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What Canada's hardest-hit provinces can learn from those that handled COVID-19 best – CBC.ca

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When epidemiologist Susan Kirkland opened a Halifax newspaper on Saturday, she was stunned. 

“Three protest rallies planned,” the Chronicle Herald headline read, in part.

“Oh, no,” the head of public health and epidemiology at Dalhousie University thought to herself. “Please don’t be anti-vaxxers or anti-maskers.”

As Kirkland read further, she realized they weren’t related to the pandemic at all. 

One was a rally for alleged victims of a pediatric dentist, a second to demand reparations for former residents of Africville and the third was an anti-war protest about an upcoming security conference. 

“Oh,” she said with relief. “Phew.” 

Critical juncture for Atlantic bubble

The situation in the Atlantic bubble has been like night and day from the rest of Canada. 

The four Atlantic provinces have managed to control the spread of COVID-19 through tight border restrictions, strict isolation of travellers and comprehensive tracing of outbreaks. 

But Kirkland says much of the credit also belongs at an individual level. 

“I do feel like the response from the public in the Atlantic region is different than other parts of the country,” she told CBC News. 

“I think there’s also a certain amount of pride that we have been able to maintain the bubble, and I don’t think that people want to see it change.”

Visitors explore Peggy’s Cove, N.S., on July 4. When the Atlantic bubble is operating, people in the four Atlantic provinces can move around the region without self-isolating. People from outside Atlantic Canada must self-isolate for 14 days upon arriving. (Andrew Vaughan/Canadian Press)

But it has changed, put on hiatus with the news Monday that Prince Edward Island and Newfoundland and Labrador were pulling out of the bubble due to rising COVID-19 cases in New Brunswick and Nova Scotia. 

Nova Scotia reported 37 new cases of COVID-19 Tuesday, its most in a single day since April 23. 

“I am worried. I think that we’re on the brink and at a very, very critical juncture,” Kirkland said. “This is the point where we either make it or break it. We’ll keep numbers low or they will, like everywhere else, just begin to escalate and skyrocket.

“The window is narrowing — but we still have the potential to get it under control.”

‘Squandered’ sacrifices in Alberta

Elsewhere in the country, people are facing a much different situation. 

Alberta is seeing COVID-19 cases skyrocket at an unprecedented rate, rising to more than 1,500 per day and even outpacing provinces such as Ontario despite only having a third of the population. 

“I’ve been worried for many weeks now,” said Dr. Leyla Asadi, an infectious diseases physician in Edmonton. “I don’t know what the next two weeks will bring.” 

Asadi says the situation in Alberta isn’t a result of individuals not following public health guidelines necessarily, but instead reflects that the province has been a victim of its own success. 

A man wears a mask in downtown Calgary on Oct. 30. On Nov. 14, Alberta broke 1,000 daily new cases of COVID-19 for the first time. (Jeff McIntosh/The Canadian Press)

When COVID-19 cases dropped to relatively low numbers in the summer, there was a reluctance to act on the part of the provincial government. 

“We had great success and maybe that resulted in our leadership questioning the models and, because crisis was averted, perhaps they thought that the models just weren’t accurate,” she said. 

“We’ve squandered our sacrifices from the summer, and now we’re in a really tough place.”

Premier Jason Kenney declared a state of emergency in Alberta Tuesday and implemented new public health measures to address the rising COVID-19 case numbers across the province, but stopped short of a lockdown. 

Most indoor social gatherings are prohibited, while outdoor gatherings, weddings and funerals can have a maximum of 10 people. Masks are also mandatory in all indoor work places in Calgary and Edmonton, but not provincewide. 

Unlike Nova Scotia, which instituted mandatory mask mandates on July 24 — a day when it reported no new cases — Alberta has hesitated.

Alberta’s daily reported COVID-19 cases now rival Ontario’s for the highest in the country, even though it has a third of the population. The province’s resistance to restrictions may be crumbling, but Alberta’s top doctor says a surge in hospitalizations is inevitable as cases ‘snowball.’ 2:02

Asadi, who was part of a group of experts who penned a letter to provincial leaders last month calling on them to put in place stricter restrictions, said before Kenney’s announcement that masks are “low-hanging fruit.”

