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'It wasn't called COVID at the time:' One year since Canada's first COVID-19 case – CTV News

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TORONTO —
The patient, when he came into the hospital ER with what seemed to be mild pneumonia, wasn’t that sick and might otherwise have been sent home.

Except the man had just returned from China, where a new viral disease was spreading like a brush fire. His chest X-rays were also unusual.

“We’d never seen a case like this before,” says Dr. Jerome Leis. “I’d never seen an X-ray quite like that one.”

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It was the evening of Jan. 23, 2020, when the team at Toronto’s Sunnybrook Health Sciences Centre decided to admit the 56-year-old patient. That same day, Canada’s chief public health officer, Dr. Theresa Tam, told the country:

“The risk of an outbreak in Canada remains low,” Tam said in a refrain she and other officials would repeat for weeks on end.

Less than two days after admission to Sunnybrook, the man would become “Patient Zero” — the first COVID-19 case in Canada.

For several weeks, Leis, the hospital’s medical director of infection prevention and control, had been anticipating just such a moment. He had known since the end of December about the outbreak in Wuhan, China, and he’d been following Chinese authorities as they published information about the new pathogen and its effects.

Drawing on lessons learned from the SARS epidemic years earlier, Sunnybrook’s screening staff were already asking new specific questions of incoming patients. Protocols were sharpened. Just that morning, in fact, internal-medicine residents and faculty had done a refresher around protective gear.

“We were extremely suspicious that this was the novel coronavirus that had been described,” Leis says. “It does feel like a lifetime ago and yet it does just seem like yesterday.”

Dr. Lynfa Stroud, on-call general internist and division head of general internal medicine at Sunnybrook, was notified the new patient needed to be admitted.

“We didn’t know what exactly we were dealing with,” Stroud says. “We had early reports of presentations and how people evolved. We were a bit nervous but we felt very well prepared.”

The following day, as China was locking down Hubei province, Dr. Peter Donnelly, then head of Public Health Ontario, was asked about lockdowns in Canada. “Absolutely not,” he declared: “If a case comes here, and it is probably likely that we will have a case here, it will still be business as normal.”

Confirmation of the clinicians’ suspicions at Sunnybrook would come from the agency’s laboratory, which had been working furiously to develop and validate a suitable test for the novel coronavirus based on information from China. The agency’s lab had been testing samples for two weeks when the Sunnybrook call came in.

“They sent a sample to us in a cab,” says Dr. Vanessa Allen, chief of microbiology and laboratory science at Public Health Ontario.

It would be the start of a round-the-clock effort to test and retest the new samples.

“The last thing you need is a false signal or some kind of misunderstanding,” says Allen, who had been a resident during the SARS outbreak.

By about midday of Saturday, Jan. 25, the lab was sure it had identified the new organism that would soon take over the world and become a household name.

“It wasn’t called COVID at the time,” Allen says of the disease.

Over at Sunnybrook, Leis received the confirmation without much surprise.

“It was consistent with what we were seeing and what we suspected,” he says. “I was actually happy that the lab was able to confirm it.”

Within hours, public health authorities would let the country know that Canada had its first case of the “Wuhan novel coronavirus,” although further confirmation from the National Microbiology Laboratory in Winnipeg was pending.

“I want Ontarians to know that the province is prepared to actively identify, prevent and control the spread of this serious infectious disease in Ontario,” Health Minister Christine Elliott declared as the province announced a new “dedicated web page” for latest information.

The wife of “Patient Zero” would also soon be confirmed as COVID-19 positive but was able to self-isolate at home.

“This (man) was one of the first cases to report on the more milder spectrum of disease, which was not something we were aware of,” Leis says. “It helped to teach us about the larger spectrum in disease severity that we see with COVID-19, which is very different from SARS.”

Looking back now at their roles in a small piece of Canadian pandemic history, those involved talk about how much we didn’t know about a virus that has since infected three-quarters of a million people in Canada, killing more than 18,800 of them.

“The initial detection, in some ways, was the easy part,” Allen says. “This virus and the implications are extremely humbling, and just the prolonged nature and impact of this was certainly not on my radar in January of last year.”

Yet treating “Patient Zero” and his wife afforded valuable lessons about what was then a poorly understood disease. For one thing, it became apparent that most of those afflicted don’t need hospital admission — hugely important given the massive number of infections and resulting stresses on critical-care systems.

“To be honest: We would have sent this patient home from the emergency room,” Stroud says. “We admitted him because, at that time, it wasn’t known very well what the course of illness was.”

Sunnybrook alone has now assessed more than 4,000 COVID-19 patients. To survive the onslaught, the hospital developed a program in which patients are screened and, if possible, sent to self-isolate under remote medical supervision.

Both “Patient Zero” and his wife recovered. Their cases would mark Canada’s first minor health-care skirmish of what was to become an all-out global defensive war against COVID-19. It also marked the beginning of relentless work hours for those on the front lines of health care.

For health-care workers, it’s been a long year since those first energized, if anxious, days one year ago. There’s a weariness in their voices, a recognition the war is still raging, even as vaccines developed with stunning alacrity offer some hope of a truce.

