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Travel Clinic

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The Travel Clinic is a convenient, local service for pre- and post-travel-related medical needs. Time-saving counseling is provided by a board-certified Infectious Disease Specialist. Common travel-related vaccines are readily available and competitively priced. The Travel Clinic has access to up-to-date travel advisories from the Center for Disease Control (CDC) and literature concerning issues that may be encountered while traveling.

Download Travel Clinic Forms

New Patient 

Contact us at  860-358-6878 . Existing Patients Schedule Follow Up Visit

• An Infectious Disease physician reviews the traveler’s itinerary in detail
• Recommended immunizations are determined according to the traveler’s specific destinations and history of previous vaccines
• Travelers are counseled about malaria prophylaxis, traveler’s diarrhea, and any other medically relevant aspects of their planned trip (e.g. seasickness, altitude sickness, HIV exposure/risk, food and water precautions, and rabies risk).
• The patient’s medical history and current medications are carefully reviewed to avoid potential drug-drug interactions with anti-malarial medications or travel vaccinations.

Vaccinations

• The Travel Clinic is certified by the CT State Department of Health to administer Yellow Fever vaccine. All vaccinations are administered as determined by the Infectious Disease physician.

Treatment of Travel Related Problems

• The Travel Clinic is also available to assist patients, who return from their trips, with various travel-related medical problems (e.g. fever, diarrhea, dermatitis, etc.).

Cost of Service

• The cost of travel-related counseling and vaccinations is often not covered by medical insurance. Travelers should be made aware of this prior to their visit, and they should be prepared to make full payment at the time of services rendered.
• Our charges are very competitive with other travel clinics throughout CT. Please call for prices.

How to Make a Referral

• Call the office  to make an appointment for full-service travel counseling and/or vaccinations.
• Travelers should be scheduled for their office visit at least three weeks prior to their departure date, to ensure adequate immunity while traveling.
• Groups welcome.

Your Care Team

Alina Filozov, DO

• Middletown, CT 860-358-6878
• Westbrook, CT 860-358-6878
• View Full Profile
• Schedule an Appointment
• Accepting New Patients

Carlo C. McCalla, MD

Irida Molla, MD

1 Specialty Care Location

1 Middlesex Health Infectious Disease - Middletown

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Advertisement

First mobile MLHU vaccination site opens: Will there be a second?

Sean Irvine CTV News London multi-media journalist

@SeanIrvineCTV Contact

DORCHESTER, ONT. -- The person who received the first shot at the first COVID-19 mobile vaccination centre in the London area was smiling under her mask.

Thames Centre Deputy Mayor Kelly Elliott led the charge to get the two-day pilot project clinic set up in Dorchester.

“It was great to use a community clinic to get in and get my vaccine,” she says.

Elliott, who also serves as a county representative with the Middlesex-London Health-Unit (MLHU), says in 24 hours 400 appointments were booked.

Following her vaccination, Elliott and Mayor Alison Warwick were out in front of Dorchester's Flight Exec Centre, where the clinic is ongoing Friday and Saturday.

Both contend the vast majority of people coming in the doors are not Londoners taking advantage of the quick access, but locals.

“I think there is a lot of people here today because it’s way more convenient in their own community and (they) feel more comfortable in buildings that they know, and it’s one less roadblock in getting vaccinated.”

Elliott says seniors hesitant to travel are a key group targeted by the clinic.

Jody Paget, the manager of MLHU‘s Vaccination Preventable Disease Team, acknowledges there are many reasons people continue to shy away from COVID-19 protection.

But she already sees how the mobile clinic has encouraged more to roll up their sleeves.

At this point, she says there are no plans to offer walk-in shots to those who feel uncomfortable making an appointment.

“The challenge with the walk-in clinics is with the vaccine and being able to know how many individuals to expect to arrive in a day.”

And that’s may be partly why this is the first, and to this point, only moving vaccination site in the MLHU's region.

While long-term sites in London and Mount Brydges will continue, at this point, there are no plans to offer another mobile clinic.

Elliott says she will keep pushing until it happens.

“The need is there, whether it is Dorchester, Lucan, Komoka any of those places, for people to get their vaccine and to feel comfortable getting their vaccine in their community.”