“Having masks mandated provincially, that’s not going to negatively impact the economy in any way,” she said. 

“If we act earlier then the measures can be more targeted and can be shorter in time. But now, I can’t see anything other than a strict lockdown getting us out of trouble — and it won’t even get us out of trouble.” 

Reluctance to act ‘early and hard’ reason for surge

COVID-19 is spiralling out of control in many parts of the country, with a record high 5,713 cases in a single day this week.

Ontario and Manitoba also announced all-time high numbers of new COVID-19 cases, and millions of Canadians were plunged back into strict lockdowns in different parts of the country.

In response, Canada’s chief public health officer said provinces and territories need to be more proactive — and act sooner rather than later.

Canada’s Chief Public Health Officer Dr. Theresa Tam talks to The National’s Andrew Chang about the holiday season and getting to the end of the COVID-19 pandemic. 6:31

It’s not only the number of cases that are worsening; it’s who is being infected.

“The other huge problem that we have now are the inequities associated with this pandemic,” said Dr. Allison McGeer, an infectious disease physician with Sinai Health System in Toronto.

“Part of the reason I think that we’re not paying as much attention as we should be to the harm is that the harm is not predominantly occurring to the people in power in our society.”

McGeer is watching the worsening outbreaks across Canada through the eyes of a microbiologist who has decades of experience in infection prevention and control.

“I’m a little bit worried about what’s going to happen in Alberta,” McGeer said. “I think we’ll be cancelling surgery again, probably in order to cope with the ICU load three or four weeks from now.”

Surgeries such as hip and knee replacements could be cancelled down the road, as it can take up to two weeks for symptoms of COVID-19 to appear.

Surgical oncologist Dr. Usmaan Hameed, centre, operates on a patient at North York General Hospital on May 26. Putting in measures sooner could help prevent surgeries from being cancelled. (Evan Mitsui/CBC)

“The reason we’re having this surge is because we kept things open longer than we should have,” she said. 

“The more cases you have when you act, the longer it takes to slow down and regain control and the more trouble you’re in going forward. So if we had put in measures two weeks before we did, then we might not be cancelling surgery.”

McGeer also acknowledges that politicians in Canada can only re-introduce safety measures when their citizens are behind them.

“If politicians move and they don’t have the population with them, then it’s not going to work either.”

McGeer advocates for preventative measures such as testing, tracing and isolating individuals who test positive to keep COVID-19 case counts low.

“It’s very clear that if we had been able to start this outbreak early and hard with preventive measures, if we’d been able to do the contact tracing, if we’d been willing to put people up in hotels for quarantine, we might be where Newfoundland is now,” she said. “And that has huge rewards.”

Those tantalizing rewards could help reinvigorate Canadians outside the Atlantic provinces who face a resurgence of COVID-19 cases and the hospitalizations and deaths that could follow the holiday season. 

“I get how tired people are; I’m tired of it myself. But this is not about being tired,” McGeer said. “We just need to hold on until we can get vaccines, right? And they are coming.”

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Alouettes receiver Philpot announces he’ll be out for the rest of season

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Montreal Alouettes wide receiver Tyson Philpot has announced he will be out for the rest of the CFL season.

The Delta, B.C., native posted the news on his Instagram page Thursday.

“To Be Continued. Shoutout my team, the fans of the CFL and the whole city of Montreal! I can’t wait to be back healthy and write this next chapter in 2025,” the statement read.

Philpot, 24, injured his foot in a 33-23 win over the Hamilton Tiger-Cats on Aug. 10 and was placed on the six-game injured list the next week.

The six-foot-one, 195-pound receiver had 58 receptions, 779 yards and five touchdowns in nine games for the league-leading Alouettes in his third season.

Philpot scored the game-winning touchdown in Montreal’s Grey Cup win last season to punctuate a six-reception, 63-yard performance.

This report by The Canadian Press was first published Sept. 12, 2024.

The Canadian Press. All rights reserved.



