As COVID-19 vaccine supplies ramp up across the country, most provinces and territories have released details of who can expect to receive a shot in the coming weeks.
The military commander handling logistics for Canada’s vaccine distribution program says there will be enough vaccine delivered to give a first dose before Canada Day to every adult who wants one.
Maj.-Gen. Dany Fortin says that’s if provinces follow the advice to delay second doses up to four months.
He also cautions that it is dependent on having no production delays again.
Health Canada anticipates a total of 36.5 million doses from Pfizer-BioNTech, Moderna and the AstraZeneca vaccine from the Serum Institute of India by June 30.
Canadian provinces suspended use of the Oxford-AstraZeneca COVID-19 vaccine in people under age 55 on Monday, acting on an advisory committee’s concerns about a possible link between the shot and rare blood clots.
Dr. Heather Morrison, P.E.I.’s chief medical officer of health, said the risk of developing a serious problem after being immunized is “very, very low.”
She said people who received the AstraZeneca vaccine should look for symptoms such as shortness of breath, chest pain, leg swelling, persistent abdominal pain, sudden onset of severe or persistent headache or blurred vision and skin bruising elsewhere than the site of vaccination, developing four to 20 days after vaccination.
There are approximately 31 million Canadians over 16, and no vaccines are approved for anyone younger than 16.
Here’s a list of the inoculation plans throughout Canada:
Newfoundland and Labrador
Health officials say vaccinations have begun for first responders. They say pre-registration for COVID-19 vaccines has opened for people aged 70 or older and for home-support workers.
Newfoundland and Labrador announced March 3 it was extending the interval between the first and second doses of the COVID-19 vaccine to four months.
Public health officials said the change will help them vaccinate 40,000 more people with a single dose by the end of March. Liberal Leader and incumbent Premier Andrew Furey said the decision is a game changer for the province’s vaccination prospects.
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Nova Scotia
Health officials say people aged 60 to 62 became eligible to receive the Oxford-AstraZeneca vaccine starting March 18.
Nova Scotia plans to have vaccine available to at least 75 per cent of the population by the end of September 2021.
The province is planning to use mobile van clinics to vaccinate about 900 people who work at or use homeless shelters in the Halifax area.
Public health is partnering with pharmacists and doctors to provide the vaccines at 25 locations.
Nova Scotia, meanwhile, has added front-line police officers to the list of people eligible for vaccination during the second phase of the province’s rollout plan, joining groups such as long-haul truck drivers and hospital workers over the age of 60.
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Prince Edward Island
Health officials in Prince Edward Island say they will shift their focus to getting a first dose of COVID-19 vaccine to all adults by July 1, even if it means delaying the second shot for some.
The province is offering the Oxford-AstraZeneca COVID-19 vaccine people ages 18 to 29 who work in gas stations and convenience or grocery stores.
The announcement on March 16 came after the province opened AstraZeneca vaccination appointments a week earlier to young people in the food and beverage sector.
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New Brunswick
Health officials announced March 18 that people 80 and older, health-care professionals who have close contact with patients, and people with complex medical conditions are eligible to receive a COVID-19 vaccine.
People 80 and over, a caregiver or a family member acting on their behalf can make an appointment for a vaccine at a pharmacy.
The province says all residents of long-term care homes have been offered at least one dose of vaccine. As of March 19, all residents of First Nations communities who are aged 16 or older were given access to their first dose of vaccine.
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Quebec
Quebec started vaccinating older seniors on March 1 after a first phase that focused largely on health-care workers, remote communities and long-term care. In Montreal, mass vaccine sites, including the Olympic Stadium, opened their doors to the public as the province began inoculating seniors who live in the hard-hit city.
COVID-19 vaccination appointments opened March 10 for residents 70 and older across Quebec. The minimum age is currently set at 65 in Abitibi-Temiscamingue and Cote-Nord. However, Montreal is dropping the age limit to 60.
Premier Francois Legault says his government’s goal is for all adult Quebecers who want a COVID-19 vaccine to get at least one dose by the province’s Fete nationale on June 24. He also said the province’s vaccination campaign will allow all Quebecers aged 65 and over to be vaccinated with one dose by mid-April.
Quebec, meanwhile, is looking to enlist between 20 and 50 companies across the province to operate vaccination hubs to help accelerate its immunization campaign for people under 60.
Health Minister Christian Dube says he’s hoping the companies can administer a total of one million vaccines.
To be part of the program, companies must commit to vaccinating between 15,000 and 25,000 people over a 12-week period between May and August.
Quebec will provide the vaccines and necessary equipment and run the online appointment portal. The program will begin when residents under the age of 60 become eligible to be vaccinated, with a goal of fully vaccinating 500,000 Quebecers.
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Ontario
Ontario launched its COVID-19 vaccine booking portal and call centre on March 15.
People aged 75 and older can now make appointments and the government has lowered the minimum age to 70 in several regions.
Some public health units are ahead of the province’s schedule for vaccinations, with York and Halton Region offering appointments to people aged 65 and up.
Shots are currently offered in mass clinics and smaller sites, depending on the health unit.
