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'Taken out of context': Doctors respond to WHO chief scientist's comments on mixing COVID-19 vaccines – CTV News

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TORONTO —
Experts in Canada say that comments by the World Health Organization’s chief scientist on mixing and matching COVID-19 vaccine doses have been taken out of context and that doing so under public health guidelines is safe and effective.

The WHO’s Dr. Soumya Swaminathan said during an online briefing Monday that there is little data on mixing and matching vaccines and that it could be a “chaotic” situation if “citizens start deciding” when they should be taking “a second or a third or a fourth dose” and from which vaccine manufacturer.

“To be charitable here, I think this was a conversation that was taken out of context,” Dr. Sumon Chakrabarti, an infectious disease doctor, told CTV News Channel on Tuesday.

In some parts of the world, he said, people have taken it upon themselves to get multiple doses of various COVID-19 vaccines so they can travel.

“We’re seeing in other parts of the world, some people are getting a certain vaccine, say Sinopharm – not available in Canada — and then trying to get another two doses of vaccine to get double vaccinated or get a vaccine that will satisfy some sort of condition,” he said.

Some countries will not allow travellers to cross their borders without full vaccination via specific authorized vaccines. Others, including Canada, require travellers to quarantine for 14 days unless they’ve been fully immunized with one of the vaccines authorized for use in the country.

In a statement to CTVNews.ca, the WHO said that Swaminathan’s remarks were targeted towards individuals.

“At our Global press conference on COVID 19, Dr. Soumya Swaminathan explained that individuals should not decide for themselves, public health agencies can, based on available data. Data from mix and match studies of different vaccines are awaited – immunogenicity and safety both need to be evaluated,” the statement said.

In Canada, the National Advisory Committee on Immunization (NACI) and Public Health Agency of Canada have said mixing and matching doses is safe based on available evidence. In a June update to COVID-19 vaccine recommendations, NACI said that the mRNA vaccines can be used interchangeably if the original dose is not available, and that a second dose of mRNA vaccine is recommended for those who got AstraZeneca as a first dose.

“I agree that mixing and matching doses of vaccine is safe, we have evidence for this, we’ve been doing it, and it works so I think that that discussion was something that was not applicable to what’s happening in Canada,” Chakrabarti added.

Studies conducted in other countries have shown that mixing mRNA and AstraZeneca vaccines can promote a stronger immune response.

“We have some evidence out of Spain, in England, and also Germany showing that you can actually put these two vaccines together, and you see actually a boost in the amount of antibodies you get,” he said.

Canadian researchers are conducting their own study on mixing and matching vaccines. The study will investigate the impacts of the use of COVID-19 vaccines from different manufacturers in adult participants.

Dr. Joanne Langley, co-principal investigator of the MOSAIC study and infectious disease physician, told CTVNews.ca in a phone interview on Tuesday that the Canadian study is investigating antibody responses to mix-and-match vaccine schedules and will document how participants are feeling in the short-term and long-term.

Due to Canada’s quickening vaccine rollout, the researchers have run into issues getting enough participants for the study, particularly as it also aims to examine extended intervals of up to 70 days between doses.

“They think they can get it quicker through public health and that may not be the case,” Langley said. “There is an interval so you can get it as soon as 28 days from your first vaccine or as long as the 70 days, but if you’re already at two months from your first vaccine that means it’s only two weeks to get your next one.”

The study is done in conjunction with the COVID-19 Immunity Task Force, Vaccine Surveillance Reference Group, Canadian Immunization Research Network and Dalhousie University and it will investigate mixing and matching vaccines and extended dose intervals in 1,300 adults across Canada at Canadian Immunization Research Network clinical trial sites. These sites are located in Nova Scotia, Quebec, Ontario, Manitoba, Alberta and B.C.

And while Langley agrees that there is room for more data and evidence, there are currently at least 26 studies on mixing vaccines being conducted worldwide. She too thinks Swaminathan’s remarks were taken out of context.

“She was referring in particular to what some people are talking about doing: getting a third and a fourth dose, and that absolutely should only be done if it’s recommended by public health people,” she said. “In Canada you couldn’t do that. But in some countries, you could access the vaccine as an individual.”

