Health
A look at how provinces plan to emerge from COVID-19 shutdown – Kamloops This Week
Provinces have been releasing plans for easing restrictions that were put in place to limit the spread of COVID-19.
Here is what some of the provinces have announced so far:
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Newfoundland and Labrador
Newfoundland and Labrador announced on May 29 that “bubbles” that had been limited to two households could invite six additional people into their circle.
Small gatherings for funerals, burials and weddings had already been allowed with a limit of 10 people following physical distancing rules. However, parties or other social gatherings are still banned.
Outdoor games of tennis have been allowed to resume, though players must bring their own equipment, and not share it.
Pet grooming services began operating May 25, with companies ordered to ensure their employees have personal protective equipment.
Municipal parks, golf courses and driving ranges can open and recreational hunting and fishing are permitted.
The province is in “alert level four” in its five-level reopening plan, allowing some businesses such as law firms and other professional services to reopen along with regulated child-care centres, with some restrictions.
At Level 3, private health clinics, such as optometrists and dentists, will be allowed to open, as well as medium-risk businesses such as clothing stores and hair salons. Overnight camping will also be permitted at level three, though there’s no word yet when that will happen.
At Level 2, some small gatherings will be allowed, and businesses with performance spaces and gyms are to reopen.
Level 1 would represent “the new normal.”
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Nova Scotia
On May 29 Premier Stephen McNeil announced a new gathering limit of 10 people, doubling the limit of five that was imposed in late March.
Physical distancing of two metres is still required, except among members of the same household or family “bubble.” The limit is the same indoors and outdoors, with exceptions for outdoor weddings and funeral services which can have 15 people.
The gathering limit also applies to arts and culture activities such as theatre performances and dance recitals, faith gatherings, and sports and physical activity. Businesses such as theatres, concerts, festivals and sporting activities also must adhere to the 10-person limit.
Private campgrounds can reopen, but only at 50 per cent capacity and they must ensure public health protocols are followed, including adequate distancing between campsites.
Provincial campgrounds are scheduled to open June 15 at reduced capacity to ensure a minimum of six metres between individual sites.
Most businesses ordered shut in late March will be allowed to reopen June 5, if they have a plan that follows physical distancing protocols. The list of businesses includes bars and restaurant dining rooms, hair salons, barber shops, gyms and yoga studios, among others.
Some health providers will also be able to reopen, including dentistry, optometry, chiropractic and physiotherapy offices. Veterinary services will be allowed to operate along with some unregulated professions, such as massage therapy, podiatry and naturopathy.
McNeil earlier announced there would be no return to school this year, and a decision on reopening daycares would be made by June 8.
Trails and provincial and municipal parks can now reopen along with garden centres, nurseries and similar businesses, but playground equipment is still off limits.
Public beaches have reopened along with outdoor activities like archery, horseback riding, golf, paddling, boating and tennis, with the proviso that social distancing and hygiene be maintained. Sportfishing is permitted and people can attend boating, yacht or sailing clubs for the purpose of preparing boats for use.
Drive-in religious services are now allowed, if people stay in their cars, park two metres apart and there are no interactions between people.
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Prince Edward Island
Prince Edward Island has extended its public health emergency until June 14.
Premier Dennis King says people wanting to travel to seasonal residences must apply beginning June 1, and those will be put through a risk assessment before approval. Seasonal residents will also be tested for COVID-19 before completing the two weeks they must spend in self-isolation after arriving in the province.
The province moved into the third phase of its reopening plan June 1, which allows such things as in-house dining at restaurants, small groups to participate in recreational and some sporting activities and libraries to reopen. Phase three also allows gatherings of up to 15 people indoors and 20 people outdoors and the reopening of child-care centres.
As well, family and friends can visit residents at long-term care homes. The visits require an appointment and must take place outdoors.
Under phase 2, non-contact outdoor recreational activities were permitted, and retail businesses could reopen with physical distancing measures in place.
Priority non-urgent surgeries and select health-service providers, including physiotherapists, optometrists and chiropractors, resumed on May 1.
The P.E.I legislature resumed May 26.
