What you need to know about the complex surge of the second dose of the COVID vaccine –

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What you need to know about the complex surge of the second dose of the COVID vaccine – fr


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Second dose accelerated for much of Ontario, but not immediately for London.

The Middlesex-London health unit is rushing to offer people aged 80 and over the option to increase their appointments for the second dose of the COVID-19 vaccine, but may not be able to meet Monday’s goal that the province has set for itself due to limitations in its vaccine reservation and supply system.

The city’s deputy head of public health is urging some Londoners to manage their expectations of a second dose much sooner, saying the region is still providing the first vaccines and does not have enough vaccines to keep up with the aggressive rescheduling schedule of the second dose of the province.

Barriers to local deployment come as the Progressive Conservative government of Premier Doug Ford considers a two-dose summer – an improvement over the federal government’s one-dose promise – with a year before Ontarians surrender at the polls.

Here are the details of the province’s second dose rollout and what it means for the London area.

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Ontario will allow adults aged 80 and over to reserve their second shot starting Monday using the provincial reservation system. The province expects to allow the 70+ age group to change second dose appointments starting June 14, expanding eligibility for deferral based on dates of first injections until June, July and August.

Second dose reprogramming applies to people who have received Pfizer-BioNTech or Moderna vaccines.

“The faster we deliver the vaccines, the faster we can put this pandemic behind us for good,” Ford said on Friday. “From what we know of upcoming shipments, all Ontarians who want a vaccine could be fully immunized by the end of August. “

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The timeline could move faster if supply increases, he said. The shortened interval could be as small as 28 days for Pfizer-BioNTech and Moderna vaccines in the coming months, depending on supply.

Those who received a first injection of the Oxford-AstraZeneca vaccine will be offered a second dose after 12 weeks, although it may be a different vaccine depending on expected federal guidelines.

Reservation to get an earlier appointment for the second dose is optional. People who choose not to change their reservation will still keep their existing appointment for the second dose.

The Middlesex-London Health Unit and Southwestern Public Health, the Elgin and Oxford Counties Health Unit, do not use the province’s online vaccine reservation system for their mass vaccination clinics. The system used locally does not yet have the capacity to reprogram the injections of the second dose.

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The London area health unit is working over the weekend to determine when it will be able to open second-dose bookings for the more than 80 people, Deputy Medical Officer of Health Alex Summers said.

The health unit might be ready to reschedule appointments on Monday, according to the provincial reservation system, or another date early next week, Summers said.

” There are two reasons for this. . . . We want to make sure that we have reserved as many first doses as possible before we start increasing the second doses, ”he said.

“We also need to make sure that our online reservation system is up and running so that it is an easy process for people. “

It is critical that covidvaccinelm.ca be able to handle the rescheduling of the second dose, as the phone line alone will not be able to handle the expected surge, Summers said.

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Verto, the company that runs the London area’s online reservation system, has been working on developing second-dose reservation switching capabilities for several weeks, Summers said.

The health unit will provide further details on how and when people over the age of 80 can soon change their second appointment, he said.

The London area does not have enough vaccines to keep up with the province’s schedule for postponing the second dose, Summers said.

“The province knows it. It’s a math problem. We, as well as other regions, have received less vaccine in order to send more to the hot spots, ”he said.

In April and early May, the province channeled an additional supply of vaccine to sensitive areas, including several in the Toronto area. The move meant freezes or cuts to the London area allowance. That area was not caught up by the extra doses it missed in those weeks, Summers said.

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“Hopefully for the month of June this will happen in a meaningful way that will allow us to pick up the pace and catch up with some of those sensitive areas that are ahead of the game,” he said.

Between 3,000 and 3,500 injections are given daily in London and Middlesex County, but the four mass vaccination sites in the region could give 7,000 if they had enough stocks.

The health unit is currently making appointments for the vaccine for the first dose between mid-June and the end of June.

People who received their vaccine appointments in February or March might not arrive much earlier than their previously scheduled second dose, Summers said.

“One of the things we have to say is to temper expectations about all of this. . . . A lot of people won’t go much further, ”he said, adding that the second dose rescheduling plan could make a difference for people who received their first injection in May and June.

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“They will probably find their second dose in summer instead of fall. There will likely be a big push for people getting their first dose right now. “

The health unit is considering whether to put limits on postponing the second dose, such as whether it will allow people to bail out an appointment to get another a few days earlier.

“We’re still trying to explore whether or not we’re going to put a slight limit on changing reservations. If you are booked for your second shot in a week and move forward a day, that means we have less time to try to fill that other spot, ”he said.

Ford’s push for a two-dose summer for Ontarians contrasts with Prime Minister Justin Trudeau’s federal Liberals, who launched a one-time summer and two-dose fall.

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Tensions between the two governments erupted over vaccine supply and border restrictions, marked by electoral-style attack ads on the federal government by Ford’s Progressive Conservatives accusing Ottawa of failing to enforce policies. restrictions strict enough to prevent highly contagious variants from entering the country.

Both governments will soon be faced with voters. Next election in Ontario is a year away, while the fate of the Trudeau government – already long in the tooth for a minority governmentbelongs either to the opposition parties or to the Liberals, if they decide to call an election.

– with files from the Canadian Press

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