#COVID-19: Comparing provinces with other countries 14 April Update

The latest charts, compiled 14 April as the third wave has started.

Vaccinations: Overall, Canada and most provinces ahead of or comparable to EU countries.

Trendline charts

Infections per million: Overall steady increase of infections in most provinces with Alberta and Ontario showing steeper increases but still much better than G7 less Canada.

Deaths per million: No major changes.

Vaccinations per million: Significant shift with most Canadian provinces being slightly better than most EU countries.

Weekly

Infections per million: No relative changes.

Deaths per million: Philippines slightly ahead of India

#COVID-19: Comparing provinces with other countries 31 March Update

The latest charts, compiled 7 April as the third wave has started.

Vaccinations: Change from last week: Some Canadian provinces doing slightly better than EU countries. Quebec ahead of France, Ontario ahead of Germany, British Columbia and Canada ahead of Sweden,  Prairies ahead of Alberta.

Trendline charts

Infections per million: Overall steady increase of infections in most provinces but better than G7 less Canada.

Deaths per million: No major changes.

Vaccinations per million: While the gap between G7 and Canada remains, the rate has largely approached other G7 countries. Of note is the increase in vaccination rates of immigration source countries (China and India).

Weekly

Infections per million: Some minor shifts: Alberta ahead of Germany, Canada ahead of Prairies.

Deaths per million: No relative change.

#COVID-19: Comparing provinces with other countries 31 March Update

The latest charts, compiled 31 March, in the context of a likely third wave.

Vaccinations: Change from last week: Slight decline in gap between EU countries and Canadian provinces. USA overall ahead of California, New York, France and Quebec ahead of Germany, Ontario ahead of Sweden but Sweden ahead of Canada and Canada less Quebec, British Columbia ahead of Alberta and Prairies.

Trendline charts

Infections per million: The previous trend of a flattening curve is seen in G7 countries and most provinces appears to be changing for the worse.

Deaths per million: Most Canadian provinces continue to flatten the curve, Quebec most dramatically. Overall G7 death rate continue to surpass Quebec’s by an increasing margin.

Vaccinations per million: While the gap between G7 and Canada remains despite the arrival of more vaccines, one can see that Canadian provinces have been ramping up. The increase in vaccination rates of immigration source countries driven by China and India.

Weekly

Infections per million: Some minor shifts: New York ahead of USA and California, Germany ahead of Alberta.

Deaths per million: No relative change.

#COVID-19: Comparing provinces with other countries 17 March Update

The latest charts, compiled 24 March.

Vaccinations: The gap between all G7 countries save Japan continues to grow, all European countries ahead of Canada with no significant narrowing yet of the gap.

Trendline charts

Infections per million: The overall trend of a flattened curve is seen in G7 countries and most provinces.

Deaths per million: Most Canadian provinces continue to flatten the curve, Quebec most dramatically. Overall G7 death rate continue to surpass Quebec’s.

Vaccinations per million: While the gap between G7 and Canada remains despite the arrival of more vaccines, one can see that Canadian provinces have been ramping up.

Weekly

Infections per million: Some minor shifts: New York ahead of USA, France ahead of UK,Prairies ahead of Canada.

Deaths per million: Canadian North ahead of Australia (reflecting increase in deaths from 1 to 4 in Nunavut.

#COVID-19: Comparing provinces with other countries 17 March Update

The latest charts, compiled 17 March.

Vaccinations: The gap between all G7 countries save Japan continues to grow, all European countries ahead of Canada with no narrowing yet of the gap.

Trendline charts

Infections per million: The overall trend of a flattened curve is seen in G7 countries and most provinces.

Deaths per million: Most Canadian provinces continue to flatten the curve, Quebec most dramatically. Overall G7 death rate have surpassed Quebec’s.

Vaccinations per million: Gap between G7 and Canada remains despite the arrival of more vaccines.

Weekly

Infections per million: No relative change.

Deaths per million: No relative change 

#COVID-19: Comparing provinces with other countries 10 March Update

The latest charts, compiled 10 March (note international vaccination data is latest available). One year after the start of Canadian lockdowns.

Vaccinations: The gap between all G7 countries save Japan continues to grow, all European countries slightly ahead of Canada with no narrowing yet of the gap.

Trendline charts

Infections per million: The overall trend of a flattening curve is seen in G7 countries with limited flattening in Canada.

Deaths per million: Most Canadian provinces continue to flatten the curve, Quebec most dramatically. Overall G7 death rate surpassing Quebec.

