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UK To Impose Quarantine On Travelers Who Mix Different Vaccines – Travel Off Path

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The UK is taking a firm stance regarding the way it views vaccinated travelers by forcing those who have mixed two different Covid-19 vaccine types to quarantine upon arrival.  Not shy to update their travel restrictions, the UK’s tough new rule was updated just last week and could affect the travel plans of thousands of travelers across the EU and the wider world.

UK To Impose Quarantine On Travelers Who Mix Different Vaccines

The controversial new requirement differs drastically from other rules on the continent, with the European Medical Association promoting the idea with other European countries have made official recommendations to their citizens to mix vaccinate types. Here’s a closer look at the UK’s rule change and what it means for travelers. 

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UK’s New Requirement – Information For Travelers

On the face of it, life in the UK looks like it has gone back to normality. Pubs and restaurants are open, the mask mandate is all but over and football is now back with full crowds in tow. However, whilst its domestic restrictions might have been dialled down, its restrictions for international travelers are still in place as the UK focuses on preventing importing new Covid-19 cases from abroad – including the updated requirements regarding vaccinated travelers and quarantine.

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On August 12th, an update to the UK’s current entry restrictions was posted on the government’s website. The update served as an amendment to the UK’s definition of fully vaccinated. According to the British government, in order to be fully vaccinated a traveler must have had two vaccines from the same brand, which means those who have mixed two different types of vaccine – an act that is growing in popularity in some parts of the world – will not be considered as fully vaccinated in the UK.

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The update on the government’s website reads as follows:

Fully vaccinated’ means you must have had a final dose of an approved vaccine at least 14 whole days before you arrive in England. The day you have your final dose does not count as one of the 14 days. If you were vaccinated in 2 doses it must be with the same (MHRA, EMA, Swissmedic or FDA) approved vaccine. For example, if your first dose was Moderna your second dose must also be Moderna.

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Whilst the update is less likely to affect British travelers returning to the UK due to the nature of their vaccination program, it will affect many on the continent who were planning to visit the UK, as many countries – such as Germany and its chancellor, Angela Merkel – made an official recommendation to their citizens to mix vaccine types. Such practices saw many follow their AstraZeneca shots with a dose of an mRNA vaccine, such as Pfizer or Moderna.

It means that those who followed a course of inoculation that saw them mix vaccine types will have to self-isolate in the UK for 10 days, as they will not be considered fully vaccinated. They will also have to pay for testing on days 2 and 8 of their isolation.

Different EU countries are free to set their own entry requirements, the EMA only accepts specific types of vaccine. These are Pfizer, Moderna, AstraZeneca and Johnson and Johnson. Whilst it hasn’t declared an official position on mixing vaccines, the EMA described initial results as “positive”. Travel around the EU has also been made easier due to their vaccine passports, the EU Digital Covid Certificate. More information on that can be found here.

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Disclaimer: Current travel rules and restrictions can change without notice. The decision to travel is ultimately your responsibility. Contact your consulate and/or local authorities to confirm your nationality’s entry and/or any changes to travel requirements before traveling.  Travel Off Path does not endorse traveling against government advisories

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BC College of Pharmacists investigate reuse of syringes for COVID-19 – BC News – Castanet.net

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The Fraser Health Authority has confirmed that syringes were reused for COVID-19 vaccines at a B.C. pharmacy.

CTV News Vancouver is reporting that Fraser Health confirmed the information on Tuesday via email that – “the plastic tube which holds the vaccine solution, not the needles” – were reused.

Fraser Health did not indicate where in the region the pharmacy is located in. The Fraser Health Authority stretches from Burnaby to Boston Bar.

Fraser Health indicated the pharmacy was part of a provincial pilot program that was testing the ability of pharmacies to use a specific booking system. The location was suspended from the program once it the issue came to light.

Fraser health indicates the B.C. College of Pharmacists is investigating the but they confirmed the pharmacy is no longer giving out vaccines.

-with files from CTV News Vancouver

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COVID-19 vaccine boosters recommended for long-term care residents, national advisory committee says – CBC.ca

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Canadian seniors living in long-term care homes and other congregate-care settings should get COVID-19 vaccine booster shots, Canada’s vaccine advisory body recommends.   

Residents of such sites, including retirement homes and assisted-living facilities “are at increased risk for COVID-19 infection because of their daily interactions with other residents and staff,” said the National Advisory Committee on Immunization (NACI) in updated guidance released online on Tuesday. 

“They are also at increased risk for severe disease because of their age and underlying medical conditions.”

The amount of time that has passed since residents received their initial vaccinations is a factor in the recommendation —  given that older adults may “have a less durable response to vaccines and/or past infection compared to younger adults.” 