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New Brunswick
New Brunswick moved to the “yellow phase” of its COVID-19 recovery plan on May 22, allowing barbers and hair stylists to reopen as well as churches and fitness facilities. Dental care, massage, chiropractors and other “close contact” businesses and services could also reopen.
But the Campbellton region, which extends from Whites Brook to the Belledune, had to take a step backwards to the “orange” level on May 27. Residents were told to once again avoid contacts outside their two-household bubble. Non-regulated health professionals and personal service businesses that opened May 22 also had to close again. And people should only be travelling in and out of Zone 5 for essential reasons.
Restrictions in the yellow phase of the province’s recovery plan will be lifted beginning June 5. The activities include outdoor gatherings of up to 50 people, indoor religious services of up to 50 people, low-contact team sports and the opening of a long list of facilities including swimming pools, gyms, rinks, water parks, and yoga and dance studios.
Licensed daycares started reopening May 19. Children don’t have to wear masks or maintain physical distancing but are being kept in small groups.
Anyone who has travelled outside of New Brunswick will not be allowed to visit early learning and child-care facilities for 14 days.
Retail businesses, offices, restaurants, libraries, museums and seasonal campgrounds were earlier allowed to reopen providing they have clear plans for meeting public health guidelines. The resumption of elective surgeries was also part phase two of the province’s reopening plan.
Phase one, which started on April 24, allowed limited play on golf courses as well as fishing and hunting. Post-secondary students could return if it was deemed safe by the school, and outdoor church services were again permitted, providing people remain in their vehicles and are two metres apart.
The final phase, which will probably come only after a vaccine is available, will include large gatherings.
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Quebec
Quebec began allowing outdoor gatherings with a maximum of 10 people from three families with social distancing in place on May 22.
On May 25 some retail businesses reopened in the greater Montreal area. Quebec reopened retail stores outside Montreal on May 11.
Parks and pools can reopen across the province but are still be subject to physical distancing and other health measures
Day camps across the province will be allowed to open as of June 22, with physical distancing and other COVID-19 health measures in effect. That means smaller groups of children and frequent handwashing. Sleep-away summer camps won’t be allowed to reopen until next year.
Lottery terminals are also reopening after being shut down on March 20 with sales moving to online only.
Quebec’s construction and manufacturing industries have resumed operations with limits on the number of employees who can work per shift. Elementary schools and daycares outside Montreal reopened on May 11, but high schools, junior colleges and universities will stay closed until September.
Elementary schools in the greater Montreal area will remain closed until late August.
Courthouses across the province were permitted to reopen starting June 1, with limited seating capacity and Plexiglas barriers protecting clerks and judges.
Camping is now allowed outside the Montreal and Joliette regions, as are cottage rentals.
Shopping malls, nail salons and other personal care centres are also reopening, but only outside Montreal.
Hairdressers, nail salons and other personal care businesses will be able to open in the Montreal area on June 15.
Meanwhile, checkpoints set up to slow the spread of COVID-19 came down on May 18 in various parts of Quebec, including between Gatineau and Ottawa.
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Ontario
Ontario began its first stage of reopening May 19 including lifting restrictions on retail stores and surgeries.
The province says workplaces can begin to reopen but working from home should continue as much as possible.
The Royal College of Dental Surgeons of Ontario says the profession is currently in Stage 2 of its three-phase reopening plan. Dentists had previously only been allowed to practice emergency or urgent care on patients in-person but can now offer other essential services with enhanced precautions.
All construction can resume, with limits also lifted on maintenance, repair and property management services, such as cleaning, painting and pool maintenance.
Most retail stores with a street entrance can reopen with physical distancing restrictions, and curbside pickup and delivery.
Golf courses can reopen though clubhouses can only open for washrooms and take-out food. Marinas, boat clubs and public boat launches can also open, as can private parks and campgrounds for trailers and RVs whose owners have a full season contract, and businesses that board animals.
Other businesses and services included in the stage one reopening include regular veterinary appointments, pet grooming, pet sitting and pet training; libraries for pickup or deliveries; and housekeepers and babysitters.
Drive-in movie theatres and batting cages reopened May 31 with physical distancing measures in effect.