Despite a steady rain, Thames Centre Mayor Alison Warwick, left, and Deputy Mayor Kelly Elliott were greeting people out front of a mobile vaccination centre at the Dorchester, Ont. Flight Exec Community Centre, Friday, May 28, 2021. (Sean Irvine / CTV News)

The north rink entrance at the Flight Exec Community Centre in Dorchester, Ont. are seen Friday, May 28, 2021. These doors are the entry point to a two-day mobile COVID-19 vaccination clinic. (Sean Irvine / CTV News)

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• How do I get the coronavirus vaccine in London, Ont.?

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Find a Clinic

There are several places you can get vaccines and medicine before you travel.

Call your doctor or local health department to see if they can provide pre-travel advice, vaccines, and medicines.

List of health departments

If you want to see a travel medicine specialist, the International Society of Travel Medicine (ISTM) can help you find a clinic.

Directory of travel clinics

If you need yellow fever vaccine you must get vaccinated at an authorized yellow fever vaccine clinic. Many of these clinics also give other shots and medicines.

Yellow fever vaccine clinic search

Find where you can get a COVID-19 vaccine in your area.

Need to get tested? Find a COVID-19 testing clinic .

• Find out what vaccines you need for your destination
• Frequently Asked Questions
• Traveler Advice
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CDC provides these links as a convenience to international travelers. CDC does not endorse, recommend, or favor any clinics on these lists, nor does the appearance of a clinic on these lists imply a guarantee of service quality.

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573-882-4141

Conditions & Treatments

Travel Medicine

Call 573-882-TRIP (8747) to leave a message. A member of our team will call you back to schedule or answer your questions.  

If you're coming in for a visit, please fill out our patient questionnaire so we can better serve you.

Patient Questionnaire

Whether you’ve got a serious case of wanderlust or you’re traveling on a mission or work trip, it’s important to take steps to protect your health.

A Global Approach

MU Health Care's Travel Clinic offers up-to-date information on the immunizations and medications recommended for whichever part of the world you’ll be visiting, including alerts issued by international governmental agencies such as the Centers for Disease Control and Prevention and the World Health Organization.

We work with individuals of all ages regarding their travel needs, including:

• Travel for international adoption
• Mission trips
• School trips

MU Health Care travel medicine specialists are board-certified experts in infectious diseases with access to the latest data about geographical health conditions and disease concerns. A global health information system assists our team in determining the risk assessment for your trip, as well as which vaccinations and preventive treatments are appropriate.

Treatment Plans

We determine a preventive treatment plan based on your current health status, travel itinerary and the activities you’ve scheduled while abroad.

Services include:

• Routine and travel-specific vaccines as needed
• Proper health paperwork for entry into other countries
• Information on environmental conditions including water, food, insect-borne diseases and weather
• Prescriptions for necessary travel medications
• Listing of important phone numbers and locations of U.S. Embassies
• Educational guidance

We recommend travelers schedule an appointment at least four weeks prior to traveling. While most vaccines become fully effective within two weeks of a single dose, some require two or more doses prior to departure.

Vaccinations offered

Subject to manufacture availability

Adult vaccinations

• Hepatitis A
• Hepatitis B
• Hepatitis A&B (combination vaccine)
• Japanese Encephalitis
• MMR (measles, mumps, rubella)
• Meningococcal
• Tdap (tetanus, diphtheria, pertussis)
• Typhoid (oral and IM)
• Yellow Fever

Pediatric vaccinations

• Yellow fever

The Travel Clinic sees patients by appointment only.  We are open Monday through Friday from 8 a.m. to 12 p.m. and from 1 p.m. to 5 p.m.

Please note that travel medications are not typically covered by insurance. Appointments at the Travel Clinic are a tiered price and are not billed to insurance. Medications or immunizations are an extra charge. Payment — whether it’s cash, check or credit card — is due at the time of service.

• Travel Education – First Individual Adult or Child: $100.00
• Travel Education – Second Individual Spouse or Child: $65.00
• Travel Education – Each Additional Child: $33.00

Please call 573-882-TRIP (8747) to schedule an appointment or to learn more.

