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㽶ƵֱMismatched guidance㽶Ƶֱ on pulling COVID vaccines raises concern

Province getting rid of current supplies ahead of updated shots due this fall
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(File photo) (File photo)

As several provinces get rid of their existing COVID-19 vaccine supplies to make way for updated shots expected in the fall, pharmacists and some doctors say the move raises questions about gaps in vaccine access and government messaging.

Officials in Ontario, Alberta, Saskatchewan and Quebec say they are following a directive from the Public Health Agency of Canada to dispose of vaccine stocks that target the XBB.1.5 variant, before new formulations are approved and distributed. Alberta health officials said more than 300,000 doses have been withdrawn in the province while Ontario and Saskatchewan said it will take time to determine their counts.

In contrast, British Columbia says it will continue to offer its remaining supply of COVID vaccines.

㽶ƵֱWe are encouraging people in B.C. to wait for the new formulation if they can 㽶Ƶֱ but we are ensuring in the interim that vaccine remains available for people who may need it,㽶Ƶֱ a spokesman for the provincial health officer said in a statement.

Meanwhile, Manitoba residents who still want a dose of the XBB.1.5 vaccine can make a request that will be considered on a case-by-case basis, a provincial spokesperson said.

The federal government previously stated on its website that after Aug. 31, 㽶Ƶֱthere will no longer be XBB.1.5 COVID-19 vaccines available for use in Canada.㽶Ƶֱ

But on Wednesday, a spokesperson for the Public Health Agency of Canada and Health Canada told The Canadian Press that PHAC is working on a 㽶Ƶֱtransition plan㽶Ƶֱ with the provinces and territories that gives them 㽶Ƶֱflexibility to ensure ongoing access to current supply until new vaccines are approved.㽶Ƶֱ

The Canadian Pharmacists Association said Thursday that 㽶Ƶֱmismatched guidance㽶Ƶֱ on existing COVID vaccines can lead to confusion for patients.

㽶ƵֱWhile we understand that many provincial governments have communicated specific instructions to pharmacists based on the federal government㽶Ƶֱs direction to withdraw existing XBB vaccine supplies, that communication varies between provinces,㽶Ƶֱ an association spokesperson said in a statement.

㽶ƵֱWhen there is a gap in access this can lead to a lot of questions from patients at the pharmacy.㽶Ƶֱ

Dr. Brian Conway, medical director of the Vancouver Infectious Diseases Centre, said he takes issue with the federal agencies㽶Ƶֱmessaging on pulling COVID vaccines that are still effective.

㽶ƵֱI㽶Ƶֱm trying to make sure that we don㽶Ƶֱt reduce public confidence in the vaccine,㽶Ƶֱ Conway said in an interview.

㽶ƵֱA message like this, 㽶ƵֱWe㽶Ƶֱre taking a vaccine that we told you was good, really good, and you needed to get six or nine months ago, and now we㽶Ƶֱre saying, oh, well, now we㽶Ƶֱre destroying it, even though it㽶Ƶֱs not expired.㽶Ƶֱ It㽶Ƶֱs a message that is already being a little bit misinterpreted by the public.㽶Ƶֱ

Conway said B.C.㽶Ƶֱs decision to provide doses of the XBB vaccine to people who may still want one is a 㽶Ƶֱreasoned㽶Ƶֱ approach.

㽶ƵֱIf you really need a shot now for a medical reason, this is still a very good vaccine that has good cross-protection against the currently circulating strains,㽶Ƶֱ Conway said.

Health Canada says it㽶Ƶֱs reviewing updated COVID vaccines from Pfizer, Moderna and Novavax on 㽶Ƶֱan expedited basis,㽶Ƶֱ and expects to authorize them this fall if they meet safety and efficacy standards. A spokesperson for the Ontario health minister said it㽶Ƶֱs estimated that provinces will get the new vaccine supplies from Health Canada in October.

Individuals who need a vaccine dose in the short term should account for a 㽶Ƶֱvery small number of people,㽶Ƶֱ said Dr. Zain Chagla, an associate professor at McMaster University and an infectious diseases physician in Hamilton.

㽶ƵֱEven people at risk are better off just waiting, recognizing that they want that protection and they want optimized protection going into the season,㽶Ƶֱ Chagla said.





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