inequity

Friday January 7, 2022

Editorial Cartoon by Graeme MacKay, The Hamilton Spectator – Friday January 7, 2022

We are playing whack-a-mole with variants – and the virus is winning

As we begin year three of the Covid-19 pandemic, hunkering down again to survive the viral blizzard that Omicron has brought, it is painfully clear that we are failing to learn from the past. 

April 28, 2021

Predictably, rich nations have made boosters and border controls their primary response to the Omicron crisis, while vaccine apartheid, the 800-pound gorilla in the room, is completely unaddressed. If we do not vaccinate the world, the pandemic won’t end, more variants will emerge, and the world will continue to lose millions of lives, along with trillions in economic losses.

While some political leaders might claim that they “didn’t see Omicron coming,” health experts have been shouting from the rooftops about this. For months.

In April 2021, as the delta variant devastated India, causing millions of excess deaths, we had this warning in the Washington Post: “We cannot just vaccinate rich countries and hope that we will be safe. The only way to end this pandemic is to end it everywhere. Otherwise, we will forever play whack-a-mole with a constantly mutating virus.”

Friday December 3, 2021

Editorial Cartoon by Graeme MacKay, The Hamilton Spectator – Friday December 3, 2021

Boosters or global vaccine sharing? Canada can do both amid Omicron: experts

May 11, 2021

The discovery of the new Omicron COVID-19 variant has reignited the issue of global vaccine inequality as richer nations debate whether to accelerate third doses of vaccines.

But as Canadian officials figure out how to protect their populations, they must also not lose focus on vaccinating other parts of the world to stop new variants from emerging, experts say.

“There has been a lack of appreciation and foresight into how important and directly impactful it is to ensure that we vaccinate the entire world,” said Dr. Matthew Miller, associate professor of biochemistry and biomedical sciences at McMaster University.

“We need to be thinking really carefully and deliberately about how we ensure that nations and regions that have not had good vaccine availability get access to those vaccines.”

August 21, 2021

Following the revelation of Omicron last week, which the WHO warns poses a “very high” risk, wealthy nations around the world have taken steps to try and protect their populations.

Among those measures are travel bans. mainly on nations in Africa, where the variant was discovered, but also on accelerating expanding third dose rollouts.

The United Kingdom has decided to open booster shots for all adults, and the head of the European Commission said Wednesday the European Union needs daily reviews of its travel restrictions and rapid deployment of boosters to protect from Omicron. It is unclear right now if the variant is more deadly, or if it can evade current vaccines.

May 20, 2021

The Canadian government has requested the National Advisory Committee on Immunization (NACI) to quickly provide the latest directives on booster use in light of the Omicron variant, Health Minister Jean-Yves Duclos said Tuesday.

Canada’s vaccination rate vastly differs from other countries in the world. Right now, 86 per cent of eligible Canadians are fully vaccinated whereas the world’s population overall is 43.58 per cent fully vaccinated, Johns Hopkins University indicates.

However, Johns Hopkins’ data shows large portions of Africa remain unvaccinated. In Nigeria, the continent’s most populous country, only 1.74 per cent of eligible Nigerians are fully vaccinated. In Ethiopia, 1.28 per cent of its eligible population is fully inoculated.

Many African nations have had challenges with their vaccine rollouts, and have wasted doses that have been given with short notices and short shelf lives. Some countries have also run into vaccine hesitancy, which has impacted uptake.

Those challenges show that global vaccine equity is more than just supplying shots, Barrett said, adding wealthy countries like Canada need to help with rollouts even as they boost their populations.

January 28, 2021

“Vaccine rollouts have been so ineffective in some places that they’ve been throwing vaccines out because it expires over the last number of months,” she said.

“How do we start to support other countries in a real way to get their vaccine rollout in a more effective space and place, so they’re not throwing out expired vaccine doses?”

To date, Canada has donated more than 8.3 million surplus vaccine doses through COVAX, and has also shared 762,080 AstraZeneca doses through direct, bilateral arrangements with countries in Latin America and the Caribbean.

The government has also pledged to donate at least 200 million doses to the COVAX by the end of 2022. (Global News) 

 

Saturday August 21, 2021

Editorial Cartoon by Graeme MacKay, The Hamilton Spectator – Saturday August 21, 2021

Booster shots ‘make a mockery of vaccine equity,’ the W.H.O.’s Africa director says.

