Tag Archives: Public Health

Roundup: The necessary context on vaccines

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Vaccines was once again the talk of the day yesterday, and while there was a whole lot of caterwauling about demanding dates for vaccine arrivals and rollout specifics – something that is impossible to determine at this point considering that a) no vaccine has been approved in any country yet, and b) distribution is a provincial responsibility in Canada, and some of those provinces have not got their plans in place, such as Ontario, which just hired former Chief of Defence Staff, General Rick Hillier, to help them plan their logistics. So yeah – it’s pretty hard for Justin Trudeau to give any solid timelines with those particular factors in mind.

With this in mind, Maclean’s has a must-read interview with Dr. Supriya Sharma, Health Canada’s chief medical advisor, about the vaccine approval process – because a lot of people have been talking out of their asses about said approval process. And when you’ve finished reading that, here is a deeper dive into the vaccine manufacturing availability in this country – the delays at the planned National Research Council facility because they decided to upgrade it to be a fully-compliant Good Manufacturing Practice-compliant facility that will be more versatile and able to produce more vaccines once it’s up and running (probably later next year). As well, the two early promising vaccines, from Pfizer and Moderna, are both mRNA technology vaccines, and there are no facilities in this country that can produce them – because not all vaccine production is the same, and different vaccines require different technologies to produce them, and nobody seems to understand this basic fact as they demand to know why we’re not producing it here, or why we haven’t acquired the rights to produce it, given that we have nowhere that can produce it even if we did.

In other pandemic news across the country, Doug Ford’s government got raked over the coals by the province’s Auditor General when she examined the province’s early pandemic response (and while I have some issues with the fact that she seems to be straying outside of her lane, it is nevertheless reassuring to see that she has called out a lot of Ford’s lies about his actions or lack thereof). Ford also started the process of telling Ontarians that Christmas isn’t going to be one with large family gatherings, so at least he’s not trying for the same kind of “social contract” nonsense that Quebec is pushing in spite of the fact that it’s likely to cause more spread of the virus. (Then again, people seem to want to obstinately get together anyway, if Thanksgiving is any indication, so it may not matter). Meanwhile in Alberta, experts are calling out the half-measures of Jason Kenney’s “mockdown,” which is only going to lead to more deaths, and longer and deeper shutdowns to get the virus under control.

https://twitter.com/LagassePhilippe/status/1331654772282298369

https://twitter.com/LagassePhilippe/status/1331657172137238529

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QP: Magical vaccine production facilities

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Things got off to a slightly late start, as new MPs Marci Ien and Ya’sra Saks took their seats for the first time, led in by Justin Trudeau as their party leader. When QP got started, Erin O’Toole led off with his script on his mini-lectern, where he returned to yesterday’s same panic about vaccine delivery. Trudeau read some talking points about the vaccine portfolio, and stated that they were working with experts on the roll-out plan. O’Toole was not mollified and tried again, and got much the same response. O’Toole then worried that Trudeau wouldn’t ensure that a vaccine would be approved in short order, but Trudeau didn’t bite, and merely noted that three candidates were under review by Health Canada. O’Toole then switched to French to demand the vaccine plan be made public, to which Trudeau again praised the vaccine portfolio before noting that they are working with the provinces to deliver them. O’Toole then pivoted to official languages, to which Trudeau attacked him for not committing to only appointing bilingual Supreme Court judges. Yves-François Blanchet was up next for the Bloc, and he insisted that Quebec could have somehow produced the vaccine before we get doses from abroad, to which Trudeau returned to his points about the vaccine portfolio. Blanchet then demanded harmonised approval for the vaccine with other jurisdictions, to which Trudeau spoke about investing in science after years of neglect. Jagmeet Singh was up next for the NDP, and he asked why the National Research Council couldn’t make the vaccines, to which Trudeau reminded him that they won’t be able to get up and running until next summer. Singh started to repeat the question and then, knowing he got an answer, started to veer into demanding the plan, to which Trudeau thanked him for reading the press release but noted that he didn’t read the whole thing, and that the facility was still under construction.