Vaccinations per million: Gap between G7 and Canada continues to grow despite the arrival of more vaccines.

Weekly

Infections per million: No relative change.

Deaths per million: No relative change 

#COVID-19: Comparing provinces with other countries 3 March Update

The latest charts, compiled 3 March (not international vaccination data is latest available).

Vaccinations: The gap between all G7 countries save Japan continues to grow, all European countries slightly ahead of Canada.

Trendline charts

Infections per million: The overall trend of a flattening curve is seen in G7 countries and most provinces save for the Prairies and British Columbia.

Deaths per million: Most Canadian provinces continue to flatten the curve, Quebec most dramatically. Overall G7 death rate at point of surpassing Quebec.

Vaccinations per million: Gap between G7 and Canada, driven not only by the UK and USA, remains largely unchanged.

Weekly

Infections per million: No relative change.

Deaths per million: California ahead of Sweden and Quebec, Sweden ahead of Quebec 

#COVID-19: Comparing provinces with other countries 24 February Update

The latest charts, compiled 24 February.

Vaccinations: The gap between all G7 countries save Japan continues to grow with the effect of increased deliveries to Canada not yet apparent.

Trendline charts

Infections per million: The overall trend of a flattening curve is seen in G7 countries and most provinces save for the Prairies and British Columbia.

Deaths per million: Most Canadian provinces continue to flatten the curve, Quebec most dramatically. Overall G7 death rate will likely surpass Quebec.

Vaccinations per million: Gap between G7 and Canada, driven not only by the UK and USA, remains largely unchanged.

Weekly

Infections per million: No relative change.

Deaths per million: California ahead of Sweden and Quebec, Sweden ahead of Quebec 

Provinces are working with outdated vaccine tracking systems, hindering national data

Canada’s patchwork system at its worst:

As Canada prepares for a massive increase in vaccine doses from abroad, some provinces and territories are using outdated technology to record their vaccination data and not fully participating in a system Ottawa created to manage infectious disease outbreaks.

The results of a Globe and Mail survey sent to every province and territory found a patchwork of systems for recording vaccine information that will be crucial in monitoring supply, adverse reactions and population immunity across the country, and for booking appointments. Some provinces reported that they had not enabled core pieces of the technology, called Panorama, that the federal government designed for campaigns like this one.

The SARS epidemic of 2003 highlighted the fact that Canada lacked a modern public-health database to manage all the information related to outbreaks of infectious diseases. Ottawa funded the creation of Panorama for all provinces and territories to use. The platform is actually a suite of technologies and databases for vaccine and infectious disease tracking. But more than a decade of delays and the increasing cost of participation led some provinces to opt out of some parts, revert to their previous systems, or adopt other technology platforms.

The end result is 13 different vaccine-tracking systems, many of which do not communicate with each other or Ottawa.

Shannon MacDonald, an adjunct professor at the University of Alberta faculty of nursing and a researcher with the Canadian Immunization Research Network, said the situation gives the federal government an incomplete picture of the national vaccine program.

“We can’t look at immunization coverage nationally,” Prof. MacDonald said. Some provinces and territories, she added, will struggle even to track their own programs.

Panorama has been in use for several years to track immunizations. The federal government obtained new technology in January to address some of the gaps, and that platform came online on Feb. 2.

Every province that responded to The Globe confirmed it has yet to plug in to the new system.

Representatives of some provinces said health officials still use paper or basic Excel spreadsheets to track vaccines and vaccinations.

The Globe survey found that Quebec, British Columbia, Yukon and Saskatchewan use Panorama, or some version of it, for various aspects of the COVID-19 vaccination campaign. Alberta, the Northwest Territories, Ontario and Manitoba have their own systems. Other provinces did not respond or did not indicate what technology they use.

In light of COVID-19, Ontario hired the accounting company Deloitte Canada to develop a new system. COVaxON, once it comes online, will manage “scheduling, client management, recording administered doses, site inventory management, receipt of vaccination” in a platform that is easy to use, Ministry of Health spokesman David Jensen wrote in response to the Globe survey.

Since December, Canada has received just over a million doses of two types of COVID-19 vaccines. In the next six weeks, four million are scheduled to arrive, and tens of millions more before the end of summer.

The shelf life and storage requirements of each vaccine must be closely monitored. Dale Hunter, a spokesperson for Saskatchewan’s Health Ministry, said the state of the province’s vaccine cold storage is “reported and tracked manually,” meaning the data are sent to the ministry via e-mail or fax. Panorama can be used to manage inventory, but several provinces and territories, including Saskatchewan, said they had not enabled that feature.