The Africa director at the World Health Organization, Dr. Matshidiso Moeti, criticized the decisions by some wealthy nations to start administering coronavirus booster shots, saying the decisions “make a mockery of vaccine equity” when the African continent is still struggling to get vaccine supplies.

May 11, 2021

African countries continue to lag far behind other continents in inoculations, with only 2 percent of the continent’s 1.3 billion people fully vaccinated against Covid-19 so far. Though vaccine shipments have accelerated in recent weeks, African nations are still not getting nearly enough to meet their needs, Dr. Moeti said.

Instead of offering additional doses to their already fully vaccinated citizens, she said, rich countries should give priority to poor nations, some of which are being ravaged by the coronavirus pandemic.

“Moves by some countries globally to introduce booster shots threaten the promise of a brighter tomorrow for Africa,” Dr. Moeti said in an online news conference on Thursday. “As some richer countries hoard vaccines, they make a mockery of vaccine equity.”

The World Health Organization has called for a moratorium on booster shots until the end of September to free up vaccine supplies for low-income nations. But several wealthy nations have said they would not wait that long. In the United States, the Biden administration said on Wednesday that it would provide booster shots to most Americans beginning as soon as Sept. 20. France and Germany also said they plan to offer shots to vulnerable populations, and Israel has already given third shots to more than a million residents.

May 20, 2021

President Biden said in a television interview broadcast on Thursday that he and his wife, Jill Biden, plan to get booster shots themselves, assuming federal regulators give the go-ahead.

Mr. Biden defended offering Americans an additional shot when many countries were struggling to deliver initial doses to their populations.

“We’re providing more to the rest of the world than all the rest of the world combined,” Mr. Biden said in the interview on ABC. “We’re keeping our part of the bargain.”

Africa has so far reported more than 7.3 million cases and 184,000 deaths from the coronavirus, according to the W.H.O. The virus is now surging in about two dozen African nations, pushing many governments to impose lockdowns, extend overnight curfews, close schools and limit public gatherings. (NY Times) 

 

Tuesday May 18, 2021

Editorial Cartoon by Graeme MacKay, The Hamilton Spectator – Tuesday May 18, 2021

Reopening Ontario outdoor recreational sites should focus on equity, access: advocates

Ontario golfers have been pushing the province to reopen courses ordered closed while the province is under stay-at-home orders, but some observers say access to outdoor recreational facilities serving a wider population should be just as high on the agenda.

January 8, 2021

Doctors and recreational facility administrators say Canadians need access to affordable, inclusive and local ways to get outside and exercise, so long as health care professionals deem it safe.

“Many of the people I care for live in dense apartment buildings, have small indoor spaces and don’t have the luxury of a backyard,” said Dr. Naheed Dosani, a palliative care physician and health justice activist in Toronto.

“We need to really be thinking about how to keep these people physically and mentally healthy.”

Dr. Dosani and others hope the province will make any reopening of recreational opportunities equitable. As well as golf courses, basketball nets, skate parks and tennis courts have remained out of bounds for months.

April 8, 2021

Golfers and club operators argue the sport is safe since it’s possible to golf while masked and physically distanced, other provinces are currently allowing the sport and people aren’t travelling to play.

“They are looking to play their local golf course in their home community for the physical and mental health break that the sport provides,” Mike Kelly, the executive director of the Golf Association of Ontario, said in May.

Several doctors have even given golf and many other outdoor forms of exercise the green light because the risk of transmitting COVID-19 is low outside.

However, Ontario Premier Doug Ford has been unwilling to budge because the province has routinely reported more than 2,000 new, daily COVID-19 and many intensive care units are still overwhelmed.

April 6, 2021

“I talk to my buddies. I know what happens,” Ford said Thursday.

“They pick up another buddy, two or three. They go out, they go golfing…then after golfing, they go back, they have a few pops. That’s the problem.”

Ford said he hopes to reopen outdoor recreational facilities by June 2, but the golf industry is not relenting and some have even reopened in defiance.

Yet many say reopening plans can’t just focus on a sport that comes with pricey fees, often requires a membership and doesn’t always attract youth.

“Given what we’ve learned about this pandemic and how it has had a disproportionate impact on people experiencing poverty and racialized communities, it’s quite disappointing that there’s been such advocacy around a sport like golf,” said Dr. Dosani.

