CBC Newfoundland and Labrador
H1N1 Immunization

The Plans:

N.L. Government

N.L. Government
Nov. 20 - Effective immediately, all individuals will be eligible to receive the H1N1 vaccine, the Honourable Jerome Kennedy, Minister of Health and Community Services, announced today. Students in Grades 10 to 12 will receive the vaccine beginning next week within the school system, where possible. Beginning this afternoon, and for today only, Eastern Health and Central Health will extend operating hours at mass immunization clinics to offer the vaccine to the general public. After today, Eastern and Central clinics will reopen on Monday. Western Health and Labrador-Grenfell Health will hold mass immunization clinics tomorrow. After tomorrow, these clinics will reopen on Monday as well. All clinics will operate on a first-come, first-served basis, and will use a numbering system. For specific details regarding clinic locations and times, please visit Regional Health Authorities websites.
Nov. 16 - Beginning Monday, November 16, all individuals up to but not including 65 years of age with a chronic medical illness will be eligible to receive the H1N1 vaccine at mass immunization clinics throughout the province, the Honourable Jerome Kennedy, Minister of Health and Community Services.
Nov. 13 - The Honourable Jerome Kennedy, Minister of Health and Community Services, announced today that effective immediately all post-transplant patients will now be offered the H1N1 vaccine. Minister Kennedy also added that discussions are in progress on the use of the unadjuvanted vaccine, which was approved by the Federal Government earlier today, and further details will be announced in the next 24 to 48 hours.
The following groups will be added to the priority groups for H1N1 vaccination beginning on Thursday, November 5. These new groups include: Hospital in-patients less than 65 years of age with one or more chronic health conditions; Expansion of school-aged children from Kindergarten to Grade three; Individuals between the ages of 25 and up to, but not including, 40 with chronic respiratory disease such as asthma, chronic bronchitis, chronic obstructive pulmonary disease (COPD) or cystic fibrosis. Eligibility will require proof of active treatment of the disease (e.g. Prescription, labeled medication, insurance forms, etc.); and, Individuals undergoing active cancer treatment (chemotherapyor radiation) and transplant patients (including pre-transplant patients on a wait list and directed by their physician to receive the vaccine and post transplant patients in the last two years).
N.L. Government: Surveillance Summary
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Eastern Health

Eastern Health: Dec. 7-12 Clinic Schedules
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Eastern Health: Nov. 26-28 Clinic Schedules, including extended hours
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Eastern Health: Nov. 25-28 Clinic Schedules, including extended hours
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Eastern Health: Nov. 23-27 School Clinic Schedules including MUN
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Eastern Health: Nov. 20 Clinic Schedules, including extended hours
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Eastern Health: Flu Assessment Clinic Closes
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Eastern Health: Nov. 18-24 School Schedule Grades 4-6, 7-9
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Eastern Health: Nov. 18-20 Clinic Schedule
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Eastern Health: Nov. 16-17 Updated Clinic Schedule
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Eastern Health: Nov. 13 Updated Clinic Schedule
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Eastern Health: Nov. 12-14 Clinic Schedule
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Eastern Health: Nov. 10 Clinic Schedule
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Eastern Health: Nov. 7-9 Clinic Schedule
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Eastern Health: Nov. 5 Clinic & School Schedule
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Eastern Health: Nov. 4 Clinic Schedule
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Eastern Health: Nov. 2 Schedule Adjustment
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Eastern Health: Nov. 1 Schedule Revising New Criteria
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Eastern Health: Oct. 30 Visitor Restrictions
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Eastern Health: Oct. 29 New High-Risk Immunization Plan
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Eastern Health: Oct. 28 Immunization Plan
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Eastern Health
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Central Health

Central Health Dec. 7 Clinic Schedule
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Central Health Nov. 20 Clinic Schedule
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Central Health Nov. 16-17 Clinic Schedule
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Central Health Nov. 12-14 Clinic Schedule
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Central Health Nov. 4 Pandemic Update
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Central Health Nov. 1 New Criteria
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Central Health Oct. 29 Immunization Schedule
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Central Health
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Western Health

Western Health: Dec. 7-11 Clinic Schedule
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Western Health: Nov. 23-25 Clinic Schedule
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Western Health: Nov. 20 Clinic Schedule
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Western Health: Nov. 19-20 School Schedule
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Western Health: Nov. 18-19 Clinic Schedule
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Western Health: Immunization for Schools Nov. 16-17 Schedule
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Western Health: Nov. 12-17 Clinic Schedule
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Western Health: Nov. 8 Updated Schedule
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Western Health: Nov. 4 Updated Schedule
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Western Health: Oct. 31 Updated Criteria
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Western Health: Oct. 30 New High-Risk Immunization Plan
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Western Health: Public Immunization
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Western Health
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Western Health: Visitation Restrictions
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Labrador-Grenfell Health