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Roundup: Our loss of vaccine manufacturing capacity

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The talk of the day was vaccines, and when Canada might see them – which might be later than some other countries because we lack domestic manufacturing capacity in this country – and this made everyone go crazy. That, and the fact that they are howling that the Americans may start getting vaccinations immediately after the FDA is set to decide on vaccine trials on December 10th – which is a pretty big assumption that they will get approval on that day. (We’ll see about how much longer it takes Health Canada to complete their own authorisation process, though they are currently engaged in a “rolling authorisation” process on the three main candidates). And they are still negotiating final rollout with the provinces, who also don’t seem to have their distribution plans finalised either.

And to be a bit more clear, we have some vaccine manufacturing capability in this country, but not the kind for the kind of vaccines that Pfizer and Moderna are set to produce – and yes, this government has invested in boosting that capacity in Canada, including building a new facility at the University of Saskatchewan, but those take time to get built and up to speed. But as this was being discussed, I was reminded that well over a decade ago, Canada had proposed to build a new vaccine pilot lot production facility as part of the Canadian HIV Vaccine Initiative, in partnership with the Bill and Melinda Gates Foundation. And then there was political interference in the Harper Cabinet, in particular from Vic Toews, who wanted a Level-5 Lab built in Winnipeg instead, and then neither happened, and all of the Gates Foundation money got pissed away funding small projects here and there that didn’t amount to any meaningful contribution overall. (My reporting on Toews’ interference here, as well as the refusal by Toews and two other ministers to appear at committee to answer questions on what happened with the killing the CHVI, while officials gave contradictory evidence here). And this kind of facility would definitely have been of use for the kind of situation that we find ourselves in, but lo, the Conservatives killed it (and the Gates Foundation covered for them after they did). And here we are, building this capacity over a decade too late.

In other COVID news around the country, after sitting on their new rapid testing kits for weeks, the Ford government in Ontario has finally decided how they’re going to roll them out, which you would think they should have thought of beforehand. Over in Alberta, Jason Kenney announced – after a long preamble about how hard it was to make this decision – a state of public health emergency and some tougher restrictions in the province which are not a full lockdown, and which doctors are already saying won’t do enough to curb the exponential growth of new infections. In other words, Lockdown Lite™ or Mockdown (credit to Lindsay Tedds for that one). Because Kenney insists the consequences of a lockdown are worse than all of the deaths that are happening, and a bogus reading of the Charter implications (which clearly allow for these kinds of restrictions in a time like this). That means that Alberta’s infections will keep rising because Kenney refused to take appropriate action, and he’ll blame Ottawa, and everyone else for his inaction, because that’s what Jason Kenney does.

https://twitter.com/LindsayTedds/status/1331385270529269762

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QP: A chance to quote Oscar Wilde

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While the prime minister had committed to being at QP today, he was not in the Chamber — apparently deciding that he needs to set an example for Canadians by working from home. Erin O’Toole led off, script on mini-lectern, and he lied about what Chrystia Freeland said about Canada’s vote at the UN on a motion that some considered anti-Israel, falsely claiming that she compared it to an authoritarian regime. Justin Trudeau, appearing by video, said that the vote was about the right of self-determination for both Israelis and Palestinians. O’Toole tried again, raising former Liberal MP Michael Levitt’s objections to the vote before he repeated the slander against Freeland, to which Trudeau repeated his explanation of the vote. O’Toole then changed topics and claimed that the prime minister “admitted” that Canada would be behind other countries in procuring the vaccines, to which Trudeau stated that Canada has the best vaccine portfolio in the world, and that things are still up in the air in terms of which vaccine will be first to get approval. O’Toole repeated the question in French, got the same response, and then O’Toole claimed that the Americans would start getting the vaccine “in weeks,” and got much the same response. Yves-François Blanchet led for the Bloc, and repeated the same accusation of later delivery of vaccines, to which Trudeau reminded him that Canada doesn’t have the ability to mass produce vaccines which is why they negotiated broader sourcing. Blanchet was not mollified, and accused the government of lecturing the provinces, to which Trudeau insisted that they were not lecturing, but working with them. Jagmeet Singh was up next for the NDP, and in French, he also repeated the allegation that Canadians would be forced to wait for vaccines, and Trudeau repeated his rehearsed points about our vaccine portfolio and the need to flatten the curve which is why they provided rapid tests and PPE for provinces. Singh repeated his question in English, and Trudeau reiterated that they were working with provinces to ensure a seamless rollout.

