Soon, almost all healthcare workers in Canada will need to be vaccinated | Coronavirus

Soon, almost all healthcare workers in Canada will need to be vaccinated | Coronavirus
Soon, almost all healthcare workers in Canada will need to be vaccinated | Coronavirus

In Quebec, there are still more than 22,000 health care workers who are not adequately vaccinated and who risk being laid off if they do not get their two doses within a month.

On August 26, more than 43,000 workers were not adequately vaccinated. On average, 1,400 workers were vaccinated per day between August 26 and October 11. If this pace continues, the government hopes to significantly reduce the number of workers who may be sidelined.

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According to data from the National Institute of Public Health of Quebec (INSPQ), 93.4% of employees in the health network are adequately vaccinated. Only the health regions of Saguenay-Lac-Saint-Jean, Capitale-Nationale and Gaspésie-Îles-de-la-Madeleine have a vaccination rate greater than 95%. Nunavik has the lowest rate, with 86% of workers adequately vaccinated.

Immunization rates are lower in CHSLDResidential and long-term care center and among beneficiary attendants.

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According to an epidemiological survey by the INSPQ (New window) , between March 1 and June 14, 2020, 13,581 healthcare workers were infected with COVID-19, or a quarter of the cases identified in Quebec during the first wave of COVID-19. Eleven of these healthcare workers died from it. The majority (70%) of healthcare workers infected with COVID-19 were orderlies, nurses or nursing assistants.

According to the INSPQ, their risk of contracting COVID-19 was about 10 times higher than that of the rest of the population.

Elsewhere in the country

British Columbia announced last week that all workers in long-term care facilities must get a first dose by October 12 and a second dose within 35 days of the first, or they will have to take time off work. compulsory without pay. As of October 12, 5% (1955) of these employees had not received any dose (New window) .

Elsewhere in the country, data on the immunization status of health workers is patchy. Several provinces recently announced mandatory vaccination and workers still have a few days or even weeks to submit proof of vaccination.

Currently, in Ontario, Yukon and Nunavut, vaccination of health care workers is not mandatory.

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In contrast, in Ontario, workers in high-risk settings (hospitals, home and community care service providers, long-term care homes, ambulance services) who do not submit proof of full vaccination should be tested regularly. screening and attend vaccine education sessions.

Ontario reports that 705,900 healthcare workers received one dose and 697,000 received two doses, but does not indicate how many workers in total were affected.

The vast majority of Ontario hospitals have started to oblige workers to be vaccinated, and some have already started to lay off those who have not received two doses. This is the case, for example, of 252 employees in the region of Waterloo (New window) .

In Newfoundland Labrador, of 39,277 healthcare workers, 37,361 were vaccinated by the end of September, or 95%. The province does not collect data on health care workers in the private sector (eg, registered massage therapists, home support workers).

Nova Scotia says it administered more than 50,000 doses (or vaccinated about 25,000 people) at the start of its vaccination campaign, but has no more recent data on those who have since been vaccinated. On September 29, the province issued a vaccination mandate to all health care workers; they must present proof of full vaccination by November 30. Thus, within a month, the province will have a better idea of ​​the immunization status of its health care workers.

A spokesperson for the Alberta Department of Health says 93,000 workers, doctors and volunteers have submitted vaccine proof to date. The province said several employees have received their two doses, but have not yet given their proof of vaccination, since they have until October 16 to do so.

The spokesperson did not say how many total employees must submit this evidence, but the government site says 108,600 people work at Alberta Health Services, 12,500 employees at Alberta Precision, Carewest and CapitalCare Group laboratories, and that it concerns 12,200 volunteers and more than 10,900 doctors.

Approximately 70% of the 133,300 employees have submitted their vaccine proof to date. The ministry says unvaccinated workers will be allowed to continue as much as possible, but some could be laid off after Oct. 31.

Nunavut, Saskatchewan and Manitoba do not collect data on the immunization status of health care workers.

In Saskatchewan, healthcare workers have until October 1 to report their immunization status. Those who will not be vaccinated will have to undergo screening tests and ask, if possible, that they be adapted to their needs.

Elsewhere in the world, in the United States, Northwell Health, New York State’s largest healthcare provider, announced in early October that 1,400 employees (less than 2% of its staff) had refused. to get vaccinated and had to quit their jobs. As of October 13, 90% of healthcare workers (New window) from that state are vaccinated. Wyoming County has the lowest rate with 74% of workers vaccinated.

In France, around 15,000 of the country’s 2 million healthcare workers are on the verge of being suspended without pay because they failed to provide proof of the vaccine.

Update on Immunization Coverage in Canada

To date, 71% of the total Canadian population (or 81% of the population aged 12 and over) has been fully vaccinated against COVID-19.

The vaccination rate is still below the 80% threshold for those 40 and under. There are slightly more young people aged 12 to 17 (75%) fully vaccinated than adults aged 18 to 29 (72%).

More than 56 million doses have been administered in Canada, according to Health Canada (New window) . Of these doses, there are approximately 18,000 reports of side effects following immunization, or 0.032% of all doses. Of these, 13,307 were minor side effects (0.024%), and 4,675 were serious side effects (0.0008% of all doses).

Dated 1is October 2021, Health Canada reported 82 cases of thrombosis syndrome with thrombocytopenia, including 6 deaths (median age of 57 years); 31 cases of Guillain-Barré syndrome (median age 54 years); and two cases of capillary leak syndrome. In addition, there were 859 cases of myocarditis / pericarditis (median age 28 years).

Health Canada recognizes that the number of cases of myocarditis / pericarditis following vaccination is higher than one would normally expect in the general population, especially in men and women under 40 years of age and after the second dose.

Side effect rates following the second dose are lower than those following the first dose.

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