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Are schools driving Alberta's COVID-19 spread or are they the victim of it? Dr. Hinshaw believes the latter – CBC.ca

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The reopening of schools has been highlighted as a potential driver of recent COVID-19 surges in other parts of Canada and around the world, but Alberta’s chief medical officer of health doesn’t believe they are causing the high rate of new cases in this province.

“I do not see evidence in Alberta of schools driving that increasing community transmission,” Dr. Deena Hinshaw said.

“It does seem to be the reverse, with community transmission causing increased pressure in schools.”

Alberta continues to see record-high levels of COVID-19 cases among school-aged kids, but that is not unique to their demographic. Virtually every age group in Alberta has recently seen its highest rate of new cases on record, as the province experiences its largest surge in virus spread to date.

Researchers and physicians in other jurisdictions have been warning that schools may be a significant driver of COVID-19 spread, after numbers surged shortly after classes resumed.

The timing of Alberta’s latest surge is consistent with what you would expect if schools were driving an increase in spread, says Malgorzata Gasperowicz, a developmental biologist and independent researcher who has been tracking Alberta’s COVID-19 data closely.

Gasperowicz had previously warned in October that, given the trajectory in Alberta’s COVID-19 spread at the time, the province could be seeing 1,000 cases per day by Nov. 11. Alberta nearly reached that level on Nov. 7, when the province reported 919 new cases of the disease.

She noted that, after plateauing for some time throughout the summer, the disease spread suddenly accelerated in mid-September to a pace where new cases were doubling every 2½ weeks.

“It sort of switched into this faster growth around Sept. 17, which is 16 days after the schools reopening,” she said.

She cautioned that this correlation does not imply causation. In other words, it doesn’t prove schools are driving the spread, but it doesn’t rule it out.

“For me, that shows we cannot dismiss schools as a contributor to the spread,” Gasperowicz said.

Schools and COVID-19 surges in other places

Quebec experienced a similar surge of COVID-19 cases in September, and some physicians in that province have been drawing a link to the resumption of in-person classes.

“Schools were the driver to start the second wave in Quebec, although the government did not recognize it,” Dr. Karl Weiss, president of the Association des Médecins Microbiologistes Infectiologues du Québec, told the Montreal Gazette last week.

More physicians recently spoke out about the situation to CBC Montreal, noting many schools are old and have poor ventilation. Quebec has also had relatively loose requirements for students wearing masks.

The Quebec government introduced stricter measures in schools in October, more than a month after classes opened. (Ryan Remiorz/The Canadian Press)

Still, Quebec’s public-health director, Dr. Horacio Arruda, maintains schools are not the main cause of the province’s recent surge. He says the cases among school-aged kids are more of a reflection of transmission in the broader community.

Globally, the reopening of schools has also been connected to increases in viral-transmission rates, according to University of Edinburgh researchers who analyzed data from 131 countries and published their findings in The Lancet, a prestigious medical journal.

On Tuesday, Manitoba announced a provincewide “code red” situation due to rapid growth in COVID-19 cases. The province ordered the closure of non-essential retail stores, gyms, movie theatres, salons and churches, as well as a shutdown of recreational facilities and sports activities. Social gatherings of any kind will also be banned as of Thursday.

Manitoba schools and child-care centres will remain open, however. Despite hundreds of cases among students and staff, there have been only a small number of confirmed transmissions directly within the school system, said Manitoba’s Chief Provincial Public Health Officer Dr. Brent Roussin.

Case growth and origins

In Alberta, cases of COVID-19 have been rising quickly among older kids and teens, but not quite as fast as among the 20-to-29 age group, on a population-adjusted basis.

On average over the past week, there have been about 18 new daily cases per 100,000 people aged 10 to 19, compared with about 23 new daily cases for people in their 20s.

Case growth has been significantly slower among kids aged five to nine, at about 10 new daily cases per 100,000 children in that age range.

There’s also the source of infection to consider, which can be difficult to determine.

But Alberta Health says the data points more heavily toward non-school settings than in-school transmission.

From September to mid-October, Hinshaw said just six per cent of COVID-19 cases among school-aged kids were found to be acquired in school.

‘Invisible spread’

Alberta Health also said last week that slightly more than half of active cases — across all age groups — were of unknown origin. That figure has been increasing lately, as contact tracers struggle with the sheer volume of newly infected patients.

All this makes pinpointing the primary drivers of the recent surge in cases a difficult task.

“Everything is tangled together,” Gasperowicz said.

She noted there could also be a “data acquisition bias” when it comes to kids, in particular. 