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Roundup: Goodbye, Bubble

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Farewell, Atlantic Bubble – we hardly knew you. With growing spread in New Brunswick and Nova Scotia, both PEI and Newfoundland and Labrador decided to pull out of the Bubble, and impose quarantines for any arrivals on their respective islands, effectively bursting it (despite some saying that this is only “temporary.” There can be little doubt that much like every other province, even those within the Bubble started to get cocky, and some of the spread can be traced back to restaurants, which remain open in the region. It nevertheless demands that even with border measures, you can’t let your guard down when it comes to taking measures to stop the spread of the virus.

Further west, Alberta premier Jason Kenney remains MIA as the province posts higher raw numbers than Ontario, but a Cabinet meeting was being held yesterday afternoon that is supposed to result in new measures being announced this morning – but we’ll see if a real lockdown gets proposed, because given the math, they are now far beyond what a two-week “circuit-breaker” lockdown could achieve. Saskatchewan premier Scott Moe is now self-isolating after a close contact, while Manitoba premier Brian Pallister insists he didn’t wait too long to take increased measures, and yet also insists that his province doesn’t have a backlog in contact tracing when facts show otherwise. So there’s that.

Meanwhile, we’re getting more MPs who can’t seem to grasp jurisdictional issues. The Conservatives are blaming the federal government for not doing things that were clearly the responsibility of premiers to do, while the NDP are demanding that Trudeau reach down into provincial jurisdiction and do something when premiers don’t, which isn’t how it works. It’s all becoming very tiresome, and exasperating, because there are things that they can legitimately criticize this government for, rather than flailing about and trying to blame him for things that he has no control over. But the current political reality is that truth and jurisdiction don’t matter in the face of the narrative they’re trying to spin.

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QP: Shifting the goalposts on testing

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While the prime minister was in town, he was not at QP today, but his deputy was, which is normally a better show. Candice Bergen led off, and tried to insist that the prime minister was merely blaming the provinces for the pandemic rather than taking actions, to which Chrystia Freeland read some reassurances about the country’s vaccine portfolio. Bergen then started shifting the goal posts by complaining that rapid tests were rare and there were still no at-home tests, to which Freeland listed the six rapid tests that have been made available. Bergen insisted that the PM was trying to leave the heavy lifting to the provinces — which, let’s be clear, is actually their gods damned job — and Freeland read about the border measures that have been taken. Pierre Paul-Hus worried that they were only getting news about the vaccine rollout from the provinces, but Freeland returned to the list of vaccine contracts, but in French this time. Paul-Hus complained that other countries have a plan and Canada doesn’t — which ignores that there is guidance and that distribution is a provincial responsibility — to which Freeland said that they were working with the provinces and with experts to ensure that there was an “excellent” vaccine distribution plan. Alain Therrien was up next for the Bloc, and he immediately started howling about the hysteria about the supposed “decline” of French in Quebec, to which Freeland raised the Holodomor about an attempt to exterminate language and culture, which is why she takes French seriously in Canada and Quebec. Therrien demanded the extension of Bill 101 to federally-regulated spaces, and Freeland repeated her personal understanding about the importance of the issue and why they wanted to work with their colleagues about the issue. Jagmeet Singh was up for the NDP, and in French, he complained that small businesses weren’t getting enough help and wanted measures extended to the spring, to which Freeland stated that the new measures are now on line and rent would be paid out by December 4th. Singh switched to English demand that the measures be made retroactive to April, and Freeland said reiterated the praise for the bill that just passed.