The Northwest Territories is using Excel spreadsheets and “specially trained logisticians” to ensure that “no dose is wasted,” Health Ministry spokesperson Andrea Nilson said.

Panorama includes a feature that allows health authorities to scan the barcodes on pallets and doses to keep track of the vaccines and who needs a second dose of which one. None of the provinces or territories that responded to the survey said they had enabled that feature, meaning health authorities enter the data manually.

In Ontario, government employees enter lot numbers into COVaxON when vaccine shipments arrive. Nurses and doctors who administer the vaccines can select the identifying serial numbers on their computers from a drop-down list. This helps clinics track doses both used and unused. Quebec does something similar, Health Ministry spokesperson Robert Maranda wrote.

Mr. Jensen wrote that Ontario’s system could be more efficient if the federal government provided lot numbers in advance.

Many provincial and territorial health systems are accessible on only a limited number of hospital and clinic computers, raising the question of whether they could be used more widely, such as in pop-up clinics or pharmacies.

The Globe asked provinces how they would deal with data entry for vaccinations in makeshift clinics or pharmacies. Manitoba, Alberta, Ontario and Quebec said their systems are designed to be accessible in all clinics and pharmacies. Saskatchewan reported that only public health facilities and some First Nations communities have access to Panorama. Data from pharmacies will be entered manually.

Prof. MacDonald said most provinces and territories have “good enough” systems to manage the vaccination programs. But she said that if any continue recording data with pen and paper, “we’re in a lot of trouble.”

There’s also the question of how provinces and territories will book vaccination appointments.

Alberta, British Columbia, and Saskatchewan are finalizing their booking systems. The Northwest Territories is leaving that issue to health authorities and hospitals. Booking systems for Quebec and Ontario are online.

Health authorities will need to monitor for adverse reactions and the possibility that some people who received the vaccine still contract COVID-19 – which could indicate a defective batch, a more potent variant, or that the patient is among the few for whom the vaccine is not effective.

Quebec’s system is designed to identify defective batches based on reports of adverse reactions and to notify those who received doses. Ontario is tracking adverse reactions with a system that has not been integrated into COVaxON. Saskatchewan and the Northwest Territories have not activated Panorama’s adverse-reaction module, and submit their reports manually.

The Public Health Agency of Canada is the main body responsible for monitoring adverse reactions. However, some provinces told The Globe they report to Ottawa on that manually or infrequently.

As the vaccinations continue, provinces will want to know what proportion of their population is immune at any given time. A 2016 study found the majority of provinces and territories lacked the ability to do a complete analysis of a mass vaccination campaign.

New Brunswick spokesman Shawn Berry said the province’s technology can “obtain near real-time immunization data for COVID-19 vaccinations.” Quebec said its system allows good population surveillance for infectious disease outbreaks, which includes vaccination data. While many provinces and territories that responded did not provide much detail, most told The Globe that, even if they can analyze their data, they do not automatically share the results with the federal government.

Most provinces and territories provided complete answers to the Globe survey, but British Columbia spokesman Devon Smith wrote that “confidentiality and safety” issues prevented the province from answering. Manitoba spokesman Brian Smiley said the province was unable to respond to most questions. Newfoundland and Labrador spokesperson Erin Shea indicated the province was still struggling with a recent outbreak of COVID-19 cases and could not fulfill the request. Nunavut, Nova Scotia and Prince Edward Island did not send responses.

Prof. MacDonald said the COVID-19 crisis should inspire provinces to modernize their health infrastructure. “God forbid it takes a pandemic for us to get moving on this,” she said. “But let’s make hay.”

Source: https://www.theglobeandmail.com/canada/article-provinces-working-with-outdated-vaccine-tracking-systems/

#COVID-19: Comparing provinces with other countries 17 February Update

The latest charts, compiled 17 February.

Vaccinations: The gap between all G7 countries save Japan continues to grow given the pause in deliveries to Canada, with the notable exception of the Canadian North.

Trendline charts

Infections per million: Alberta continues to be controlling the virus better than Quebec with an overall flattening of growth.

Deaths per million: While Canadian provinces are starting to flatten the curve, G7 has yet to see a flattening.

Vaccinations per million: Gap between G7 and Canada, driven not only by the UK and USA, continues to widen.

Weekly

Infections per million: No relative change.

Deaths per million: Quebec ahead of France, Japan ahead of Pakistan.