COVID-19 vaccination in Quebec

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See also: COVID-19 vaccination in Canada
COVID-19 vaccination in Quebec
DateDecember 14, 2020 (2020-12-14)-present
LocationQuebec
Also known asCampagne de vaccination contre la Covid-19 au Québec (French)
CauseCOVID-19 pandemic in Quebec
Organized by- Health Canada
- Public Health Agency of Canada
- Quebec government
- Municipal government in Canada
Participants3,256,401 people with at least one dose administered of Pfizer-BioNTech, Moderna or AstraZeneca (May 3, 2021)
[1]
109,135 fully vaccinated (received both doses of a vaccine)
Outcome37.2% of the Quebec population has received at least one dose of a vaccine (May 3, 2021)[1]
WebsiteGovernment of Quebec

The COVID-19 vaccination programme in Quebec is an ongoing provincial effort to distribute and administer the vaccine against COVID-19.

Timeline[edit]

See also: Timeline of the COVID-19 pandemic in Quebec

2020[edit]

Total number of people receiving vaccinations in Quebec as of May 3, 2021

  Unvaccinated population: ~5,273,361 people (61.5%)
  Population who has received one dose of a vaccine: 3,256,401 people (37.2%)
  Population who has been fully vaccinated (both doses): 109,135 people (1.3%)

In autumn of 2020, logistical preparations for the rollout of the vaccine began to be developed. Since Quebec would be receiving vaccine doses from the federal government, the Quebec government began to study several scenarios based on the quantity and type of vaccine received.[2] The city of Montreal, in particular, set to work on creating its own plan and administrative structures for the vaccination campaign in late November 2020.[3]

At the end of November 2020, the director of the Quebec vaccination campaign against COVID-19 was chosen: Jérôme Gagnon, an assistant deputy minister.[4] After undergoing health problems, he was replaced two weeks later by Daniel Paré, CEO of the Chaudière-Appalaches Centre intégré de santé et de services sociaux.[5]

In early December, in addition to health professionals who are already authorized to administer vaccines, the Quebec government added new categories of people who are authorized to administer the vaccine:[6]

  1. Students in programs that lead to a diploma in which they would be authorized to administer vaccines;
  2. Ambulance technicians and students training to be ambulance technicians;
  3. Holders of a medical degree from outside Canada;
  4. Professionals in physical health, once they have undergone some training, including acupuncturists, audiologists, chiropractors, etc.

On December 10, Premier François Legault indicated that by January 4, 2021, Quebec would receive 55,000 doses of the Pfizer-BioNTech vaccine.[7]

On December 13, not even a week after its approval by Health Canada,[8] the first shipment of Pfizer-BioNTech vaccines arrived in Canada at Mirabel airport.[9] Vaccination in Quebec started the next day, on December 14, with Gisèle Levesque, an 89-year-old resident of a long-term care home in Quebec City, being the first in the province and country to receive a vaccine.[10][11] The vaccination campaign was slow to start, with around 1,400 doses being given per day in the first two weeks for a total of less than 20,000 people vaccinated.[12]

On December 23, Health Canada approved the Moderna COVID-19 vaccine[13] and on December 30, Quebec received their first shipment. Due to its lower maintenance requirements in comparison with the Pfizer vaccine, the Moderna vaccine will be prioritized for use in remote regions.[14]

2021[edit]

In the last week of January 2021, Quebec did not receive any vaccine doses, as Pfizer had temporarily stopped deliveries to Canada while its factory was being retooled.[15][16]

On February 23, Premier Legault announced that vaccine reservations would become available on February 25 by phone or online for Quebecers aged 85 and older.[17][18]

On March 1, vaccination of the general population began, starting with people 80 years of age or older in Montreal.[19] The next day, Minister Dubé confirmed that 350 pharmacies in Montreal would begin taking appointments for vaccinations on March 15. The Director of the Vaccination Campaign Against COVID-19 in Quebec (French: directeur de la campagne de vaccination contre la COVID-19 au Québec), Daniel Paré, revealed that since February 25, there had been over 350,000 vaccination reservations made online.[20]

By March 10, all Quebecers 70 years of age and older were able to book a vaccination appointment.[21]

On March 16, Premier Legault promised that by June 24 (Quebec's national holiday) all Quebecers who wish to be vaccinated would have at least their first dose.[22]

By March 18, over 10% of the Quebec population had received at least one dose.[23]

On March 22, pharmacies began administering shots.[24]

