Prepare For The Future Of Ohip
As the last two years have proven, OHIP coverage after age 65 is likely to be an area of change in the future. As more Ontarians reach retirement age, the province must rethink how it delivers healthcare for them.
Whats clear is that there are gaps in the system and theyre unlikely to be closed up any time soon. Having the right supplemental health insurance can help you weather any changes to the OHIP+ program.
Effectiveness Of The Pneumococcal Vaccine
Children respond very well to the pneumococcal vaccine.
The introduction of this vaccine into the NHS childhood vaccination schedule has resulted in a large reduction in pneumococcal disease.
The pneumococcal vaccine given to older children and adults is thought to be around 50 to 70% effective at preventing pneumococcal disease.
Both types of pneumococcal vaccine are inactivated or “killed” vaccines and do not contain any live organisms. They cannot cause the infections they protect against.
Whats The Difference Between Pcv13 And Ppsv23
|helps protect you against 13 different strains of pneumococcal bacteria||helps protect you against 23 different strains of pneumococcal bacteria|
|usually given four separate times to children under two||generally given once to anyone over 64|
|generally given only once to adults older than 64 or adults older than 19 if they have an immune condition||given to anyone over 19 who regularly smokes nicotine products like cigarettes or cigars|
- Both vaccines help prevent pneumococcal complications like bacteremia and meningitis.
- Youll need more than one pneumonia shot during your lifetime. A 2016 study found that, if youre over 64, receiving both the PCV13 shot and the PPSV23 shot provide the best protection against all the strains of bacteria that cause pneumonia.
- Dont get the shots too close together. Youll need to wait about a year in between each shot.
- Check with your doctor to make sure youre not allergic to any of the ingredients used to make these vaccines before getting either shot.
- a vaccine made with diphtheria toxoid
- another version of the shot called PCV7
- any previous injections of a pneumonia shot
- are allergic to any ingredients in the shot
- have had severe allergies to a PPSV23 shot in the past
- are very sick
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Persons With Chronic Diseases
Refer to Immunization of Persons with Chronic Diseases in Part 3 for additional information about vaccination of people with chronic diseases.
Asplenia or hyposplenia
Hyposplenic or asplenic individuals should receive Pneu-C-13 vaccine and Pneu-P-23 vaccine, followed by a booster dose of Pneu-P-23 vaccine. Refer to Table 3, Table 4 and Booster doses and re-immunization for additional information.
Chronic kidney disease and patients on dialysis
Individuals with chronic kidney disease should receive age appropriate pneumococcal vaccines. Children less than 18 years of age with chronic kidney failure or nephrotic syndrome, should receive Pneu-C-13 vaccine and Pneu-P-23 vaccine. Adults with chronic kidney failure should receive Pneu-P-23 vaccine. Adults with nephrotic syndrome should receive Pneu-C-13 and Pneu-P-23 vaccine. Due to the decreased immunogenicity and efficacy of Pneu-P-23 vaccine in children and adults with chronic kidney failure, 1 booster dose of Pneu-P-23 vaccine is recommended. Refer to Table 3, Table 4 and Booster doses and re-immunization for additional information.
Chronic lung disease, including asthma
Chronic heart disease
Chronic liver disease
Endocrine and metabolic diseases
Non-malignant hematologic disorders
What Is The Pneumonia Shot
The pneumonia shot is a vaccine that keeps you from getting pneumonia. There are two types of vaccines. The pneumococcal conjugate vaccine is primarily for children under age two, though it can be given to older ages, as well. The pneumococcal polysaccharide vaccine is for adults over age 65.
The pneumonia vaccine for older adults is one dose. Unlike the flu vaccine, you dont get it every year.
The vaccine teaches your body to make proteins that will destroy the pneumonia bacteria. These proteins are called antibodies and they will protect you and keep you from getting infected. The pneumonia vaccines dont have live bacteria or viruses in them, so you wont get pneumonia from the vaccine.
You should have the pneumonia vaccine if you:
- Are over age 65
- Have a long-term health problem
Vaccines dont prevent all pneumonia, but people who get the shot dont get as sick as those who dont have it. Benefits of the vaccine include:
- Milder infections
- Ringing in your ears
If you know you dont like needles or feel worried before getting a vaccine, you can try to look away while you have the shot. You can also try a relaxation technique like deep breathing or visualization to help you feel calm.
Older people are more likely to have long-term health problems that can make getting an infection dangerous. The pneumonia shot is recommended for most people.
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Can The Flu Vaccine Make You Sick
Lets just clear this up now: You cant get the flu from the flu vaccine, Dr. Adalja says. Seriously, this is not a thing that is even remotely possible.
However, in very rare cases, a flu vaccine can cause issues in people with pre-existing medical circumstances. The flu vaccine is safe for most people, but if you have any allergies, like to egg proteins or any other ingredients that could be in the vaccine, such as gelatin, its important to speak with your doctor or pharmacist before getting inoculated. Those with an egg allergy can get the flu vaccine, but need to discuss with their doctor which specific vaccine is right for them, Dr. Agarwal says.