“We have been working essentially non-stop since last January and it’s not slowing down now,” Leis says. “Health-care teams are tired. There’s a lot of concern about burnout. It’s been challenging for sure.”

Despite COVID-19’s deadly toll, the vast majority of COVID-19 patients, like “Patient Zero,” recover. Still, even for some of those, their battle might never be over.

“These people just don’t get magically better,” Stroud says. “Some will have lifelong lung scarring and damage to their lungs.”

This report by The Canadian Press was first published Jan. 24, 2021.

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Looking for the next mystery bestseller? This crime bookstore can solve the case

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WINNIPEG – Some 250 coloured tacks pepper a large-scale world map among bookshelves at Whodunit Mystery Bookstore.

Estonia, Finland, Japan and even Fenwick, Ont., have pins representing places outside Winnipeg where someone has ordered a page-turner from the independent bookstore that specializes in mystery and crime fiction novels.

For 30 years, the store has been offering fans of Agatha Christie’s Hercule Poirot or Arthur Conan Doyle’s Sherlock Holmes a place to get lost in whodunits both old and new.

Jack and Wendy Bumsted bought the shop in the Crescentwood neighbourhood in 2007 from another pair of mystery lovers.

The married couple had been longtime customers of the store. Wendy Bumsted grew up reading Perry Mason novels while her husband was a historian with vast knowledge of the crime fiction genre.

At the time, Jack Bumsted was retiring from teaching at the University of Manitoba when he was looking for his next venture.

“The bookstore came up and we bought it, I think, within a week,” Wendy Bumsted said in an interview.

“It never didn’t seem like a good idea.”

In the years since the Bumsteds took ownership, the family has witnessed the decline in mail-order books, the introduction of online retailers, a relocation to a new space next to the original, a pandemic and the death of beloved co-owner Jack Bumsted in 2020.

But with all the changes that come with owning a small business, customers continue to trust their next mystery fix will come from one of the shelves at Whodunit.

Many still request to be called about books from specific authors, or want to be notified if a new book follows their favourite format. Some arrive at the shop like clockwork each week hoping to get suggestions from Wendy Bumsted or her son on the next big hit.

“She has really excellent instincts on what we should be getting and what we should be promoting,” Micheal Bumsted said of his mother.

Wendy Bumsted suggested the store stock “Thursday Murder Club,” the debut novel from British television host Richard Osman, before it became a bestseller. They ordered more copies than other bookstores in Canada knowing it had the potential to be a hit, said Michael Bumsted.

The store houses more than 18,000 new and used novels. That’s not including the boxes of books that sit in Wendy Bumsted’s tiny office, or the packages that take up space on some of the only available seating there, waiting to be added to the inventory.

Just as the genre has evolved, so has the Bumsteds’ willingness to welcome other subjects on their shelves — despite some pushback from loyal customers and initially the Bumsted patriarch.

For years, Jack Bumsted refused to sell anything outside the crime fiction genre, including his own published books. Instead, he would send potential buyers to another store, but would offer to sign the books if they came back with them.

Wendy Bumsted said that eventually changed in his later years.

Now, about 15 per cent of the store’s stock is of other genres, such as romance or children’s books.

The COVID-19 pandemic forced them to look at expanding their selection, as some customers turned to buying books through the store’s website, which is set up to allow purchasers to get anything from the publishers the Bumsteds have contracts with.

In 2019, the store sold fewer than 100 books online. That number jumped to more than 3,000 in 2020, as retailers had to deal with pandemic lockdowns.

After years of running a successful mail-order business, the store was able to quickly adapt when it had to temporarily shut its doors, said Michael Bumsted.

“We were not a store…that had to figure out how to get books to people when they weren’t here.”

He added being a community bookstore with a niche has helped the family stay in business when other retailers have struggled. Part of that has included building lasting relationships.

“Some people have put it in their wills that their books will come to us,” said Wendy Bumsted.

Some of those collections have included tips on traveling through Asia in the early 2000s or the history of Australian cricket.

Micheal Bumsted said they’ve had to learn to be patient with selling some of these more obscure titles, but eventually the time comes for them to find a new home.

“One of the great things about physical books is that they can be there for you when you are ready for them.”

This report by The Canadian Press was first published on Sept. 15, 2024.



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Labour Minister praises Air Canada, pilots union for avoiding disruptive strike

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MONTREAL – Canada’s labour minister is praising both Air Canada and the union representing about 5,200 of its pilots for averting a work stoppage that would have disrupted travel for hundreds of thousands of passengers.

Steven MacKinnon’s comments came in a statement shared to social media shortly after Canada’s largest air carrier announced it had reached a tentative labour deal with the Air Line Pilots Association.

MacKinnon thanked both sides and federal mediators, saying the airline and its pilots approached negotiations with “seriousness and a resolve to get a deal.”

The tentative agreement averts a strike or lockout that could have begun as early as Wednesday for Air Canada and Air Canada Rouge, with flight cancellations expected before then.

The airline now says flights will continue as normal while union members vote on the tentative four-year contract.

