#COVID19 | As The Pandemic Wends Its Glorious Way to A Close

COVID-19 vaccines are on their way, hopefully bringing to an end our current pandemic

Hope for an expeditious end to our current pandemic circumstance appears to be relatively close, with vaccines from at least four — and more probably, six — companies appear well on their way to receiving approval in the next short while, with the two-injection Pfizer vaccine appearing set for approval by Health Canada as early as this Thursday, December 10th, with Moderna, AstraZenica and Johnson & Johnson not far behind in the pipeline. Update: Health Canada approved the Pfizer/BioNTech on December 9th.

A number of announcements have been made in recent days involving the roll-out of the vaccines that will, eventually, keep us all safe …

On November 27th, Prime Minister Justin Trudeau announced the appointment of former NATO commander Maj.-Gen. Dany Fortin to lead the national vaccine distribution effort, with a target of immunizing half of all Canadians — that’s 19 million of us — or more, by September, 2021;

Just yesterday, the Prime Minister told Canadians that Canada has secured an agreement to receive its first batch of Pfizer’s coronavirus vaccine before the end of the year — up to 249,000 doses. Pending Health Canada approval, “Canadians will be getting vaccinated starting next week,” Trudeau said at a news conference in Ottawa. Shipments will continue to arrive in 2021; the second batch will be reserved for the same people vaccinated in the first batch — which is to say, the elderly in long term care facilities across Canada. “We’re facing the largest immunization in the history of our country,” Trudeau said.

Canada’s National Advisory Committee on Immunization (NACI) this past Friday released its final directive addressing the prioritization of who should receive the vaccines first, and which groups would be next, right through until the late spring. By the end of March, NACI scientists said they expect 3 million Canadians will have been vaccinated with one of the three (soon to be four, or more) approved COVID-19 vaccines, that number doubling by late June, and doubling yet again by early to mid-autumn of 2021.

Pfizer/BioNTech roll-out of their COVID-19 vaccine to Canadian provincesThe initial batch of Pfizer/BioNTech vaccines will roll out to 249,000, or more, Canadians

NACI scientists advise the roll-out of vaccines will occur, as follows …

  • (a) Long-term care and assisted living facility residents, as well as residents in retirement homes and chronic care hospitals, who face “severe outcomes” and a much greater chance of dying from the disease than the population as a whole;

  • (b) NACI scientists said the next priority group would be “adults 80 years of age and older;”
    Initial Pfizer/BioNTech vaccine roll-out in early 2021. Expected number of people in each province to be vaccinated.Number of Canadians, by province, expected to receive the initial batch of Pfizer/BioNTech vaccine in the early part of 2021, beginning in January.

    (c) NACI scientists expressed concern about Indigenous adults living in communities “where infection can have disproportionate consequences, such as those living in remote or isolated areas.” Indigenous persons will be the third group of Canadians to be vaccinated;

    Initial Pfizer/BioNTech vaccine roll-out in early 2021. Expected number of people in each province to be vaccinated.

  • (d) Adults aged 75 – 79 would be next to receive vaccinations, followed by adults aged 70 – 74 years of age.

These four groups — long-term care residents and staff, the elderly, front line health care workers and some Indigenous adults — are expected to consume all of the six million doses (the Pfizer vaccine requires two doses) to be delivered in the first three months of 2021.

Nurse holding a small bottle containing a COVID-19 vaccine

In the second phase of the vaccine roll-out, which would begin in April 2021, as more supply comes online, other essential workers will have access. The NACI advisory committee said first responders — such as police officers, firefighters and health care workers not included in the initial rollout — would be next in line, followed by residents and staff in other “congregate settings” — such as migrant workers, prisoners in correctional facilities and people in homeless shelters.
At the end of the day, though, it is the provincial Premiers, their Health Ministers and Public Health Officers who will determine prioritization of vaccine roll-out in their jurisdictions. By late summer / early autumn, Prime Minister Trudeau has said he expects half of all Canadians would be vaccinated — that’s 19 million Canadians.
The vaccine roll-out will continue through the end of 2021, and beyond.