“A big percentage of children are asymptomatic, so we don’t test them,” she said. “So there could be invisible spread.”

Developmental biologist Malgorzata (Gosia) Gasperowicz has been tracking the COVID-19 data in Alberta closely and notes the acceleration in case spread began in late September, just over two weeks after in-person classes resumed at many schools. (CBC Calgary News at 6, NIAID-RML/Reuters)

From all the available evidence, though, Hinshaw believes schools, themselves, are not a primary driver of Alberta’s latest surge.

She says there are “many factors” that have changed since the summer that are likely contributing to the spread.

“With the fall and cooler weather, people are spending more time indoors,” Hinshaw said. “There’s less of those opportunities, perhaps, for socializing outside that we had in the summertime. And, of course, there are other activities that start up in the fall in addition to school. There’s other, recreational-type activities that people are engaging in.”

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COVID-19 in B.C.: Over 900 new cases, 28 schools with new exposures, mask enforcement, and more – The Georgia Straight

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Today’s new case count not only hit a new record but reflected one of the largest jumps upward.

The number of deaths remains high and case numbers increased in all other categories.

There are also two new healthcare outbreaks, exposure events at a pub and one store, and seven flights and 28 schools with new exposures.

B.C. Minister of Public Safety and Solicitor General Mike Farnworth has once again extended the provincial state of emergency to December 8.

In addition, Farnworth issued a ministerial order in alignment with B.C. provincial health officer Dr. Bonnie Henry’s provincial health order announced on November 19 that masks must be worn in all public spaces.

All British Columbians who are 12 years or older must wear masks in settings including:

  • malls, shopping centres, coffee shops, and retail and grocery stores;
  • liquor and drug stores;
  • airports, city halls, libraries, community, and recreation centres;
  • restaurants, pubs, and bars;
  • places of public worship;
  • public transportation, in a taxi, or in ride-sharing vehicles;
  • common areas of office buildings, court houses, hospitals, and hotels;
  • common areas of sport and fitness centres, when not engaged in physical activity;
  • common areas of post-secondary institutions and non-profit organizations.

Emergency Management BC anticipates further orders to enforce masks being worn in common areas of apartment buildings, condos, and workplaces.

Face shields aren’t considered a substitute for a mask, as there remains open space below the mouth.

Those who cannot wear a mask or who cannot put on or remove a mask without the assistance of others are exempt.

Masks can be removed temporarily to identify an individual wearing a mask, while consuming food or beverages, while participating in a sport or fitness activity in a sport facility, or while receiving a personal or health service that requires the mask to be removed.

Anyone without a mask in an indoor public place or who refuses to comply with the direction of an enforcement officer, including directions to leave, or who responds with abusive or belligerent behaviour, may be subject to a $230 fine.

Between August 21 and November 20, 59 violation tickets were issued, including:

  • 25 $2,300 tickets to owners or organizers violating orders on gatherings and events;
  • nine $2,300 violation tickets for contravening the food and liquor serving order;
  • 25 $230 tickets to individuals who refused to comply with direction from law enforcement.

Since the pandemic began, B.C. police agencies have issued 64 violation tickets to individuals contravening the federal Quarantine Act, totalling $70,000.

B.C. Minister of Public Safety and Solicitor General Mike Farnworth
Province of British Columbia

Henry announced that there are 941 new cases in B.C. today, which sets a new record. (The last record was on 762 new cases on November 18.)

By region, that includes:

  • 678 new cases in Fraser Health;
  • 174 in Vancouver Coastal Health;
  • 49 in Interior Health;
  • 29 in Northern Health;
  • 11 in Island Health;
  • no new people from outside Canada.

Today, there are now 7,732 active cases, which is an increase of 372 cases since yesterday.

Currently, there are 284 individuals are in hospital (seven more people since yesterday), with 61 of those patients in intensive care units (two more than yesterday).

Public health is monitoring 10,283 people (83 more people than yesterday).

Tragically, the number of new deaths remain high once again—there have been 10 new COVID-19-related deaths. The cumulative total fatalities is now at  358 people who have died during the pandemic.

A total of 19,605 people (69 percent) who tested positive have recovered.

During the pandemic, B.C. has recorded a total of 28,348 cases in British Columbia. By region, that includes:

  • 17,724 new cases in Fraser Health;
  • 7,992 in Vancouver Coastal Health;
  • 1,356 in Interior Health;
  • 678 in Northern Health;
  • 505 in Island Health;
  • 93 people from outside Canada.
B.C. Health Minister Adrian Dix, with Dr. Bonnie Henry
Province of British Columbia

Fraser Health stated in a news release today that an outbreak in a medicine unit at Burnaby Hospital declared on November 10 has led to 55 patients testing positive and five people have died. In addition, 44 staff members who tested positive are under investigation to determine if they are connected to the outbreak.

