isolation

Thursday July 8, 2021

Editorial Cartoon by Graeme MacKay, The Hamilton Spectator – Thursday July 8, 2021

First-dose COVID-19 vaccinations plateau across Canada, threatening path to variant resilience

The number of people getting their first COVID-19 vaccine doses is plateauing across the country, heightening the need to target harder-to-reach groups if Canada is going to achieve the vaccination levels needed to control the spread of infection.

May 22, 2021

As of Monday, 78 per cent of those eligible to be vaccinated in Canada have received at least one dose, and 41 per cent were fully vaccinated, making the country one of the most immunized in the world. Among the Group of Seven nations, Canada ranks second next to Britain with the highest number of doses administered per 100 people.

However, within provinces and territories, there are pockets with low vaccination rates across the country.

In the High Level health unit in northern Alberta, for example, 21 per cent of the eligible population had received at least one dose, and in Manitoba, 19 per cent of the eligible population in the municipality of Stanley had received at least one dose.

While the number of people receiving second doses continues to climb, those receiving their first doses have stalled at fewer than 100,000 a day since June 20.

January 30, 2021

With the rise of more transmissible variants, some epidemiologists estimate at least 80 per cent to 90 per cent of the eligible population will need to be fully vaccinated to keep COVID-19 rates under control.

Reaching those levels will be critical as we head into the fall, when people start spending more time indoors again at the same time the highly infectious Delta variant is expected to become the dominant variant of the virus in most of the country, said Cordell Neudorf, professor in the department of community health and epidemiology at the University of Saskatchewan.

“That’s when we expect the next wave to hit, unless we get high enough immunization coverage,” Dr. Neudorf said.

December 11, 2020

Now that those most willing and able to get immunized have received at least one vaccine, health authorities must ramp up their efforts to vaccinate groups that are more difficult to reach, said Nazeem Muhajarine, an epidemiologist and professor of community health and epidemiology at the University of Saskatchewan.

And that will require different targeted approaches, he said, since those who remain unvaccinated are a heterogenous group. They include people who are willing to be vaccinated but have difficulty accessing clinics, individuals who have lingering questions about the safety of vaccines and those who refuse to be vaccinated altogether.

May 8, 2021

The latter, whose refusal is generally ideologically driven, are a minority, making up an estimated 10 per cent of the population, Dr. Muhajarine said. Another 12 per cent to 14 per cent of Saskatchewan adults he has been tracking say they are hesitant about getting vaccinated.

“It’s the hesitant group that we need to be able to convert get a vaccine,” he said. “They’re not saying they would not get one, but they’re also saying they will not readily line up, be the first in line.” (Globe & Mail) 

 

Saturday May 29, 2021

Editorial Cartoon by Graeme MacKay, The Hamilton Spectator – Saturday May 29, 2021

Government Advisory Panel Calls For An End To Canadian Quarantine Hotels

As the US continues its reopening after COVID-19 pandemic measures, Canada’s restrictions are gradually lifting in some provinces as vaccination numbers increase. Nonetheless, the controversial quarantine hotels are still in place as a precaution against the spread of the COVID-19 coronavirus — a requirement that some experts are now calling upon the government to lift.

November 28, 2020

A new report has been released from the COVID-19 Testing and Screening Expert Advisory Panel, a group providing guidance to the federal government, detailing these recommendations. “The current requirement for all air travellers to quarantine in government-authorized accommodations should be discontinued,” writes the panel of doctors and advisors. “However, travellers subject to quarantine must provide a suitable quarantine plan for approval and then adhere to this plan. If the traveller does not have a suitable quarantine plan, they should be required to adhere to an alternative one (for example, in designated quarantine facilities).”

Other factors that play into the recommendation include the administrative costs that these hotels use (and the resources drawn from other pandemic response), as well as the cost to travelers themselves. “Travellers face an added cost (up to $2000 CAD per person), time commitment and a burden to book government-authorized accommodation,” notes the report, which points out that some travelers are bypassing the hotels by crossing into Canada by land from the US. There have been cases where prospective visitors have even falsified test result paperwork to avoid the quarantine (charges were later laid).