Labrador-Grenfell Health Dec. 8-10 Clinic Schedule
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Labrador-Grenfell Health Nov. 21-22 Clinic Schedule
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Labrador-Grenfell Health Nov. 16-18 Clinic Schedule
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Labrador-Grenfell Health Nov. 12-13 Clinic Schedule
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Labrador-Grenfell Health Nov. 9 Clinic Schedule
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Labrador-Grenfell Nov. 5/6 H1N1 Schedule for Priority Groups

Happy Valley-Goose Bay
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Labrador City
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Southern Labrador/Northern Peninsula
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Labrador-Grenfell Health Nov. 4 Pandemic Update
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Labrador-Grenfell Health Nov. 1 New Criteria
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Labrador-Grenfell Health adds weekend clinics
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Labrador-Grenfell Health Update Oct. 29
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Labrador-Grenfell Health Oct. 29 Immunization Schedule
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Labrador-Grenfell Health
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Schools

Eastern School District
Eastern School District Nov. 13 H1N1 Immunization Schedule
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Vaccinations will will take place in 7 schools in the St. John's Metro region on Thursday, November 5, 2009. These schools include: Baltimore School, Hazelwood Elementary, Holy Trinity Elementary, Mary Queen of Peace, Paradise Elementary, St. Edward's Elementary, and St. Matthew's Elementary. On Thursday, vaccinations will also take place in 10 schools in Avalon West Region, seven schools in Burin Region and five schools in Vista Region.

The remaining schools will be done on Friday, November 6; Monday, November 9; and Tuesday, November 10 for all primary aged students. A full schedule is available on the Eastern School District website: www.esdnl.ca. Schools will also be notifying parents of the vaccination schedule for their students.

Parents are reminded to return their completed H1N1 vaccination consent form to their child's classroom teacher.

Eastern School District Nov. 5 H1N1 Immunization Schedule
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Western School District Nov. 5 H1N1 Immunization Schedule
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Nova Central School District Nov. 4 H1N1 Immunization Schedule
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Labrador School District Nov. 5 H1N1 Immunization Schedule
Students attending Peacock Primary (Happy Valley-Goose Bay) and A.P. Low Primary (Labrador City) will receive the H1N1 vaccination Nov. 5.
Conseil Scolaire Francophone
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Current Stories

Newfoundland & Labrador Timeline:

June 13, 2009
Newfoundland and Labrador officially records its first case of swine flu, becoming the final Canadian province to report an incidence of the disease. The case involves a sample collected from a young adult male who was treated Thursday at the hospital in Grand Falls-Windsor. Officials say they know there were cases already in the province, but it was the first case tested and confirmed as positive.
June 17, 2009
The Newfoundland and Labrador Health Department confirms the province's second and third cases of H1N1 influenza in two children from the same family, both under the age of five.
June 23, 2009
There are now eight confirmed cases of H1N1 flu virus in the province, including one case at the Hoyles Escasoni Complex - a long-term care facility in St. John's.
July 16, 2009
Provincial health officials confirms 45 cases of H1N1 flu in all four health regions.
July 24, 2009
The Newfoundland and Labrador government announces it is working on a plan to carry out a mass immunization against H1N1 flu this fall.
August 11, 2009
As of early August, health officials confirms more than 75 cases of swine flu in Newfoundland and Labrador since the epidemic began. The province orders more than 780,000 doses and plans to carry out a mass vaccination program when the H1N1 influenza vaccine is available in the fall.
August 27, 2009
The Newfoundland and Labrador government announces an intensive hand-washing campaign aimed at schoolchildren in the hopes of getting a jump on an outbreak of H1N1 flu. Three people have been hospitalized with swine flu in the province and there have been more than 100 confirmed cases.
October 20, 2009
Seven new cases of swine flu in one week prompt the provincial government to make its stockpile of anti-viral medication to fight H1N1 influenza available to doctors.
October 21, 2009
Provincial Health Minister Jerome Kennedy announces in a release that a voluntary, province-wide immunization program will begin the week of Oct. 26.
October 22, 2009
Provincial health authorities announce plans for mass immunization.

Definitions (derived from the Public Health Agency of Canada website www.phac-aspc.gc.ca)

Influenza
Influenza, commonly known as the flu, is a respiratory infection that is caused by a virus.
H1N1
H1N1 is a strain of the influenza virus that in the past, usually only affected pigs. In Spring 2009, it emerged in people in North America. This is a new strain of influenza and because humans have little to no natural immunity to this virus, it can cause serious and widespread illness. The majority of Canadian cases of H1N1 Flu Virus have experienced mild illness and have recovered at home. Overall, the World Health Organization is describing this pandemic as moderate.
Vaccine
A vaccine is any preparation intended to produce immunity to a disease by stimulating the production of antibodies. Vaccines are the primary means to prevent illness and death from influenza.
Adjuvanted vs. nonadjuvanted vaccination
An adjuvanted vaccine is a vaccine that includes a substance that boosts an individual's immune system and increases their response to a vaccine. An unadjuvanted vaccine has no "booster" element.
Antiviral
Antivirals are drugs used for the prevention and early treatment of influenza. Early research indicates that there are two prescription antiviral drugs, Tamiflu and Relenza that are effective in treating the H1N1 Flu Virus.
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