Please fill out the below questionnaire and bring it with you to your appointment:

Patient questionnaire

Copyright © 2023 — Curators of the University of Missouri . All rights reserved. DMCA and other copyright information . Equal Opportunity/Access/Affirmative Action/Pro Disabled & Veteran Employer . For website information, contact the MU Health Care Communications . Disclaimer

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Travel & Immunization Center

• 617-724-6454

Contact Information

Travel & Immunization Center

Cox Building, 5th Floor 55 Fruit Street Boston , MA   02114

Phone: 617-724-6454

Hours: Monday, 5:00 pm – 7:30 pm Tuesday, 8:30 am – 4:00 pm Wednesday, 8:30 am – 4:00 pm Thursday, 9:00 am – 3:30 pm Friday, 8:30 am – 11:30 am" itemprop="openingHours"> By appointment only Monday, 5:00 pm – 7:30 pm Tuesday, 8:30 am – 4:00 pm Wednesday, 8:30 am – 4:00 pm Thursday, 9:00 am – 3:30 pm Friday, 8:30 am – 11:30 am

Please call 866-211-6588 to register with the hospital before calling to make an appointment.

Explore This Center

About the program.

Our Travelers' Advice and Immunization Practices provide complete pre-travel medical evaluation, including education about prevention of illness (food and water precautions, mosquito precautions, precautions for altitude sickness) and immunizations and prophylaxis. Immunizations which are available include yellow fever, Japanese encephalitis, typhoid, hepatitis A, rabies, meningococcal meningitis, tetanus/diphtheria/pertussis and others. We also offer prophylaxis for malaria and diarrheal diseases. We provide care to adults, children and families.

These practices also serve as full immunization centers for routine and specialty vaccines unrelated to international travel, including vaccines against chicken pox (varicella), zoster (shingles), pneumococcus (pneumonia vaccine), Haemophilus influenzae b (Hib), meningococcus (meningitis vaccine), hepatitis B, rabies (pre- and post-exposure prophylaxis), measles/mumps/rubella, tetanus/diphtheria/pertussis, polio, human papillomavirus (HPV) and others.

Many immunizations require multiple injections and take weeks to reach full effectiveness, so please make your appointment as soon after you make your travel plans as possible.

The Travel & Immunization Center is a Member of the Global TravEpiNet Program . Global TravEpiNet is a national network of travel clinics across the United States. The network is supported by the Centers for Disease Control and Prevention and is aimed at advancing the health of individuals who travel internationally. The network is coordinated by Massachusetts General Hospital. The MGH Travel & Immunization Center is also a Member of the Heading Home Healthy Program, also supported by the US Centers for Disease Control and Prevention and coordinated by Mass General. The Heading Home Healthy Program includes a number of free resources, including web tools that allow you to generate CDC-based recommendations based on your proposed international travel.

Hospital and the Centers for Disease Control and Prevention. Our goal is to help travelers stay healthy when they are returning home to visit friends and relatives. We also are working with travel agents and clinicians to help them prepare international travelers to stay healthy.

Patient Guide

A guide to our personalized, up-to-date medical care for infectious diseases.

Heading Home Healthy

Helping travelers stay healthy when they are visiting friends and relatives.

Our Treatments & Services

View the treatments and services offered by the Division of Infectious Diseases.

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Public Health

How florida and arizona supreme court rulings change the abortion access map.

Selena Simmons-Duffin

Hilary Fung

In a few weeks, Florida and Arizona are set to join most states in the southern U.S. in banning abortion. It's a significant shake up to the abortion legal landscape, and data shared exclusively with NPR maps and quantifies what the changes will mean for millions of Americans.

On Tuesday, the Arizona Supreme Court cleared the way for an 1864 law to be enforced. That law completely bans abortion except when someone's life is in danger. Last week, the Florida Supreme Court made its decision to allow a ban on abortions after six weeks gestation to take effect on May 1.

Caitlin Myers , an economics professor at Middlebury College in Vermont, has been tracking abortion facilities and travel distances since 2009. She analyzed how these latest rulings will affect the access map.

"Because of these bans, it's about 6 million women of reproductive age who are experiencing an increase in distance of more than 200 miles," she says.