February 13, 2021

Introduced earlier this year, the quarantine hotels, meant to reduce casual, non-essential travel to or from Canada, have been largely successful in their intended goal. The mandatory three night stay at a pre-booked quarantine hotel while awaiting results of a PCR (polymerase chain reactions) test discouraged many from flying: February data from the Canadian Border Security Agency showed a decrease of almost 55 per cent in terms of passengers flying into Canada after the quarantine hotel restrictions were implemented. During that month, the Canadian government also began routing all international flights, including those from the US that had been previously exempted, through four airports: Toronto, Montreal, Calgary and Vancouver. (Forbes) 

 

Tuesday December 15, 2020

Editorial Cartoon by Graeme MacKay, The Hamilton Spectator – Tuesday December 15, 2020

Seniors, long-term care workers should be first in line for COVID-19 vaccine, committee says

The independent committee charged with deciding who should be the first Canadians to be vaccinated against COVID-19 today released its final directive recommending that long-term care home residents and seniors over the age of 80 get priority access to shots.

May 27, 2020

The National Advisory Committee on Immunization (NACI) said the initial, limited quantity of vaccine doses should be reserved for people who are most at risk of contracting the virus and developing severe symptoms.

While the federal government is procuring the vaccines and consulting with bodies like NACI to help coordinate distribution based on need, it will be up to the individual provinces and territories to decide who gets vaccinated when.

Canada’s long-term care homes have been hit hard by the novel coronavirus, with thousands of deaths reported since the onset of this pandemic.

NACI said that since the elderly residents of long-term care and assisted living facilities, retirement homes and chronic care hospitals face “severe outcomes” and a much greater chance of dying from the disease, they should be at the top of the list for the initial batch of roughly six million doses that will be made available in Canada in the first three months of 2021.

April 1, 2020

Pfizer’s vaccine, which is expected to be the first product approved by regulators for use in Canada, requires two doses — so roughly three million people should be inoculated in this first stage of the rollout.

NACI said it’s not just the residents who should go first — it’s also recommending that provinces and territories prioritize the staff who work at these sites for early vaccination.

After long-term care home residents and staff are immunized, NACI said the next priority group should be all Canadians over the age of 80.

“All adults of advanced age should be prioritized for initial doses of authorized COVID-19 vaccines, beginning with adults 80 years of age and older, then decreasing the age limit in 5-year increments to age 70 years as supply becomes available,” the final directive reads.

June 9, 2020

After the 80-plus cohort is vaccinated, front line health care workers should be next in the queue, said NACI.

The committee said that doctors, nurses and other staff at hospitals should get their shots early to maintain staffing levels in the health care system.

“Immunizing health care workers and other workers functioning in a health care capacity (e.g. personal support workers) minimizes the disproportionate burden of those taking on additional risks to protect the public, thereby upholding the ethical principle of reciprocity,” the directive reads.

June 3, 2015

NACI also expressed concern about Indigenous adults living in communities “where infection can have disproportionate consequences, such as those living in remote or isolated areas.”

Because health care options are limited at the best of times in these remote areas,

Pandemic Times

Indigenous individuals can face an elevated risk of death and “societal disruption,” NACI said. For that reason, the committee said that some First Nations, Métis and Inuit communities should be in the first cohort to get vaccinated.

These four groups — long-term care residents and staff, the elderly, front line health care workers and some Indigenous adults — are expected to consume all of the six million doses to be delivered in the first three months of 2021.

“As a ballpark, these four groups of people, as things are rolled out, should be covered by the initial doses,” said Dr. Theresa Tam, Canada’s chief public health officer. (CBC News) 

 

Tuesday April 21, 2020

Editorial Cartoon by Graeme MacKay, The Hamilton Spectator – Tuesday April 21, 2020

Politicians putting partisan interests ahead of safety

Across Canada, and around the world, people are learning how to do things remotely. Things they never would have dreamed they would need to learn. Some very unlikely things — including publishing newspapers and websites. 