Overall, the CDC recommends speaking to a health care professional prior to getting a flu vaccine if you meet any of the following criteria:
- Youre allergic to eggs or any other potential vaccine ingredients, such as gelatin.
- Youve ever had Guillain-Barré Syndrome .
Vaccines Help Maintain Your Health
Vaccines have minimal risks and are generally very safe. Even healthy people need vaccines. Ask your health care provider about these vaccines at your next appointment to determine what is best for your preventative health.
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Ohip Coverage After Age : Expanded Coverage For Seniors
Ontario is Canadas most populous province. The fastest growing segment of the population is those aged 65 and over. In fact, by 2041, its predicted seniors will make up one quarter of Ontarios population.
That translates to more than 4.5 million people.
As a group, older Ontarians have unique needs that future governments must address. Some of those questions revolve around residential care, such as nursing homes. Day programs and financial support are also concerns.
Older people are also more likely to encounter health issues. The growing senior population poses some challenges for Ontarios healthcare system.
Like all Ontarians, seniors in Ontario have coverage under the provincial plan. It’s known as OHIP, which is short for Ontario Health Insurance Plan.
Many people wonder what OHIP coverage after age 65 looks like. Many seniors have a fixed income and no employer-sponsored benefits.
Our guide reviews OHIP coverage for those over 65. Well also look at some of the recent changes in this area.
How Does It Work
Prevnar 20 is a conjugate vaccine. This means that it contains pieces of sugar-like substances called polysaccharides that typically coat the bacteria but also hide it from our immune system. The vaccine uses only a certain portion of the bacteria not the bacteria itself so its unable to cause an infection.
This conjugate vaccine uses 20 slightly different polysaccharides that are specific to the 20 serotypes and attaches them to proteins that our immune systems can recognize. If the bacteria enters the body after the vaccination is administered, the immune system can recognize the polysaccharide molecule and release antibodies to fight the bacteria before it causes an infection.
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Immunization : Pneumococcal Polysaccharide Vaccine
Vaccines or needles are the best way to protect against some very serious infections. The National Advisory Committee on Immunization strongly recommends routine immunization.
This vaccine protects adults and children two years of age and older against pneumococcal infections like pneumonia. This type of vaccine is only effective in people two years of age and older, and should not be given to children under two years of age. A different type of pneumococcal vaccine is effective in children under two years of age. This fact sheet refers to the “polysaccharide” vaccine only.
Flu Vaccine Side Effects That Are Totally Normal
Were already in the midst of this years flu season, which means you may be researching flu vaccine side effects before you schedule your appointmentif you havent already gotten one.
You might think, But Im healthy! Do I really need a flu vaccine? According to the Centers for Disease Control and Prevention , most people over six months old really should get vaccinated to avoid the possibility of getting really sick. Flu vaccines arent 100% effective at preventing the flu, but they do reduce your chances of getting the flu and experiencing any related complications, such as pneumonia. Flu vaccination is especially important for people who are at higher risk of developing serious complications from the flu, such as pregnant people, adults who are living with chronic health conditions, and those who are 65 and older, the CDC says.
The flu vaccine also helps protect the people around you from getting sick, and the fewer people who get sick, the less the influenza virus circulates. Plus, you could get the flu and COVID-19 at the same time and need medical care. Right now, we want to do our best to avoid overwhelming our health care system while were still in the midst of a pandemic. For these reasons, medical experts strongly advise people to get vaccinated.
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What If It Is Not Clear What A Person’s Vaccination History Is
When indicated, vaccines should be administered to patients with unknown vaccination status. All residents of nursing homes and other long-term care facilities should have their vaccination status assessed and documented.
How long must a person wait to receive other vaccinations?
Inactivated influenza vaccine and tetanusvaccines may be given at the same time as or at any time before or after a dose of pneumococcus vaccine. There are no requirements to wait between the doses of these or any other inactivated vaccines.
Vaccination of children recommended
In July 2000, the American Academy of Pediatrics and the CDC jointly recommended childhood pneumococcal immunization, since pneumococcal infections are the most common invasive bacterial infections in children in the United States.
“The pneumococcal conjugate vaccine, PCV13 or Prevnar 13, is currently recommended for all children younger than 5 years of age, all adults 65 years or older, and persons 6 through 64 years of age with certain medical conditions,” according to the 2014 AAP/CDC guidelines. “Pneumovax is a 23-valent pneumococcal polysaccharide vaccine that is currently recommended for use in all adults 65 years of age or older and for persons who are 2 years and older and at high risk for pneumococcal disease . PPSV23 is also recommended for use in adults 19 through 64 years of age who smoke cigarettes or who have asthma.”
Why Is Pneumococcal Vaccine Important
Pneumococcal vaccine can prevent pneumonia and other infections caused by 23 types of the Streptococcus pneumoniae bacteria. These 23 types account for approximately nine out of 10 cases of pneumococcal disease. The vaccine is recommended for people with certain medical conditions listed below, and people 65 years of age and older. About eight out of 10 cases occur in these high- risk groups. The vaccine protects about 50 to 80 per cent of people against pneumococcal infection. Vaccination also makes the disease milder for those who may catch it. This pneumococcal vaccine has been used in Canada since 1983.
