Montreal

New vaccination rules leave residents of Quebec seniors' homes without on-site flu, COVID shots

The regional health agency in Quebec’s Montérégie region says the service is now only offered to those who aren’t mobile enough to get the vaccine off site.

Doctor says teams already vaccinating non-mobile residents should vaccinate everyone

Two women
Madeleine Landry, right, with her daughter, Carole Richard, in Boucherville, Que. Richard had to drive Landry to a pharmacy for vaccination this year. (Ivanoh Demers/Radio-Canada)

Thousands in Quebec's Montérégie region will not get their flu and COVID-19 vaccine directly at their seniors' residence anymore.

The regional health agency says the service is now only offered to those who aren't mobile enough to get the vaccine off site.

Among those affected is Carole Richard's mother, 98-year-old Madeleine Landry, who lives in a private seniors' residence (RPA) on Montreal's South Shore.

"I find it counterproductive," said Richard, noting many seniors don't have a computer to get an appointment through the online service, Clic Santé.

"At the pharmacy, the waiting room was full. I was uncomfortable exposing my mother like that for such a long time before her turn," she said. "They were overwhelmed because people from all the surrounding residences were going there to get vaccinated."

Landry, who lives in Boucherville, Que., was determined to get her shots despite the change. However, she observed, not everybody has children nearby to drive them to a pharmacy for inoculation. Landry's RPA is one of about 100 seniors' residences in the region affected. Nearly 10,000 people live in these residences.

"It was surprising because I've been here for 13 years and we've always had it," said Landry.

But the local health agency, CISSS de la Montérégie-Est, says this is the way it was before the pandemic and things are just returning to normal.

"We therefore offer at-home vaccination services only to individuals who are unable to travel to get vaccinated," said spokesperson Caroline Doucet in an email.

WATCH | One seniors' home is using AirTags to let residents move around on their own:

Montreal seniors' home uses AirTags to give residents a bit more freedom

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Résidence Outremont is using AirTags to track its seniors, offering them a bit more independence while still being supervised. Staff say residents and their families are briefed about the devices, including privacy concerns, before giving them out.

Doucet said the CIUSSS's mobile vaccination teams visit long-term care facilities, care units within RPAs and other sites, including clients receiving home-support services, many of whom live in RPAs.

The Quebec association of pharmacy owners said members were caught off guard this year as, along with the South Shore, other health agencies in the Montreal area made the same decision. 

"We were not able to determine which seniors' homes on the island are impacted, but it puts added pressure on pharmacist's shoulders," said Geneviève Pelletier, a senior director with the Association québécoise des pharmaciens propriétaires (AQPP).

"Some of the difficulties that our members had is that it was not necessarily clearly planned from the outset when they were already planning their immunization services for influenza and COVID."

Quebec pharmacists were given the right to vaccinate in 2020. The association says the vaccination campaign is still going at a solid pace with more than a million doses administered so far.

But the association's president, Benoit Morin, said many pharmacies struggled to anticipate the right number of vaccines and workforce required to accommodate the new practices set by health agencies.

Pharmacist and owner Judith Choquette, a board member of the association, said better planning could help.

"Maybe the ministry should adjust and work more in partnership with us to plan the vaccination season," she said.

Dr. Claude Rivard, a family doctor from Montreal's South Shore, told Radio-Canada, "If you're already there vaccinating 20 or 25 patients in an RPA care unit, why not vaccinate everyone?"

He warned that if RPA residents fail to get vaccinated, they might end up in emergency rooms by January.

"The money saved on vaccination in November will be spent when these people show up in the ER," he said.

Written by Isaac Olson with files from Radio-Canada and CBC's Mélissa François