Vaccine

Friday April 9, 2021

Editorial Cartoon by Graeme MacKay, The Hamilton Spectator – Friday April 9, 2021

Canada’s public health data meltdown

For weeks, Canadians have been casting their envious eyes to Israel, where more than half the country has been inoculated against COVID-19. Israel, less than a quarter the size of Canada, has administered nearly twice as many doses of the COVID-19 vaccine.

December 11, 2020

The Middle Eastern country has some innate advantages: It is small and centralized, and offered top dollar to ensure vaccines from Pfizer and Moderna would come fast, and in large volumes. But geography and money aren’t the reason why Israel is outpacing Canada by 10-to-one.

Israel has the vaccines because it has the data.

In its shrewd deal with Pfizer, Israel offered to turn the country into one giant clinical trial: Providing the vaccine manufacturer unprecedented large-scale visibility as to the vaccine’s efficacy. It’s all made possible because of the country’s state-of-the-art information technology and robust national vaccination database.

The rest of the world is currently benefiting from that incredibly granular information.

December 21, 2016

Canada could never have struck such a deal. Its health technology is, charitably, a decade out of date. It lacks the ability to adequately track infectious disease outbreaks, efficiently manage vaccine supply chains and storage, quickly administer doses, and monitor immunity and adverse reactions on a national basis.

Even though all the shipments of vaccines arriving in Canada come with scannable barcodes, to make tracking and logistics easier—with some manufacturers even barcoding the vials themselves—no Canadian province can scan them. In many provinces, pharmacies can’t access the provincial vaccine registry. Provinces do not automatically submit reports on COVID-19 cases or vaccines into the federal system, and must submit reports manually. Many crucial reports are still submitted by fax: Where fax has recently been phased out, they have been replaced by emailed PDFs.

March 31, 2021

Ours is a dumb system of pen-and-paper and Excel spreadsheets, in a world quickly heading towards smart systems of big data analytics, machine learning and blockchain. It’s unclear how Ottawa will be able to issue vaccine passports, even if it wants to.

At the core of the omnishambles is a simple fact that Canada has no national public health information system, but 13 different regional ones. Many of those regional systems have smaller, disconnected, systems within: Like a Russian nesting doll of antiquated technology.

But there’s good news: It doesn’t have to be this way. In some parts of the country, real progress is being made. Small technology start-ups are figuring out cheap, scalable and innovative solutions. In some provinces, progress can be as simple as updating operating systems.

If we are ever going to build efficient, cost-effective, and effective health infrastructure, Ottawa needs to take the lead. We need to abandon the idea that federalism requires us to have each sub-national government run entirely independent, walled-off, health databases.

We need data sharing. We need shared infrastructure. We need a national public health system. (Continued: MacLean’s) 

 

Thursday March 25, 2021

Editorial Cartoon by Graeme MacKay, The Hamilton Spectator – Thursday March 25, 2021

There will ‘absolutely’ be queue jumping for Ontario COVID-19 vaccines in Phase 2, task force member says

A member of Ontario’s vaccine task force says that there will “absolutely” be some people jumping the line for COVID-19 vaccines in the second phase of the province’s rollout but he says the issue can be at least partly mitigated by having more family doctors administer shots.

March 4, 2021

The Doug Ford government has said that it will prioritize nearly three million people with pre-existing conditions as part of the next phase of its vaccine rollout but it has released few details on how it will identify those people and verify their medical history.

That has led to some concerns about queue-jumping, which could ultimately mean that the people most at risk of a severe outcome from COVID-19 have to wait longer for their shots.

“Listen it is not going to be perfect. Even if we have primary care expanded and in their clinics vaccinating individuals where they know their patients and they know who would be a good candidate for the first part of phase two and the second part of phase two that doesn’t fully solve this problem,” infectious disease specialist Dr. Issac Bogoch, who sits on Ontario’s vaccine task force, told CP24 on Tuesday morning. “There will be some honour system and you know what this isn’t perfect. There will be some people who jump the line, there will be, there absolutely will be. This is going to be a challenging thing to police.”

