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Why Israel is leading the world with COVID-19 vaccinations – CBC.ca

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Every day, the online research publication Our World In Data releases information about vaccine doses being administered across the globe. And every day, one country emerges as a world leader: Israel.

For example, when the University of Oxford-based organization released its Jan. 1 data, the total number of vaccination doses administered per 100 people for Canada was 0.26. For the U.S., it was 0.84. The United Kingdom: 1.47. And for Israel it was 11.55, 44 times more than Canada.

But Israel, with a population of nine million, was also tied for third in the world in total number of doses (1 million), behind China (4.5 million) and the U.S. (2.79 million). Canada’s dose count totalled just under 100,000.

As Max Roser, founder and director of Our World In Data tweeted on Friday: “the country is rapidly getting to a point where mass deaths and mass lockdowns are over.”

The reasons for Israel’s success are multifaceted, and there may be lessons that Canada can learn.

‘Should be commended for it’

“I think it’s remarkable watching how organized Israel is in terms of getting access to a tremendous amount of vaccines and mobilizing vaccine rollout in a very expedited manner,” said Dr. Isaac Bogoch, an infectious diseases physician and member of the Ontario government’s vaccine distribution task force.

“And they should be commended for it.”

But the rollout is not without some controversy. Palestinians in the occupied West Bank and in the Gaza Strip will not be vaccinated by Israel, a responsibility that some aid groups believe Israel shares with Palestinian officials.

Still, the country continues to garner praise. Since the start of its vaccination campaign on Dec. 20, Israel has inoculated just over 11 per cent of its population — one million of its citizens — and aims to vaccinate a quarter of all Israelis by the end of the month.

Certainly, Israel’s small size, and dense population, especially compared to a sprawling country like Canada, gives it an inherent advantage in terms of reaching its population with a vaccine, suggested Allon Moses, director of the Hadassah Medical Organization’s Department of Clinical Microbiology and Infectious Diseases.

Moses said the fact that Israel’s medical services are centralized, provided by four main health maintenance organizations (HMOs) has made it easier to reach the population through emails and advise people to make appointments. (Everyone over the age of 18 must register with one of the four government-subsidized HMOs.)

WATCH | The National reports on Canada’s challenges with vaccination rollout

The provinces are behind targets of getting COVID-19 vaccine into Canadians’ arms, and experts say logistical challenges are largely to blame but are hopeful the arrival of the Moderna vaccine will help speed things up. 3:22

Israel’s experience in war and battle has also meant the country “is built on dealing with emergency, the country is built on recruiting soldiers to help,” Moses said.

About 700 paramedics on reserve duty have joined the civilian vaccination campaign in order to make the operation more efficient, the Israel Defence Forces said in a statement.

“So we are a small country with a relatively good infrastructure of medicine and a lot of good-willed people who are willing to help to get the country to be vaccinated in record time,” Moses said.

Digitized medical record system

Nadav Davidovitch, director of the School of Public Health at Ben Gurion University, also lauded the country’s digitized medical record system as “one of the best in the world,” which is helping with the organization of vaccination efforts and helping keep track of those on the priority list who should get a shot.

Perhaps most significantly, Israel was able to secure a large supply of vaccines — although how many has not been disclosed — but enough to vaccinate a million of its population. (Israel will have a two-week break in the vaccination of the general public due to an expected shortage of vaccines, the Jerusalem Post reported.)

Davidovitch said Israel and its tech-based economy, and connections to the pharmaceutical industries, made it an attractive candidate for Pfizer to supply its vaccines.

“It’s important to have vaccines being distributed in a place that will be very successful,” Davidovitch said. 

As well, Davidovtch said Israel had been preparing for a couple months in advance for the vaccine rollout. 

There have been more than 150 vaccine clinics running across the country, while vaccination vans travel to periphery towns.

People wait to receive a Pfizer COVID-19 vaccine in Soroka Hospital in Beersheba, Israel, Tuesday, Dec. 29. ‘We are a small country with a relatively good infrastructure of medicine and a lot of good-willed people who are willing to help to get the country to be vaccinated in record time,’ one expert said. (Tsafrir Abayov/The Associated Press)

In comparison, Ontario, with a population of 14.5 million, has only 19 vaccination clinics across the province. These 19 sites all contain the special freezers needed to store the Pfizer-BioNTech vaccine.

Pfizer has advised Canadian health officials to administer early doses of the vaccine at the sites where they are first delivered in large batches. Health officials have been told by Pfizer that too much movement of the vaccine can lead to deterioration.