She points out that Floridians who are seeking abortions after six weeks will have to travel nearly 600 miles to North Carolina, which has a 72-hour waiting period. "So we're talking about a day's drive to a state that requires you to engage in this multi-day process," Myers says. "A lot of people might end up going several hundred miles further to Virginia."

For people in Arizona, after the 1864 law takes effect, "their nearest destinations are pretty long drives. They're going to be facing hundreds of miles to reach southern California, New Mexico, Colorado," Myers says. "I think Arizona spillover is likely to affect California in a way that California hasn't yet been affected by bans."

Myers helms the Myers Abortion Facility Database . She has gathered data about facilities – including clinics, doctors, and hospitals that publicly indicated that they provide abortions – going back more than a decade, using data licensure databases, directories, and Wayback Machine captures of websites from years past. She uses a team of undergraduate research assistants to periodically call facilities and make sure the information is up to date.

Numbers of abortions rise in Florida, decline in Arizona

Although Florida and Arizona have historically both been politically purple states and both have had 15-week abortion bans since 2022, the states have been on different trajectories when it comes to abortion and play very different roles in their regions.

There were about 12,000 abortions in Arizona in 2023, according to the Guttmacher Institute , a research organization that supports abortion rights. Out-of-state travel accounted for 3% of abortions in the state, and the overall number of abortions has been declining there in recent years, Guttmacher finds.

By contrast, there were nearly 85,000 abortions in Florida in 2023, according to state data , just a few thousand fewer than Illinois, which has positioned itself as a haven for people seeking abortions in the post- Roe era. And the number of abortions happening in the state has been on the rise. "The majority of the increase has been driven by out-of-state travel into Florida because of bans in surrounding states," explains Isaac Maddow-Zimet , a Guttmacher data scientist. "That really speaks to the role that Florida has played in the region where there really aren't many other options."

The Alliance Defending Freedom, which brought the case in Arizona, frames those affected by the new laws in a different way. "We celebrate the Arizona Supreme Court's decision that allows the state's pro-life law to again protect the lives of countless, innocent unborn children," the organization wrote in a statement this week .

Even with new bans in place, there are a few ways residents of Florida and Arizona will be able to access abortion without driving hundreds of miles. People with means will be able to fly to states where abortion access is protected. Others will be able to use telehealth to connect with providers in those states and receive abortion medication in the mail – a practice that has been growing in popularity in recent months. Telehealth medication abortions, though, could be curtailed by a pending case before the U.S. Supreme Court. (A decision in that case is expected this summer.)

In Florida, some will be able to get abortions before the six-week gestational limit, which is about two weeks after a missed period. "Folks have a really narrow window in order to meet that gestational duration limit if they even know about their pregnancy in time," Maddow-Zimet of Guttmacher explains. "And that's something that's particularly difficult in Florida because Florida requires an in-person counseling visit 24 hours before the abortion."

'A substantial barrier'

Many thousands of people in Florida and Arizona will be unable to navigate those options and will carry their pregnancies instead, Myers says.

"It's easy to think – if an abortion is so important to somebody, they will find a way, they will figure it out," she says, but research on people seeking abortions illustrates why that's not always possible. "[Many] are low income. They're in very difficult life circumstances. They're experiencing disruptive life events like the loss of a job or breaking up with a partner or threatened eviction. Many of them are parenting and have difficulty obtaining child care." One large study showed about 80% of people seeking abortions had subprime credit scores.

"If you think about all that, it is perhaps not so surprising that the results of my research and other people's research shows very strongly and unequivocally that distance is a substantial barrier to people who are seeking abortions," Myers says.

Mary Ziegler , a law professor and historian of reproductive rights at the University of California - Davis, says it's worth noting how these states both came to have new bans. "The common denominator is conservative state supreme courts reaching decisions contrary to what voters would want, interestingly, in an election year when those judges are facing retention elections," she says.

Voters in Florida will have a chance to weigh in on abortion access in November, when an amendment to their state constitution will be on the ballot. An effort to put an abortion amendment on the ballot in Arizona is also underway. Abortions rights opponents in both states have pledged to fight the measures.