On March 26, Premier Legault received a dose of the Pfizer vaccine.[25]

On March 29, Canada's National Advisory Committee on Immunization (NACI) recommended that use of the Oxford-AstraZeneca vaccine be suspended for patients below the age of 55, as the risk of blood clots seemed to be higher in younger people.[26] As a precautionary measure, the Quebec government modified their strategy to comply with the new recommendations.[27]

By April 8, all Quebecers 60 years of age and older were able to book a vaccination appointment.[28]

By April 14, 25% of Quebecers had received at least one dose.[23]

On April 21, the minimum age for the AstraZeneca vaccine was lowered to 45 years old.[29] Despite concerns of vaccine hesistancy stemming from reports of rare blood clots linked to the AstraZeneca vaccine, which has led to slowed demand for the AstraZeneca vaccine in some other provinces,[30][31] long line-ups started to form before dawn at drop-in vaccation sites.[32] In Montreal, all available AstraZeneca doses were exhausted within two days, forcing the drop-in vaccination clinics to close.[33][34]

In the last week of April, two more priority groups became able to get vaccinated: people with a chronic illness or underlying health condition that increases their risk of COVID-19 complications,[35] and people with physical or intellectual disabilities, including those on the autism spectrum. This would allow for around 550,000 more people to get vaccinated.[36][37]

On April 27, businesses with enough capacity began opening up their facilities for mass vaccination, with Montreal-based CAE Inc. being the first to do so.[38] The same day, Quebec reported its first death from an adverse event following immunization — a 54-year-old woman from Montérégie who died of a thrombosis after receiving the AstraZeneca vaccine.[39]

On April 28, pregnant women became able to get vaccinated.[40]

On April 29, the Quebec government announced its vaccine schedule for adults under 60 years old, revealing that by May 14, every adult in Quebec should be able to get vaccinated. Vaccination will open up as follows:[41]

  1. Ages 50 to 59 on April 30.
  2. Ages 45 to 49 on May 3.
  3. Ages 40 to 44 on May 5.
  4. Ages 35 to 39 on May 7.
  5. Ages 30 to 34 on May 10.
  6. Ages 25 to 29 on May 12.
  7. Ages 18 to 24 on May 14.

Approval and deployment of COVID-19 vaccines in Canada[edit]

Vial of the Moderna vaccine (10 doses of 0.5 mL) administered in a Quebec pharmacy
COVID-19 vaccines on order in Canada (
)
Vaccine Progress Doses ordered Approval Deployment
Pfizer–BioNTech phase III clinical trials 48-76 million[42][43] Green check.svg 9 December 2020[44] Green check.svg 14 December 2020
Moderna phase III clinical trials 44 million[45] Green check.svg 23 December 2020[46] Green check.svg 31 December 2020
Oxford–AstraZeneca phase III clinical trials 23.9 million[47] Green check.svg 26 February 2021[48] Green check.svg 10 March 2021[49]
Janssen (Johnson & Johnson) phase III clinical trials 10-38 million Green check.svg 5 March 2021[50] Pending
Novavax phase III clinical trials up to 76 million Pending Pending
Medicago phase III clinical trials[51] up to 76 million Pending Pending
Sanofi–GSK phase III clinical trials up to 72 million Pending Pending


Dose Schedule[edit]

Towards the end of December 2020, the Quebec government had set aside 27,000 doses of the Pfizer vaccine so as to be able to administer second doses without delay, with Minister Dubé saying that this was a requirement from Pfizer. However, he added that he was in discussion with Quebec's public health agency, as well as with other provinces, to determine whether it would be possible to "force the hand of Pfizer in order to free up these doses" and thereby be able to vaccinate more people.[52]

In January 2021, the province announced its intentions to switch to a first-dose priority system, which would allow for the greatest number of people to receive a first-dose but which would delay administration of a second-dose to months after the first, as opposed to the three weeks recommended by Pfizer.[53] The Quebec government initially received criticism for this, with Supriya Sharma, Canada's Chief Medical Advisor to the Deputy Minister, stating that Quebec's calculations were done in a superficial manner and that this decision could have an effect on the delivery schedule for Pfizer-BioNTech and Moderna vaccines.[54] Indeed, on January 11, 2021, Premier Legault suggested that Pfizer might stop delivering vaccines to Quebec if the province does not comply with the recommended schedule. However, he affirmed that if such a situation arose, Quebec would modify their strategy to adhere to the recommended schedule.[55]