Air Canada had called on the federal government to intervene in the dispute, but Prime Minister Justin Trudeau said Friday that would only happen if it became clear no negotiated agreement was possible.

This report from The Canadian Press was first published Sept. 15, 2024.

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As plant-based milk becomes more popular, brands look for new ways to compete

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When it comes to plant-based alternatives, Canadians have never had so many options — and nowhere is that choice more abundantly clear than in the milk section of the dairy aisle.

To meet growing demand, companies are investing in new products and technology to keep up with consumer tastes and differentiate themselves from all the other players on the shelf.

“The product mix has just expanded so fast,” said Liza Amlani, co-founder of the Retail Strategy Group.

She said younger generations in particular are driving growth in the plant-based market as they are consuming less dairy and meat.

Commercial sales of dairy milk have been weakening for years, according to research firm Mintel, likely in part because of the rise of plant-based alternatives — even though many Canadians still drink dairy.

The No. 1 reason people opt for plant-based milk is because they see it as healthier than dairy, said Joel Gregoire, Mintel’s associate director for food and drink.

“Plant-based milk, the one thing about it — it’s not new. It’s been around for quite some time. It’s pretty established,” said Gregoire.

Because of that, it serves as an “entry point” for many consumers interested in plant-based alternatives to animal products, he said.

Plant-based milk consumption is expected to continue growing in the coming years, according to Mintel research, with more options available than ever and more consumers opting for a diet that includes both dairy and non-dairy milk.

A 2023 report by Ernst & Young for Protein Industries Canada projected that the plant-based dairy market will reach US$51.3 billion in 2035, at a compound annual growth rate of 9.5 per cent.

Because of this growth opportunity, even well-established dairy or plant-based companies are stepping up their game.

It’s been more than three decades since Saint-Hyacinthe, Que.-based Natura first launched a line of soy beverages. Over the years, the company has rolled out new products to meet rising demand, and earlier this year launched a line of oat beverages that it says are the only ones with a stamp of approval from Celiac Canada.

Competition is tough, said owner and founder Nick Feldman — especially from large American brands, which have the money to ensure their products hit shelves across the country.

Natura has kept growing, though, with a focus on using organic ingredients and localized production from raw materials.

“We’re maybe not appealing to the mass market, but we’re appealing to the natural consumer, to the organic consumer,” Feldman said.

Amlani said brands are increasingly advertising the simplicity of their ingredient lists. She’s also noticing more companies offering different kinds of products, such as coffee creamers.

Companies are also looking to stand out through eye-catching packaging and marketing, added Amlani, and by competing on price.

Besides all the companies competing for shelf space, there are many different kinds of plant-based milk consumers can choose from, such as almond, soy, oat, rice, hazelnut, macadamia, pea, coconut and hemp.

However, one alternative in particular has enjoyed a recent, rapid ascendance in popularity.

“I would say oat is the big up-and-coming product,” said Feldman.

Mintel’s report found the share of Canadians who say they buy oat milk has quadrupled between 2019 and 2023 (though almond is still the most popular).

“There seems to be a very nice marriage of coffee and oat milk,” said Feldman. “The flavour combination is excellent, better than any other non-dairy alternative.”

The beverage’s surge in popularity in cafés is a big part of why it’s ascending so quickly, said Gregoire — its texture and ability to froth makes it a good alternative for lattes and cappuccinos.

It’s also a good example of companies making a strong “use case” for yet another new entrant in a competitive market, he said.

Amid the long-standing brands and new entrants, there’s another — perhaps unexpected — group of players that has been increasingly investing in plant-based milk alternatives: dairy companies.

For example, Danone has owned the Silk and So Delicious brands since an acquisition in 2014, and long-standing U.S. dairy company HP Hood LLC launched Planet Oat in 2018.

Lactalis Canada also recently converted its facility in Sudbury, Ont., to manufacture its new plant-based Enjoy! brand, with beverages made from oats, almonds and hazelnuts.

“As an organization, we obviously follow consumer trends, and have seen the amount of interest in plant-based products, particularly fluid beverages,” said Mark Taylor, president and CEO of Lactalis Canada, whose parent company Lactalis is the largest dairy products company in the world.

The facility was a milk processing plant for six decades, until Lactalis Canada began renovating it in 2022. It now manufactures not only the new brand, but also the company’s existing Sensational Soy brand, and is the company’s first dedicated plant-based facility.

“We’re predominantly a dairy company, and we’ll always predominantly be a dairy company, but we see these products as complementary,” said Taylor.

It makes sense that major dairy companies want to get in on plant-based milk, said Gregoire. The dairy business is large — a “cash cow,” if you will — but not really growing, while plant-based products are seeing a boom.

“If I’m looking for avenues of growth, I don’t want to be left behind,” he said.

Gregoire said there’s a potential for consumers to get confused with so many options, which is why it’s so important for brands to find a way to differentiate themselves, whether it’s with taste, health, or how well the drink froths for a latte.

Competition in a more crowded market is challenging, but Taylor believes it results in better products for consumers.

“It keeps you sharp, and it forces you to be really good at what you’re doing. It drives innovation,” he said.

This report by The Canadian Press was first published Sept. 15, 2024.



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