Backcountry campers returned to provincial parks June 1 with certain stipulations. No more than five people can occupy a single campsite, unless they live in the same household. Provincial parks will also expand permission for picnics and off-leash pet areas.
Premier Doug Ford earlier announced that Ontario schools would remain closed for the rest of the school year.
Meanwhile, this summer’s Honda Indy Toronto has been cancelled.
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Manitoba
The Manitoba government has lifted its one-month limit on people’s prescription drug supplies, allowing people to again get prescriptions filled or refilled for 90 days.
Its health offices, including dentists, chiropractors and physiotherapists can also reopen. Retail businesses can reopen at half occupancy providing they ensure physical spacing.
Museums and libraries can reopen, but with occupancy limited to 50 per cent.
Playgrounds, golf courses and tennis courts have reopened as well, along with parks and campgrounds.
On May 22 the province began allowing groups of up to 25 people indoors and 50 people outdoors.
On June 1, the province eased a ban on people visiting loved ones in personal care homes.
Homes can now offer outdoor visits with a maximum of two guests per resident. Visitors will be screened upon arrival and must practice physical distancing.
Community centres and seniors’ clubs are also getting the go-ahead with limits on customer capacity and rules for physical distancing.
Bars, tattoo parlours, dine-in restaurants, fitness clubs and pools could reopen June 1 under limited capacity.
Elementary and high schools stopped in-class instruction in March and will not reopen this school year. But they were allowed, as of June 1, to offer tutoring or student assessments in small groups. Some extracurricular sports and other activities can restart.
At universities and colleges, some specific instruction such as labs and arts studios will be able to resume for up to 25 students and staff at a time.
Amateur sports and recreation programs, as well as bowling alleys, are on the list to resume operations.
A ban on non-essential travel to the province’s north was also eased starting June 1. Southern residents can now travel directly to cottages, campgrounds and parks, but are being told to avoid visiting northern communities.
Film productions can also resume, as well outdoor religious services with no crowd limits providing people stay in their vehicles.
Movie theatres and casinos must remain closed. Concerts, professional sporting events and other large public gatherings won’t be considered until at least September.
Manitoba has extended a province-wide state of emergency until mid-June, to help prevent the spread of COVID-19.
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Saskatchewan
The Saskatchewan government’s five-phase plan to reopen its economy started May 11 with dentists, optometrists and other health professionals allowed to resume services. Phase 1 also includes reopened golf courses and campgrounds.
Under phases 2 and 3 the province says restaurants, gyms and nail salons can start reopening on June 8. Restaurants will be allowed to operate at half capacity and restrictions will also lift on some personal care services, childcare centres and places of worship. The government also plans to increase its 10-person gathering limit to 15 people indoors and to 30 for those outdoors.
Phase 4 could see arenas, swimming pools and playgrounds opening, while in Phase 5, the province would consider lifting restrictions on the size of public gatherings.
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Alberta
Alberta has completed the first phase of its economic relaunch. Retail shops, restaurants, day cares, barber shops, hair salons, farmers markets and places of worship have reopened with some conditions.
Outdoor gatherings are currently limited to 50 people, and indoor gatherings to 15.
The next phase is scheduled to begin June 19 with the reopening of stage and movie theatres, spas and services like manicures, pedicures and massages.
Alberta allowed some scheduled, non-urgent surgeries to start on May 11.
Service provided by dentists, physiotherapists and other medical professionals are also permitted. Golf courses reopened May 2, though pro shops and clubhouses remain shuttered.
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British Columbia
The provincial government allowed a partial reopening of the B.C. economy starting May 19.
The reopening plans are contingent on organizations and businesses having plans that follow provincial guidelines to control the spread of COVID-19. Hotels, resorts and parks will follow in June.
Parents in B.C. were given the choice of allowing their children to return to class on a part-time basis starting June 1. The government says its goal is for the return of full-time classes in September, if it’s safe.
Under the part-time plan, for kindergarten to Grade 5, most students will go to school half time, while grades 6 to 12 will go about one day a week. A mix of online and classroom post-secondary education is planned for September.
