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Survey finds Canadian doctors fatigued by slow vaccine rollout – CTV News

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Some of Canada’s doctors are feeling high levels of fatigue and anxiety one year into the COVID-19 pandemic according to a survey by the Canadian Medical Association, and concern over the country’s vaccine rollout was listed as one of the main reasons.

The CMA survey, conducted on 1,648 practising physicians who responded between Feb. 18 and 22, found 69 per cent felt an increase in fatigue over the last year, with 65 per cent experiencing anxiety around the pandemic.

Canada’s vaccine rollout stalled through February as shipping delays affected supply of Pfizer-BioNTech and Moderna’s products. But the rollout has ramped up in recent weeks as supply has been restored and new vaccines have been approved. 

Dr. Jennifer Kwan, a family physician in Burlington, Ont., said she wasn’t surprised to see the high levels of fatigue and anxiety reported among doctors in the CMA survey, given her own experiences and conversations with peers over the last few months.

“If anything I’m surprised it wasn’t higher,” she said.

The survey results were released Wednesday, marking nearly one year since the World Health Organization labelled the COVID-19 crisis a global pandemic on March 11, 2020.

Sixty-two per cent of respondents said concerns about Canada’s vaccine rollout were contributing negatively to their mental health, while increased time with social restrictions (64 per cent) and continued uncertainty about the future (63 per cent) were the other top concerns.

Family physicians have felt additional stress of altering the care they can provide to patients since the pandemic started, Kwan says, and frustration has built recently as they’ve fielded calls and emails from patients about vaccine availability, without many clear answers to give them.

Thirty-nine percent of the CMA survey respondents said the lack of engagement with doctors in administering the vaccines has been one of the key challenges of the rollout. Concerns about vaccine supply topped the list at 93 per cent while not having clear direction on priority groups was also a popular answer (52 per cent).

Ontario announced Wednesday that family doctors in six regions — Toronto, Peel Region, Hamilton, Guelph, Peterborough, and Simcoe-Muskoka — will start administering COVID vaccines to patients aged 60-64 this weekend.

The rollout is expected to open up to more family doctors’ offices as supply grows, something Kwan has been waiting for.

“We want to be able to help our patients, and we know which ones are in need of it,” she said. “But I don’t have access to the vaccines to do that right now.”

CMA President Dr. Ann Collins says family doctors have been underutilized across the country during the rollout. While some physicians have volunteered or been recruited to help administer vaccines at clinics, the lack of immunization being done at their offices has been confounding, she adds.

“They’re in a prime position to talk to their patients about it and then deliver it,” she said.

Canada’s rollout, which began in mid-December, is lagging significantly behind several countries in doses administered per population.

Just over 5.3 per cent of Canadian residents had received at least one dose of a COVID-19 vaccine as of Wednesday afternoon.

The recent approval of vaccines from Oxford-AstraZeneca and Johnson & Johnson is expected to allow Canada’s inoculation plan to expand in the coming weeks, however.

Dr. Sumon Chakrabarti, an infectious disease expert in Mississauga, Ont., says that while the percentage of doctors who reported fatigue and anxiety is alarming, there may be more reason for optimism now than there was last month, when the survey was conducted.

Chakrabarti says he’s noticed a shift among his own colleagues to a “bit more of a positive outlook.”

“We know that mental health is a huge issue in COVID, whether it’s for people in health care or people in the community,” he said. “But what I find interesting is right now, we’re in the best position we’ve been in since the beginning of the pandemic.”

While Chakrabarti acknowledged legitimate concerns with Canada’s rollout, he worries some people may be “disproportionately emphasizing the difficulties compared to the good parts.”

“We’re getting some good news — Johnson & Johnson (being approved), a million doses of vaccines delivered this week,” he said. “But then we’re also hearing the ongoing drumbeat — a third wave is coming, variants are here. That is taking the forefront of the messaging … and it can result in anxiety in health-care professionals and otherwise.”

Collins says the most striking result of the survey was that of the 65 per cent of respondents who reported increased anxiety, only 16 per cent indicated that they had sought help.

“This clearly shows us that we still have some barriers that we need to work on around physician health and wellness,” she said.

This report by The Canadian Press was first published March 10, 2020.

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Citigroup lawyer says another bank made bigger payment error than Revlon

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NEW YORK (Reuters) – A lawyer for Citigroup Inc told a U.S. judge on Friday he was aware of another large bank that recently made a bigger payment error than Citigroup made last August when it sent $894 million of its own money to Revlon Inc lenders.

