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Why rollout of COVID-19 vaccine could be 'the most difficult part' in Canada – CBC.ca

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Despite promising COVID-19 vaccine candidates on the horizon worldwide, experts say Canada needs to overcome major hurdles before it can develop rollout strategies to get the right shot into Canadians’ arms. 

News that Pfizer’s vaccine candidate has shown promising preliminary results in Phase 3 clinical trials made headlines this week, but specific data on which patients benefited from the trial, which could inform rollout plans, has yet to be released. 

Last week, Prime Minister Justin Trudeau said the country needs “a very sophisticated” rollout plan that will require “high degrees of logistical support.”

But determining who should get a vaccine first is extremely challenging without specific data on who it would help most.

“The rollout is going to be the most difficult part of this vaccine and that’s the part I think everyone is starting to think of today,” Dr. Zain Chagla, an infectious diseases specialist at St Joseph’s Healthcare in Hamilton, told CBC’s The National

“If the vaccine data shows that the highest risk populations also have the highest reasonable benefit here, I think that prioritization scheme works very well and hopefully that’s the target for the first 10 million doses.”

WATCH | Pfizer’s vaccine raises questions with medical experts:

Pfizer says initial data suggests its COVID-19 vaccine is 90 per cent effective. Medical experts call it encouraging, but have a lot of questions. 2:05

But who is most at risk of severe illness and transmission of COVID-19 is still in question, meaning Canada might need to develop several contingency plans. 

“If we decide to start with health-care workers, it’s going to be a completely different strategy than if we start by vaccinating the elderly in long-term care facilities,” Dr. Caroline Quach, a pediatric infectious disease specialist and chair of the National Advisory Committee on Immunization (NACI), said on The Current on Tuesday. 

“So it’s difficult currently for provinces and territories to have a good idea and a good understanding of how they need to deploy.”

The federal government has reportedly secured enough syringes and needles for provinces and territories to vaccinate all Canadians who wish to receive a COVID-19 vaccine, but Quach says the specific plans are still unclear.

The Public Health Agency of Canada said in a statement to CBC News the federal government is working with provinces and territories to approve and distribute a vaccine as quickly as possible. 

Dr. Caroline Quach says a lack of key data makes it difficult for provinces and territories to have a good understanding of how they need to deploy a potential vaccine. (CBC)

“It is anticipated that in the early stages of rollout, supply availability will be limited,” a spokesperson said.

“The quantity and schedule of availability of vaccines will be the subject of ongoing discussion with provinces and territories to manage expectations and plans for delivery.” 

The NACI has released preliminary recommendations that prioritize the elderly and others at severe risk of illness: health-care workers, front-line staff and those with lower access to health care including Indigenous populations. 

But to know who should be first in line, the NACI and government officials need to know who fell ill in the vaccinated group compared with the placebo group during clinical trials. 

Without answers, governments across Canada will need to hedge their bets.

“They may have to work on two to three plans in parallel,” Quach said. “Just in case one of those will be picked as the first strategy.”

Logistical challenges 

How to deploy a vaccine across the country, especially to remote communities such as First Nations, is also a key consideration. 

Pfizer’s vaccine candidate needs to be stored at –70 C to –80 C, but commercial refrigerators typically go down to –15 C at the most. 

Given that strict temperature requirement, Chaga suspects that Pfizer’s vaccine would be distributed much differently than a typical vaccine. 

“We’re probably going to have centralized hubs and teams going out from those hubs to do mass immunization campaigns,” he said. “Rather than what we’re seeing with the flu vaccine with pharmacies and physician offices involved with distribution.” 

But Quach says unlike influenza vaccines, there may not actually be enough doses of COVID-19 vaccines to make a significant impact — especially early on. 

“We don’t have enough vaccines to vaccinate all Canadians,” she said, adding that COVID-19 vaccines could be distributed over the next 12 to 18 months. “The rollout will be slow.”