Conventions, large concerts, international tourism and professional sports with a live audience will not be allowed to resume until either a vaccine is widely available, community immunity has been reached, or effective treatment can be provided for the disease.
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Northwest Territories
The Northwest Territories announced on May 12 a three-phase reopening plan, but the government didn’t say when it would be implemented.
The plan includes more gatherings and the possible reopening of some schools and businesses. However, the territory’s borders remain closed indefinitely to non-residents and non-essential workers.
There are several requirements that must be met before any measures are relaxed: there must be no evidence of community spread; travel entry points in the territory are strong and secure; risks are reduced from workers coming into the territory; and expanded community testing is available.
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Yukon
Travel restrictions will be lifted between Yukon and B.C. after July 1 under the second phase of the territory’s pandemic restart plan.
After that date, travellers between the province and territory will no longer be required to self-isolate for 14 days.
The territory says monitoring the status of neighbouring jurisdictions will determine if it’s safe to further lift restrictions.
Yukon has been gradually easing pandemic restrictions since May 15 with dine-in restaurants, day cares and recreational centres reopening.
Territorial parks and campgrounds will open for the summer next week.
Two households of up to 10 people in total are currently able to interact with each other as part of a “household bubble.”
The territory’s reopening plan outlines five phases including a period after a vaccine is available.
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This report by The Canadian Press was first published June 3, 2020
The World Health Organization (WHO) said the rising number of bird flu cases has raised “great concern” because it had an “extremely high” mortality rate among those who had been infected around the world.
The WHO’s data show that from 2003 through March 2024, a total of 889 worldwide human cases of H5N1 infection had been recorded in 23 countries, resulting in 463 deaths and a 52 percent mortality rate. The majority of deaths occurred in Southeast Asian countries and Egypt.
The most recent death was in Vietnam in late March, when a 21-year-old male without underlying conditions died of the infection after bird hunting. So far, cases in Europe and the United States have been mild.
Jeremy Farrar, chief scientist at the WHO, said recently that H5N1, predominantly started in poultry and ducks, “has spread effectively over the course of the last one or two years to become a global zoonotic — animal — pandemic”.
He said that the great concern is that the virus is increasingly infecting mammals and then develops the ability to infect humans. It would become critical if the virus develops the ability to “go from human-to-human transmission”, Farrar said.
In the past month, health officials have detected H5N1 in cows and goats from 29 dairy herds across eight states in the US, saying it is an alarming development because those livestock weren’t considered susceptible to H5N1.
The development worries health experts and officials because humans regularly come into contact with livestock on farms. In the US, there are only two recorded cases of human infection — one in 2022 and one in April this year in Texas. Both infected individuals worked in close proximity to livestock, but their symptoms were mild.
Wenqing Zhang, head of the WHO’s global influenza program, told the Daily Mail that “bird-to-cow, cow-to-cow and cow-to-bird transmission have also been registered during these current outbreaks, which suggest that the virus may have found other routes of transition than we previously understood”.
Zhang said that multiple herds of cow infections in the US states meant “a further step of the virus spillover to mammals”.
The virus has been found in raw milk, but the Texas Health Services department has said the cattle infections don’t present a concern for the commercial milk supply, as dairies are required to destroy milk from sick cows. In addition, pasteurization also kills the virus.
Darin Detwiler, a former food safety adviser to the Food and Drug Administration and the US Agriculture Department, said that Americans should avoid rare meat and runny eggs while the outbreak in cattle is going on to avoid the possibility of infection from those foods.
Nevertheless, both the WHO and the Centers for Disease Control and Prevention (CDC) said that the risk the virus poses to the public is still low. Currently no human-to-human infection has been detected.
On the potential HN51 public health risk, Farrar cautioned that vaccine development was not “where we need to be”.
According to a report by Barron’s, under the current plan by the US Health and Human Services Department, if there is an H5N1 pandemic, the government would be able to supply a few hundred thousand doses within weeks, then 135 million within about four months.
People would need two doses of the shot to be fully protected. That means the US government would be able to inoculate about 68 million people — 20 percent — of 330 million in case of an outbreak.