• abortion access
• Abortion rights

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The Moscow Metro Museum of Art: 10 Must-See Stations

There are few times one can claim having been on the subway all afternoon and loving it, but the Moscow Metro provides just that opportunity.  While many cities boast famous public transport systems—New York’s subway, London’s underground, San Salvador’s chicken buses—few warrant hours of exploration.  Moscow is different: Take one ride on the Metro, and you’ll find out that this network of railways can be so much more than point A to B drudgery.

The Metro began operating in 1935 with just thirteen stations, covering less than seven miles, but it has since grown into the world’s third busiest transit system ( Tokyo is first ), spanning about 200 miles and offering over 180 stops along the way.  The construction of the Metro began under Joseph Stalin’s command, and being one of the USSR’s most ambitious building projects, the iron-fisted leader instructed designers to create a place full of svet (radiance) and svetloe budushchee (a radiant future), a palace for the people and a tribute to the Mother nation.

Consequently, the Metro is among the most memorable attractions in Moscow.  The stations provide a unique collection of public art, comparable to anything the city’s galleries have to offer and providing a sense of the Soviet era, which is absent from the State National History Museum.  Even better, touring the Metro delivers palpable, experiential moments, which many of us don’t get standing in front of painting or a case of coins.

Though tours are available , discovering the Moscow Metro on your own provides a much more comprehensive, truer experience, something much less sterile than following a guide.  What better place is there to see the “real” Moscow than on mass transit: A few hours will expose you to characters and caricatures you’ll be hard-pressed to find dining near the Bolshoi Theater.  You become part of the attraction, hear it in the screech of the train, feel it as hurried commuters brush by: The Metro sucks you beneath the city and churns you into the mix.

With the recommendations of our born-and-bred Muscovite students, my wife Emma and I have just taken a self-guided tour of what some locals consider the top ten stations of the Moscow Metro. What most satisfied me about our Metro tour was the sense of adventure .  I loved following our route on the maps of the wagon walls as we circled the city, plotting out the course to the subsequent stops; having the weird sensation of being underground for nearly four hours; and discovering the next cavern of treasures, playing Indiana Jones for the afternoon, piecing together fragments of Russia’s mysterious history.  It’s the ultimate interactive museum.

Top Ten Stations (In order of appearance)

Kievskaya station.

Kievskaya Station went public in March of 1937, the rails between it and Park Kultury Station being the first to cross the Moscow River.  Kievskaya is full of mosaics depicting aristocratic scenes of Russian life, with great cameo appearances by Lenin, Trotsky, and Stalin.  Each work has a Cyrillic title/explanation etched in the marble beneath it; however, if your Russian is rusty, you can just appreciate seeing familiar revolutionary dates like 1905 ( the Russian Revolution ) and 1917 ( the October Revolution ).

Mayakovskaya Station

Mayakovskaya Station ranks in my top three most notable Metro stations. Mayakovskaya just feels right, done Art Deco but no sense of gaudiness or pretention.  The arches are adorned with rounded chrome piping and create feeling of being in a jukebox, but the roof’s expansive mosaics of the sky are the real showstopper.  Subjects cleverly range from looking up at a high jumper, workers atop a building, spires of Orthodox cathedrals, to nimble aircraft humming by, a fleet of prop planes spelling out CCCP in the bluest of skies.

Novoslobodskaya Station

Novoslobodskaya is the Metro’s unique stained glass station.  Each column has its own distinctive panels of colorful glass, most of them with a floral theme, some of them capturing the odd sailor, musician, artist, gardener, or stenographer in action.  The glass is framed in Art Deco metalwork, and there is the lovely aspect of discovering panels in the less frequented haunches of the hall (on the trackside, between the incoming staircases).  Novosblod is, I’ve been told, the favorite amongst out-of-town visitors.

Komsomolskaya Station

Komsomolskaya Station is one of palatial grandeur.  It seems both magnificent and obligatory, like the presidential palace of a colonial city.  The yellow ceiling has leafy, white concrete garland and a series of golden military mosaics accenting the tile mosaics of glorified Russian life.  Switching lines here, the hallway has an Alice-in-Wonderland feel, impossibly long with decorative tile walls, culminating in a very old station left in a remarkable state of disrepair, offering a really tangible glimpse behind the palace walls.

