Health
Who have provinces pegged to receive COVID-19 vaccines in the coming weeks? – OrilliaMatters
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.
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 80 and older were the first eligible to use the system. Starting March 22, people age 75 and older were able to make appointments through the booking system.
On Mar. 28 the government lowered the minimum age for vaccine eligibility in several public health units from 75 down to 70.
It also announced that people aged 70 and older in York Region, who had previously only been able to book vaccines through the regional service, could start using the provincial system to make appointments.
Also in York Region, a drive-thru, appointment only, vaccination site opened at Canada’s Wonderland theme park on Mar. 29.
Two more mass vaccination sites are also expected to open in Toronto, where people as young as 70 started getting vaccinated on Mar. 27.
Ontario focused its initial 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.
It has said the rollout will look different in each of its 34 public health units. Some public health units are ahead of the province’s schedule for vaccinations.
A pilot project at more than 300 pharmacies in Toronto, Kingston and Windsor Oxford-AstraZeneca started offering shots to those aged 60 to 64 in mid-March.
That program expanded on March 22 to offer shots to people aged 60 and older. Some primary care physicians are also offering Oxford-AstraZeneca shots to eligible patients in that age range.
The pharmacy pilot will expand to 700 locations across the province in the coming weeks, then to approximately 1,500 sites as supply becomes available.
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 65 and older and First Nation people aged 45 and older. Health officials plan to reduce the age minimum, bit by bit, over the coming months.
Eligibility was recently expanded to include nearly all health-care workers, including those who do not provide direct patient care. All people who work in congregate living facilities are also able to get vaccinated.
Dr. Joss Reimer, medical lead of the province’s vaccine task force, has said inoculations could be open to all adults in the province by August 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.
Health officials say the province has capacity to deliver 20,000 doses each day, but are currently hindered by limited supply.
Manitoba has already indicated it would opt for a four-month interval between doses.
The military is also being deployed to northern Manitoba to help vaccination efforts in 23 remote First Nations. Up to 200 members will help set up sites, transport people and administer doses. The goal is to vaccinate 100,000 First Nations people in 100 days.
To date, 146,529 doses of vaccine have been administered including 99,091 first doses and 47,438 second doses.
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Saskatchewan
The Saskatchewan Health Authority is booking vaccinations for residents aged 62 and older. The minimum age drops to 50 for people living in the Far North.
Those deemed to be medically vulnerable and 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 its receives the next shipment of Oxford-AstraZeneca shots. To date, the province has done nearly 174,000 vaccinations.
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Alberta
Health Minister Tyler Shandro has said the province expects to offer all Albertans aged 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.
In April, the Alberta government aims to start offering the vaccine to people with some chronic health conditions born between 1957 and 2005. 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.
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
The B.C. government is accelerating the timeline for the COVID-19 vaccine once again, allowing people who are “extremely clinically vulnerable” and some seniors to book their shots earlier than expected.
The Ministry of Health says that people at higher risk from COVID-19 due to existing medical conditions, including transplant recipients and those with cancer and severe respiratory conditions, can now register for their vaccine.
This group of people was originally scheduled to receive their shots in Phase 3 starting in April, but Health Minister Adrian Dix said the province has made tremendous progress on its age-based program and has additional vaccine supply.
The government said the new timeline means that about 200,000 people in B.C. aged 16 years or older who are clinically extremely vulnerable will receive their first dose of vaccine in the coming weeks.
The province has also announced a partnership with 14 businesses in the tourism and hospitality sectors that have been hit hard by the pandemic to use more than 1,400 laid-off workers to provide non-clinical help with the COVID-19 immunization rollout.
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Nunavut
Nunavut’s priority populations are being vaccinated first. They include residents of shelters, people aged 60 years and up, staff and inmates at correctional facilities, first responders and front-line health-care staff.
After a COVID-19 vaccine is administered, patients will be tracked to ensure they are properly notified to receive their second dose.
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Northwest Territories
The Northwest Territories says it expects to finish its vaccine rollout by the end of April. It also expects to receive enough doses of the Moderna vaccine by the end of March to inoculate 75 per cent of the adult population.
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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 March 29, 2021.