“Older Canadians residing in congregate living settings were prioritized for the COVID-19 vaccine when the vaccines were first authorized; therefore, many completed their COVID-19 vaccination series early in the vaccine roll-out, leaving more time for waning should it occur,” NACI said. 

Many long-term care residents had their initial COVID-19 shots spaced out over shorter intervals based on the manufacturers’ guidance — 21 days between doses for Pfizer-BioNTech (Comirnaty) and 28 days for Moderna (Spikevax).

Current evidence now suggests that longer intervals between doses result in higher immune responses, NACI said, and therefore the original schedule may have contributed to “more rapid waning of protection, including against variants of concern.”

In its guidance, NACI noted that its booster shot recommendation for residents of long-term care homes is not the same as recommending a third dose as part of the initial vaccination schedule. 

“The intent of a booster dose is to restore protection that may have waned over time in individuals who responded adequately to a primary vaccine series,” the advisory committee said. 

That’s different than the recommendation NACI issued just over two weeks ago for moderately to severely immunocompromised Canadians. People who are immunocompromised should receive three doses of COVID-19 vaccine as part of the standard immunization schedule, NACI said, because they may not mount an adequate immune response to two doses in the first place.

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North Bay–Parry Sound's COVID-19 vaccination rates rank near bottom-third in Ontario – BayToday.ca

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The North Bay Parry Sound District Health Unit is trailing the majority of the 33 other districts in Ontario when it comes to vaccination rates but officials are confident the mobile vaccination clinics held on a retrofitted transit bus can boost those numbers toward the 90 per cent goal.

According to COVaxON, the province’s vaccination reporting system, 78 per cent of eligible North Bay–Parry Sound residents age 12 and older have had two doses of the COVID-19 vaccine. That’s tied for 23rd out of 34 health units in Ontario.

The Health Unit also reports 84 per cent of eligible residents 12 and older in the district have received at least one dose, tied for 25th of 34 health units.

The recent introduction of the proof of vaccination program for Ontarians to gain entry to non-essential settings such as restaurants, fitness clubs, and cinemas is acknowledged by health officials as a means to encourage those who are not fully vaccinated to do so.

There was an uptick in vaccinations in the weeks following the announcement of the vaccine certificate program in Ontario. And, a boost in vaccinations followed locally, as well, in mid-September, as the Health Unit reported an increase, particularly among those aged 29 and younger. The Health Unit reported then a 128 per cent increase in first doses week over week. 

See also: Chirico impressed with new wave of vaccinations but still more work to do

The goal locally and province-wide is to have 90 per cent of the population vaccinated with first and second doses. As of Monday, that leaves 6,646 first and 14,680 second shots required. The Health Unit’s dashboard reports 692 doses administered over the weekend. It should be noted hundreds of third doses have been administered to eligible segments of the population over the past two weeks.

In North Bay–Parry Sound, the 30-39, 18-29 and 12-17 age groups all sit at less than two-thirds fully vaccinated, although the 12-17 category was not eligible for the vaccine for months following the initial local roll-out.

The Health Unit reports since June 1, 10 per cent of local positive cases have been detected in fully vaccinated people. Ontario reports 86 per cent of COVID-19 patients in ICUs are unvaccinated, while 72 per cent in hospitals (but not the ICU) are unvaccinated.

The Health Unit has consistently advocated for more people to roll up their sleeves and has gone to great lengths to achieve that goal by providing clinics in long-term care and retirement communities, mass immunization opportunities at Memorial Gardens, clinics focused on members of the vulnerable population, and now the mobile vaccination clinics that visit many of the underserved towns in the district.

See: How better conversations can help reduce vaccine hesitancy for COVID-19 and other shots

Andrea McLellan, Director of COVID-19 Immunization Strategy, previously spoke about possible reasons for vaccine hesitancy.

“It may be a lack of confidence in immunizations overall, it may be a personal choice they are making at this time and waiting to receive further information,” she said, noting there are excellent resources out there for those who are hesitant. “We are providing as much information to the public as we can — our website holds a wealth of information, the Ontario.ca website has a lot of information about the vaccine, as does Public Health Ontario.”

“Some people need a familiar health care provider to really reassure them that the vaccine is right for them,” Dr. Carol Zimbalatti added, encouraging people to reach out to their trusted health care providers for guidance. “Definitely, primary care offices have the information available to counsel their patients.”

The Health Unit will continue to roll out the vaccine through mobile clinics. McLellan says some of the feedback from the public indicated people who weren’t thinking of getting their shot did so thanks to the convenience of the bus set-up.

“We believe the mobile bus has been exceptionally successful,” McLellan said last week. “We’ve done over 300 at a couple of clinics, 150-plus at other clinics, 50 to 60 in smaller communities. The bus has been helpful in getting our numbers up. A lot of people are getting their first doses. And, we’ve accommodated a lot of people eligible for their third doses.”

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