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Everything You Need To Know About The Pneumonia Vaccine For Seniors
Medically reviewed by Dr. Nick Rosen, MD on October 12th, 2020
Influenza , coronavirus , and allergies arent the only respiratory illnesses or infections to stress about this fall seasonespecially if you have underlying health concerns, are immunocompromised, or are an at-risk adult over the age of 65. For these individuals, pneumococcal disease and other relative conditions are also cause for concern. Why? For seniors, the risk of contracting pneumonia is exceptionally higher and much more common when the weather is changing. Due to the high risk level, its strongly encouraged that adults age 65 and over receive the pneumonia vaccineyes, it exists! In this article, DispatchHealth is covering everything you need to know about the pneumococcal vaccine for seniors, including what it is and the benefits of receiving it.
Who Should Not Have The Vaccine
The pneumococcal vaccine used between 1978 and 1983 protected against only 14 types of the pneumococcus. People who received this vaccine do not usually need to get another shot.
- If you think you have already been vaccinated for pneumococcal disease, let your doctor know.
- The polysaccharide pneumococcal vaccine is not recommended for children under two years of age.
- You should not have the vaccine if you have a severe allergy to any component of the vaccine.
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Concurrent Administration Of Vaccines
Pneumococcal vaccines may be administered concomitantly with other vaccines, with the exception of a different formulation of pneumococcal vaccine . There should be at least an 8 week interval between a dose of pneumococcal conjugate vaccine and a subsequent dose of Pneu-P-23 vaccine, and at least a 1 year interval between a dose of Pneu-P-23 vaccine and a subsequent dose of pneumococcal conjugate vaccine refer to Immunocompromised persons for information regarding administration of pneumococcal vaccines to HSCT recipients. Different injection sites and separate needles and syringes must be used for concurrent parenteral injections. Refer to Timing of Vaccine Administration in Part 1 for additional information about concurrent administration of vaccines.
Prescriptions Ohip Doesnt Cover
Seniors drug coverage under OHIP is guided by the Ontario Drug Benefit program. The ODB includes a database of 4,400 medications the province will pay for.
This means some seniors wont be able to access coverage for some of their prescriptions. If your medication isnt in the ODB, the province likely wont cover it.
You can apply to the Trillium Drug Plan if your medication isnt covered by the ODP. The Trillium plan helps Ontarians who have high medication costs. It also assists in cases where medications are necessary, but uncovered by ODB.
In most instances, the province prefers generic medications over name-brand medications. If you need the name-brand, make sure your doctor notes this on the prescription. Otherwise, the province may not extend coverage.
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Tetanus Diphtheria And Pertussis
The tetanus, diphtheria, and pertussis vaccine combined is recommended if you have not received a tetanus shot in the last 10 years or have only had the tetanus and diphtheria combined vaccine and not the Tdap in the past.
Tetanus is caused by a bacteria in soil, dirt and manure and can impair the nervous system. Diphtheria is caused by a bacteria that attaches to the lining of the respiratory system, which causes difficulty breathing and swallowing and can get into the bloodstream and damage the heart, kidneys and nerves. Pertussis can be a very serious disease, especially for vulnerable populations, such as infants, young children and older adults. Pertussis causes coughing fits due to the bacteria attaching to the lining of the upper respiratory system.
The vaccine is greater than 95 percent effective in preventing tetanus and diphtheria and 70 percent effective in preventing pertussis. You can get this vaccine from your health care provider.
Adults Aged 65 Years And Older
A randomized placebo-controlled trial of 13-valent pneumococcal conjugate vaccine was conducted in about 84,500 adults aged 65 years and older, with no particular risk factors. Four years on average after vaccination, there was no reduction in either mortality or the overall incidence of community-acquired pneumonia. It was necessary to vaccinate about 1,000 individuals in order to prevent 1 case of vaccine-type pneumococcal pneumonia during the 4-year follow-up period .
In 2019, the Centers for Disease Control and Prevention updated the recommendations of the Advisory Committee on Immunization Practices for use of 13-valent pneumococcal conjugate vaccine . PCV13 vaccination is no longer routinely recommended for all adults aged 65 years and older. Instead, shared clinical decision-making for PCV13 use is recommended for persons in this age group who do not have an immunocompromising condition, CSF leak, or cochlear implant and who have not previously received PCV13. If a decision to administer PCV13 is made, it should be administered before PPSV23. The recommended intervals between pneumococcal vaccines remain unchanged for adults without an immunocompromising condition, CSF leak, or cochlear implant . PCV13 and PPSV23 should not be co-administered. ACIP continues to recommend PCV13 in series with PPSV23 for adults aged 19 years with immunocompromising conditions, CSF leaks, or cochlear implants .
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How Long Does A Pneumonia Shot Last
- Younger than 2 years old: four shots
- 65 years old or older: two shots, which will last you the rest of your life
- Between 2 and 64 years old: between one and three shots if you have certain immune system disorders or if youre a smoker