Oxford-AstraZeneca shots are being offered to people aged 60 and older at pharmacies in Kingston, Toronto and Windsor as part of a pilot project that’s set to expand to more locations once more supply becomes available. Some primary care physicians are also offering Oxford-AstraZeneca shots to patients in that age range.
Ontario focused its early vaccine effort on those in long-term care, high-risk retirement home residents, some health-care workers and people who live in congregate care settings.
The province has said the rollout will look different in each of its 34 public health units.
Other currently eligible people include front line health-care workers, Indigenous adults and chronic home health-care recipients, and some health units have started vaccinating people experiencing homelessness.
The interval between vaccine doses has been extended to four months in Ontario.
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Manitoba
Manitoba is starting to vaccinate people aged 64 and older and First Nation people aged 44 and older. Health officials plan to reduce the age minimum, bit by bit, over the coming months.
Manitoba has now given at least one dose to more than 10 per cent of people aged 18 and older.
This week immunization teams are going to more than 100 congregate living facilities to provide vaccines. More than 11,100 doses have already been administered to people living in these locations.
Dr. Joss Reimer, medical lead of the province’s vaccine task force, has said all adults in the province could have the first dose of a vaccine by the end of June if supplies are steady. There are supersites in cities where people can get vaccines and pop-up clinics have begun in rural and northern Manitoba communities for people who are eligible.
The province has also announced AstraZeneca is only being used for people 55-64 as more information is being sought around some adverse symptoms in younger populations. These are available through medical clinics and pharmacies. Health officials say there have not been any cases of these effects in Manitoba or Canada.
Health officials say the province has capacity to deliver 20,000 doses each day, but are currently hindered by limited supply. Manitoba’s Vaccine Implementation Task Force says the province’s current supply of vaccine has been spoken for and will be used by April 5. The task force says a shipment of 28,000 Moderna vaccines has been delayed for at least a week. The province, however, is expecting 40,000 doses of the BioNTech-Pfizer vaccine per week and 50,000 doses of the AstraZeneca vaccine next week.
Manitoba has already indicated it would opt for a four-month interval between doses.
The military has also been deployed to northern Manitoba to help vaccination efforts in 23 remote First Nations.
To date, 248,180 doses of vaccine have been delivered to Manitoba.
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Saskatchewan
The Saskatchewan Health Authority is booking vaccinations for residents 62 and older. The minimum age drops to 50 for people living in the Far North.
Those deemed to be medically vulnerable and those who have underlying health conditions can also get a shot, but have to wait to receive a letter first. Priority health-care workers are also on the list.
The province plans to open more drive-thru vaccination clinics once it receives its next shipment of Oxford-AstraZeneca shots.
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Alberta
Health Minister Tyler Shandro has said the province expects to offer all Albertans 18 and over a first dose of vaccine by the end of June.
On March 15, residents aged 65 to 74, and First Nations, Inuit and Metis aged 50-plus, were allowed to begin booking. The province had originally not expected to begin this stage of vaccination until April.
On March 30, the Alberta government was to begin offering shots to some 945,000 people with underlying health conditions. That includes people with certain lung, kidney, liver and heart diseases, people treated for cancer in the past year, those with severe mental illness and substance use disorders, and pregnant women.
Initially, Albertans born in or before 1963 will be able to book appointments through pharmacies in Calgary, Edmonton and Red Deer.
Starting April 5, Alberta Health Services sites will begin taking bookings for those with eligible health conditions born in or before 1959.
More birth years will be added as more vaccine supply arrives.
After that, vaccines will be available to more health-care workers and people with jobs in certain congregate living settings, such as jails and homeless shelters. Meat plant workers will also qualify in this phase.
Alberta has also said it will follow other provinces by extending the time between the first dose and the second to four months.
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British Columbia
British Columbia has decided to bump up its age-based vaccination plan by offering Oxford-AstraZeneca shots to Lower Mainland residents between the ages of 55 and 65.
The move comes after provincial health officer Dr. Bonnie Henry announced a pause on use of the same vaccine for anyone under 55 on the advice of the National Advisory Committee on Immunization over concerns about rare blood clots.
Beginning Wednesday, those between 55 and 65 can call their local pharmacy and book an appointment. Drop-in service may also be an option at more than 150 participating pharmacies.
The province had previously accelerated the timeline for the COVID-19 vaccine by allowing people who are “extremely clinically vulnerable” and some seniors to book their shots earlier than expected.
That means people at higher risk from COVID-19 due to existing medical conditions, including transplant recipients and those with cancer and severe respiratory conditions, can register for their vaccine.
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Nunavut
Nunavut has opened vaccinations to anyone 18 and older.
The territory expects to finish its vaccine rollout of first and second doses by the end of April.
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Northwest Territories
The Northwest Territories is also providing vaccine to those 18 and older and expects to finish its rollout by the end of April.
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Yukon
Yukon says it will receive enough vaccine to immunize 75 per cent of its adult population by the end of March.
Priority for vaccinations has been given to residents and staff in long-term care homes, group homes and shelters, as well as health-care workers and personal support workers. People over the age of 80 who are not living in long-term care, and those living in rural and remote communities, including Indigenous Peoples, are also on the priority list for shots.
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This report by The Canadian Press was first published April 1, 2021.
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.
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.
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.