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Roundup: Kenney’s dereliction of duty

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I find myself increasingly concerned for my native Alberta as COVID cases continue to skyrocket, to the point where the province is now recording more cases than Ontario, despite having a third of the population. As this is happening, the premier and health minister have been nowhere to be seen, not showing up at press briefings, and leaving the Chief Medical Officer of Health to deal with this herself – likely as a first step in shifting blame to her once the death rate starts to follow infections. Because nothing is ever Jason Kenney’s fault.

One of Kenney’s junior Cabinet ministers apparently let slip that they’re waiting for hospitals to reach capacity before they take any additional measures, but he quickly backtracked and said that wasn’t what he meant at all, and so on. But considering the trajectory of things, and the fact that the provincial government refuses to consider an actual lockdown and instead just tut-tuts at people and tells them to knock it off – while simultaneously telling them to go socialize in restaurants and bars because they’re a “structured setting,” is it any wonder that the trajectory hasn’t altered. Albertans like to think that the rules don’t apply to them at the best of times (and yes, once again, I am from there, and this is the mindset that we are taught from childhood), so the fact that the most the government can do is give them vague guidelines and tell them to exercise their “personal responsibility” means that they plan to do as little as possible. And seriously – this is the province that is so into “personal responsibility” that they brought back tertiary syphilis. It’s a dereliction of duty, but I despair that nobody will wind up punishing Kenney and company for it when the next election comes around, because they are all indoctrinated into believing that the province is a one-party state, and that anything less is treasonous.

Meanwhile, here’s Susan Delacourt on the fact that Justin Trudeau is still trying to keep measures voluntary across the country, and attempting to use the art of persuasion, even though that’s getting increasingly difficult in the current climate.

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Roundup: Not getting a normal Xmas

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Things are getting serious, but as much as our political leaders beg people to stay home, the numbers continue to climb. Prime minister Justin Trudeau held his presser outside of Rideau Cottage once again today, a signal that he wants people to work from home where they can, and that he plans to do the same as much as possible (so we’ll see if he’s back in the Chamber during the last three sitting weeks of the year). And he said flat-out that we’re not going to have a normal Christmas this year, because we’re too far beyond that point. And while Quebec is trying to come up with a “moral contract” plan to allow people to celebrate – a plan which is just as likely to accelerate the spread of the virus in that province – the Toronto and Peel regions in Ontario are headed back into lockdown as of Monday, because Doug Ford finally decided to pull the trigger (far too late to do much good). The new federal supports which included additional lockdown supports received royal assent this week and people can begin applying for them on Monday, with the rent supports retroactive for a couple of months.

This having been said, the Conservatives have already been trying out new lines of attack, which Erin O’Toole debuted right after his meeting with the prime minister on Thursday, in which he lays the blame for the second wave at the feet of the federal government. These lines were repeated in Question Period yesterday, and when Conservatives appeared on the political shows, and include lines like “the lockdowns were supposed to be temporary to let the government find a solution.” Right – that was the point. And it was the premiers, whose jurisdiction testing, tracing, and isolation is in, who pissed way the summer and didn’t invest in increasing the capacity necessary to do that, and lo and behold, we are too late now. O’Toole and his MPs demand “better data” about outbreaks, which again, is supposed to be coming from the provinces, but most of them are falling down on that job as well. Much of the Conservatives’ rhetoric is aimed at the notion that rapid testing – including at-home testing (which has much lower sensitivity) will allow people to go to work and the economy to re-open, and they point to all of these other countries that approved rapid testing, either omitting that many of the approved rapid tests in places like the US had their approvals pulled because they turned out to be useless, or the fact that they are virtually all facing massive spikes of their own in the second wave, meaning that lo, those tests were not the panacea at all. Additionally, we had the Chief Medical Officer of Health in Alberta talking about how people were lying about symptoms or tests in order to visit people in hospitals, and continuing the spread, so how can we actually think that giving people at-home tests is going to be at all feasible if they are going to lie about their results?