The Ford government has provided a list of 24 health conditions that would qualify residents for vaccines ahead of the general public and has broken them up into three categories – highest risk, high risk and at-risk.

Bogoch said that he doesn’t believe the issue of queue jumping will be a significant problem for the province, especially given the fact that the vaccines themselves will become a much less “limited resource” in the coming months.

But he said that the government will have to find some better ways to verify medical conditions and may have to “rely on peoples goodwill to wait their turn for vaccination” to a certain extent, as well.

“It is being billed as an 11 out of 10 problem when it probably is a two or three out of 10 problem,” he said. (CTV) 

 

Saturday March 20, 2021

Editorial Cartoon by Graeme MacKay, The Hamilton Spectator – Saturday March 20, 2021

Biden Takes First Jab At Vaccine Diplomacy, Sharing Doses With Mexico, Canada

Under pressure to share AstraZeneca vaccine doses not yet being used to inoculate Americans, the Biden administration is finalizing plans to loan millions of doses of the COVID-19 vaccine to Mexico and Canada. It’s a first foray into vaccine diplomacy for the Biden administration, weeks after global competitors China and Russia began using vaccine doses to exert influence.

March 13, 2021

The U.S. government has contracts to buy hundreds of millions more vaccine dosesthan there are people living here, but with most of those doses not yet delivered and Americans still struggling to get vaccination appointments, the Biden administration has so far focused on making sure Americans get vaccinated first. 

While AstraZeneca’s vaccine has been approved for use in many other countries, including Mexico and Canada, it still hasn’t been given emergency use authorization by the U.S. Food and Drug Administration. So, the White House announced it is working through the technicalities to loan 2.5 million doses to Mexico and 1.5 million doses to Canada from its stockpile of 7 million doses. 

“This action will allow our neighbors to meet a critical vaccination need in their countries, providing more protection immediately across the North American continent,” said Jeff Zients, White House coronavirus coordinator.

February 9, 2017

While the United States has vaccinated more than 12% of its population according to Johns Hopkins data, Canada has vaccinated only 1.7% of its population and Mexico only 0.5%.

Zients said the loans will be repaid through dose deliveries from AstraZeneca later in the year. White House press secretary Jen Psaki said many countries have asked to borrow from the stockpile, but said it’s not yet clear whether other requests may be granted.

After briefly pausing vaccinations with AstraZeneca in Europe due to concerns about blood clots developing, health officials there this week announced they believe the vaccine to be safe and effective and resumed administering the vaccine. (NPR) 

 

Saturday March 13, 2021

Editorial Cartoon by Graeme MacKay, The Hamilton Spectator – Saturday March 13, 2021

Where should U.S. vaccine production go next? Canada and Mexico, says one lawmaker

News Tuesday that the United States is racing ahead to mass-vaccination against COVID-19 months faster than expected is a big deal not only for Americans but could also have implications for Canada, which has so far been prevented from importing U.S.-made vaccines.

January 26, 2021

U.S. President Joe Biden tweeted Tuesday that the U.S. should have enough vaccines for all Americans by the end of May, two months sooner than the previously announced target.

So, where will massive American production volumes shift next?

One U.S. lawmaker’s suggestion: Canada and Mexico. 

Vicente Gonzalez, a member of the House of Representatives, says the U.S. must make it a priority to ship vaccines across the border to its neighbours once Americans are inoculated.

The Texas Democrat says he’s looking forward to when the U.S. can ease up on an export ban that has prevented foreign shipments of doses produced in the country.

June 4, 2020

Biden’s administration, like the Trump administration before it, has blocked exports and rebuffed requests from Canada and Mexico for supplies.

“The borders are closed in my district,” the Democratic lawmaker, whose district sits along part of the U.S.-Mexico border, told CNN Monday.

“Mexican nationals with visas who normally travel here or own second homes [or] come and do business here are not allowed across the border right now.

“So, we definitely need to immunize our friends across the border at some point, once we’re finished doing it here in our country.”

November 12, 2018

Gonzalez said the U.S. will only truly recover from the pandemic when its neighbours are safe, too.