In March, the National Advisory Committee on Immunization modified its recommendations, confirming that the second dose can be administered up to four months after the first,[56][57] prompting other provinces, including British Columbia and Ontario, to start following the same strategy as Quebec. Given the recommendations, long-term care centre (French: centre d'hébergement et de soins de longue durée) residents and staff, who had begun to receive vaccinations in December of 2020, started receiving their second doses in early March 2021.[58] However, due to shipment delays of the Moderna vaccine, some residents who had received the Moderna vaccine as their first dose were administered a different vaccine for their second dose.[59] While the Comité sur l’immunisation du Québec (CIQ), a branch of the Institut national de santé publique du Québec (INSPQ), has recommended that both doses be given using the same vaccine, as there is a lack of data regarding the efficacy of mixing vaccines, they allow for flexibility in the context of a vaccine supply shortage. The CIQ thus suggests that in order to not delay the administration of a second dose any longer than necessary, a vaccine of a similar type to the first can be administered as the second (for example, a Moderna vaccine can be replaced with a Pfizer vaccine, since they are both mRNA vaccines).[60]

Priority groups[edit]

Official government categories[edit]

Sign at a vaccination site entrance in Montreal

In November 2020, the CIQ was asked to come up with a preliminary evaluation of which groups should be prioritized for vaccination.[61][62] Given the limited availability of vaccines, the CIQ based their evaluation on five values:

  1. Beneficence
  2. Equity
  3. Justice
  4. Reciprocity
  5. Non-maleficence

Based on these values, they proposed the following priority groups, in order of highest priority to lowest:[a]

  1. Vulnerable people and people with a significant loss of autonomy who live in residential and long-term care centres (CHSLDs) or in intermediate and family-type resources (RI‑RTFs).
  2. Workers in the health and social services network who have contact with users.
  3. Autonomous or semi-autonomous people who live in private seniors' homes (RPAs) or in certain closed residential facilities for older adults.
  4. Isolated and remote communities.
  5. People 80 years of age or older.
  6. People 70 to 79 years of age.
  7. People 60 to 69 years of age.
  8. Adults under 60 years of age who have a chronic disease or health problem that increases the risk of complications of COVID‑19.
  9. Adults under 60 years of age who do not have a chronic disease or health problem that increases the risk of complications, but who provide essential services and have contact with users.
  10. The rest of the adult population.

Further vaccine trial data is required before the Quebec government can decide whether or when to vaccinate children.

Vaccination against COVID-19 is not mandatory in Quebec and the vaccines are free of charge for those who choose to take it.[63]

Other categories[edit]

Initially, in accordance with the precautionary principle, Quebec did not allow for the vaccination of pregnant women. However, in April 2021, calls for the vaccination of pregnant women, including from the Society of Obstetricians and Gynaecologists of Canada, began to increase.[64] Many gynecologists argued that pregnant women should be prioritized, as they are more likely to experience severe health complications after contracting COVID-19. They pointed to the situation in Toronto, wherein more than half of patients in intensive care in some hospitals are pregnant women.[65] In light of these recommendations, the Quebec government modified its position on April 28, allowing pregnant women to be vaccinated.[66]

According to some experts, Indigenous Canadians and prisoners should be considered as priority groups.[67]

Graphs[edit]

Daily doses[edit]

Total doses[edit]

Percentage of the population vaccinated[edit]

See also[edit]

Notes[edit]

  1. ^ Categories are not mutually exclusive

References[edit]