Neal Katyal, the lawyer, made the disclosure at a hearing in Manhattan federal court, where Citigroup urged U.S. District Judge Jesse Furman to extend a freeze on $504 million that it has been unable to recoup from the Revlon lenders.

Katyal did not identify the bank, the size of the payment error, or whether the error was fixed.

Citigroup is appealing Furman’s Feb. 16 decision that 10 asset managers, whose clients include Revlon lenders, could keep its mistaken payments.

Furman accepted the asset managers’ argument that Citigroup, as Revlon’s loan agent, paid what they were owed, and they had no reason to think a sophisticated bank would blunder so badly.

Citigroup has said the lenders received a “windfall,” and Furman’s decision could steer banks away from doing wire transfers in a “finders, keepers” marketplace.

Katyal is a partner at Hogan Lovells and former Acting U.S. Solicitor General. Citigroup hired him for its appeal.

 

(Reporting by Jonathan Stempel in New York; editing by Diane Craft)

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Canada aims to raise safety along notorious “Highway of Tears” with cell phone service

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By Moira Warburton

VANCOUVER (Reuters) – Canadian authorities will help fund mobile phone service to increase safety along a remote stretch of highway in British Columbia known as the “Highway of Tears” for the number of women who have gone missing on the route, most of them indigenous.

Indigenous groups recommended the move in 2006 in a report on disappearances and murders of women along the highway between the cities of Prince Rupert and Prince George, roughly 800 km (500 miles) north of Vancouver.

The recommendation was endorsed by a provincial government-mandated commission several years later.

The Royal Canadian Mounted Police are investigating 13 cases of murdered women and five who disappeared on or near the Highway of Tears, although no new cases have been added since 2007. Advocates believe the number of homicides and missing is significantly higher.

Lisa Beare, British Columbia’s minister of citizens’ services, called the project “a critical milestone in helping prevent future tragedies along this route.”

Cell phone plans in Canada are among the most expensive in the world, according to government data, and the cost and lack of coverage in rural areas was a top issue in the last election.

The provincial and federal governments will contribute C$4.5 million towards the C$11.6 million ($9.24 million) cost for Rogers Communications to install 12 cell phone towers, the British Columbia government said on Wednesday.

Lorraine Whitman, president of the Native Women’s Association of Canada, applauded the plan but said it was only one step in making the area safer for indigenous women.

“This truly is a blessing for the women,” she said. “But not all women have a phone. These towers are being put up, but it makes no use to the person that has no cell phone.”

($1 = 1.2558 Canadian dollars)

 

(Reporting by Moira Warburton in Vancouver; Editing by Sonya Hepinstall)

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Canadian fertilizer producer Nutrien to cut greenhouse gas emissions 30% by 2030

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By Rod Nickel and Rithika Krishna

(Reuters) –Canada‘s Nutrien Ltd, the world’s largest fertilizer producer by capacity, said on Thursday it aimed to cut greenhouse gas emissions by at least 30% by 2030, in a plan costing the company up to $700 million.

Agricultural companies, including Mosaic and Corteva, have set carbon emissions targets as climate-conscious investors push firms to become more environmentally friendly.

Nutrien plans to spend $500 million to $700 million to meet the carbon emissions target, which includes cutting emissions from nitrogen production by 1 million tonnes of carbon dioxide equivalent annually by the end of 2023.

“We’re in a really unique spot to address two big societal challenges – food security, and in a way that reduces our environmental footprint,” said Mark Thompson, Nutrien’s chief corporate development and strategy officer, in an interview.

Synthetic fertilizers account for 12% of global emissions from agriculture, according to a 2016 United Nations Food and Agriculture Organization report.

Nutrien’s target includes Scope 1 and 2 emissions, which reflect direct operations and electricity use. Nutrien is addressing Scope 3 emissions – those related to on-farm activity – with a program that encourages growers to adopt sustainable practices that generate monetary credits.

The Saskatoon, Saskatchewan-based company plans to deploy wind and solar energy at four potash plants by the end of 2025, replacing electricity generated by coal and natural gas.

It also plans to expand its sequestration of carbon emissions from nitrogen fertilizer production and to invest in technology to capture nitrous oxide gas from its facilities.

Nutrien estimates that its carbon credit program could directly amount to $10 to $20 per acre for farmers, and it expects to benefit financially itself as well.

“If we can provide agronomic value and the value of the carbon credit over time, we’ll have customer loyalty – we anticipate that we’ll be a preferred supplier,” Thompson said.

(Reporting by Rithika Krishna in Bengaluru and Rod Nickel in Winnipeg; Editing by Sriraj Kalluvila and Steve Orlofsky)

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