Dostoevskaya Station

Dostoevskaya is a tribute to the late, great hero of Russian literature .  The station at first glance seems bare and unimpressive, a stark marble platform without a whiff of reassembled chips of tile.  However, two columns have eerie stone inlay collages of scenes from Dostoevsky’s work, including The Idiot , The Brothers Karamazov , and Crime and Punishment.   Then, standing at the center of the platform, the marble creates a kaleidoscope of reflections.  At the entrance, there is a large, inlay portrait of the author.

Chkalovskaya Station

Chkalovskaya does space Art Deco style (yet again).  Chrome borders all.  Passageways with curvy overhangs create the illusion of walking through the belly of a chic, new-age spacecraft.  There are two (kos)mosaics, one at each end, with planetary subjects.  Transferring here brings you above ground, where some rather elaborate metalwork is on display.  By name similarity only, I’d expected Komsolskaya Station to deliver some kosmonaut décor; instead, it was Chkalovskaya that took us up to the space station.

Elektrozavodskaya Station

Elektrozavodskaya is full of marble reliefs of workers, men and women, laboring through the different stages of industry.  The superhuman figures are round with muscles, Hollywood fit, and seemingly undeterred by each Herculean task they respectively perform.  The station is chocked with brass, from hammer and sickle light fixtures to beautiful, angular framework up the innards of the columns.  The station’s art pieces are less clever or extravagant than others, but identifying the different stages of industry is entertaining.

Baumanskaya Statio

Baumanskaya Station is the only stop that wasn’t suggested by the students.  Pulling in, the network of statues was just too enticing: Out of half-circle depressions in the platform’s columns, the USSR’s proud and powerful labor force again flaunts its success.  Pilots, blacksmiths, politicians, and artists have all congregated, posing amongst more Art Deco framing.  At the far end, a massive Soviet flag dons the face of Lenin and banners for ’05, ’17, and ‘45.  Standing in front of the flag, you can play with the echoing roof.

Ploshchad Revolutsii Station

Novokuznetskaya Station

Novokuznetskaya Station finishes off this tour, more or less, where it started: beautiful mosaics.  This station recalls the skyward-facing pieces from Mayakovskaya (Station #2), only with a little larger pictures in a more cramped, very trafficked area.  Due to a line of street lamps in the center of the platform, it has the atmosphere of a bustling market.  The more inventive sky scenes include a man on a ladder, women picking fruit, and a tank-dozer being craned in.  The station’s also has a handsome black-and-white stone mural.

Here is a map and a brief description of our route:

Start at (1)Kievskaya on the “ring line” (look for the squares at the bottom of the platform signs to help you navigate—the ring line is #5, brown line) and go north to Belorusskaya, make a quick switch to the Dark Green/#2 line, and go south one stop to (2)Mayakovskaya.  Backtrack to the ring line—Brown/#5—and continue north, getting off at (3)Novosblodskaya and (4)Komsolskaya.  At Komsolskaya Station, transfer to the Red/#1 line, go south for two stops to Chistye Prudy, and get on the Light Green/#10 line going north.  Take a look at (5)Dostoevskaya Station on the northern segment of Light Green/#10 line then change directions and head south to (6)Chkalovskaya, which offers a transfer to the Dark Blue/#3 line, going west, away from the city center.  Have a look (7)Elektroskaya Station before backtracking into the center of Moscow, stopping off at (8)Baumskaya, getting off the Dark Blue/#3 line at (9)Ploschad Revolyutsii.  Change to the Dark Green/#2 line and go south one stop to see (10)Novokuznetskaya Station.

Check out our new Moscow Indie Travel Guide , book a flight to Moscow and read 10 Bars with Views Worth Blowing the Budget For

Jonathon Engels, formerly a patron saint of misadventure, has been stumbling his way across cultural borders since 2005 and is currently volunteering in the mountains outside of Antigua, Guatemala.  For more of his work, visit his website and blog .

Photo credits:   SergeyRod , all others courtesy of the author and may not be used without permission

New COVID vaccine and flu shots now available to eligible groups in London, Ont.

Respiratory illnesses are on the rise but vaccine options are available.

