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Canada Ontario's full vaccination target may be hard to reach: experts

06:05  15 may  2021
06:05  15 may  2021 Source:   thecanadianpress.com

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TORONTO — Medical experts say Ontario will have to significantly scale up its vaccination effort to achieve its goal of fully inoculating all willing adults against COVID-19 by the end of the summer. They say the province will need far more health-care workers at vaccine clinics, 24-hour sites and clear public messaging to meets its Sept. 22 target . The president of the Ontario Medical Association the province should use all available vaccine facilities and engage more family doctors to reach its goal. "If we were in a position of unlimited supply and we were able to use all of our resources to provide those

Ontario is using different channels to administer the vaccines and reach most of the population. Implementation will vary as each channel, priority population and vaccine has specific criteria that require flexibility. Public health units can continue to target people 18 and older in hot spots through other channels (for example, hospitals and pop-up clinics). AstraZeneca eligibility remains at age 40 and older for the province. All timelines are subject to change depending on vaccine supply.

TORONTO — Medical experts say Ontario will have to significantly scale up its vaccination effort to achieve its goal of fully inoculating all willing adults against COVID-19 by the end of the summer.

Doug Ford wearing a suit and tie © Provided by The Canadian Press

They say the province will need far more health-care workers at vaccine clinics, 24-hour sites and clear public messaging to meet its Sept. 22 target.

The president of the Ontario Medical Association said the province should use all available vaccine facilities and engage more family doctors to reach its goal.

"If we were in a position of unlimited supply and we were able to use all of our resources to provide those vaccines, we'd stand a fighting chance," Dr. Samantha Hill said.

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Experts say they are seeing an increased COVID-19 survival rate during this third wave compared to others. Alberta Health Services has said the provincial government will take legal action to stop any planned protests of COVID-19 public health orders, including the one outside the cafe. Mass vaccination efforts continue to broaden across swaths of the country. In Ontario , nearly 150 pharmacies started offering COVID-19 vaccines to all adults in some virus hot spots this weekend, a shift made to align with provincial efforts to protect the most vulnerable amid a third wave of infections.

When Might a Majority of People Be Vaccinated ? Some experts have estimated that 70 to 90 percent of the total populati on — adults and children — needs to acquire resistance to the coronavirus to reach herd immunity, when transmission of the virus substantially slows There are many reasons eligible people may not be vaccinated , including, in some areas, lingering issues of short supply, limited access to vaccination sites and confusing procedures for booking appointments. Some people are hesitant or unwilling to get a shot. The New York Times recently analyzed vaccine records and voter

Premier Doug Ford said Thursday that the plan is contingent on continued vaccine supply from the federal government in the coming months.

Ford has been more vocal recently in his criticism of the federal government’s handling of the pandemic, calling for tighter border control to prevent cases of the COVID-19 variants from entering the province.

Prime Minister Justin Trudeau has accused the Progressive Conservative premier of playing politics during the pandemic.

A spokeswoman for Ford's office said Friday the province can hit the Sept. 22 target if the province receives approximately eight million doses by the end of June, and an additional 11 million doses to fully vaccinate Ontarians aged 12 and over.

"If we were to get that supply, we could dramatically increase our capacity to administer vaccines," Ivana Yelich said in a statement. "If they can get us the supply, we will work to get Ontarians fully vaccinated this summer."

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*Coverage may exceed 100% in some places, as shots may be administered to non-residents. Data are from Bloomberg’ s Covid-19 Vaccine Tracker. Note: Targets are provided by the manufacturers and don’t always align with government forecasts for availability. This graphic has been updated to remove incorrect data on doses delivered. For an explanation of the change, click here . The introduction of J&J’ s one-shot option should make it easier to vaccinate hard - to - reach populations.

A top vaccine scientist named Geert Vanden Bossche, who has worked with numerous vaccine corporations and organizations including GAVI, is sounding the alarm over the mass vaccination of populations around the world with covid-19 vaccines . Geert Vanden Bossche, PhD, DVM, is a vaccine research expert . He has a long list of companies and organizations he’ s worked with on vaccine discovery and preclinical research, including GSK, Novartis, Solvay Biologicals, and Bill & Melinda Gates Foundation. Dr Vanden Bossche also coordinated the Ebola vaccine program at GAVI

The federal government has said it believes there will be enough shots to fully vaccinate all Canadians by the end of September.

"The total number of doses that we expect (is) … over 100 million doses by the end of September," Procurement Minister Anita Anand said earlier this month.

"The majority of the doses … are from mRNA vaccine producers, being Pfizer and Moderna."

Ontario administered 141,765 COVID-19 vaccine doses on Thursday for a total of more than 6.7 million doses given out so far.

University of Toronto epidemiologist Ashleigh Tuite said now that vaccine supply appears to be less of an issue, the “two-dose summer” effort should be focused on how to get shots into arms as quickly as possible.

She said the government should clarify its plan for second doses, given the confusing, "piecemeal" vaccination campaign thus far.

"We don't really have a unified system and there's clearly some confusion amongst the public to how exactly we get our second dose," she said.

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“As expert public health officials on the ground are saying we now need ‘surge vaccinations ’ in areas of prevalence, enhanced contact tracing and crucially; to fix sick pay and isolation support. Johnson said Colonel Russell Miller is being deployed to support local leaders in managing the response to the Indian variant on the ground. The response will include surge testing, mobile testing units and the army will be on the streets handing out tests. There will be “ targeted new activity” in Bolton and Blackburn to accelerate the vaccine take-up, including longer opening hours at vaccination sites.

According to the Ontario Science Table, VITT can present itself four to 28 days after vaccination , so reports of more cases are likely by month' s end. There have been four VITT-related deaths reported in Canada. "We take these reports of side effects, however rare, very seriously and we consider these carefully when looking at the vaccine portfolio in Canada," Njoo said. John Paul (J.P.) Tasker is a reporter in the CBC' s Parliamentary bureau in Ottawa. He can be reached at john.tasker@cbc.ca.

Having a fully vaccinated population makes the future "a lot brighter,” she said.

"I think it’s going to be really important, thinking back to the government and their role in all of this, to have some more clear communication around this."

The CEO of the Registered Nurses' Association of Ontario said the province will need to greatly speed up its rollout if it wants to hit the Sept. 22 target.

Doris Grinspun said the province must recruit more health-care workers to help administer doses and should be running its mass clinics 24-7 to maximize output.

"If we have enough vaccines, we should open it to everyone, absolutely," she said. "I believe that we can get all the vaccines into arms in a very short period of time if we utilize all the resources ... which we are not right now."

But NDP deputy leader Sara Singh expressed skepticism about whether the province had a plan to match Ford's promise.

The vaccine rollout has been "slow and very sloppy" and even now, many people are struggling to book appointments to get a shot, she said.

"We actually need to make sure people are getting their first dose before we can even start having those conversations about making sure they get their second," she said.

The province reported 2,362 new COVID-19 cases Friday, and 26 more deaths from the virus.

The data is based on 44,040 tests.

There were 1,582 COVID-19 patients in Ontario hospitals as of Friday morning. Of those, 777 people were in intensive care and 560 were on ventilators.

This report by The Canadian Press was first published May 14, 2021.

Shawn Jeffords and Holly McKenzie-Sutter, The Canadian Press

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