British Columbia’s top doctor has apologized to thousands of seniors in long-term care homes across the province whose second dose of COVID-19 vaccine has been delayed – some of whom found out the day before their scheduled appointments this week.
On Monday, the province announced it will extend the interval between the first and second shots to 16 weeks as a way to free up more vaccine and immunize the wider population more quickly. Provincial Health Officer Bonnie Henry told reporters at that COVID-19 briefing that people who had already received their first dose would get their second within the previous window of six weeks. On Thursday, Dr. Henry apologized for the miscommunication, noting the seniors will have to wait longer, but adding that the best science shows they should get about the same amount of protection from just one dose.
“I know that came as a shock for many people, and I regret our communications are not able to keep up as fast as the decision-making,” Dr. Henry said. “But please know that this was made in the spirit of understanding data and maximizing the benefit to all of us.
Canada pre-purchased millions of doses of seven different vaccine types, and Health Canada has approved four so far for the various provincial and territorial rollouts. All the drugs are fully effective in preventing serious illness and death, though some may do more than others to stop any symptomatic illness at all (which is where the efficacy rates cited below come in).
- Also known as: Comirnaty
- Approved on: Dec. 9, 2020
- Efficacy rate: 95 per cent with both doses in patients 16 and older, and 100 per cent in 12- to 15-year-olds
- Traits: Must be stored at -70 C, requiring specialized ultracold freezers. It is a new type of mRNA-based vaccine that gives the body a sample of the virus’s DNA to teach immune systems how to fight it. Health Canada has authorized it for use in people as young as 12.
- Also known as: SpikeVax
- Approved on: Dec. 23, 2020
- Efficacy rate: 94 per cent with both doses in patients 18 and older, and 100 per cent in 12- to 17-year-olds
- Traits: Like Pfizer’s vaccine, this one is mRNA-based, but it can be stored at -20 C. It’s approved for use in Canada for ages 12 and up.
- Also known as: Vaxzevria
- Approved on: Feb. 26, 2021
- Efficacy rate: 62 per cent two weeks after the second dose
- Traits: This comes in two versions approved for Canadian use, the kind made in Europe and the same drug made by a different process in India (where it is called Covishield). The National Advisory Committee on Immunization’s latest guidance is that its okay for people 30 and older to get it if they can’t or don’t want to wait for an mRNA vaccine, but to guard against the risk of a rare blood-clotting disorder, all provinces have stopped giving first doses of AstraZeneca.
- Also known as: Janssen
- Approved on: March 5, 2021
- Efficacy rate: 66 per cent two weeks after the single dose
- Traits: Unlike the other vaccines, this one comes in a single injection. NACI says it should be offered to Canadians 30 and older, but Health Canada paused distribution of the drug for now as it investigates inspection concerns at a Maryland facility where the active ingredient was made.
How many vaccine doses do I get?
All vaccines except Johnson & Johnson’s require two doses, though even for double-dose drugs, research suggests the first shots may give fairly strong protection. This has led health agencies to focus on getting first shots to as many people as possible, then delaying boosters by up to four months. To see how many doses your province or territory has administered so far, check our vaccine tracker for the latest numbers.
“That dose you didn’t receive on Tuesday or Wednesday or today is now being administered to a community member, to another member of our family, our community here in B.C., to protect them. And ultimately it will bring us all closer to getting to our postpandemic world.”
The Health Ministry could not immediately provide current statistics on Thursday afternoon for overall vaccination in the sector, but pointed to an announcement last week showing that 28,430 nursing home residents had received their first dose and 12,197 had got their booster. The data also showed just over half the staff in these facilities (20,434 people) had received their second doses.
Isobel Mackenzie, the provincial seniors’ advocate, a watchdog who reports to the Health Ministry, said outbreaks at nursing homes are down about 80 per cent from the peak during the second wave of the pandemic, with the province reporting six active outbreaks on Thursday.
“What that is telling us is that the vaccine is hugely effective,” Ms. Mackenzie said.
But loneliness and isolation, she said, continue to be massive problems for those in long-term care. She said families are eagerly waiting for Dr. Henry to fulfill her promise to revise visitation guidelines by the end of this month to allow more contact.
A year ago, after the death toll began mounting at several nursing homes – some of which were understaffed – public-health officials and care-home providers banned all visitors in an attempt to keep residents safe. Last spring, the province allowed each resident to have one essential caregiver.
Roger Wong, an expert on seniors’ well-being who teaches clinical geriatric medicine at the University of British Columbia, said the Moderna and Pfizer-BioNTech vaccines appear to offer a good level of protection after just one dose, but it is not clear what extending the dosing interval will mean for seniors.
Still, he said, more of the general population getting a first dose sooner could be a silver lining for seniors, as it will help determine “how we can support, in a safe way, a return of family caregivers to long-term care homes.”
Shirley Bond, interim leader of the Opposition B.C. Liberals, slammed the government for its dosing decision in the Legislature on Thursday morning, saying a constituent told her that her mother’s second dose was cancelled the day it was to be delivered.
“This is what she said it means: ‘Another two months of being locked in their facility with no interaction with the outside world,’” Ms. Bond said. “Can the Premier explain why that scheduled second dose was cancelled on the very day it was to have been given, causing additional anxiety and stress for that resident, for the staff and for their family?”
Health Minister Adrian Dix said the decision to delay these boosters for everyone – even seniors in nursing homes – is backed by the best available evidence and will provide more protection to more people across B.C. He added that 97 per cent of staff in these facilities and 92 per cent of residents have received their first dose.
The Canadian Press
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