Alyson Kelvin says she’s discouraged by the fact that Canada has not released preliminary plans for the rollout of a potential vaccine. (Liam Richards/The Canadian Press)

Lack of plan concerning

Alyson Kelvin, an assistant professor at Dalhousie University in Halifax and virologist at the Canadian Center for Vaccinology, says she is eager to see a vaccine rollout plan for Canada. 

“We need a good strategy to get that out, we need a strategy to get it to our front-line health-care workers, the people who keep our daily lives running, the grocery store workers, as well as we also need to start thinking about the under-served communities.” 

Kelvin says she was discouraged that Canada has not released preliminary rollout plans despite the U.S. Centers for Disease Control and Prevention and the World Health Organization doing so months ago.

“Just because we have a vaccine doesn’t mean we’re done. We need to think through how we’re going to get this into people’s arms and who should get it first,” she said. “This is going to be a huge undertaking … it concerns me that I haven’t seen a plan.” 

Quach says, unlike the U.S.’s minimum requirement of 50 per cent efficacy for a COVID-19 vaccine, Health Canada has not set a bar for approving a vaccine.

“Being close to our neighbour, we are a little bit stuck with what they are going to decide,” Quach said.

Kelvin said the NACI recommendations were a good start, but were not released in a way that’s easy for average Canadians to understand. It’s also not yet clear whether the federal, provincial and territorial governments will follow those guidelines. 

“Information will have to be easily accessible to the public, policy makers and stakeholders for the more effective use of a vaccine when it becomes available,” she said. 

“Pharmacists and nurses or those approved to vaccinate the public will need accurate information about the vaccine being given and the rollout plan as it is put in place.” 

WATCH | Canada preparing for vaccine rollout:

The federal government has taken a very aggressive vaccine buying approach and has already bought millions of doses of Pfizer’s vaccine with the hope it works. And governments are already planning how to distribute vaccines when they’re available, including who will go first. 1:47

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The 5 Big Banks in Canada

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Banks in Canada

The Big Five Banks is a term used in Canada to describe the five largest banks: Royal Bank, The Bank of Montreal, Canadian Imperial Bank of Commerce, The Bank of Nova Scotia, and TD Canada Trust.

Occasionally, the term “Big Six Banks” is used, with the sixth bank referring to the National Bank of Canada. As of March 2008, the Big Six Banks and Laurentian Bank of Canada are the largest banks in Canada. The Five Big Banks hold over $100 billion in assets, and they are all based in Toronto. World Atlas provides the following data on each of the Big Five Banks.

1. Royal Bank of Canada

The Royal Bank of Canada is the largest of the Big Five with respect to net revenue (C$12.431 billion in 2018) and capitalization (C$150.35 billion as of early 2020). The Royal Bank of Canada has over 16 million clients worldwide, over 74,000 full-time employees and over 1,300 branches. Founded in 1864 in Halifax, Nova Scotia, the bank financed the lumber and timber industries. It was known as the Merchants Bank of Halifax. The Royal Bank of Canada gives 1% of its income to charity.

2. Toronto-Dominion Bank

The second-largest bank in Canada, the Toronto-Dominion Bank has the most assets, which are valued at C$1.4 trillion as of July 2019. This bank has over 22 million clients worldwide, 85,000 full-time employees and over 1,100 branches. The bank was the result of a merger of the Bank of Toronto and the Dominion Bank in 1955.

3. Bank of Nova Scotia

The Bank of Nova Scotia, or Scotiabank, is the next largest bank in Canada with assets valued at C$998 billion as of late 2019, the revenue of C$28.8 billion in 2018 and capitalization of C$87.55 billion. The bank has over 23 million customers worldwide, 89,000 full-time employees and over 1,000 branches in Canada. This bank offers to trade on both the New York and Toronto Stock Exchanges.

Also founded in Halifax, Nova Scotia—this one in 1832—the bank moved its headquarters to Toronto in 1900 to improve the transAtlantic trade industry.

