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Quebec changes COVID-19 vaccine strategy, won't hold back doses for booster shots – BayToday

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MONTREAL — Quebec is accelerating its vaccination rollout by inoculating as many people as possible instead of holding back doses to be given later as booster shots.

“All the vaccines that we have received and that we will receive in Quebec over the next few weeks will be used to immunize as many priority groups as possible,” the Health Department said in a statement Thursday.

Vaccine-maker Pfizer had requested the province reserve half the doses as booster shots for those already vaccinated. That strategy had been criticized by health experts who said the province’s vaccine rollout was taking too long.

Quebec has so far received 87,000 doses of vaccine — 55,000 doses from Pfizer-BioNTech and 32,500 from Moderna — and has administered 29,250 injections. Both vaccines require two doses: Pfizer recommends a second dose after 21 days while Moderna says its second dose should come 28 days after the first injection.

Dr. Gaston De Serres, chief physician of the scientific immunization group at Quebec’s national public health institute, said Thursday the first dose provides the majority of the protection against the virus. The second, he added, serves mostly to prolong that protection.

Meanwhile in Quebec City, almost 100 people at a long-term care home — both residents and staff — have tested positive for COVID-19 after they were vaccinated against the virus, according to the regional health authority. The Saint-Antoine long-term care home was the site of the first COVID-19 vaccination in Canada on Dec. 14.

De Serres said the outbreak at that facility had been detected several days before vaccinations began. He said it takes time for the body to build immunity following a COVID-19 vaccine. 

“It’s not really a surprise to see these cases occurring,” De Serres said in an interview. “In general, with vaccines, we anticipate that protection should be present starting two weeks after the vaccine has been injected, not necessarily the day the vaccine has been injected.”

He said he doesn’t expect any more cases among people who received the vaccine on Dec. 14 and 15. The Health Department said there were 64 active cases of COVID-19 among residents at Saint-Antoine on Wednesday, the most recent date for which data is available.

Dr. Maria Sundaram, a Toronto-based epidemiologist at health-care research agency ICES, said given the high rates of community transmission and the high risk of exposure in long-term care homes, catching COVID once vaccinated “is unfortunately almost a given at this point.”

“This is not an indication that the vaccine doesn’t work,” she said in an interview Thursday. “This is an indication of the vaccine trying to work in sub-optimal conditions and it’s in a group that hasn’t been fully vaccinated.”

Quebec exceeded the 200,000 COVID-19 case mark Thursday after officials reported a record 2,819 new infections. The province also reported 62 more deaths attributed to the novel coronavirus, including 22 that occurred in the past 24 hours.

Quebec has reported a total of 202,641 COVID-19 cases and 8,226 deaths linked to the virus.

This report by The Canadian Press was first published Dec. 31, 2020.

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This story was produced with the financial assistance of the Facebook and Canadian Press News Fellowship.

Jacob Serebrin, The Canadian Press

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Some Ontario docs now offering RSV shot to infants with Quebec rollout set for Nov.

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Some Ontario doctors have started offering a free shot that can protect babies from respiratory syncytial virus while Quebec will begin its immunization program next month.

The new shot called Nirsevimab gives babies antibodies that provide passive immunity to RSV, a major cause of serious lower respiratory tract infections for infants and seniors, which can cause bronchiolitis or pneumonia.

Ontario’s ministry of health says the shot is already available at some doctor’s offices in Ontario with the province’s remaining supply set to arrive by the end of the month.

Quebec will begin administering the shots on Nov. 4 to babies born in hospitals and delivery centers.

Parents in Quebec with babies under six months or those who are older but more vulnerable to infection can also book immunization appointments online.

The injection will be available in Nunavut and Yukon this fall and winter, though administration start dates have not yet been announced.

This report by The Canadian Press was first published Oct. 21, 2024.

