Ontario wasted millions of COVID-19 vaccine doses after overestimating booster demand, auditor report finds
Ontario wasted 38 per cent of COVID-19 vaccine doses between February and June because it overestimated demand for boosters, said the province's auditor, who also found the government ran a disorganized booking system and doesn't fully track adult vaccinations.
Auditor general Bonnie Lysyk said in her annual report Wednesday that overall COVID-19 vaccine wastage is nine per cent, or 3.4 million doses. About half of that could have been avoided with better forecasting of demand.
Wastage rates varied quite a bit between public health units, and one private company wasted 57 per cent of its supply between May 2021 and May 2022, but the province hasn't determined the causes, Lysyk said.
The auditor also said the province's COVID-19 vaccine communication strategy was not always effective.
"It was disorganized, inconsistent and lacking detail about the benefits of COVID-19 vaccines and vaccination, suggesting that Ontarians may not have been as well informed as possible in their decision-making," Lysyk wrote.
"The Ministry did not always provide clear information on whether to get additional vaccine doses and did not effectively combat misinformation about the vaccine. Health experts informed us that they believed the government's communication approach sometimes undermined public confidence in vaccination."
She also identified problems with the system for booking vaccination appointments, as the province created its own portal but about half of public health units are using their own, while some hospitals, pharmacies and private companies are using their own methods as well.
"Multiple booking systems also encouraged Ontarians to 'vaccine shop' by registering for multiple appointments to try to get either the quickest appointment or a specific vaccine brand," Lysyk wrote in the report.
"The continued absence of a centralized booking system (as of August 2022) increases the likelihood of unnecessary wastage continuing into the future since such no-show appointments can result in more wasted doses of vaccine."
Multiple bookings led to about 227,000 no-shows in 2021 in the provincial booking system alone, the auditor found, which likely contributed to vaccine wastage.
The lack of a centralized booking system also led to inconsistent controls and checks to ensure that when bookings were opened up to particular groups, such as health-care workers or immunocompromised people, only those eligible were actually making appointments, Lysyk found.
Family doctors were underutilized in the vaccine rollout, Lysyk found, noting that the compensation structure provided a disincentive for them to administer shots in their own offices.
Physicians were paid between $170 and $220 an hour by the government to work at vaccination sites operated by a public health unit or a hospital, while doctors were paid just $13 per dose to vaccinate in their own offices.As well, Lysyk found that physicians at clinics were paid much higher rates to administer shots than nurses, who were paid between $32 and $49 an hour, and pharmacists, who were paid between $30 and $57 per hour.
The Ministry of Health conducted a study of procedures and effectiveness at nine mass immunization clinics between the summer of 2021 and December of that year and finalized the study this July, Lysyk wrote, but did not share results with public health units to help them plan for the rollout of the bivalent vaccines this fall.
As well, the auditor says that despite the Ministry of Health saying in 2014 that it was going to expand a system used for tracking student vaccinations to keep vaccine records for all Ontarians, that has not happened.
Lysyk found that contracts for goods and services related to COVID-19 were timely given the urgency of the pandemic, but better co-ordination could have reduced some costs.
About $18.7 million was paid to private companies for underutilized mobile COVID-19 testing, the auditor found.
"Vendors were paid a guaranteed minimum daily payment to cover overhead costs even if a minimum number of COVID-19 tests were not performed," Lysyk wrote in the report.
One vendor charged its guaranteed minimum daily payment of $8,255 whether zero tests or 250 tests were performed in a day, the report said.
The audit identified 105 instances, representing $800,000, in which vendors got their guaranteed minimum daily payment despite testing no one that day.
Lysyk also pinpointed issues with contracts elsewhere, finding the Liquor Control Board of Ontario's IT procurement processes don't always follow the agency's own policies.
The LCBO awarded $108 million in sole-sourced IT contracts above the dollar value that should trigger a competitive process, she wrote. That represents 42 per cent of all IT contract spending over a three-year period the auditor examined.
The auditor reviewed a sample of 12 of those contracts and found that while all had business cases attached, none of those documents provided sufficient information to justify a non-competitive process.
"The LCBO explained that non-competitive contracts were more common for IT procurement due to existing legacy systems and because of proprietary rights in software," Lysyk wrote.
This report by The Canadian Press was first published Nov. 30, 2022.
CTVNews.ca Top Stories
Montreal man on the hook for thousands of dollars after a feature on his Tesla caused an accident
A Montreal man is warning Tesla drivers about using the Smart Summon feature after his vehicle hit another in a parking lot.
B.C. man wants homes for thousands of books he soon won't be able to read
In the 10 years since John William started to lose his vision, he's been finding new ways to enjoy his vast personal library.
Israel closes Gaza crossing after Hamas attack and vows military operation 'in the very near future'
Israel closed its main crossing point for delivering badly needed humanitarian aid for Gaza on Sunday after Hamas militants attacked it, reportedly wounding several Israelis, while the defense minister warned of "a powerful operation in the very near future in Rafah and other places across all of Gaza."
No proof man lied to brother about number of kittens born in litter, B.C. tribunal rules
A man was denied a $5,000 payout from his brother after a B.C. tribunal dismissed his claim disputing how many kittens were born in a litter.
Mystik Dan wins the 150th Kentucky Derby at Churchill Downs in a three-horse photo finish
Mystik Dan won the 150th Kentucky Derby in a photo finish, edging out Forever Young and Sierra Leone for the upset victory.
opinion You don't need to be an influencer to earn income from social media
How legitimate are claims by some content creators that the average person can earn passive income from social media platforms like TikTok and Instagram? Personal finance columnist Christopher Liew says it's quite possible, if you're willing to put in the initial time and effort.
Denial and uncertainty are looming over a Biden-Trump rematch 6 months out from U.S. Election Day
Exactly six months before Election Day, Biden and Trump are locked in the first contest in 112 years with a current and former president competing for the White House. It's a race that is at once deeply entrenched and highly in flux as many voters are only just beginning to embrace the reality of the 2024 campaign.
Bombarded with spam texts? Stats show the problem is getting worse in Canada
In particular, messages that involve phishing — an attack where a scammer tries to trick the recipient into clicking a malicious link, downloading malware or sharing sensitive information — are on the rise.
William Shatner says he would consider 'Star Trek' return: 'Here comes Captain Kirk!'
The Montreal-born actor, famed for his portrayal of Captain Kirk in "Star Trek," says he is open to reprising the iconic role in the sci-fi franchise as long as the storytelling is stellar.