The Canadian Press
Health
Avian influenza spread: WHO gives public health warning as FDA calms food safety concerns – Food Ingredients First
23 April 2024 — The World Health Organization (WHO) has warned that the ongoing spread of avian influenza poses a “significant public health concern” and urged health authorities, especially in the US, to closely monitor infections in cows. However, the US FDA maintains that the virus is not currently a concern to consumer health and downplayed its impact on commercial milk production.
Earlier this month, the largest producer of fresh eggs in the US halted production at a Texas plant after bird flu was detected in its chickens. Cal-Maine Foods said that about 3.6% of its total flock was destroyed after the infection.
However, the virus, also known as H5N1, has now been found in at least 26 dairy herds across eight US states, marking the first time this strain of bird flu has been detected in cattle, according to officials.
At least 21 states have restricted cattle importations from states where the virus is known to have infected dairy cows.
The US Department of Agriculture’s Animal and Plant Health Inspection Service strongly recommends minimizing the movement of cattle, but has not issued federal quarantine orders.
Public health threat
The US Centers for Disease Control and Prevention (CDC) confirmed this month that a dairy worker in Texas, who reportedly had exposure to dairy cattle presumed to have had avian influenza, contracted the virus and is now recovering.
“This infection does not change the H5N1 bird flu human health risk assessment for the US general public, which CDC considers to be low,” the agency said in a press release, while acknowledging that people who come into more frequent contact with possibly infected birds or other mammals have a higher risk.
Meanwhile, WHO’s chief scientist, Dr. Jeremy Farrar, told reporters recently in Geneva, Switzerland, that H5N1 has had an “extremely high” mortality rate among the several hundred people known to have been infected with it to date.
US health officials have downplayed the impact of bird flu on food safety and industry production.However, no human-to-human H5N1 transmission has yet been recorded.
“H5N1 is an influenza infection, predominantly started in poultry and ducks and has spread effectively over the course of the last one or two years to become a global zoonotic — animal — pandemic,” said Farrar.
“The great concern, of course, is that in doing so and infecting ducks and chickens — but now increasingly mammals — the virus now evolves and develops the ability to infect humans.
“And then critically, the ability to go from human-to-human transmission.”
Concerns with cattle
US health officials have stressed that bird flu’s risk to the public is low, and the country’s food supply remains safe and stable.
“At this time, there continues to be no concern that this circumstance poses a risk to consumer health or that it affects the safety of the interstate commercial milk supply,” the FDA said in a statement.
According to officials, farmers are being urged to test cows that show symptoms of infection and separate them from the herd, where they usually recover within two weeks.
US producers are not permitted to sell milk from sick cows, while milk sold across state lines must be pasteurized or heat-treated to kill viruses, including influenza.
A dairy worker in Texas reportedly contracted the virus after exposure to cattle.
“We firmly believe that pasteurization provides a safe milk supply,” Tracey Forfa, director of the FDA’s Center for Veterinary Medicine, told a webinar audience last week.
However, WHO’s Farrar has urged further caution by public health authorities “because it [the virus] may evolve into transmitting in different ways.”
“Do the milking structures of cows create aerosols? Is it the environment which they’re living in? Is it the transport system that is spreading this around the country?” he said.
“This is a huge concern, and I think we have to…make sure that if H5N1 did come across to humans with human-to-human transmission that we were in a position to immediately respond with access equitably to vaccines, therapeutics and diagnostics.”
According to a new European Food Safety Authority report, outbreaks of avian influenza continue to spread in the EU and beyond.
By Joshua Poole
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York Region Public Health is reminding residents to keep up to date on their vaccinations as National Immunization Awareness Week begins.
The regional municipality said it is important to stay up to date on recommended vaccinations to ensure protection from contagious diseases. That includes updated COVID-19 vaccinations for vulnerable populations, recommended as part of a spring vaccination campaign.
“We know vaccines are safe and the best way to stay protected against vaccine-preventable disease,” the region said in a news release.
National Immunization Awareness Week runs from April 22 to 30, with this year’s theme being “Protect your future, get immunized.”
This spring, the region is still doing COVID-19 vaccinations. While walk-ins are no longer available as of April 2, you can book an appointment to visit a York Region clinic.