“I think we have five vaccines for every American, so we certainly have some extra vaccines that we could share with other countries — especially somebody like Mexico or Canada, who we do a lot of business with … where a lot of commerce and tourism flow on a regular basis,” Gonzalez said in the interview. 

“So we don’t live in this world, isolated. It’s a global community, and certainly, North America is a very tight-knit community. We have relatives on both sides of the border, we do business on both sides of the border, whether it’s Canada or Mexico.”

Gonzalez’s comments point to a question that will only intensify over the coming months about what happens to the big production capacity within the United States once export bans are lifted on plants such as Pfizer’s in Michigan and Moderna’s in New England.

The United States has vaccinated residents at quadruple the rate of Canada. Biden has said in the past that there should be enough vaccines for all Americans by the end of July before revising that to late May on Tuesday.

That puts the U.S. schedule several months ahead of Canada’s. (CBC)

Sketch of America saving Canada’s bacon

 

Thursday March 11, 2021

Editorial Cartoon by Graeme MacKay, The Hamilton Spectator – Thursday March 11, 2021

Vaccination passports: a long, tortuous road

Prepare for the next COVID-19 controversy: vaccine passports. The idea that vaccine, or immunity, passports will need to be developed and implemented manifests in two major ways. They can be loosely defined as domestic and international.

January 9, 2021

For the purpose of international travel, Canada won’t have much choice but to adopt vaccine passports. Countries around the world have already started down this road, including Israel and several European countries. Denmark and Sweden announced last month they are developing digital passports. President of the European Commissions Ursula von der Leyen tweeted March 1 that a proposed “Digital Green Pass” would help EU citizens move around safely. The pass will include a record of vaccination, or failing that of a negative COVID-19 test.

And Canadian airlines are already asking for the government to make vaccine passports part of the plan for reopening international travel.

September 19, 2020

So Canada needs to decide, and fairly soon, if it wants to be part of this worldwide movement. Prime Minister Justin Trudeau has expressed misgivings. He worries, as do many, about the potential of some people being unfairly and unintentionally targeted, such as people who cannot be vaccinated for reasons of immunosuppression. Others worry the passport may stigmatize those who, for whatever reason, choose not to get vaccinated. 

These are legitimate concerns, which is why this subject will only become more contentious over the coming weeks and months. Notwithstanding Trudeau’s concerns, Health Minister Patti Hajdu has said the government is having “very live” discussions with international partners. All things being equal, some form of international travel vaccine passport is pretty much inevitable, and those who don’t have one won’t be travelling. 

October 8, 2020

The contentiousness only gets thicker when you consider how this will apply domestically. Will provincial governments want proof of vaccination for interprovincial travel? That is relatively easy to police through airports, but what about land crossings? Given the Constitution guarantees Canadians freedom of movement, not just those vaccinated, how long until a legal challenge is launched? Might some provinces simply say you are not welcome unless you are vaccinated? (The likely answer is yes — look at the Maritime bubble.)

October 15, 2020

It’s not just about travel, either. Consider major events. Will those organizing football, hockey, basketball, concerts and graduations and the like want a virus-free environment? The only way to ensure that is through record of vaccination. So is someone who isn’t vaccinated precluded from attending?

Consider it at the individual level. If you are making a reservation with friends at your favourite restaurant, surely you are entitled to ask if the restaurant has restrictions for unvaccinated patrons. Even though you are protected, you could still carry the virus and pass it to unprotected people, such as your unvaccinated parents, friends and kids. 

Consider small to medium-sized businesses, already struggling through pandemic restrictions. At some, vaccinated patrons may demand proof of safe passage. If five per cent of the business’s customers refuse vaccination, will the business have to write off their business? Can they afford to do that given the financial pressure they are already under?

It’s headache-inducing. If everyone who can safely be vaccinated is, the problem will be dramatically reduced. But we know that isn’t likely to happen, that even with vaccine hesitancy reduced, a percentage of the population will stubbornly refuse. How the rest of us relate and interact with those people poses new and thorny challenges. (Hamilton Spectator Editorial)