Coronavirus cartoons

Churches are meeting remotely. Executives at all levels are doing it. Students of all ages. Doctors, counsellors, financial advisers, planners, scientists and civil servants. Musicians are performing from their basements and home recording studios.

It can be frustrating, and there are a range of indirect problems that can result from working in isolation. But we do it, because it’s what is best from a public health perspective. And that is what the vast majority of us agree is most important right now.

But Canadian Parliamentarians cannot meet remotely, apparently. At least, Andrew Scheer and his Conservatives aren’t supporting virtual parliamentary sessions. Instead, they want a reduced number of MPs to meet in Parliament face to face. 

January 23, 2020

The governing Liberals, the NDP and the Bloc Québécois all agree that virtual parliament is doable. The lone holdouts are the Conservatives. A vote was scheduled for late yesterday afternoon that will see an unhappy compromise — MPs will meet together once a week, on Wednesdays, for in-person sittings. There will also be two virtual sessions per week that will include two-hour-and-15-minutes for questioning cabinet ministers, and another session for debating new legislation. 

The Conservatives are expected to vote against even this compromise. Instead, they want three in-person sittings per week. Scheer’s defence is that since construction work on the Centre Block can continue, so can face-to-face parliament sittings. “If they can safely renovate the building that houses our parliament then surely we can do our duty to uphold the bedrock of our democracy.”

But why can’t virtual sittings work? Scheer doesn’t have a good answer for that. His best attempt seems to be that virtual sittings aren’t possible immediately and MPs “cannot wait for the weeks and weeks that it may take the House of Commons administration” to provide necessary technology. 

But that excuse doesn’t wash either, since House Speaker Anthony Rota has written in a public letter that virtual sittings should be available by May 6.

October 31, 2019

Given Scheer doesn’t have a sensible answer, the real reason for his resistance to something all other parties can agree on is undoubtedly partisan. Scheer doesn’t want to give up the partisan bear pit that is traditional Parliament, especially Question Period. Doing so takes away his partisan soapbox, and means less face-time on TV.

It would be bad enough if this was just about MPs risking their health and spreading COVID-19. But it’s not just about them. Some support staff — pages, laundry and cafeteria staff for example — won’t need to be recalled. But others, such as broadcast technicians, clerks and interpreters will have to come to work in the West Block. When the House met on Saturday, April 11, 40 additional employees were required so that 32 MPs could do their work at the emergency sitting.

So let’s be entirely clear. Scheer is putting his own partisan interests ahead of public health. Even though the vast majority of Canadians are working hard to live by the distancing recommendations from public health leadership, Scheer is insisting on up to 100 people meeting, and at least in some cases, not being able to practice physical distancing.

There is still a chance that Scheer might relent on this terrible position, perhaps recognizing how the optics make he and his Conservative party look awful. That would be a wise reversal. (Hamilton Spectator Editorial) 

 

Thursday April 9, 2020

Editorial Cartoon by Graeme MacKay, The Hamilton Spectator – Thursday April 9, 2020

Why we should all be wearing masks — and how our public health authorities got it wrong

Coronavirus cartoons

For months, as the COVID-19 crisis escalated and Canadians and Americans watched people across Asia increasingly wearing masks in public spaces, our health authorities stuck to their long-held policies, strongly advising against this. 

That is, until Friday. That’s when the U.S. Centers for Disease Control reversed course, advising the public to use “cloth face coverings” to help slow the spread of COVID-19. They may have preferred to make this a quiet change on their website, but a characteristically bombastic press conference (and victory lap) by Donald Trump ensured that there was no saving face (no pun intended). 

The Public Health Agency of Canada made the same policy change Monday, and I suspect that the World Health Organization will not be far behind. And with these reversals come an eroding in public trust in the very organizations we need people to trust the most, at the very moment when our collective survival most depends on that trust.

So what went wrong? (continued: Toronto Star)