Repackage vaccine

But according to Israel’s health ministry, it is the first country in the world to repackage the vaccine to distribute it across the country.

“Fortunately, the solution for safe transport of the vaccines allows us to vaccinate in small and remote locations, in retirement homes and nursing homes,” Hezi Levy, Director General of the Ministry of Health, said in a statement.

Vivian Bercoviic, a former ambassador of Canada to Israel, suggested that politics may also be at play. With an election slated for March, a successful vaccine rollout campaign certainly would be a boon for the political fortunes of Israeli Prime Minister Benjamin Netanayhu.

“So he knows that if he is able to turn Israel into this beacon of accomplishment in terms of national vaccination program, it will not only reflect well on him personally, but it’ll be a matter of national pride.”

(Our World In Data)

Bogoch said that while Israel deserves all the praise it receives for its speed in administering the vaccine, it is easier for smaller countries to more efficiently administer vaccines in general.

“Canada has pretty significant logistical hurdles just based on the size of the country. We have rural populations, we have remote Indigenous populations, and everybody needs access to this,” he said. “Even the northern part of the country is also going to pose some significant challenges as well.”

Bogoch said that it’s pretty clear that per capita, Israel certainly has access to significantly more vaccines to begin with per capita. And because Israel has so many, it likely started planning administering the vaccines much earlier. 

Dr. Zain Chagla, an infectious diseases physician at St. Joseph’s Healthcare Hamilton, Ont., said Canada could take some lessons from Israel.

He said Canadian officials could also learn how Israel is setting up its registration system and how it appears to be managing through bureaucratic hurdles.

But most importantly, Canada could learn how Israeli officials been able to transport the vaccine around to other locations.

“Israel has been able to move the vaccine around to multiple different places, multiple different sites, pop ups and that type of thing,” said Chagla, who is also an associate professor at McMaster University.

“The ability to not centralize in a single place, does help with the distribution. They can mobilize more volunteers.”

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Bad traffic, changed plans: Toronto braces for uncertainty of its Taylor Swift Era

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TORONTO – Will Taylor Swift bring chaos or do we all need to calm down?

It’s a question many Torontonians are asking this week as the city braces for the arrival of Swifties, the massive fan base of one of the world’s biggest pop stars.

Hundreds of thousands are expected to descend on the downtown core for the singer’s six concerts which kick off Thursday at the Rogers Centre and run until Nov. 23.

And while their arrival will be a boon to tourism dollars — the city estimates more than $282 million in economic impact — some worry it could worsen Toronto’s gridlock by clogging streets that already come to a standstill during rush hour.

Swift’s shows are set to collide with sports events at the nearby Scotiabank Arena, including a Raptors game on Friday and a Leafs game on Saturday.

Some residents and local businesses have already adjusted their plans to avoid the area and its planned road closures.

Aahil Dayani says he and some friends intended to throw a birthday bash for one of their pals until they realized it would overlap with the concerts.

“Something as simple as getting together and having dinner is now thrown out the window,” he said.

Dayani says the group rescheduled the gathering for after Swift leaves town. In the meantime, he plans to hunker down at his Toronto residence.

“Her coming into town has kind of changed up my social life,” he added.

“We’re pretty much just not doing anything.”

Max Sinclair, chief executive and founder of A.I. technology firm Ecomtent, suggested his employees avoid the company’s downtown offices on concert days, saying he doesn’t see the point in forcing people to endure potential traffic jams.

“It’s going to be less productive for us, and it’s going to be just a pain for everyone, so it’s easier to avoid it,” Sinclair said.

“We’re a hybrid company, so we can be flexible. It just makes sense.”

Swift’s concerts are the latest pop culture moment to draw attention to Toronto’s notoriously disastrous daily commute.

In June, One Direction singer Niall Horan uploaded a social media video of himself walking through traffic to reach the venue for his concert.

“Traffic’s too bad in Toronto, so we’re walking to the venue,” he wrote in the post.

Toronto Transit Commission spokesperson Stuart Green says the public agency has been working for more than a year on plans to ease the pressure of so many Swifties in one confined area.

“We are preparing for something that would be akin to maybe the Beatles coming in the ‘60s,” he said.

Dozens of buses and streetcars have been added to transit routes around the stadium, and the TTC has consulted the city on potential emergency scenarios.

Green will be part of a command centre operated by the City of Toronto and staffed by Toronto police leaders, emergency services and others who have handled massive gatherings including the Raptors’ NBA championship parade in 2019.