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The new COVID-19 vaccine and flu shots are now available to high-risk populations and will soon be accessible to everyone in the London region.

Starting Friday, some Londoners can book an appointment at the Western Fair vaccination clinic for the Moderna vaccine targeting the XBB subvariant of COVID-19. The vaccine will also be available through primary healthcare providers and pharmacies.

• Health Canada approves Moderna's updated COVID-19 vaccine

People living in St. Thomas, Woodstock and other parts of Oxford and Elgin counties can make appointments with Southwestern Public Health starting Oct. 11. 

Middlesex-London Health Unit expects a severe flu season

The eligibility criteria for the first group of vaccine recipients includes:

• Residents and staff of congregate living settings, including retirement homes
• Pregnant individuals 
• Individuals 65 years of age and older 
• All children 6 months to 4 years of age [influenza risk] 
• Individuals who are from a First Nation, Inuit or Métis community, and/or who self-identify as First Nation, Inuit, or Métis, and their household members 
• Individuals 6 months of age and older with underlying health conditions per NACI (Influenza & COVID-19)
• Members of racialized and other equity deserving communities 
• Health care workers and first responders

Dr. Joanne Kearon, associate medical officer at the Middlesex-London Health Unit (MLHU), said the science indicates it will be a severe flu season. 

"It's going to be a more severe respiratory season for all respiratory viruses for both influenza, as well as COVID-19," said Dr. Kearon. "With that said, we are not expecting it to be as severe as it was last year."

Flu shots are also being made available for the high-risk populations. Both vaccines will be available to everyone else in approximately three to four weeks, according to Dr. Kearon.

• With COVID-19 cases edging up, London hospitals revise masking rules

Last week, hospitals in London revised masking rules making them mandatory for all staff in direct contact with patients. 

While still voluntary for patients and visitors, the London Health Sciences Centre recommends wearing them in clinical areas. St. Joseph's recommends patients and visitors put on a mask in urgent care, waiting rooms, and other settings when in direct contact with health care workers.

Appointments to get the updated COVID vaccine at the Western Fair clinic, next to the casino, can be booked at covidvaccinelm.ca or over the phone by calling 226-289-3560.

ABOUT THE AUTHOR

Arfa Rana is a graduate of Toronto Metropolitan University and is most passionate about stories on BIPOC communities and food culture. Have a news tip? Email [email protected]

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Zelenskiy calls for operational changes to Ukraine military after sacking commander

President demands ‘new level of medical support for soldiers’ as questions mount over speed of counteroffensive against Russia

Volodymyr Zelenskiy has demanded rapid changes in the operations of Ukraine’s military and announced the dismissal of the commander of its medical forces.

The Ukrainian president’s move was announced on Sunday as he met defence minister, Rustem Umerov, and coincided with debate over the conduct of the 20-month-old war against Russia , with questions over how quickly a counteroffensive in the east and south is proceeding.

“In today’s meeting with defence minister Umerov, priorities were set,” Zelenskiy said in his nightly video address. “There is little time left to wait for results. Quick action is needed for forthcoming changes.”

Zelenskiy said he had replaced Maj Gen Tetiana Ostashchenko as commander of the medical forces.

“The task is clear, as has been repeatedly stressed in society, particularly among combat medics, we need a fundamentally new level of medical support for our soldiers,” he said.

This, he said, included a range of issues – better tourniquets, digitalisation and better communication.

Umerov acknowledged the change on the Telegram messaging app and set as top priorities digitalisation, “tactical medicine” and rotation of service personnel.

Ukraine’s military reports on what it describes as advances in recapturing occupied areas in the east and south and last week acknowledged that troops had taken control of areas on the eastern bank of the Dnipro River in southern Kherson region.

Ukrainian commander in chief, Gen Valery Zaluzhny, in an essay published this month, said the war was entering a new stage of attrition and Ukraine needed more sophisticated technology to counter the Russian military.

While repeatedly saying advances will take time, Zelenskiy has denied the war is headed into a stalemate and has called on Kyiv’s western partners, mainly the United States, to maintain levels of military support.

Ostashchenko was replaced by Maj Gen Anatoliy Kazmirchuk, head of a military clinic in Kyiv.