  1. ^ a b "COVID-19 Tracker Canada - Vaccination Tracker". covid19tracker.ca.
  2. ^ Bélair-Cirino, Marco; Riopel, Alexis; Cousineau, Marie-Eve (25 November 2020). "Des millions de Québécois à vacciner". Le Devoir. Retrieved 2021-03-23.
  3. ^ Riopel, Alexis (25 November 2020). "Vaccination: Montréal en attente de détails du provincial et du fédéral". Le Devoir. Retrieved 2021-03-23.
  4. ^ Larin, Vincent (2020-11-26). "COVID-19: Québec désigne son «général» pour l'opération de vaccination". Le Journal de Québec. Retrieved 2021-03-23.
  5. ^ Morrissette-Beaulieu, Félix (2020-12-08). "Changement de garde à la tête de la campagne de vaccination québécoise". Radio-Canada. Retrieved 2021-03-23.
  6. ^ Presse, La (2020-12-04). "Vaccination au Québec: Des étudiants et des professionnels de la santé en renfort". La Presse. Retrieved 2021-03-24.
  7. ^ "Conférence de presse de M. François Legault, premier ministre". Assemblée Nationale du Québec. Gouvernement du Québec. 2020-12-10. Archived from the original on 2021-01-08. Retrieved 2021-01-08. We know that we'll get 57,000 boxes, which means 55,000 doses, before January 4th
  8. ^ "Authorization of Pfizer-BioNTech COVID-19 Vaccine with English-only Carton and Vial Labels". Recalls and safety alerts. The Government of Canada. 2020-12-12. Archived from the original on 2020-12-12. Retrieved 2021-01-08.
  9. ^ Radio-Canada (2020-12-13). "Les premières doses du vaccin contre la COVID-19 sont arrivées au Canada". Radio-Canada. Retrieved 2021-03-23.
  10. ^ Forani, Jonathan; Aiello, Rachel (2020-12-14). "'V-Day': First COVID-19 vaccines administered in Canada". CTV News. Archived from the original on 2021-01-05. Retrieved 2021-01-08.
  11. ^ Morrissette-Beaulieu, Félix (2020-12-14). "COVID-19 : Gisèle Lévesque devient la première personne vaccinée au Canada". Radio-Canada. Retrieved 2021-03-24.
  12. ^ Proulx, Boris; Crête, Mylène (2020-12-29). "Lent décollage pour la vaccination au Québec". Le Devoir (in French). Retrieved 2021-04-21.
  13. ^ "Authorization of Moderna COVID-19 Vaccine with English-only Vial and Carton Labels". Recalls & alerts. The Government of Canada. 2020-12-23. Archived from the original on 2021-01-05. Retrieved 2021-01-08.
  14. ^ "Quebec receives first shipment of Moderna COVID-19 vaccine". CBC News. 2020-12-31. Archived from the original on 2021-01-03. Retrieved 2021-01-08.
  15. ^ "Données sur la COVID-19 au Québec".
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  25. ^ "'We're seeing the beginning of a third wave' of COVID-19, says Legault, as he receives his vaccine". CTV News. 2021-03-26. Retrieved 2021-04-18.
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  29. ^ Prévost, Hugo (2021-04-20). "Le gouvernement Legault offrira le vaccin AstraZeneca aux 45 ans et plus dès mercredi" (in French). Radio-Canada. Archived from the original on 2021-04-20. Retrieved 2021-04-20.
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  32. ^ "Files d'attente avant l'aube pour le vaccin d'AstraZeneca" (in French). Le Devoir. 2021-04-21. Retrieved 2021-04-21.
  33. ^ Olivier, Annabelle (2021-04-23). "Walk-in clinics in Montreal close after successful AstraZeneca vaccination blitz". Global News. Retrieved 2021-04-24.
  34. ^ "Fin de la campagne de vaccination sans rendez-vous à Montréal" (in French). Radio-Canada. 2021-04-23. Retrieved 2021-04-24.
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  39. ^ Luft, Amy; Caruso-Moro, Luca (2021-04-27). "Quebec woman dies following AstraZeneca vaccine, public health director confirms". CTV News. Retrieved 2021-04-27.
  40. ^ Wilton, Katherine (2021-04-28). "Pregnant Quebecers can register for a COVID-19 vaccination". Montreal Gazette. Retrieved 2021-05-02.
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  43. ^ https://www.canada.ca/en/public-services-procurement/services/procuring-vaccines-covid19.html
  44. ^ "Health Canada approves Pfizer's COVID-19 vaccine". thestar.com. December 9, 2020.
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  48. ^ Tasker, John Paul (February 26, 2021). "Health Canada approves AstraZeneca's COVID-19 vaccine". CBC. Retrieved March 22, 2021.
  49. ^ "Shoppers Drug Mart marks historic COVID-19 milestone with first vaccine in pharmacy in Ontario". Newswire. Retrieved March 22, 2021.