A fire had broken out at the hospital in November 15, and Fraser Health stated that the response to fire is considered a contributing factor to the outbreak.

Meanwhile, there are two new health-care facility outbreaks:

  • Valleyhaven Care Home (45450 Menholm Road) in Chilliwack, where Fraser Health stated two staff members tested positive;
  • Little Mountain Place (330 East 36th Avenue) in Vancouver, where Vancouver Coastal Health imposed restrictions on November 22.

Outbreaks at Fraserview Intermediate Care Lodge in Richmond and Agassiz Seniors Community in Agassiz have been declared over.

There aren’t any new community outbreaks.

Vancouver Coastal Health listed a public exposure event at a pub in Downtown Vancouver at the Morrissey at 1227 Granville Street from 6 to 11 p.m. on November 12 and 13. The pub has not posted any announcement about the exposure on its social media or website yet.

Loblaw announced that a staff member who last worked at the 7322 King George Boulevard location of Shoppers Drug Mart in Surrey on November 19 has since tested positive.

The B.C. Centre for Disease Control posted these seven flights confirmed with COVID-19 to its lists:

  • November 14: WestJet 133, Calgary to Vancouver;
  • November 16: Swoop 109, Hamilton to Abbotsford;
  • November 18: Air Canada/Jazz 8075, Vancouver to Victoria;
  • November 18: Air Canada/Jazz 8247, Terrace to Vancouver;
  • November 19: Air Canada 123, Toronto to Vancouver;
  • November 19: Air Canada/Jazz 8081, Vancouver to Victoria;
  • November 19: United Airlines 5312, San Francisco to Vancouver.

For affected row information, visit the BCCDC website. 

Richard Bulpitt Elementary

Four regional health authorities added new exposure dates for 28 schools.

Vancouver Coastal Health didn’t add any new dates for its schools.

Island Health added one school: Randerson Ridge Elementary (6021 Nelson Road), which had a cluster from November 4 to 6 and 9 to 10, has added November 12 as an exposure date.

Interior Health added one school: École Élémentaire Casorso Elementary School (3675 Casorso Road), which previously had exposures from November 5 to 6 and from November 9 to 10, had a new exposure on November 12.

Northern Health added one school: William Konkin Elementary School (9750 Carroll Street) in Burns Lake, with an exposure on November 16;

Fraser Health had 25 schools with new exposure dates.

In Abbotsford, two schools had new dates:

  • Rick Hansen Secondary (31150 Blueridge Drive)—which previously had exposures on October 6, 7, and 13; from October 14 to 16; on November 2; from November 3 and 4; from November 9 to 10—had a new exposure on November 17; 
  • St. John Brebeuf Regional Secondary (2747 Townline Road), which previously had exposures from October 27 to 29 and November 9 to 10, added November 16. 

In Burnaby, Moscrop Secondary (4433 Moscrop Street), which had previous exposures from November 3 to 4, had additional exposures from November 12 to 13.

In Coquitlam, Centennial Secondary (570 Poirier Street), which previously had exposures from October 15 to 16 and October 19 to 21, added November 13 and 17 as exposure dates.

In Chilliwack, G.W. Graham Secondary (45955 Thomas Road), which previously had exposures on October 23 and from October 26 to 29, had new exposures from November 16 to 18. 

Three schools in Langley had new dates:

  • Brookswood Secondary (20902 37a Avenue)—which previously had exposures on October 5, 13, 15, and 16—added November 10, 12, and 13; 
  • Peterson Road Elementary (23422 47th Avenue) had an exposure on November 16;
  • Richard Bulpitt Elementary (20965 77A Avenue) also added November 16.

Maple Ridge had one school: Thomas Haney Secondary (23000 116 Avenue), which had a previous exposure incident on October 26, had a new exposure on November 17. 