Her dismissal came a week after a Ukrainian news outlet suggested her removal, as well as that of others, was imminent after consultations with paramedics and other officials responsible for providing support to the military.

Meanwhile on Sunday, air defence units in Moscow intercepted a drone targeting the city, mayor Sergei Sobyanin said.

Sobyanin, writing on the Telegram messaging app, said units in the Elektrostal district in the capital’s east had intercepted the drone.

According to preliminary information, falling debris resulting from the operation had caused no casualties or damage, Sobyanin said.

• Volodymyr Zelenskiy

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COVID-19 Vaccine Eligibility

The Omicron XBB subvariant COVID-19 vaccine is currently available as a "Spring 2024" dose for individuals who are at increased risk of severe outcomes from COVID-19 disease, or who are receiving a first dose. Eligibility requirements are listed below. All other individuals are advised to wait until Fall 2024 vaccine recommendations are released. 

Where to get vaccinated

Both the COVID-19 and influenza vaccine are available from healthcare providers and participating pharmacies . Please contact your healthcare provider or local pharmacy to confirm vaccine availability. 

Please note that MLHU is not currently holding clinics for the Spring 2024 dose.

Children 6 months to 2 years of age

Children 6 months to 2 years of age can receive the COVID-19 vaccine at a pharmacy or healthcare provider. If the pharmacy or healthcare provider cannot provide the vaccine, please book an appointment at the Middlesex-London Health Unit’s (MLHU) Immunization Clinic by calling 519-663-5317, Monday to Friday between 8:30 a.m. and 4:30 p.m. Clinics will be held at least once monthly.

Please note: The Middlesex-London Health Unit’s COVID-19 vaccination clinic at the Western Fair District in London, Ontario is now permanently closed.

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Spring 2024 COVID-19 Vaccine Eligibility

An additional dose of COVID-19 vaccine is recommended for individuals listed below:

The Spring 2024 COVID-19 vaccine campaign will run from April to the end of June. One additional dose of XBB vaccine may be recommended to individuals deemed to be at increased risk, including:

• Adults 65 years of age and older
• Adult residents of long-term care homes (LTCH) or other congregate living settings for seniors
• Individuals 6 months of age and older who are moderately to severely immunocompromised (due to underlying condition or treatment)
• Individuals 55 years of age and older who identify as First Nations, Inuit, or Metis and their non-Indigenous household members who are 55 years and older

More than one dose may be provided to the following individuals:

• Children 6 months to 4 years of age who are completing an initial series (including an extra dose for those who are immunocompromised)

Individuals who are 5 years and older who are currently unimmunized and are immunocompromised.

All other individuals who are not currently recommended to receive a COVID-19 vaccine dose in Spring 2024 should wait until further Ministry of Health recommendations. This includes individuals who are not at higher risk of severe illness from COVID-19 who did not receive an XBB COVID-19 vaccine in Fall 2023, unless they are specifically recommended to receive a dose by their healthcare provider.

See more information for Ontario residents here .

NOTE: To align with the National Advisory Committee on Immunization (NACI), the terms “primary series” and “booster dose” will no longer be used. Dose eligibility depends on the when the last dose was administered, and if the individual currently qualifies, not on how many doses were previously received.

The Novavax COVID-19 vaccine is available for individuals who are 12 years of age or older as an alternative to the COVID-19 mRNA vaccines.

NEW! MLHU is no longer providing this vaccine at clinics. 

• Individuals who live in London and Middlesex County can call the following pharmacies to inquire about Novavax vaccine availability and appointments: 
•      Prescription Shop (at St.Joseph's Health Care, 268 Grosvenor St, London) at 519-646-6194 
•      CDS Pharmacy (1695 Wonderland Rd N, London) at 519-472-2345
• For individuals who live in other jurisdictions, please contact the public health unit in your area to ask where you can receive this vaccine.
• Individuals 12 years of age and older are currently eligible for the Novavax COVID-19 vaccine if they are eligible for a Spring 2024 as an initial or additional dose, as listed above. 
• For individuals who are immunocompromised, an extra dose of this vaccine may be required. Please discuss recommendations with your health care provider.