The spring COVID-19 vaccination campaign is aimed at more vulnerable groups who have received a COVID-19 vaccine before. Those include seniors, those living in seniors living facilities like long-term care homes, immunocompromised individuals and those in Indigenous households who are 55 or older. Public health also recommends the COVID-19 vaccine for those who have not yet received one.
York Region Public Health is also reminding residents of the need for other vaccines.
Measles cases have sprung up in Ontario and York Region recently. The region is recommending that people ensure they previously raised two valid doses of the measles vaccine. The region will also start providing measles vaccines April 29 for those overdue and for who do not have access to the vaccine through a health-care provider.
School-aged vaccinations are also available for free for children in junior kindergarten to Grade 12.
You can access immunization information at york.ca/immunziations or by contacting Access York at 1-877-464-9675.
“Vaccination helps protect everyone in our families, communities and schools,” the region said. “ By continuing to stay up to date on your immunizations, you help protect infants who are too young to be vaccinated and those not able to get vaccinated due to medical conditions.”
The World Health Organization (WHO) said the rising number of bird flu cases has raised “great concern” because it had an “extremely high” mortality rate among those who had been infected around the world.
The WHO’s data show that from 2003 through March 2024, a total of 889 worldwide human cases of H5N1 infection had been recorded in 23 countries, resulting in 463 deaths and a 52 percent mortality rate. The majority of deaths occurred in Southeast Asian countries and Egypt.
The most recent death was in Vietnam in late March, when a 21-year-old male without underlying conditions died of the infection after bird hunting. So far, cases in Europe and the United States have been mild.
Jeremy Farrar, chief scientist at the WHO, said recently that H5N1, predominantly started in poultry and ducks, “has spread effectively over the course of the last one or two years to become a global zoonotic — animal — pandemic”.
He said that the great concern is that the virus is increasingly infecting mammals and then develops the ability to infect humans. It would become critical if the virus develops the ability to “go from human-to-human transmission”, Farrar said.
In the past month, health officials have detected H5N1 in cows and goats from 29 dairy herds across eight states in the US, saying it is an alarming development because those livestock weren’t considered susceptible to H5N1.
The development worries health experts and officials because humans regularly come into contact with livestock on farms. In the US, there are only two recorded cases of human infection — one in 2022 and one in April this year in Texas. Both infected individuals worked in close proximity to livestock, but their symptoms were mild.
Wenqing Zhang, head of the WHO’s global influenza program, told the Daily Mail that “bird-to-cow, cow-to-cow and cow-to-bird transmission have also been registered during these current outbreaks, which suggest that the virus may have found other routes of transition than we previously understood”.
Zhang said that multiple herds of cow infections in the US states meant “a further step of the virus spillover to mammals”.
The virus has been found in raw milk, but the Texas Health Services department has said the cattle infections don’t present a concern for the commercial milk supply, as dairies are required to destroy milk from sick cows. In addition, pasteurization also kills the virus.
Darin Detwiler, a former food safety adviser to the Food and Drug Administration and the US Agriculture Department, said that Americans should avoid rare meat and runny eggs while the outbreak in cattle is going on to avoid the possibility of infection from those foods.
Nevertheless, both the WHO and the Centers for Disease Control and Prevention (CDC) said that the risk the virus poses to the public is still low. Currently no human-to-human infection has been detected.
On the potential HN51 public health risk, Farrar cautioned that vaccine development was not “where we need to be”.
According to a report by Barron’s, under the current plan by the US Health and Human Services Department, if there is an H5N1 pandemic, the government would be able to supply a few hundred thousand doses within weeks, then 135 million within about four months.
People would need two doses of the shot to be fully protected. That means the US government would be able to inoculate about 68 million people — 20 percent — of 330 million in case of an outbreak.
The situation is being closely watched by scientists and health officials. Some experts said that a high mortality rate might not necessarily hold true in the event the virus became contagious among people.
“We may not see the level of mortality that we’re really concerned about,” Seema Lakdawala, a virologist at Emory University, told The New York Times. “Preexisting immunity to seasonal flu strains will provide some protection from severe disease.”
Agencies contributed to this story.
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