Hillcrest Elementary

In Surrey, 16 schools had new dates: 

  • Chimney Hill Elementary (14755 74 Avenue) had exposures on November 11, 13, 18, and 19;
  • City Central Learning Centre (13104 109 Avenue), which previously had an exposure incident on October 6, added November 18;
  • Ellendale Elementary (14525 110a Avenue) had an exposure on November 16;
  • Green Timbers Elementary (8824 144th Street)—which previously had exposure events on September 29 and from November 9 to 10—added November 16 to 18; 
  • Hillcrest Elementary (18599 65th Avenue) had an exposure from November 17 and 18;
  • Katzie Elementary (6887 194a Street), which previously had an exposure on November 9, added November 10, 12, and 13; 
  • Lord Tweedsmuir Secondary (6151 180 Street)—which previously had exposures from September 14 to 15, and on November 10 and 12—added November 16 to 17; 
  • Old Yale Road Elementary (10135 132nd Street) had exposures on November 10, 12, and 13;
  • École Panorama Ridge Secondary (13220 64 Avenue)—which previously had exposures on September 8 and 10; from September 30 to October 1; from October 6 to 9 and 13 to 15; from October 19 to 20; on November 3, 4, and 5—has added November 16; 
  • Princess Margaret Secondary (12870 72nd Avenue)—which previously had exposures on September 11; on October 12, 15, and 16; on October 26 and 29; from November 2 to 5; and on November 6—had an exposure on November 13; 
  • Semiahmoo Secondary (1785 148 Street), which previously had an exposure event from November 5 to 6, added November 10 and 12; 
  • Khalsa School Elementary Newton (6933 124th Street)—which previously had exposure events from September 22 to 25; from October 20 to 22; and from October 28 to 30—added  November 17 to 19;
  • Khalsa Secondary—Old Yale Road campus (10589 124th Street)—which had previous exposure events from September 9 and 10; September 30 to October 2; and from October 13 to 15—had new exposures from November 17 to 19; 
  • Pacific Academy (10238 168 Street), which had a previous exposure on November 9, added November 12, 13, 17, 18; and 19; 
  • Sikh Academy—Newton (12895 85 Avenue), which previously had an exposure on October 14, added November 16 and 17; 
  • St. Matthews Elementary (16065 88th Avenue) had exposures from November 16 to 18. 

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Barrie 'AAA' hockey team in isolation after positive COVID test – CollingwoodToday.ca

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A positive COVID test has taken a Barrie hockey team off the ice and into self-isolation.

On Tuesday’s call with local reporters, the region’s medical officer of health, Dr. Charles Gardner, confirmed the Simcoe Muskoka District Health Unit is investigating a COVID-19 community outbreak involving a youth hockey team in Barrie.

Details are limited right now, but Gardner said he and his staff hope to learn more soon about the dynamics of the outbreak. 

Gardner did confirm this is the first time the region has seen spread of this nature, though there have been COVID cases linked to spread among hockey teams in Toronto. 

He would not confirm how many cases are linked to the team outbreak in Barrie, but said the health unit would report the number of cases once they investigate further. 

Barrie ‘AAA’ hockey organization chairman Hugh Campbell confirmed to BarrieToday that it was his organization that had the positive test and added they are currently following the health unit’s guidelines.

“Last week, a player tested positive and the team have all been placed in isolation on the advice of the health unit,” said Campbell, although he would not comment on what age group the positive test involved. 

Campbell said this was the first positive test for the organization and he believes things are going “so far so good” for the youth hockey organization.

The ‘AAA’ organization does not allow spectators at the games.

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'Could be an Achilles heel': Why COVID-19 vaccines requiring two doses worry some experts – National Post

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Article content continued

Their announcement followed on the heels of news from two rivals in the global coronavirus vaccine race — Pfizer and Moderna — that their products appeared to be 95 per cent effective in phase-three trials.

The promising results are better than expected. But all require two doses, with a gap of 21 days for Pfizer’s product and 28 days for the other two.

It has to be done

In fact, of the seven vaccines in late-stage trials that the federal government has pre-ordered, only one, developed by Johnson & Johnson, needs just a single injection. It has yet to report any phase 3 results.

Adherence to multi-dose vaccinations is relatively good for young children, who typically have regular medical appointments and are guided by their parents, noted Wilson.

The research around adult vaccination is more sparse but the findings have a consistent theme, the word “suboptimal” appearing in many of the papers.

A 2009 U.S. study, for instance, found that only 40-50 per cent of people completed two-dose hepatitis A and varicella (chicken pox) vaccinations, the numbers falling even lower for teenagers and young adults.

A U.K. study published last year found that a mere 11 per cent of adults got the required two doses of Hepatitis A vaccine within one year, the number rising to just 23 per cent by 36 months. A similar U.S. study in 2018 suggested only 32 per cent of adults had obtained their second Hepatitis A injection within 42 months.

People have told researchers they didn’t know an additional shot was needed, couldn’t fit it into their schedule or needed a reminder, said Houle, who helped conduct a similar study using Alberta data..

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