Sims: Health unit has got memo on lowering barriers to shots, but GO-Vaxx hasn't - London Free Press (Blogs) | Canada News Media
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Sims: Health unit has got memo on lowering barriers to shots, but GO-Vaxx hasn't – London Free Press (Blogs)

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I think local public health officials would agree, at this point in the latest COVID-19 vaccination push, it needs to be as easy as possible to get a shot.

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I think local public health officials would agree, at this point in the latest COVID-19 vaccination push, it needs to be as easy as possible to get a shot.

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Similar to the first vaccination campaign last spring, there was a huge rush on adult boosters and shots for kids last month and into January.

But during the past couple of weeks during lockdown, with schools reopening and so much Omicron variant still circulating, the demand has dropped off, as has the sense of urgency. Uptake for booster shots in Middlesex-London has been encouraging among people 70 and older – almost 80 per cent – but adults younger than 40 haven’t been as quick to get a third dose.

The push to get pediatric doses into children age five to 12 plugs along. However, with schools now in session, only about 57 per cent have had a first dose.

Why is the campaign so slugglish? Lots of reasons. Socio-economic status, language barriers, work schedules, transportation issues and, I would argue, people are fed up with the pandemic.

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As straight-forward as it might seem for some of us to book an appointment through the health unit website, or find a pharmacy dose, for others it’s just a hassle on top of every other stressor brought on by public health restrictions.

Already, the Middlesex-London Health Unit has been adjusting its strategy, first by turning the Earl Nichols mass vaccination centre into a walk-in clinic three weeks after it reopened. Both the Agriplex and the Caradoc community centre are expected to start taking walk-in traffic as well.

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And, after a promise by Ontario’s Education Minister Stephen Lecce earlier this month that schools would be hosting community clinics for both adults and kids, the health unit announced 10 such school clinics starting Monday in neighbourhoods where vaccine uptake has been lacking.

No appointments will be necessary.

“Our objective is to really make sure that the vaccine is close to home in neighborhoods where clearly folks have not had as easy a time getting vaccinated as other neighborhoods in our community,” said Alex Summers, the acting medical officer of health earlier this week.

Even before those clinics start, on Sunday, one of Ontario’s GO-Vaxx buses will be returning to London and parking at the South London Neighbourhood Resource Centre at 1119 Jalna Blvd., across from White Oaks Mall.

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That’s a smart place to set up shop. The south London neighbourhood is vibrant, economically diverse and multicultural. It’s also a postal code area with one of the lowest vaccine coverage rates in London with just 71 per cent of people having at least one dose and only 27 per cent of kids with one shot.

But here’s the issue. You can’t get just hop on the bus and get jabbed. You must make an appointment on the provincial website ( covid19.ontariohealth.ca/ ),  or by calling 1-833-943-3900, which is a separate booking site from the health unit’s trusty appointment site that’s been used by thousands of local people.

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In an emailed statement, the provincial government said “in response to increased demand for vaccine,” appointments are necessary to “provide an orderly and safe process for staff and people attending a GO-Vaxx mobile clinic.”

I’m not sure what the GO-Vaxx folks are expecting. Demand for shots is sinking. Another layer of red tape won’t coax a single mom juggling multiple jobs, or a new Canadian for whom English is not their first language, or a senior with mobility issues into finally getting vaccinated just because you have a shiny bus.

Not when there already are shots galore at the big clinics, the mobile clinics, the pop-up clinics, the pharmacies and with primary care. And public health practically is begging people to come to get them.

I hope people do turn up Sunday, but I have to wonder if the vaccination bus needs to re-tool its requirements. It might look across the street at the White Oaks Mall, where the health unit operated one of its most successful mobile clinics, without appointments, last fall.

Make it easy. For everybody.

jsims@postmedia.com

twitter.com/JaneatLFPress

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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.

The Canadian Press. All rights reserved.

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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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