COVID-19 vaccines aren’t the only ones we see mixed and matched with other brands. This happens with other vaccinations that Canadians need occasional boosters for.

“We also know from previous vaccines, outside of COVID, that this works,” Chakrabarti said. “For example, with pneumococcal vaccinations, this is something that’s safe.”

In a statement to CTVNews.ca, the Public Health Agency of Canada also said that vaccine interchangeability happens regularly in Canada.

“Vaccine interchangeability is not a new concept. Similar vaccines from different manufacturers are used when vaccine supply or public health programs change. Different vaccine products have been used to complete a vaccine series for influenza, hepatitis A, and others,” the statement read.

The WHO’s latest messaging may have also been an attempt at stopping countries from hoarding COVID-19 vaccines for future booster shots, one infectious disease doctor said.

“I do sincerely believe that it was a well-intended message aimed at preventing the idea of hoarding too many doses of vaccines for booster shots, and potentially third or even fourth doses, especially when you’re dealing with a situation where COVAX has not worked ideally for under resourced parts of the world,” Dr. Abdu Sharkawy told CTV’s Your Morning on Tuesday.

Swaminathan did caution on Monday that “if 11 high and upper middle income countries decide… that they will go for a booster for their populations or even subgroups, this will require an additional 800 million doses of vaccine.” She said that would affect the global vaccine supply at a point “when there is no scientific evidence to suggest that boosters are definitely needed.”

Despite good intentions, Sharkawy said that he was surprised that Swaminathan said mixing and matching COVID-19 vaccines was an “evidence free zone,” as studies around the world have yielded evidence and real-world evidence is taking place.

“When you’re talking about the science behind this protocol, and we’re dealing with emerging real-world evidence from multiple parts of Europe, that shows that this is a safe and effective strategy to use,” he said. “So for any Canadian who did receive a multi-platform vaccine protocol, including my own wife, I say you have nothing to fear. The science is very sound.”

For those who did mix their vaccine doses, Langley said they did the right thing by following public health advice and that advice hasn’t changed.

“The most important thing is to have two doses of an authorized COVID vaccine, so that you will reduce your likelihood of getting COVID serious complications,” she said.

For Chakrabarti, he has no doubt in the safety of mixing and matching and even recommended his own father mix doses.

“I wouldn’t do that unless I thought it was entirely safe.”

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Japan’s SoftBank returns to profit after gains at Vision Fund and other investments

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TOKYO (AP) — Japanese technology group SoftBank swung back to profitability in the July-September quarter, boosted by positive results in its Vision Fund investments.

Tokyo-based SoftBank Group Corp. reported Tuesday a fiscal second quarter profit of nearly 1.18 trillion yen ($7.7 billion), compared with a 931 billion yen loss in the year-earlier period.

Quarterly sales edged up about 6% to nearly 1.77 trillion yen ($11.5 billion).

SoftBank credited income from royalties and licensing related to its holdings in Arm, a computer chip-designing company, whose business spans smartphones, data centers, networking equipment, automotive, consumer electronic devices, and AI applications.

The results were also helped by the absence of losses related to SoftBank’s investment in office-space sharing venture WeWork, which hit the previous fiscal year.

WeWork, which filed for Chapter 11 bankruptcy protection in 2023, emerged from Chapter 11 in June.

SoftBank has benefitted in recent months from rising share prices in some investment, such as U.S.-based e-commerce company Coupang, Chinese mobility provider DiDi Global and Bytedance, the Chinese developer of TikTok.

SoftBank’s financial results tend to swing wildly, partly because of its sprawling investment portfolio that includes search engine Yahoo, Chinese retailer Alibaba, and artificial intelligence company Nvidia.

SoftBank makes investments in a variety of companies that it groups together in a series of Vision Funds.

The company’s founder, Masayoshi Son, is a pioneer in technology investment in Japan. SoftBank Group does not give earnings forecasts.

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Yuri Kageyama is on X:

The Canadian Press. All rights reserved.

