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Who's eligible for a fall COVID-19 booster and when? What you need to know – CBC.ca

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Has it been at least five months since your last COVID-19 vaccine or infection? Then you’re eligible for a booster dose and should get it now, says the province’s acting deputy chief medical officer of health.

Don’t wait for the province to announce third or second boosters for certain age groups, or a fall vaccination campaign.

“We’re trying to get away from the approach of trying to count boosters,” said Dr. Yves Léger.

“We are in line with the current NACI recommendations regarding fall boosters, which is to encourage all New Brunswickers to get a fall booster dose, irrespective of the number of previous doses.”

The National Advisory Committee on Immunization (NACI) recommended in June that people at increased risk of severe illness from COVID-19 infection should be offered a booster shot this fall, regardless of how many boosters they’ve previously received. That includes people aged 65 and older.

People aged 12 to 64 “may be offered” a fall COVID-19 booster as well, the federal advisory body said.

The booster doses may be offered six months after a person’s previous COVID-19 vaccine dose or COVID infection, NACI recommended.

“However, a shorter interval of at least [three] months may be warranted in the context of heightened epidemiologic risk, as well as operational considerations for the efficient deployment of the program.”

It’s been five months since New Brunswick began offering a second booster dose to people aged 50 and older, provided at least five months had passed since their last dose, and about two-and-a-half months since people aged 18 and older could get their second booster.

Although the province used to recommend waiting three months after a COVID-19 infection before getting a vaccine, it has increased that to five to “align” with NACI, Léger said.

“So anyone who is five months or more from a previous dose or infection [is] encouraged to get a booster dose in the fall in anticipation of increased activity during the fall or winter months,” he said.

2,100 opted for bivalent booster so far

People should not wait for Moderna’s Omicron-specific booster to become more widely available in New Brunswick, said Léger.

“Anyone who is eligible for a booster dose should certainly consider getting the vaccine that’s available to them,” he said.

The Spikevax bivalent booster targets both the original coronavirus and the Omicron variant BA.1 that emerged late last year and drove the largest wave of infection and hospitalization in the pandemic.

“Bivalent vaccines certainly are a new product and they show promise of possibly having a better immune response, but we don’t know yet if that necessarily translates into better protection,” said Léger. “Those studies aren’t available yet. Once the vaccine starts to be used, then we’ll have more data that confirms whether or not it provides stronger protection or not.

“But certainly we do know that our currently available vaccines — what we call our monovalent vaccines, or the original vaccines we have —  we certainly know that those are very good vaccines. They still provide very strong protection against those severe outcomes,” including hospitalizations, ICU admissions and death.

Health Canada approved the bivalent on Sept. 1 for people age 18 and older.

Dr. Yves Léger, acting deputy chief medical officer of health, said the province’s supply of the COVID-19 vaccines remains ‘good’ and more bivalent boosters are expected in the ‘near future.’ (Submitted by Dr. Yves Léger)

As it stands, only New Brunswickers 50 and older, those aged 12 to 17 who are immunocompromised or have a high-risk medical condition, and those aged 18 and older who live in a First Nations community are eligible for the bivalent vaccine, as long as five months have passed since their last vaccine dose or a COVID-19 infection.

The province will look at expanding eligibility once its supply increases, said Léger. “That should be hopefully in the near future.”

He could not say how soon or to how broad access could be. It will depend on how many more doses it receives from the federal government and when, he said.

Roughly 2,100 New Brunswickers have received the bivalent vaccine since it became available Sept. 14, said Léger.

People living in long-term care will be offered a bivalent booster in October, the province has said.

Vaccination rates higher than national averages

As of Tuesday, 21.6 per cent of eligible New Brunswickers have received their second booster.

That’s up from 17 per cent on Sept. 11, when the national second booster average was 13 per cent, according to the most recent figures available from the Public Health Agency of Canada.

New Brunswick’s first booster rate was also higher than the national average at that time, at nearly 51 per cent, compared to about 50 per cent, PHAC figures show. The province’s first booster rate is now 53.7 per cent, according to the Department of Health.

The percent of New Brunswickers who completed their primary two-dose series as of Sept. 11 was also higher than the country’s average, at roughly 84 versus 82.

As of Tuesday, 90.5 per cent of eligible New Brunswickers have received their first dose and, 85.4 per cent have received their second dose, according to the Department of Health.

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Canada to donate up to 200,000 vaccine doses to combat mpox outbreaks in Africa

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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.

The Canadian Press. All rights reserved.

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How many Nova Scotians are on the doctor wait-list? Number hit 160,000 in June

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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.

The Canadian Press. All rights reserved.

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Newfoundland and Labrador monitoring rise in whooping cough cases: medical officer

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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.

The Canadian Press. All rights reserved.

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