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 Alberta health officials said more than 300,000 doses have been withdrawn in the province while Ontario and Saskatchewan said it will take time to determine their counts.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.
91ƵWe are encouraging people in B.C. to wait for the new formulation if they can 91Ƶ but we are ensuring in the interim that vaccine remains available for people who may need it,91Ƶ 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, 91Ƶthere will no longer be XBB.1.5 COVID-19 vaccines available for use in Canada.91Ƶ
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 91Ƶtransition plan91Ƶ with the provinces and territories that gives them 91Ƶflexibility to ensure ongoing access to current supply until new vaccines are approved.91Ƶ
The Canadian Pharmacists Association said Thursday that 91Ƶmismatched guidance91Ƶ on existing COVID vaccines can lead to confusion for patients.
91ƵWhile we understand that many provincial governments have communicated specific instructions to pharmacists based on the federal government91Ƶs direction to withdraw existing XBB vaccine supplies, that communication varies between provinces,91Ƶ an association spokesperson said in a statement.
91ƵWhen there is a gap in access this can lead to a lot of questions from patients at the pharmacy.91Ƶ
Dr. Brian Conway, medical director of the Vancouver Infectious Diseases Centre, said he takes issue with the federal agencies91Ƶmessaging on pulling COVID vaccines that are still effective.
91ƵI91Ƶm trying to make sure that we don91Ƶt reduce public confidence in the vaccine,91Ƶ Conway said in an interview.
91ƵA message like this, 91ƵWe91Ƶre taking a vaccine that we told you was good, really good, and you needed to get six or nine months ago, and now we91Ƶre saying, oh, well, now we91Ƶre destroying it, even though it91Ƶs not expired.91Ƶ It91Ƶs a message that is already being a little bit misinterpreted by the public.91Ƶ
Conway said B.C.91Ƶs decision to provide doses of the XBB vaccine to people who may still want one is a 91Ƶreasoned91Ƶ approach.
91ƵIf 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,91Ƶ Conway said.
Health Canada says it91Ƶs reviewing updated COVID vaccines from Pfizer, Moderna and Novavax on 91Ƶan expedited basis,91Ƶ and expects to authorize them this fall if they meet safety and efficacy standards. A spokesperson for the Ontario health minister said it91Ƶs 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 91Ƶvery small number of people,91Ƶ said Dr. Zain Chagla, an associate professor at McMaster University and an infectious diseases physician in Hamilton.
91ƵEven people at risk are better off just waiting, recognizing that they want that protection and they want optimized protection going into the season,91Ƶ Chagla said.