“There may be some who will say we’re over-preparing, and that’s fair,” Green said.

“But we know based on what’s happened in other places, better to be over-prepared than under-prepared.”

Metrolinx, the agency for Ontario’s GO Transit system, has also added extra trips and extended hours in some regions to accommodate fans looking to travel home.

A day before Swift’s first performance, the city began clearing out tents belonging to homeless people near the venue. The city said two people were offered space in a shelter.

“As the area around Rogers Centre is expected to receive a high volume of foot traffic in the coming days, this area has been prioritized for outreach work to ensure the safety of individuals in encampments, other residents, businesses and visitors — as is standard for large-scale events,” city spokesperson Russell Baker said in a statement.

Homeless advocate Diana Chan McNally questioned whether money and optics were behind the measure.

“People (in the area) are already in close proximity to concerts, sports games, and other events that generate massive amounts of traffic — that’s nothing new,” she said in a statement.

“If people were offered and willingly accepted a shelter space, free of coercion, I support that fully — that’s how it should happen.”

This report by The Canadian Press was first published Nov. 13, 2024.



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‘It’s literally incredible’: Swifties line up for merch ahead of Toronto concerts

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TORONTO – Hundreds of Taylor Swift fans lined up outside the gates of Toronto’s Rogers Centre Wednesday, with hopes of snagging some of the pop star’s merchandise on the eve of the first of her six sold-out shows in the city.

Swift is slated to perform at the venue from Thursday to Saturday, and the following week from Nov. 21 to Nov. 23, with concert merchandise available for sale on some non-show days.

Swifties were all smiles as they left the merch shop, their arms full of sweaters and posters bearing pictures of the star and her Eras Tour logo.

Among them was Zoe Haronitis, 22, who said she waited in line for about two hours to get $300 worth of merchandise, including some apparel for her friends.

Haronitis endured the autumn cold and the hefty price tag even though she hasn’t secured a concert ticket. She said she’s hunting down a resale ticket and plans to spend up to $600.

“I haven’t really budgeted anything,” Haronitis said. “I don’t care how much money I spent. That was kind of my mindset.”

The megastar’s merchandise costs up to $115 for a sweater, and $30 for tote bags and other accessories.

Rachel Renwick, 28, also waited a couple of hours in line for merchandise, but only spent about $70 after learning that a coveted blue sweater and a crewneck had been snatched up by other eager fans before she got to the shop. She had been prepared to spend much more, she said.

“The two prized items sold out. I think a lot more damage would have been done,” Renwick said, adding she’s still determined to buy a sweater at a later date.

Renwick estimated she’s spent about $500 in total on “all-things Eras Tour,” including her concert outfit and merchandise.

The long queue for Swift merch is just a snapshot of what the city will see in the coming days. It’s estimated that up to 500,000 visitors from outside Toronto will be in town during the concert period.

Tens of thousands more are also expected to attend Taylgate’24, an unofficial Swiftie fan event scheduled to be held at the nearby Metro Toronto Convention Centre.

Meanwhile, Destination Toronto has said it anticipates the economic impact of the Eras Tour could grow to $282 million as the money continues to circulate.

But for fans like Haronitis, the experience in Toronto comes down to the Swiftie community. Knowing that Swift is going to be in the city for six shows and seeing hundreds gather just for merchandise is “awesome,” she said.

Even though Haronitis hasn’t officially bought her ticket yet, she said she’s excited to see the megastar.

“It’s literally incredible.”

This report by The Canadian Press was first published Nov. 13, 2024.

The Canadian Press. All rights reserved.



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Via Rail seeks judicial review on CN’s speed restrictions

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OTTAWA – Via Rail is asking for a judicial review on the reasons why Canadian National Railway Co. has imposed speed restrictions on its new passenger trains.

The Crown corporation says it is seeking the review from the Federal Court after many attempts at dialogue with the company did not yield valid reasoning for the change.

It says the restrictions imposed last month are causing daily delays on Via Rail’s Québec City-Windsor corridor, affecting thousands of passengers and damaging Via Rail’s reputation with travellers.

CN says in a statement that it imposed the restrictions at rail crossings given the industry’s experience and known risks associated with similar trains.

The company says Via has asked the courts to weigh in even though Via has agreed to buy the equipment needed to permanently fix the issues.

Via said in October that no incidents at level crossings have been reported in the two years since it put 16 Siemens Venture trains into operation.

This report by The Canadian Press was first published Nov. 13, 2024.

Companies in this story: (TSX:CN)

The Canadian Press. All rights reserved.



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