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Trump campaign promises unlikely to harm entrepreneurship: Shopify CFO

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Shopify Inc. executives brushed off concerns that incoming U.S. President Donald Trump will be a major detriment to many of the company’s merchants.

“There’s nothing in what we’ve heard from Trump, nor would there have been anything from (Democratic candidate) Kamala (Harris), which we think impacts the overall state of new business formation and entrepreneurship,” Shopify’s chief financial officer Jeff Hoffmeister told analysts on a call Tuesday.

“We still feel really good about all the merchants out there, all the entrepreneurs that want to start new businesses and that’s obviously not going to change with the administration.”

Hoffmeister’s comments come a week after Trump, a Republican businessman, trounced Harris in an election that will soon return him to the Oval Office.

On the campaign trail, he threatened to impose tariffs of 60 per cent on imports from China and roughly 10 per cent to 20 per cent on goods from all other countries.

If the president-elect makes good on the promise, many worry the cost of operating will soar for companies, including customers of Shopify, which sells e-commerce software to small businesses but also brands as big as Kylie Cosmetics and Victoria’s Secret.

These merchants may feel they have no choice but to pass on the increases to customers, perhaps sparking more inflation.

If Trump’s tariffs do come to fruition, Shopify’s president Harley Finkelstein pointed out China is “not a huge area” for Shopify.

However, “we can’t anticipate what every presidential administration is going to do,” he cautioned.

He likened the uncertainty facing the business community to the COVID-19 pandemic where Shopify had to help companies migrate online.

“Our job is no matter what comes the way of our merchants, we provide them with tools and service and support for them to navigate it really well,” he said.

Finkelstein was questioned about the forthcoming U.S. leadership change on a call meant to delve into Shopify’s latest earnings, which sent shares soaring 27 per cent to $158.63 shortly after Tuesday’s market open.

The Ottawa-based company, which keeps its books in U.S. dollars, reported US$828 million in net income for its third quarter, up from US$718 million in the same quarter last year, as its revenue rose 26 per cent.

Revenue for the period ended Sept. 30 totalled US$2.16 billion, up from US$1.71 billion a year earlier.

Subscription solutions revenue reached US$610 million, up from US$486 million in the same quarter last year.

Merchant solutions revenue amounted to US$1.55 billion, up from US$1.23 billion.

Shopify’s net income excluding the impact of equity investments totalled US$344 million for the quarter, up from US$173 million in the same quarter last year.

Daniel Chan, a TD Cowen analyst, said the results show Shopify has a leadership position in the e-commerce world and “a continued ability to gain market share.”

In its outlook for its fourth quarter of 2024, the company said it expects revenue to grow at a mid-to-high-twenties percentage rate on a year-over-year basis.

“Q4 guidance suggests Shopify will finish the year strong, with better-than-expected revenue growth and operating margin,” Chan pointed out in a note to investors.

This report by The Canadian Press was first published Nov. 12, 2024.

Companies in this story: (TSX:SHOP)

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RioCan cuts nearly 10 per cent staff in efficiency push as condo market slows

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TORONTO – RioCan Real Estate Investment Trust says it has cut almost 10 per cent of its staff as it deals with a slowdown in the condo market and overall pushes for greater efficiency.

The company says the cuts, which amount to around 60 employees based on its last annual filing, will mean about $9 million in restructuring charges and should translate to about $8 million in annualized cash savings.

The job cuts come as RioCan and others scale back condo development plans as the market softens, but chief executive Jonathan Gitlin says the reductions were from a companywide efficiency effort.

RioCan says it doesn’t plan to start any new construction of mixed-use properties this year and well into 2025 as it adjusts to the shifting market demand.

The company reported a net income of $96.9 million in the third quarter, up from a loss of $73.5 million last year, as it saw a $159 million boost from a favourable change in the fair value of investment properties.

RioCan reported what it says is a record-breaking 97.8 per cent occupancy rate in the quarter including retail committed occupancy of 98.6 per cent.

This report by The Canadian Press was first published Nov. 12, 2024.

Companies in this story: (TSX:REI.UN)

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