While other provinces focus on frontline workers, Quebec stands alone in its decision to begin its COVID-19 vaccination campaign with residents of long-term care centres. And medical experts say the province's strategy makes sense.
``I think that's the correct way to do things,'' said Dr. Quoc Nguyen, a gerontologist at the Universite de Montreal hospital centre, noting that the care home residents are particularly vulnerable to the novel coronavirus
Older people are at a significantly higher risk of developing serious cases of COVID-19, he said in a phone interview this week, and people in long-term care are often already unhealthy, putting them at even higher risk.
While the Pfizer vaccine has been proven to be effective at preventing people from getting COVID-19, Nguyen said there's not yet hard data showing it prevents people who are asymptomatic from spreading the disease.
``It's better to protect older adults directly because, we know that the vaccine really does that, rather than this idea that we'll protect them by protecting those in contact with them,'' he said.
Quebec reported Wednesday that it had administered 1,613 COVID-19 vaccinations through Tuesday, with long-term care residents and staff at the care facilities first in line. The province continued to report high daily COVID-19 case numbers, with 1,897 new infections and 43 more deaths reported. Officials said hospitalizations rose by 16, to 975 and 128 people were in intensive care, an increase of three.
Dr. Zain Chagla, a professor of medicine at McMaster University who practises at two Hamilton hospitals, said Quebec's approach makes ``total sense'' on paper.
``The biggest bang for the buck for this vaccine is reducing death and disability, and we know the group that got hit hardest with death and disability is seniors within congregate care facilities,'' he said in an interview.
However, in practice, it may be easier to distribute the Pfizer vaccine _ which must be stored at around -70 C _ at hospitals rather than at long-term care centres, he said, and there may be risks that the virus could spread to residents from workers coming to be vaccinated.
Pfizer has asked Canadian governments not to move boxes of the vaccine once they are received. That has led provinces to create designated vaccine distribution sites. Quebec placed its first two vaccine distribution sites at long-term care facilities, one in Quebec City, the other in Montreal.