Ontario's fractured vaccine booking system is complex, but gets job done: experts
Ontario's vaccine booking system has been described as complex, fractured, and frustrating, but as first-dose uptake tops 75 per cent, experts say it's getting the job done.
The government's vaccine booking portal isn't accessible in all regions, pharmacies manage their own appointments outside that system, and pop-up clinics can generate long lines.
Many have complained about the system but observers say that despite its faults, it is generating results.
Dr. Peter Juni, scientific director of Ontario's COVID-19 Science Advisory Table, said he's "extremely grateful" to residents for persevering.
"It may be frustrating, sometimes it may be less than ideal, that you have to queue, that you have to wait, but I think we have to look at this from the perspective of the glass being half full," said Juni.
"We're at such a critical crossroads because of the Delta variant, we just need to help each other, leverage our sense of community and sense of service."
Timothy Sly, an epidemiologist and professor emeritus at Ryerson University's School of Occupational and Public Health, said he was initially skeptical of Ontario's capacity to quickly get its population vaccinated. The rollout, he said, exceeded his expectations even as the experience for many has been arduous.
"It's good that we did manage those numbers but at the cost of a lot of people being confused and frustrated en route," he said. "It could have been done much more effectively."
Shiran Isaacksz, a co-lead on Toronto's mobile vaccine rollout, said the province's multiple avenues to booking a shot offer flexibility.
"Just using a portal, or just using a pop-up doesn't satisfy all the various challenges people have in accessing the vaccine. So we do need multiple options and variety," he said.
An issue with having all those options, he, said, is that the urgency of the vaccination campaign generates anxiety among people who worry that they're not getting their shot at the very earliest opportunity.
Without a central place to look at all the various options, it can be hard to know whether you're waiting longer than necessary to get jabbed.
It's taken a grassroots effort to attempt to fill that void. Vaccine Hunters, a volunteer-run website and Twitter account that aggregates appointment availability, has been embraced by politicians local, provincial and federal alike.
But not all problems caused by the disjointed system are so easily solved.
Some residents who are moving up their appointment for a second dose have reported having a hard time cancelling their original slots. The process isn't automatic for new bookings made outside the provincial portal, such as at pharmacies.
Last week, residents who became eligible for faster second doses also expressed frustration at only finding available appointments outside their home communities amid immense demand.
Some of the failings have also been to do with communication, said Emily Musing, vice-president clinical and chief patient safety officer at the University Health Network.
"There are a lot of balls in the air, a lot of factors that have led to the concerns and confusion," she said.
Priorities in vaccination have shifted over the months, from residents of long-term care homes to those who live in hot spots.
All of that happens quickly, at the same time that supply levels fluctuate and guidance about dosing intervals changes. For Oxford-AstraZeneca recipients, for instance, the province recently allowed a second shot to be booked after eight weeks rather than 12 after public pressure.
"All of those things lead to difficulty and complications and trying to communicate a clear story to the public," Musing said.
Paired with valid complaints early in the rollout -- mostly to do with low supply -- it can be easy to malign the process, she said.
The province was slower than others to launch its booking system, though it's since picked up the pace.
And it was criticized by its own scientific advisers for distributing vaccines per capita, instead of diverting them to hot spots during most of the pandemic's deadly third wave. The government ended up sending half its supply to hot spots for two weeks in early May, before returning to the per capita model.
Even earlier in the pandemic, some doctors in rural or remote areas complained that they weren't able to get the jab as quickly as their urban counterparts.
Data from Public Health Ontario now shows that as of June 12, there were no significant differences among public health units when it comes to vaccine coverage.
Musing said that ultimately, Ontario's vaccine rollout is a success story.
Ontario is ahead of or on par with the other provinces in terms of vaccination rates. Just over 24 per cent of the population had been fully vaccinated as of Monday, while more than 76 per cent had received an initial dose.
And unlike Manitoba and Alberta, Ontario hasn't implemented lottery-style incentives.
The United States, meanwhile, has only seen 53 per cent of people receive at least one dose, though 45 per cent of the population is fully vaccinated, per the Centers for Disease Control.
"At this point, we do have access to supply, we also have information out there, which I think has helped with vaccine hesitancy," Musing said. "Those are all helpful things to get us to continue to move forward."
-- With files from John Chidley-Hill.
This report by The Canadian Press was first published June 22, 2021.
CTVNews.ca Top Stories
What is whooping cough and should Canadians be concerned as Europe declares outbreak?
There is currently a whooping cough epidemic in Europe, with 10 times as many cases compared to the previous two years. While an outbreak has not been declared nationwide in Canada, whooping cough is regularly detected in the country.
Ontario Provincial Police arrest 64 suspects in child sexual exploitation investigation
Ontario Provincial Police say 64 suspects are facing a combined 348 charges in connection with a series of child sexual exploitation investigations that spanned the province.
'Summer of discontent': Federal unions vow to fight new 3-day a week office mandate
Federal unions are launching legal challenges and encouraging public sector workers to file "tens of thousands" of grievances over the new mandate requiring federal workers to return to the office at least three days a week in the fall.
Watch fighter jet pilots pummel fake enemy ship off coast of Philippines
The United States and Philippines held annual joint-training drills just off the Southeast Asian nation’s western coast on Wednesday. Military forces sunk a 'mock' enemy warship – the BRP Lake Caliraya, which was a decommissioned tanker made in China.
U.S. presidential candidate RFK Jr. had a brain worm, has recovered, campaign says
Independent U.S. presidential candidate Robert F. Kennedy Jr. had a parasite in his head more than a decade ago, but has fully recovered, his campaign said, after the New York Times reported about the ailment.
'Ozempic babies': Reports of surprise pregnancies raise new questions about weight loss drugs
Numerous women have shared stories of 'Ozempic babies' on social media. But the joy some experience in discovering pregnancies may come with anxiety about the unknowns.
Rookie goalie Arturs Silovs to start for Canucks in Game 1 vs. Oilers
Rookie goalie Arturs Silovs will start in net for the Canucks as Vancouver kicks off a second-round series against the Edmonton Oilers Wednesday night.
OPINION What King Charles' schedule being too 'full' to accommodate son suggests
Prince Harry, the Duke of Sussex, has made headlines with his recent arrival in the U.K., this time to celebrate all things Invictus. But upon the prince landing in the U.K., we have already had confirmation that King Charles III won't have time to see his youngest son during his brief visit.
TSB concludes investigation into cause of London, Ont. freight train fire
More than two weeks after a freight train with several railcars ablaze rolled through the heart of the Forest City, the Transportation Safety Board (TSB) has concluded its investigation.