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Quebec to give third doses of COVID-19 vaccines to long-term care residents – Burnaby Now

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MONTREAL — Quebec announced Tuesday it would offer people in long-term care homes and seniors residences a third dose of COVID-19 vaccine in a move to prevent outbreaks in the facilities that bore the brunt of the pandemic’s first wave.

The extra dose, which will also be offered to residents of other congregate care settings, is intended to protect people with waning immunity amid a rise in the number of COVID-19 outbreaks in those facilities, Health Minister Christian Dubé said in Quebec City. He said about 220,000 people live in centres where the booster shots will be available.

“We have about 150 active cases among these people, so it’s very few,” Dubé said. “The measure is much more preventive than corrective.” At the beginning of the month, there were around 10 cases of COVID-19 in those facilities, he added.

Dubé said public health officials are recommending that third doses be administered around six months after the second, adding that the province plans to give the booster shots along with seasonal flu vaccinations, which begin in late October.

Quebec, which already offers a third dose of COVID-19 vaccine to people who are severely immunocompromised, is not yet planning to make a third dose of vaccine available to older age groups living at home, he said.

Public health director Dr. Horacio Arruda said that older people who live at home tend to be in better health and have fewer contacts than those who live in long-term care.

Quebec’s initial decision to wait 16 weeks between first and second doses of COVID-19 vaccine has also given people a higher level of protection than those in Israel and the United States, where the interval was much shorter, Arruda said.

Dr. Sophie Zhang, who oversees 15 long-term care centres in Montreal, said that a rise in the number of COVID-19 cases in congregate care facilities is to be expected given the increased circulation of the disease in Quebec.

“We know that community transmission is the number one predictor of when we are going to start getting cases in facilities,” she said in an interview. The fact that the number of cases remains relatively small is a sign that vaccination, as well testing and isolation protocols, is working, she added.

Zhang said that while she’s not opposed to giving long-term care residents a third dose, other factors need to be considered, including the shortage of vaccines in other parts of the world.

“We can’t just protect our own and not look at the situation elsewhere,” she said.

Arruda said global vaccine supplies are one of the factors Quebec is considering. He said the province is offering third doses to the most vulnerable because it will save lives, adding that there would have to be a “damn good reason” to offer third doses to all Quebecers at a time when there’s a global shortage.

The announcement came the same day Canada’s National Advisory Committee on Immunization recommended giving booster shots to “long-term care residents and seniors living in other congregate settings” at least six months after their second doses.

Ontario, Saskatchewan and Alberta have made third doses available to people in congregate care settings, while Manitoba is offering third doses to residents of long-term care facilities in First Nations communities.

Dr. Donald Vinh, an infectious disease specialist at the McGill University Health Centre, said he thinks giving people in long-term care a third does makes sense given the data from other countries that has shown waning immunity after six months.

Vinh said that while it makes sense to prioritize people in long-term care because they are more vulnerable, other seniors may also need boosters in the future. He said he’s also worried about the eight per cent of Quebec residents over sixty who haven’t received their first shot.

“A third-dose booster for those who are fully vaccinated is one measure that we need to do to protect our elderly, but we really need to make sure we get the first two doses to the remaining eight per cent ASAP, because those are the ones who are getting sick now, getting hospitalized,” he said.

Earlier in the day, Quebec reported 469 new cases of COVID-19, the lowest number of new daily cases since August, and six deaths linked to the novel coronavirus.

The Health Department said the number of hospitalizations rose by 22, to 321, and 94 people were in intensive care, down one from the day before.

The province’s public health institute said 89.3 per cent of Quebec residents 12 and over have received at least one dose of a COVID-19 vaccine and 85.2 per cent are considered adequately vaccinated.

This report by The Canadian Press was first published Sept. 28, 2021.

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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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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.

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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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