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Tua Tagovailoa sustains concussion after hitting head on turf in Dolphins’ loss to Bills

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MIAMI GARDENS, Fla. (AP) — Miami Dolphins quarterback Tua Tagovailoa sustained a concussion for the third time in his NFL career, leaving his team’s game Thursday night against Buffalo after running into defensive back Damar Hamlin and hitting the back of his head against the turf.

Tagovailoa remained down for about two minutes before getting to his feet and walking to the sideline after the play in the third quarter. He made his way to the tunnel not long afterward, looking into the stands before smiling and departing toward the locker room.

The Dolphins needed almost no time before announcing it was a concussion. The team said he had two during the 2022 season, and Tagovailoa was diagnosed with another concussion when he was a college player at Alabama.

Dolphins coach Mike McDaniel said Tagovailoa would get “proper procedural evaluation” and “appropriate care” on Friday.

“The furthest thing from my mind is, ‘What is the timeline?’ We just need to evaluate and just worry about my teammate, like the rest of the guys are,” McDaniel said. “We’ll get more information tomorrow and take it day by day from here.”

Some players saw Tagovailoa in the locker room after the game and said they were encouraged. Tagovailoa spoke with some players and then went home after the game, McDaniel said.

“I have a lot of love for Tua, built a great relationship with him,” said quarterback Skylar Thompson, who replaced Tagovailoa after the injury. “You care about the person more than the player and everybody in the organization would say the same thing. Just really praying for Tua and hopefully everything will come out all right.”

Tagovailoa signed a four-year, $212 million extension before this season — a deal that makes him one of the highest-paid players in the NFL — and was the NFL’s leading passer in Week 1 this season. Tagovailoa left with the Dolphins trailing 31-10, and that was the final score.

“If you know Tua outside of football, you can’t help but feel for him,” Bills quarterback Josh Allen said on Amazon following the game. “He’s a great football player but he’s an even greater human being. He’s one of the best humans on the planet. I’ve got a lot of love for him and I’m just praying for him and his family, hoping everything’s OK. But it’s tough, man. This game of football that we play, it’s got its highs and it’s got its lows — and this is one of the lows.”

Tagovailoa’s college years and first three NFL seasons were marred by injury, though he positioned himself for a big pay bump with an injury-free and productive 2023 as he led the Dolphins into the playoffs. He threw for 29 touchdowns and a league-best 4,624 yards last year.

When, or if, he can come back this season is anyone’s guess. Tagovailoa said in April 2023 that the concussions he had in the 2022 season left him contemplating his playing future. “I think I considered it for a time,” he said then, when asked if he considered stepping away from the game to protect himself.

McDaniel said it’s not his place to say if Tagovailoa should return to football. “He’ll be evaluated and we’ll have conversations and progress as appropriate,” McDaniel said.

Tagovailoa was hurt Thursday on a fourth-down keeper with about 4:30 left in the third. He went straight ahead into Hamlin and did not slide, leading with his right shoulder instead.

Hamlin was the player who suffered a cardiac arrest after making a tackle during a Monday night game in January 2023 at Cincinnati, causing the NFL to suspend a pivotal game that quickly lost significance in the aftermath of a scary scene that unfolded in front of a national television audience.

Tagovailoa wound up on his back, both his hands in the air and Bills players immediately pointed at him as if to suggest there was an injury. Dolphins center Aaron Brewer quickly did the same, waving to the sideline.

Tagovailoa appeared to be making a fist with his right hand as he lay on the ground. It was movement consistent with something that is referred to as the “fencing response,” which can be common after a traumatic brain injury.

Tagovailoa eventually got to his feet. McDaniel grabbed the side of his quarterback’s head and gave him a kiss on the cheek as Tagovailoa departed. Thompson came into the game to take Tagovailoa’s spot.

“I love Tua on and off the football field,” Bills edge Von Miller said. “I’m a huge fan of him. I can empathize and sympathize with him because I’ve been there. I wish him the best.”

Tagovailoa’s history with concussions — and how he has since worked to avoid them — is a huge part of the story of his career, and now comes to the forefront once again.

He had at least two concussions during the 2022 season. He was hurt in a Week 3 game against Buffalo and cleared concussion protocol, though he appeared disoriented on that play but returned to the game.