The situation is being closely watched by scientists and health officials. Some experts said that a high mortality rate might not necessarily hold true in the event the virus became contagious among people.
“We may not see the level of mortality that we’re really concerned about,” Seema Lakdawala, a virologist at Emory University, told The New York Times. “Preexisting immunity to seasonal flu strains will provide some protection from severe disease.”
Agencies contributed to this story.
Peel Region has a massive childhood vaccination backlog, with more than half of children missing at least one mandated vaccine dose.
That’s the warning from Peel’s acting medical officer of health, who says the lack of school immunizations is spelling trouble for communicable diseases.
“Without significant dedicated resources, we estimate it will take seven years to complete screening catch up and achieve pre-pandemic coverage rates,” said Dr. Katherine Bingham in a presentation to Peel council on April 11.
She says low immunization coverage among students significantly increases the risk for the re-emergence of vaccine-preventable diseases such as measles.
Unless children have a valid exception, the following vaccines are mandatory for Ontario school children: diphtheria, tetanus, polio, measles, mumps, rubella, meningitis, whooping cough and chicken pox. Several other vaccines are strongly recommended by public health units and doctors.
Advocates, doctors and Peel public health are advocating for more attention to the issue, more money from the province for public health and the formation of an action plan to quickly address the currently low vaccination rates.
Peel stacks lower than the provincial average on a number of vaccinations. For example, just over 37 per cent of seven-year-olds had been vaccinated against measles compared to more than 52 per cent province-wide as of August 31, 2022.
Peel Public Health says many children missed vaccinations they would have received at school or a doctor’s offices. Reporting of vaccines and enforcement also fell behind in the pandemic. To tackle the backlog more quickly, Peel Public Health opened public clinics for mandatory vaccines as of April 1 of this year.
‘We never thought it would be us’: mother
Jill Promoli, a Mississauga mother, lost her son, Jude, to a school flu outbreak eight years ago even though he was vaccinated. She’s now an illness prevention advocate championing immunizations and said the low vaccination rates in Peel children are “very concerning.”
“We never thought it would be us, but it is going to be someone,” said Promoli, who’s also a Peel District School Board Trustee, but did not speak to CBC Toronto in that capacity.
“The reason that we do vaccinate against these diseases is not because they’re inconvenient or uncomfortable, but it’s because people do die from them,” she said.
Promoli says she’s also concerned about children who are vaccinated being exposed, given vaccines do not provide complete immunity.
Pediatric and infectious disease specialist, Dr. Anna Banerji, called the proportion of Peel students missing a mandated dose “very high.”
“It needs to be addressed,” she said.
She says part of the problem in the region is access, including to family doctors, but the region also has a diverse population, which can mean additional challenges.
“I think that language and cultural support and trying to get these kids vaccinated will be very important,” she said.
Banerji also pointed to vaccine hesitancy being higher for some coming out of the pandemic.
She says seven years is far too long to have school-aged children not protected against such concerning diseases.
Needs will only grow, says Caledon mayor
The public health unit says they have less money than several nearby health units to try and tackle the issue, receiving one of the lowest provincial per capita funding rates in the province.
For cost-shared programs, in Peel, public health was funded by the province at approximately $34 per capita in 2022, while Toronto and Hamilton each received $49 per capita, according to the health authority’s report.
Caledon Mayor Annette Groves says the funding needs to change now to address problems that will continue to climb for Peel Public Health.
“Peel is a growing region and there will be greater need for funding as our resident population increases,” she said in a statement.
Province says funding has been increasing
Asked why Peel Public Health gets fewer dollars per capita, Ministry of Health spokesperson Hannah Jensen didn’t dispute Toronto and Hamilton received more funding per capita.
“Since 2018, our government has increased our investment into Peel Public Health by nearly 20 per cent,” she said in a statement.
Jensen said that’s in addition to the $100 million the provincial government invested into public health units across the province to provide support throughout the COVID-19 pandemic.
The government has restored a funding model where the province pays 75 percent of cost sharing for public health units and municipalities including Peel pay 25 percent, she said, noting the province had been paying 70 per cent for some time, so this represented an increase.