-With files from Nicole Ireland

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

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Polio is rising in Pakistan ahead of a new vaccination campaign

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ISLAMABAD (AP) — Polio cases are rising ahead of a new vaccination campaign in Pakistan, where violence targeting health workers and the police protecting them has hampered years of efforts toward making the country polio-free.

Since January, health officials have confirmed 39 new polio cases in Pakistan, compared to only six last year, said Anwarul Haq of the National Emergency Operation Center for Polio Eradication.

The new nationwide drive starts Oct. 28 with the aim to vaccinate at least 32 million children. “The whole purpose of these campaigns is to achieve the target of making Pakistan a polio-free state,” he said.

Pakistan regularly launches campaigns against polio despite attacks on the workers and police assigned to the inoculation drives. Militants falsely claim the vaccination campaigns are a Western conspiracy to sterilize children.

Most of the new polio cases were reported in the southwestern Balochistan and southern Sindh province, following by Khyber Pakhtunkhwa province and eastern Punjab province.

The locations are worrying authorities since previous cases were from the restive northwest bordering Afghanistan, where the Taliban government in September suddenly stopped a door-to-door vaccination campaign.

Afghanistan and Pakistan are the two countries in which the spread of the potentially fatal, paralyzing disease has never been stopped. Authorities in Pakistan have said that the Taliban’s decision will have major repercussions beyond the Afghan border, as people from both sides frequently travel to each other’s country.

The World Health Organization has confirmed 18 polio cases in Afghanistan this year, all but two in the south of the country. That’s up from six cases in 2023. Afghanistan used a house-to-house vaccination strategy this June for the first time in five years, a tactic that helped to reach the majority of children targeted, according to WHO.

Health officials in Pakistan say they want the both sides to conduct anti-polio drives simultaneously.

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White House says health insurance needs to fully cover condoms, other over-the-counter birth control

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WASHINGTON (AP) — Millions of people with private health insurance would be able to pick up over-the-counter methods like condoms, the “morning after” pill and birth control pills for free under a new rule the White House proposed on Monday.

Right now, health insurers must cover the cost of prescribed contraception, including prescription birth control or even condoms that doctors have issued a prescription for. But the new rule would expand that coverage, allowing millions of people on private health insurance to pick up free condoms, birth control pills, or “morning after” pills from local storefronts without a prescription.

The proposal comes days before Election Day, as Vice President Kamala Harris affixes her presidential campaign to a promise of expanding women’s health care access in the wake of the U.S. Supreme Court’s decision to undo nationwide abortion rights two years ago. Harris has sought to craft a distinct contrast from her Republican challenger, Donald Trump, who appointed some of the judges who issued that ruling.

“The proposed rule we announce today would expand access to birth control at no additional cost for millions of consumers,” Health and Human Services Secretary Xavier Becerra said in a statement. “Bottom line: women should have control over their personal health care decisions. And issuers and providers have an obligation to comply with the law.”

The emergency contraceptives that people on private insurance would be able to access without costs include levonorgestrel, a pill that needs to be taken immediately after sex to prevent pregnancy and is more commonly known by the brand name “Plan B.”

Without a doctor’s prescription, women may pay as much as $50 for a pack of the pills. And women who delay buying the medication in order to get a doctor’s prescription could jeopardize the pill’s effectiveness, since it is most likely to prevent a pregnancy within 72 hours after sex.

If implemented, the new rule would also require insurers to fully bear the cost of the once-a-day Opill, a new over-the-counter birth control pill that the U.S. Food and Drug Administration approved last year. A one-month supply of the pills costs $20.

Federal mandates for private health insurance to cover contraceptive care were first introduced with the Affordable Care Act, which required plans to pick up the cost of FDA-approved birth control that had been prescribed by a doctor as a preventative service.

The proposed rule would not impact those on Medicaid, the insurance program for the poorest Americans. States are largely left to design their own rules around Medicaid coverage for contraception, and few cover over-the-counter methods like Plan B or condoms.

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