The NFL later changed its concussion protocol to mandate that if a player shows possible concussion symptoms — including a lack of balance or stability — he must sit out the rest of the game.

Less than a week later, in a Thursday night game at Cincinnati, Tagovailoa was concussed on a scary hit that briefly knocked him unconscious and led to him being taken off the field on a stretcher.

His second known concussion of that season came in a December game against Green Bay, and he didn’t play for the rest of the 2022 season. After that, Tagovailoa began studying ways where he may be able to fall more safely and protect himself against further injury — including studying jiu-jitsu.

“I’m not worried about anything that’s out of my hands,” McDaniel said. “I’m just worried about the human being.”

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Too much? Many Americans feel the need to limit their political news, AP-NORC/USAFacts poll finds

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NEW YORK (AP) — When her husband turns on the television to hear news about the upcoming presidential election, that’s often a signal for Lori Johnson Malveaux to leave the room.

It can get to be too much. Often, she’ll go to a TV in another room to watch a movie on the Hallmark Channel or BET. She craves something comforting and entertaining. And in that, she has company.

While about half of Americans say they are following political news “extremely” or “very” closely, about 6 in 10 say they need to limit how much information they consume about the government and politics to avoid feeling overloaded or fatigued, according to a new survey from the Associated Press-NORC Center for Public Affairs Research and USAFacts.

Make no mistake: Malveaux plans to vote. She always does. “I just get to the point where I don’t want to hear the rhetoric,” she said.

The 54-year-old Democrat said she’s most bothered when she hears people on the news telling her that something she saw with her own eyes — like the Jan. 6, 2021, attack on the U.S. Capitol — didn’t really happen.

“I feel like I’m being gaslit. That’s the way to put it,” she said.

Sometimes it feels like ‘a bombardment’

Caleb Pack, 23, a Republican from Ardmore, Oklahoma, who works in IT, tries to keep informed through the news feeds on his phone, which is stocked with a variety of sources, including CNN, Fox News, The Wall Street Journal and The Associated Press.

Yet sometimes, Pack says, it seems like a bombardment.

“It’s good to know what’s going on, but both sides are pulling a little bit extreme,” he said. “It just feels like it’s a conversation piece everywhere, and it’s hard to escape it.”

Media fatigue isn’t a new phenomenon. A Pew Research Center survey conducted in late 2019 found roughly two in three Americans felt worn out by the amount of news there is, about the same as in a poll taken in early 2018. During the 2016 presidential campaign, about 6 in 10 people felt overloaded by campaign news.

But it can be particularly acute with news related to politics. The AP-NORC/USAFacts poll found that half of Americans feel a need to limit their consumption of information related to crime or overseas conflicts, while only about 4 in 10 are limiting news about the economy and jobs.

It’s easy to understand, with television outlets like CNN, Fox News Channel and MSNBC full of political talk and a wide array of political news online, sometimes complicated by disinformation.

“There’s a glut of information,” said Richard Coffin, director of research and advocacy for USAFacts, “and people are having a hard time figuring out what is true or not.”

Women are more likely to feel they need to limit media

In the AP-NORC poll, about 6 in 10 men said they follow news about elections and politics at least “very” closely, compared to about half of women. For all types of news, not just politics, women are more likely than men to report the need to limit their media consumption, the survey found.

White adults are also more likely than Black or Hispanic adults to say they need to limit media consumption on politics, the poll found.

Kaleb Aravzo, 19, a Democrat, gets a baseline of news by listening to National Public Radio in the morning at home in Logan, Utah. Too much politics, particularly when he’s on social media sites like TikTok and Instagram, can trigger anxiety and depression.

“If it pops up on my page when I’m on social media,” he said, “I’ll just scroll past it.”

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Sanders reported from Washington. David Bauder writes about media for the AP. Follow him at http://x.com/dbauder.

The AP poll of 1,019 adults was conducted July 29-August 8, 2024, using a sample drawn from NORC’s probability-based AmeriSpeak Panel, which is designed to be representative of the U.S. population. The margin of sampling error for all respondents is plus or minus 4.0 percentage points.

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