https://twitter.com/journo_dale/status/1329865033069842432

But this is about creating a narrative – one that absolves their provincial allies from responsibility, which relies on historical revisionism about the early days of the pandemic, and on wishful thinking around rapid tests. It’s also about disinformation, which is self-contradictory because of jurisdictional issues. And this gets added to other lies and disinformation they’re promulgating, like Pierre Poilievre walking right up to the line of conspiracy theories with the “Great Reset” sustainability initiative, where he is trying to play into NOW truthers under the “I’m just quoting Trudeau,” knowing full well how this stuff fuels the crazies. But they don’t care. They will be as irresponsible with this kind of messaging as possible because it’s only about scoring points, and they don’t care what they burn to the ground along the way. It’s a hell of a way to demonstrate how they would run the country if given the opportunity.

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Roundup: Bracing for bad numbers

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Because COVID numbers continue to climb, and more provinces are moving toward stricter measures to try and control the spread of the virus (but not too strict for most – they still have to think about businesses, natch), the prime minister took the opportunity yesterday to meet with the opposition leaders to brief them on the situation in advance of new federal modelling numbers being released this morning, which paint a dire picture of people don’t stay home and limit the number of people they come into contact with. Of course, Erin O’Toole took the opportunity to immediately come out of the meeting and slam the prime minister for the fact that a global pandemic is bad for the economy, while also apparently ordering Trudeau to step into areas of provincial jurisdiction with a “real plan to test, trace, and isolate those who are infected.” Seriously?

With regard to provincial measures, BC has finally made masks mandatory as part of their new series of restrictions, along with trying to restrict non-essential travel while the Quebec premier put forward a “moral contract” for the coming Christmas holidays, which extends the province’s lockdown measures and tries to build in a kind of buffer around Christmas as a way of trying to avoid telling people not to meet up with family at all. And we’re expecting Doug Ford to also announce more “tough” measures today, which one suspects still won’t actually be tough because his sympathies continue to lay with business owners.

And while infections continue to climb and hospital resources get increasingly stressed, we are going to have to watch out for how doctors and nurses are going to start burning out, presuming they don’t get infected themselves, which will make things even harder going forward (and made even worse in some provinces where the government is going to war with their doctors – looking at you, Alberta). Things are serious, and we need to be even more vigilant about this virus.

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QP: A moral panic competing with hysteria

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While the prime minister was in the building, he was not at QP today, though his deputy was, fortunately. Michael Chong led off, and he worried that Canada voted against Israel at the UN General Assembly earlier in the day, insisting this was contrary to policy. Chrystia Freeland said that Canada stands with Israel, and with Jewish Canadians in the face of rising anti-Semitism. Chong tried again, and Freeland spoke of the worrying rise of authoritarianism in the world, which Canada is standing up against. Richard Martel would took off and listed a number of judicial appointments in New Brunswick which have a connection to Dominic LeBlanc, to which Freeland read a statement about their recent appointment process. Martel raised another appointment who is connected to the justice minister — which media reports show that he was cleared for — and Freeland assured him that the process put into place was transparent and sound. Martel raised another name, who he claimed was denied an appointment because she was married to a Conservatives candidate. Freeland disagreed with the question and reiterated that the process is open and has increased diversity on the bench. Alain Therrien led for the Bloc, and he demanded support for the Bloc’s bill on requiring knowledge of French for citizenship in Quebec, to which Freeland said that they agree that the state of French in Quebec and Montreal is fragile and that they all need to work together to preserve it. Mario Beaulieu asked the same again, and Freeland reiterated her response, and added an example that they fought for cultural exemptions under the New NAFTA. Jagmeet Singh was up next for the NDP, and in French, he lamented that it took so long for climate accountability legislation, to which Freeland praised their bill’s commitment to reach net zero emissions by 2050. Singh switched to English to repeat the question, to which Freeland asked in return whether they would support the bill.

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