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CDC shortens quarantine recommendation for U.S., raising questions in Canada – CBC.ca

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The recommended quarantine time for close contacts of a positive COVID-19 case is being reduced by up to a week in the United States, but while some of Canada’s health experts say a similar approach could be useful here, others aren’t so sure.

The U.S.-based Centers for Disease Control and Prevention (CDC) announced Wednesday it had shortened the recommended length of quarantine after exposure from 14 days to 10 — or seven days with a negative test result.

Health Canada was still recommending a 14-day quarantine period as of Wednesday, but Dr. Zain Chagla, an infectious disease specialist at McMaster University in Hamilton, says cutting that time in half would be beneficial.

“It would be super important for the sake of incentivizing people to actually quarantine after exposure,” he said.

“And there’s a lot of different things that could theoretically open up — getting health-care workers back to work, getting kids back to school — a lot of ways where this could ease the burden of potential exposure in society.”

The CDC had previously said the incubation period for the coronavirus that causes COVID-19 could extend to 14 days, but the organization now says most people become infectious and develop symptoms between four and five days after exposure.

Chagla says the 14-day window was likely inspired from SARS data, where the incubation period was longer.

While isolation and quarantine are sometimes used interchangeably, Chagla says there’s a difference in the terms. Isolation is for those who have tested positive, while quarantine is for people who may or may not actually have the virus, like close contacts of positive cases or those travelling into Canada. Isolation recommendations for positive cases vary, but are typically 10 days after symptom onset.

Typical course of infection

Ashleigh Tuite, an epidemiologist at the University of Toronto, says a change in quarantine guidance reflects our evolving understanding of COVID-19.

“If you’re exposed, it takes a couple days for you to become infectious, so [seven to 10 days] should be enough to tell whether you’ve got the virus,” Tuite said. “But of course, that’s assuming your experience is reflective of the typical course of infection.”

The key to the CDC’s new guidance for Tuite is having the option to end quarantine at seven days with a negative test result. She suspects that’s in place to stop people who have the virus but no symptoms from ending the quarantine period too early.

A positive test at Day 7 would mean that person should continue to isolate, Tuite said, while a negative result would mean they could safely end quarantine, knowing enough time has passed since exposure to confidently assume they won’t still get sick.

Testing capacity challenges

Dr. Don Sheppard, the founder and director of the McGill Interdisciplinary Initiative in Infection and Immunity (MI4), says the CDC’s plan makes sense scientifically, but there would be logistical issues in testing every COVID contact in Canada who wanted to end their quarantine at Day 7.

“It’s impossible to do that,” he said. “It’s either 14 days of proper isolation, or it’s seven days with a negative test, and right now our system cannot offer seven days plus testing to the public at large.”

WATCH | Could the 14-day isolation period be shorter? (At 01:18:45):

Canadians put their questions about the worsening COVID-19 pandemic to experts during an interactive two-hour special, hosted by Adrienne Arsenault and Andrew Chang. 1:39:27

Testing capacity does exist in certain situations, Sheppard said, like for health-care workers and other front-line staff that need a quicker quarantine to get back to work. He cautioned, however, that taking a test on Day 7 still means isolating for an extra day or two while awaiting results.

Quarantine also needs to be done solo in order to work, Sheppard added, warning that the CDC guidance isn’t meant as a loophole for holiday gatherings if your family isolates together for seven days before an event.

Supports for people to quarantine

He used an example of military recruits in the U.S. who were told to quarantine for 14 days before reporting to camp. A handful of positive tests (0.9 per cent) were caught upon arrival, suggesting true quarantine hadn’t been followed.

Those recruits were sent home while the rest underwent another group quarantine. When tested again two weeks later, the positivity rate had grown to 1.3 per cent.

“Why? Because there were people incubating and they turned positive. And those people infected others in their groups,” Sheppard said.

“So if you don’t do strict, single-person isolation, you don’t actually break the cycle of transmission, you just pass it around in your group.”

Tuite says that further illustrates the usefulness of a shortened quarantine period.

A mother with young children, or someone who shares a small apartment with another person will find it harder to properly quarantine for longer periods, she said, as will someone who can’t afford to take a full two weeks off work.

“It really comes down to having the means to do it,” she said. “Can you survive for two weeks if you’re not getting income? Can you isolate in a household with multiple people?

“We need to have support in place so that people can quarantine, and that doesn’t change whether it’s for a week or 14 days. But it becomes much more challenging when it’s for longer periods.”

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B.C. to scrap consumer carbon tax if federal government drops legal requirement: Eby

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VANCOUVER – A re-elected NDP government would scrap British Columbia’s long-standing carbon tax and shift the burden to “big polluters” if the federal government dropped its requirement for the law, Premier David Eby said Thursday.

At a campaign event in Vancouver, Eby said his government would end the provincial carbon tax on consumers if the federal “legal backstop” requiring the province to keep the tax in place is removed.

“Two things will happen. One is we’ll remove the carbon tax for everyday British Columbians, for the farmers, for the truckers, for the average British Columbian,” Eby said Thursday.

“The second thing is we believe that climate change is a real and present threat, unlike (B.C. Conservative Leader) John Rustad who thinks it’s a hoax. “And so we will continue to ensure … that the big polluters are paying their fair share.”

He said the federal Liberal government’s approach to the carbon tax has “badly damaged” what was a political consensus on the issue in the province, which goes to the polls on Oct. 19.

Federal Conservative Leader Pierre Poilievre has meanwhile vowed to end the carbon tax if elected.

British Columbia’s provincial carbon tax has been in place since 2008, when it became the first jurisdiction in North America to put a price on carbon emissions, but Eby said the carbon tax issue has since been “politicized,” something he called “incredibly unfortunate.”