The province also increased base funding by one per cent per year, over the next three years, starting this year for public health units and municipalities including Peel, she added.
Asked why Peel would still receive a lower per capita rate that some of its neighbours, the province did not respond directly.
She says the government is working closely with its partners to get children caught up on vaccines.
Promoli says the per capita discrepancy in funding between regions is “shocking” and diverse populations need more, not less.
“It’s always important to try to meet people where they are,” she said. “To hear those questions, to hear the reasons why people are hesitant or even refusing and to try to understand…and then find the best ways to help people make decisions that will best protect their families.”
Peel Public Health says it plans to return to council soon with more details about the challenges and its plans to address them.
Health
It's possible to rely on plant proteins without sacrificing training gains, new studies say – The Globe and Mail
At the 1936 Olympics in Berlin, a scientist named Paul Schenk surveyed the eating habits of top athletes from around the world. The Canadians reported plowing through more than 800 grams of meat per day on average; the Americans were downing more than two litres of milk daily.
While there have been plenty of changes in sports nutrition since then, the belief that meat and dairy are the best fuel for building muscle persists. These days, though, a growing number of athletes are interested in reducing or eliminating their reliance on animal proteins, for environmental, ethical or health reasons. A pair of new studies bolsters the case that it’s possible to rely on plant proteins without sacrificing training gains, as long as you pick your proteins carefully.
The standard objection to plant proteins is that they don’t have the right mix of essential amino acids needed to assemble new muscle fibres. Unlike animal proteins, most plant proteins are missing or low in at least one essential amino acid.
In particular, there’s one specific amino acid, leucine, that seems to play a special role in triggering the synthesis of new muscle. It’s particularly abundant in whey, one of the two proteins (along with casein) found in milk. That’s why whey protein is the powdered beverage of choice in gyms around the world, backed by decades of convincing research, which was often funded by the dairy industry.
But one of the reasons whey looks so good may be that we haven’t fully explored the alternatives. A 2018 study by Luc van Loon of the University of Maastricht in the Netherlands, for example, tested nine vegetable proteins including wheat, hemp, soy, brown rice, pea and corn. To their surprise, they found that corn protein contains 13.5 per cent leucine – even more than whey.
Based on that insight, van Loon decided to pit corn against milk in a direct test of muscle protein synthesis. Volunteers consumed 30 grams of one of the proteins; a series of blood tests and muscle biopsies were collected over the next five hours to determine how much of the ingested protein was being turned into new muscle fibres. The results, which appeared in the journal Amino Acids, were straightforward: Despite all the hype about whey, there was no discernible difference between them.
A second study, this one published in Medicine & Science in Sports & Exercise by a team led by Benjamin Wall of the University of Exeter in Britain, had similar findings. Instead of corn, it used a mix of 40 per cent pea, 40 per cent brown rice and 20 per cent canola proteins. Since different plants have different amino acids profiles, mixing complementary proteins has long been suggested as a way overcoming the deficiencies of any single plant protein. Sure enough, the protein blend triggered just as much new muscle synthesis as whey.
On the surface, the message from these studies is straightforward: Plant proteins are – or at least can be – as effective as even the best animal proteins for supporting muscle growth. There are a few caveats to consider, though. One is that the studies used isolated protein powders rather than whole foods. You would need nearly nine cobs of corn to get the 30 grams of protein used in van Loon’s study, compared to just three-and-a-half cups of milk.
Another is that plants are generally harder to digest, meaning that not all the amino acids will be usable. That may not be a problem for healthy young adults consuming 30 grams of protein at once, which is enough to trigger a near-maximal muscle response. But for older people, who tend to have blunted muscle-building responses to protein, or in situations where you’re getting a smaller dose of protein, the details of protein quality may become more important.
Of course, the effectiveness of plant proteins won’t be news to notable plant-based athletes such as ultrarunner Scott Jurek or basketball star Chris Paul – but it’s encouraging to see the science finally begin to catch up.
Alex Hutchinson is the author of Endure: Mind, Body, and the Curiously Elastic Limits of Human Performance. Follow him on Threads @sweat_science.
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