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Rewarding double-vaxxed Manitobans a chance to motivate holdouts – Winnipeg Free Press

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When the province announces the next phase of its pandemic reopening plan, it should give priority to fully vaccinated people when easing restrictions.

Doing so would serve two purposes: allow for the safe reopening of some indoor places and provide a powerful incentive for people to get immunized. Both are critical objectives at this point in the pandemic.

It’s been two weeks — a full incubation period — since Manitoba eased public-health restrictions under the province’s summer reopening plan. As expected, the modest changes did not reverse the trend of declining COVID-19 case numbers or hospitalizations. The combination of strict measures and growing vaccination rates drove down infections and hospital admissions.

It has been a month since a COVID-19 patient was airlifted out of the province for treatment.

The province needs to do two things: boost immunization take–up and prevent unvaccinated people from spreading their droplets, particularly indoors, where the virus is more easily transmitted.

For that reason, the province says it plans to ease restrictions earlier than planned, likely next week. That’s good news.

The biggest challenge now is getting vaccination rates to a level that will allow the economy to reopen permanently. There’s no point lifting restrictions if they have to be reinstated again. Doing so would just mean more avoidable illness and death.

That is a real possibility if too many unvaccinated people are allowed to congregate, especially with the more contagious delta variant in circulation.

The province needs to do two things: boost immunization take-up and prevent unvaccinated people from spreading their droplets, particularly indoors, where the virus is more easily transmitted.

What better way to do that than to give priority to fully immunized people when lifting restrictions?

Manitoba’s vaccination rates over the past month have been stellar. However, the fact remains that this province — and the rest of Canada — are still below levels most experts say need to be reached to return to normal life.

Almost 76 per cent of Manitobans over the age of 12 have at least one dose of the vaccine and 55 per cent have two. The take-up for Manitobans over age 60 is even better: more than 90 per cent have received at least one dose and more than 80 per cent of them have a second. People over 60, the highest risk group, are well protected.

But those under 40 still have a long way to go. Only two-thirds of people in their 20s and 30s have at least one dose. Of those who do, fewer than two-thirds have a second. That leaves a lot of young people unprotected.

The province could allow indoor household visits for people with two shots. That might be difficult to enforce, but it would be similar to challenges around previous household–visit rules.

Only 47 per cent of Manitobans aged 10 to 19 have at least one dose (that’s how the province presents that age cohort, even though the vaccines aren’t available to children under the age of 12 at this point) and 39 per cent of them are fully immunized. Younger people are at a lower risk of severe illness from COVID-19, but they can still spread the virus.

Most experts say well over 80 per cent of people age 12 and up require both shots for life to return to normal. The real number is probably closer to 85 or 90 per cent.

The problem is, the rate at which Manitobans are getting vaccinated has slowed over the past week. The percentage of people with at least one dose is growing by only a quarter of a percentage point a day. Even the take-up for second doses has dropped off in July. It needs a kick-start.

Giving fully immunized Manitobans more freedoms may be the best way to do that. The province could allow indoor household visits for people with two shots. That might be difficult to enforce, but it would be similar to challenges around previous household-visit rules.

The province could reopen places such as movie theatres, museums, art galleries and casinos to fully vaccinated people. Those rules already apply in some settings, including large-scale sporting events and indoor dining where people don’t reside together. Expanding it would allow businesses and not-for-profits to reopen safely, while encouraging more people to get vaccinated. It would kill two birds with one stone.

The longer it takes to fully immunize more than 80 per cent of eligible Manitobans, the greater the risk of a significant fourth wave.

The province should use every carrot and stick it has to avoid that.

tom.brodbeck@freepress.mb.ca

Tom Brodbeck
Columnist

Tom has been covering Manitoba politics since the early 1990s and joined the Winnipeg Free Press news team in 2019.

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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.

The Canadian Press. All rights reserved.

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