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

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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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Whooping cough is at a decade-high level in US

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MILWAUKEE (AP) — Whooping cough is at its highest level in a decade for this time of year, U.S. health officials reported Thursday.

There have been 18,506 cases of whooping cough reported so far, the Centers for Disease Control and Prevention said. That’s the most at this point in the year since 2014, when cases topped 21,800.

The increase is not unexpected — whooping cough peaks every three to five years, health experts said. And the numbers indicate a return to levels before the coronavirus pandemic, when whooping cough and other contagious illnesses plummeted.

Still, the tally has some state health officials concerned, including those in Wisconsin, where there have been about 1,000 cases so far this year, compared to a total of 51 last year.

Nationwide, CDC has reported that kindergarten vaccination rates dipped last year and vaccine exemptions are at an all-time high. Thursday, it released state figures, showing that about 86% of kindergartners in Wisconsin got the whooping cough vaccine, compared to more than 92% nationally.

Whooping cough, also called pertussis, usually starts out like a cold, with a runny nose and other common symptoms, before turning into a prolonged cough. It is treated with antibiotics. Whooping cough used to be very common until a vaccine was introduced in the 1950s, which is now part of routine childhood vaccinations. It is in a shot along with tetanus and diphtheria vaccines. The combo shot is recommended for adults every 10 years.

“They used to call it the 100-day cough because it literally lasts for 100 days,” said Joyce Knestrick, a family nurse practitioner in Wheeling, West Virginia.

Whooping cough is usually seen mostly in infants and young children, who can develop serious complications. That’s why the vaccine is recommended during pregnancy, to pass along protection to the newborn, and for those who spend a lot of time with infants.

But public health workers say outbreaks this year are hitting older kids and teens. In Pennsylvania, most outbreaks have been in middle school, high school and college settings, an official said. Nearly all the cases in Douglas County, Nebraska, are schoolkids and teens, said Justin Frederick, deputy director of the health department.

That includes his own teenage daughter.

“It’s a horrible disease. She still wakes up — after being treated with her antibiotics — in a panic because she’s coughing so much she can’t breathe,” he said.

It’s important to get tested and treated with antibiotics early, said Dr. Kris Bryant, who specializes in pediatric infectious diseases at Norton Children’s in Louisville, Kentucky. People exposed to the bacteria can also take antibiotics to stop the spread.

“Pertussis is worth preventing,” Bryant said. “The good news is that we have safe and effective vaccines.”

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AP data journalist Kasturi Pananjady contributed to this report.

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The Associated Press Health and Science Department receives support from the Robert Wood Johnson Foundation. The AP is solely responsible for all content.

The Canadian Press. All rights reserved.

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Scientists show how sperm and egg come together like a key in a lock

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How a sperm and egg fuse together has long been a mystery.

New research by scientists in Austria provides tantalizing clues, showing fertilization works like a lock and key across the animal kingdom, from fish to people.

“We discovered this mechanism that’s really fundamental across all vertebrates as far as we can tell,” said co-author Andrea Pauli at the Research Institute of Molecular Pathology in Vienna.

The team found that three proteins on the sperm join to form a sort of key that unlocks the egg, allowing the sperm to attach. Their findings, drawn from studies in zebrafish, mice, and human cells, show how this process has persisted over millions of years of evolution. Results were published Thursday in the journal Cell.

Scientists had previously known about two proteins, one on the surface of the sperm and another on the egg’s membrane. Working with international collaborators, Pauli’s lab used Google DeepMind’s artificial intelligence tool AlphaFold — whose developers were awarded a Nobel Prize earlier this month — to help them identify a new protein that allows the first molecular connection between sperm and egg. They also demonstrated how it functions in living things.

It wasn’t previously known how the proteins “worked together as a team in order to allow sperm and egg to recognize each other,” Pauli said.

Scientists still don’t know how the sperm actually gets inside the egg after it attaches and hope to delve into that next.

Eventually, Pauli said, such work could help other scientists understand infertility better or develop new birth control methods.

The work provides targets for the development of male contraceptives in particular, said David Greenstein, a genetics and cell biology expert at the University of Minnesota who was not involved in the study.

The latest study “also underscores the importance of this year’s Nobel Prize in chemistry,” he said in an email.

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The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Science and Educational Media Group. The AP is solely responsible for all content.

The Canadian Press. All rights reserved.

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