4. Bank of Montreal

The Bank of Montreal is the fourth largest Canadian bank with C$852.2 billion worth of assets in late 2019, the revenue of C$22.8 billion and capitalization of C$64.81 billion as of early 2020. The bank has over 7 million clients in Canada and 939 branches. The bank has over 47,000 employees. It was founded in 1817 and is the oldest bank in Canada. Throughout crises such as World War I, the Great Depression, World War II, and the 2008 Global Financial Crisis, the Bank has consistently met dividend payments.

5. Canadian Imperial Bank of Commerce

The Canadian Imperial Bank of Commerce has C$597 billion in assets, the revenue of C$17.834 billion for 2018, and capitalization of C$48.01 billion. The bank has over 11 million clients worldwide, 1,100 branches in Canada and over 44,000 full-time employees worldwide. The bank was formed in 1961 when the Canadian Bank of Commerce and the Imperial Bank of Canada merged.

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U.S. lawmakers press GM CEO on California emissions

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General Motors Chief Executive Mary Barra faced questions from U.S. lawmakers on Wednesday on a workers’ vote at a company plant in Mexico and the company’s support for emissions reductions.

Barra met with House of Representatives Speaker Nancy Pelosi and other senior Democrats on Capitol Hill, and touted the company’s decision announced earlier in the day to boost spending on electric and autonomous vehicles to $35 billion through 2025.

“We’re committed to an all-EV future,” Barra said in brief comments to Reuters after the meeting. “We had a lot of conversations about a lot of things that we can do to enable EV adoption.”

Until November, GM backed the Trump administration’s effort to block California from setting tougher emissions standards than the federal government.

Pelosi had expressed disappointment with GM’s support for Republican President Donald Trump’s position on the emissions rules, a source briefed on the matter said, and she urged GM to work with California and the Biden administration to reach the strongest possible vehicle emissions standards.

The administration of Democratic President Joe Biden is set to unveil revised vehicle emissions rules in July.

GM said last week it backs emissions reductions outlined in a 2019 deal struck between California and other major automakers, but wants the federal government to endorse changes to speed the adoption of electric vehicles.

Barra also faced questions about a delayed worker vote at a GM plant in Silao, Mexico.

Mexico’s Labor Ministry scrapped an initial union-led vote in April, citing “serious irregularities,” and later ordered the GM union to hold a new ballot within 30 days of its May 11 statement. No vote has been scheduled

The U.S. Trade Representative’s Office in May asked Mexico to review potential labor abuses at the Silao plant under the United States-Mexico-Canada Agreement (USMCA).

Last month, U.S. Representatives Dan Kildee, Bill Pascrell and Earl Blumenauer, all Democrats, pressed GM to answer questions about potential abuses in Mexico.

“We want to see some real demonstration of embracing the labor standards in Mexico — more than compliance,” Kildee told Reuters after the meeting. “The situation in Silao — I raised that with Mary — that’s a problem.”

The Democrats urged GM to commit to providing workers with physical copies of the contract, publicly posting contracts and to meet other requirements.

Kildee offered additional steps GM could take to support workers and meet USMCA requirements, and the three lawmakers followed up with a written list of suggested actions, congressional aides said.

The suggestions “would be tangible demonstrations of GM’s commitment to lead on compliance with the new labor standards,” Kildee told Reuters.

Earlier Wednesday, some House lawmakers on a trade panel, including Kildee, had a virtual meeting with Mexico’s ambassador to the United States in which the GM labor issued was raised.

 

(Reporting by David Shepardson; Editing by Leslie Adler)

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Presenting Your Professional Experience: Numbers Are Your Friends

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Numbers rule the business world—revenue, headcount, process time, value increase, number of clients, inventory count, profit margin, credit rating, customer satisfaction score. Numbers indicate and measure success or failure, whether a business activity is positive or negative to the bottom line. You’d be hard-pressed to find a business decision made without some factoring in of “the numbers,” be it stats, cost, the potential return on investment.