“It probably speaks to who has the loudest voice at times like this, and who has the resources to advocate.” (CTV)

Letters to the editor, The Hamilton Spectator, Saturday May 22, 2021 

MacKay cartoon unfair to golfers

I found the Graeme MacKay editorial cartoon (May 18) harsh and unjustified and not up to his usual standard. The hundreds of thousands of golfers in Ontario consist of people of all ethnicities, ages and gender. They consist of doctors, nurses, front-line workers, policemen, firemen, bus drivers, truck drivers, retirees, workers at The Hamilton Spectator, etc. They are husbands, wives, grandparents, aunts and uncles. As with any large random group of people in Ontario they have suffered during the pandemic the loss of loved ones, had surgeries delayed, lost employment, lost businesses, helped their children with schooling, given to charities and hospitals and adhered to the health protocols as a group no different to others.

His illustration of a “typical” golfer is demeaning and reminds me of the comment made by Doug Ford PhD (pontificating harmful despot) this past week about golfers and their penchant for alcohol. Graeme, be careful of the company you keep.

Ed Jenner, Burlington

MacKay cartoon says it all

MacKay’s cartoon of indignant golfers was hilarious and right on point. Golfers complaining they can’t golf is the biggest first-world problem imaginable. If it’s the worst thing they have to worry about, they should consider themselves lucky.

Rosemary Gossich, Hamilton

“Having published this cartoon that seems perfectly clear, his paper received (the above) feedback from an aggrieved reader. Granted, there’s something confirming about drawing a cartoon about whiners and having someone whine about it, but the task remains to try to make your points clear while accepting that they will whooosh over some heads anyway.”

Wednesday May 12, 2021

Editorial Cartoon by Graeme MacKay, The Hamilton Spectator – Wednesday May 12, 2021

What happens when people get two different COVID-19 vaccines?

As some experts continue to warn of very rare side effects associated with the AstraZeneca vaccine, Canadian health officials are now reviewing the research on mixing various COVID-19 shots.

May 6, 2020

A study of a “mismatched” vaccine regimen is underway in the U.K. — but some scientists say there’s reason to believe that administering two doses of different products could boost a person’s immune response beyond what can be achieved by giving the same shot twice.

The National Advisory Committee on Immunization (NACI) caused some confusion earlier this month when it said the viral vector shot from AstraZeneca is not the “preferred” product given its associated risk of vaccine-induced immune thrombotic thrombocytopenia (VITT) — a condition that causes blood clots. That warning came out after hundreds of thousands of Canadians had received the AstraZeneca vaccine already.

According to the Ontario Science Table, estimates of the frequency of VITT in individuals who have received the AstraZeneca vaccine now range from 1 case in 26,000 to 1 case in 127,000 doses administered.

The risk of developing this side effect, combined with an uncertain delivery schedule for future supply, has prompted some provinces to consider pausing AstraZeneca vaccinations altogether.

Researchers at Oxford University in the U.K. launched a study in early February to explore the possible benefits of alternating different COVID-19 vaccines. According to the lead scientists, the study is “looking for clues as to how to increase the breadth of protection against new virus strains.”

March 31, 2021

The study — otherwise known as the COVID-19 Heterologous Prime Boost study, or “Com-COV” — is collecting data to determine whether receiving two different types of vaccine generates an immune response at least equal to the response that follows receiving the same product twice. (A “heterologous” vaccination regimen is one that uses more than one product.)

Dr. Helen Fletcher is a professor of immunology at the London School of Hygiene and Tropical Medicine in the U.K. She said a “mismatched” vaccine program would deliver some practical benefits — vaccine delivery logistics would be greatly simplified — but there could be another good reason to pursue a mixed-dose regimen.

“I’m excited about the study because I think it’s likely that the immune response will be even better if you mix and match vaccines,” Fletcher said in an interview with CBC News.

Dr. Theresa Tam, Canada’s chief public health officer, said last week the current guidance is for AstraZeneca recipients to get a second dose of the same product, but NACI is now reviewing the Oxford research on mixing AstraZeneca with an mRNA shot.

“There will be further advice forthcoming on that second dose based on the evolving science. We should watch this space,” Tam said. 

Will Canada shorten the time between shots? Possibly. NACI said in early March that, given the limited vaccine supply, provinces and territories may want to wait up to 16 weeks between first and second doses to give more people at least some level of protection.

The provinces have since followed this guidance, with a few exceptions. For example, many long-term care home residents have been fully vaccinated on the timeline recommended by the vaccine makers. Pfizer calls for a second dose 21 days after the first, while Moderna stipulates the second shot should come 28 days later. (CBC)