by The Canadian Press was first published Sept. 11, 2024.

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Newfoundland and Labrador monitoring rise in whooping cough cases: medical officer

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ST. JOHN’S, N.L. – Newfoundland and Labrador‘s chief medical officer is monitoring the rise of whooping cough infections across the province as cases of the highly contagious disease continue to grow across Canada.

Dr. Janice Fitzgerald says that so far this year, the province has recorded 230 confirmed cases of the vaccine-preventable respiratory tract infection, also known as pertussis.

Late last month, Quebec reported more than 11,000 cases during the same time period, while Ontario counted 470 cases, well above the five-year average of 98. In Quebec, the majority of patients are between the ages of 10 and 14.

Meanwhile, New Brunswick has declared a whooping cough outbreak across the province. A total of 141 cases were reported by last month, exceeding the five-year average of 34.

The disease can lead to severe complications among vulnerable populations including infants, who are at the highest risk of suffering from complications like pneumonia and seizures. Symptoms may start with a runny nose, mild fever and cough, then progress to severe coughing accompanied by a distinctive “whooping” sound during inhalation.

“The public, especially pregnant people and those in close contact with infants, are encouraged to be aware of symptoms related to pertussis and to ensure vaccinations are up to date,” Newfoundland and Labrador’s Health Department said in a statement.

Whooping cough can be treated with antibiotics, but vaccination is the most effective way to control the spread of the disease. As a result, the province has expanded immunization efforts this school year. While booster doses are already offered in Grade 9, the vaccine is now being offered to Grade 8 students as well.

Public health officials say whooping cough is a cyclical disease that increases every two to five or six years.

Meanwhile, New Brunswick’s acting chief medical officer of health expects the current case count to get worse before tapering off.

A rise in whooping cough cases has also been reported in the United States and elsewhere. The Pan American Health Organization issued an alert in July encouraging countries to ramp up their surveillance and vaccination coverage.

This report by The Canadian Press was first published Sept. 10, 2024.

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