 

Hiring is a business decision.

 

To make a strong case for yourself (Envision your selling features.) throughout your resume use numbers, the language of business, to quantify your results and establish yourself as someone who can bring value to an employer. Using numbers shows you understand how companies operate and that they exist to make a profit. Most importantly, using results-achieved numbers displays your value.

 

Which job seeker displays better value?

 

Candidate 1: Duties included taking field measurements and maintaining records, setting up and tracking project using Microsoft Project.

 

Candidate 2: Spearheaded the Hazzard County water decontamination project, finishing $125,000 under budget due to a 25% decrease in staff allocation time.

 

Which job seeker gives a clearer picture of their responsibilities?

 

Candidate 1: Supervised team leaders.

 

Candidate 2: Supervised 3 team leaders, collectively responsible for 40 CSRs answering 1,750 – 2,500 calls daily.

 

Which job seeker shows their work ethic?

 

Candidate 1: Completed first editing pass on articles.

 

Candidate 2: Reviewed and evaluated 50 – 75 articles per week, deciding whether to reject the article, forward it to the editorial team, or send it back to the author with revision suggestions.

 

Information quantified means something. Information not quantified is just an opinion. Most resumes are just a list of opinions, thus quantifying your professional experience will set you apart from your competition.

 

TIP: Always use bullets, not paragraphs, to describe your professional experiences.

 

For each position you list on your resume, ask yourself:

 

  • Did I increase my employer’s revenue? How?
  • Did I save my employer money?
  • Did I save time?
  • Was my boss(es), colleagues, staff, customers, vendors, and leadership team members happier because of me?
  • How did I contribute to improving my employer’s business?

 

When answering these questions, quantify (percentage, range, monetary, frequency, before/after comparison, ratio). Creating a resume that WOWs requires filling it with quantified results-rich statements.

 

  • Reduced customer complaints by 47% by implementing a formal feedback system.
  • Improved product delivery time 22% after assigning clarified monthly job tasks to team members.
  • In 2020, grew revenue 33%, and improved gross margin by 22%, by standardizing business operating procedures.
  • Produced $1.75M in cost-savings after renegotiating the company’s supply and service contracts (14 vendors).
  • Built sales organization from the ground up, hiring and training 15 sales representatives within 6 months.
  • In 2019, generated over $7.25M in additional revenue by identifying, pursuing, and securing 4 new international contracts.

 

As I mentioned a few columns back, your resume must clearly and succinctly answer one question: How did you add or bring value to your employers? When it comes to answering this question, numbers are your friends.

 

Something to keep in mind: The king of numbers, the only metric in business that matters, the one that keeps a business alive and profitable, is revenue. As much as possible, throughout your resume and cover letter, demonstrate the results you’ve achieved that were added value to your employer’s financial success.

 

Don’t write on your resume what’s become a cliche, “result-oriented.” Don’t write it on your LinkedIn profile. Don’t say it during an interview. Show your results! “In 2017, I increased sales by 29% by creating upsell opportunities for my 8-member sales team to offer.”

 

Additional tips when bulleting your professional experience:

 

  • Employment dates need to be month/year. Only indicating years is a red flag you’re trying to cover up employment gaps.
  • Under 2 Lines. Your bullets shouldn’t be more than 2 lines.
  • The first 5 – 8 words are critical. When skimming a resume, the reader will likely read the first few words of a bullet then, unless their interest is piqued, move on to the next bullet. The first few words need to be captivating.

 

Next week I’ll cover presenting your education, skills, and certifications. These need to demonstrate your career path, not that you simply attended classes.

______________________________________________________________

 

Nick Kossovan, a well-seasoned veteran of the corporate landscape, offers advice on searching for a job. You can send him your questions at artoffindingwork@gmail.com.

 

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