  50. ^ Zimonjic, Peter (September 17, 2020). "Drug and vaccine authorizations for COVID-19: List of authorized drugs, vaccines and expanded indications March 3, 2021". AEM. Retrieved March 22, 2021.
  51. ^ "Medicago and GSK start Phase 3 trial of adjuvanted COVID-19 vaccine candidate". Retrieved March 22, 2021.
  52. ^ Crête, Mylène (2020-12-30). "Québec garde des doses du vaccin en réserve". Le Devoir (in French). Retrieved 2021-04-21. J’ai demandé au Dr Arruda, avec certaines autres provinces, […] de voir si on pouvait continuer à forcer la main à Pfizer pour libérer ces doses-là.
  53. ^ "Stratégie de vaccination contre la COVID-19 : report de la 2e dose en contexte de pénurie" (PDF). INSPQ (in French). Gouvernement du Québec. 2020-12-18. Archived from the original (PDF) on 2021-01-04. Retrieved 2021-01-14. [...] la stratégie qui devrait prévenir le plus grand nombre de cas serait d’offrir le plus rapidement possible une 1re dose de vaccin aux personnes figurant dans les six premiers groupes prioritaires.
  54. ^ Messier, François (2021-01-08). "Report de la deuxième dose des vaccins : Ottawa met en doute la stratégie de Québec" (in French). Radio-Canada. Archived from the original on 2021-04-20. Retrieved 2021-04-20.
  55. ^ Kovac, Adam (2021-01-11). "Pfizer could withdraw vaccine supply from Quebec if two-dose schedule not followed: Legault". CTV News. Archived from the original on 2021-01-13. Retrieved 2021-01-11.
  56. ^ "Archived 5: NACI rapid response: Extended dose intervals for COVID-19 vaccines to optimize early vaccine rollout and population protection in Canada [2021-03-03]". The National Advisory Committee on Immunization. Government of Canada. Retrieved 2021-04-17.
  57. ^ "Quatre mois maximum entre deux doses de vaccin, recommande le comité fédéral | Coronavirus". Radio-Canada.ca (in French). Retrieved 2021-04-12.
  58. ^ Duchaine, Hugo. "Des deuxièmes doses déjà reçues en CHSLD". Le Journal de Montréal. Retrieved 2021-04-15.
  59. ^ Riopel, Alexis; Cousineau, Marie-Eve (2021-04-22). "Québec forcé d'interchanger les vaccins en CHSLD" (in French). Le Devoir. Retrieved 2021-05-03.
  60. ^ "Avis intérimaire sur l'utilisation des vaccins à ARN messager contre la COVID-19" (PDF). INSPQ (in French). Gouvernement du Québec. Archived from the original (PDF) on 2021-05-03. Retrieved 2021-05-03. Lors de l’administration de la 2e dose du vaccin contre la COVID-19, si le même vaccin utilisé lors de la première dose n’est pas disponible sur place ou si le vaccin donné lors de la première dose est inconnu, il faut administrer dans la mesure du possible cette deuxième dose avec un type de vaccin similaire
  61. ^ "Avis préliminaire sur les groupes prioritaires pour la vaccination contre la COVID-19 au Québec". INSPQ. 7 December 2020. Retrieved 23 March 2021.
  62. ^ "Avis préliminaire sur les groupes prioritaires pour la vaccination contre la COVID-19 au Québec : AVIS DU COMITÉ SUR L'IMMUNISATION DU QUÉBEC" (PDF). INSPQ. November 2020. Retrieved 23 March 2021.
  63. ^ "Progress of the COVID-19 vaccination". Gouvernement du Québec. Retrieved 2021-01-08.
  64. ^ POLIQUIN, V; CASTILLO, E; BOUCOIRAN, I; WATSON, H; YUDIN, M; MONEY, D; VAN SCHALKWYK, J; ELWOOD, C. "SOGC Statement on COVID-19 Vaccination in Pregnancy" (PDF). The Society of Obstetricians and Gynaecologists of Canada. Archived from the original (PDF) on 2021-04-23. Retrieved 2021-05-02.
  65. ^ Paré, Isabelle (2021-04-21). "Le vaccin contre la COVID-19, un casse-tête pour les femmes?" (in French). Le Devoir. Archived from the original on 2021-04-22. Retrieved 2021-04-22. Des médecins gynécologues inquiets appellent quant à eux à plutôt vacciner en urgence les femmes enceintes, compte tenu des complications graves observées récemment ailleurs au Canada. Samedi, dans certains hôpitaux de Toronto, plus de la moitié des malades admis aux soins intensifs étaient des femmes enceintes.
  66. ^ Wilton, Katherine (2021-04-28). "Pregnant Quebecers can register for a COVID-19 vaccination". Montreal Gazette. Retrieved 2021-05-02.
  67. ^ Krugel, Lauren (24 December 2020). "Les détenus devraient recevoir le vaccin rapidement, selon des experts". Le Devoir. Retrieved 2021-04-09.
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