“It’s had an impact right across the country in terms of peoples’ support for this kind of approach,” he said.

“Combine that with rising interest rates, high global inflation, and we need to make sure that we’re supporting British Columbians however we can right now.”

He said the federal government’s “unsustainable hikes” on how much people have to pay, coupled with differential treatment given to certain products and provinces had squeezed consumers at a time they need “support.”

“I believed and still believe that a price on carbon is and can be an effective tool, which is why I think that big polluters need to pay in this province,” he said.

Eby was flanked by Manitoba NDP Premier Wab Kinew at the campaign event.

Kinew said climate change needed action but the politicization of the issue had alienated blue-collar workers and a “generation of Canadians,” something he said the NDP couldn’t afford.

He said there had to be “flexibility” in the face of the affordability crisis.

“Of course, we’re going to be doing all those things to reduce emissions and to incentivize a low carbon economy, but we’ve got to keep a critical mass of Canadians on side with solving the climate crisis,” Kinew said.

B.C. Conservative leader John Rustad said Eby’s “reversal” on the tax was a “desperate attempt to salvage his sinking political ship.”

“Eby has spent years championing this disastrous tax that punishes families and businesses. Now, faced with growing opposition, he’s pretending to care. It’s nothing more than a cynical ploy,” Rustad said in a written statement sent minutes after Eby’s comments.

BC Green Party Leader Sonia Furstenau, called Eby’s pledge a “carbon tax flip-flop.”

“It is obvious that the B.C. NDP is making up climate policy on the fly. He now says big emitters should pay for climate change — but his government is giving billions in subsidies to the fossil fuel industry to increase fracking,” she said in a written statement.

“B.C. deserves a clear, coherent plan for climate change and the clean economy, not confusing contradictions.”

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

The Canadian Press. All rights reserved.



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B.C. to ensure fruit growers impacted by co-op closure are paid for past harvests

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VICTORIA – The British Columbia government says it is taking steps to ensure tree fruit growers are compensated for past harvests after the closure of a co-operative that had served farmers for almost 90 years.

It says the Investment Agriculture Foundation of BC is “redirecting” about $4 million in provincial funding that will be used to ensure co-op members receive money they are owed.

The province says the foundation will pay growers in the coming weeks and then recoup the funds at the end of the court process involving the BC Tree Fruits Cooperative that filed for creditor protection last month.

In July, the co-op, which processed, stored, packaged and sold fruit for 230 member farms, announced it was shutting down after 88 years of operation.

It says it has more than $58 million in liabilities.

The agriculture ministry says it is has also provided $100,000 to the BC Fruit Growers Association that will go toward food-safety certification that was previously done by the co-op.

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

The Canadian Press. All rights reserved.



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Ceiling high for Vancouver Whitecaps midfielder Ahmed: Canada coach

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VANCOUVER – Jesse Marsch issued Canada’s men’s soccer squad a challenge — get physical.

The edict came after the Canadians surprised many at this summer’s Copa America tournament, making it through to the semifinals. As his players departed for their professional clubs, the head coach wanted them thinking about continued growth.

“I challenged them to be more physically present in the matches that they played in,” Marsch said. “I’ve tried to encourage all the players to sprint more, to win more duels, to win more balls, to be more dynamic in matches.”

When Canada reconvened for a pair of friendlies last week, the coach saw some players had already heeded his call, including Vancouver Whitecaps product Ali Ahmed.

The 23-year-old midfielder started in both Canada’s 2-1 victory over the United States on Saturday and Tuesday’s 0-0 draw against Mexico.

“I’m really happy for him,” Marsch said. “I think he’s still young and still has a lot of room and potential to continue to grow.”

Playing under Marsch — who took over as head coach in May — has been a boon for the young athlete, currently in his second full season with Major League Soccer’s Whitecaps.

“Jesse has a very clear way of playing,” Ahmed said. “And I think the way we’ve been training and the way we’ve been growing as a group, it’s been helpful for me.”

The reward of getting minutes for a national team can spur a player’s growth, including Ahmed, said Whitecaps head coach Vanni Sartini.

“Of course that fuels him inside to say ‘Hey, I want to be a better player. I want to get to that stage,'” said Sartini.

Vancouver had six players — including Ahmed — away on international duty during its 0-0 draw against Dallas FC on Saturday. The absences are a good problem to have, Sartini said.

“Because we have players that are close to the national team, we have a lot of players that development is faster, better, bigger than it would have been if they hadn’t been called,” he said.

Born in Toronto, Ahmed came up through the Whitecaps’ academy system and played for Vancouver’s MLS Next Pro side before cementing his spot on the first team in 2023. He put up two goals and two assists across 22 regular-season games, and added another goal and another helper in 19 appearances this year.

Taking the next step will require the five-foot-11, 154-pound Ahmed to push himself physically, Marsch said.

“Tactically, he’s technically gifted,” the coach said. “I’ve told him he’s got to get in the gym more.

“There’s a lot of these little things where too many guys, they still look like kids and we need to help them look like men and play like men. And that’s what the high standards of the game are about.”

Marsch has quickly adjusted to recalibrating standards in his short time with Team Canada. Since taking over the squad in May, the coach said he’s learned the players are smarter and more capable than he originally thought, which forces the coach to constantly recalibrate his standards.

“That’s my job right now, to keep raising the level of the demands,” he said.

The way 40th-ranked Canada is viewed on the international stage is evolving, too.

“I think we’re changing the perception on the way we’re playing now,” he said. “I think beating the U.S. — it would have been nice to beat Mexico as well — the way we did, the way that we performed at Copa, I think teams are starting to look at us differently.

“Right now, I think we’re focused on ourselves. We’re definitely trying to be the best in CONCACAF and we have higher goals as well.”

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



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