Experts say Canada needs to develop a robust system to detect COVID-19 activity in the absence of wide-scale PCR testing.
Since the onset of the Omicron variant, provinces and territories have scaled back access to gold-standard PCR testing, citing the lack of capacity to keep up with demand and the need to free up health-care resources.
Many people have since relied on results from rapid antigen tests, but they aren’t as reliable at detecting the Omicron variant or reported and tracked the way PCR tests are. Experts say there needs to be a better way of informing people about COVID-19 activity in their communities.
Dr. Caroline Colijn, a mathematician and epidemiologist at Simon Fraser University, said there are currently “too many infections” in Canada to expand access to PCR tests to everyone to find out the true number of infections.
She said more robust programs could also be used to pick up other kinds of respiratory infections.
“And I suspect those are under development, but until they’re developed, deployed, and results are publicly available, people will have trouble finding out what their risks are in their social group, in their community and in their workplace,” she said.
“So then they’ll have trouble having the information needed to inform their own choices, their own workplace or community policies.”
Colijn said wastewater data is a really important source of information that can be publicly shared without compromising anyone’s private medical data and can help communities understand the prevalence of COVID-19. But like PCR and rapid tests, she said it has its limitations.
She noted there are numerous factors that could change wastewater signals, such as rainfall, temperature and different variants leaving different amounts of sequencing in the water, resulting in less accurate COVID-19 case estimates.
Colijn said she anticipates an integrated system that would incorporate wastewater data, along with PCR and rapid test results, in a way that’s designed to paint a more accurate picture of how much COVID-19 is in a population and inform people about the risk of contracting the virus.
“So we do need to think about how to get representative samples, and how to understand how many infections are out there,” she said.
Dr. Dan Gregson, an infectious disease physician and medical microbiologist at the University of Calgary, said it would be reasonable to expand PCR testing access to certain settings like schools and long-term care homes in the event of an outbreak so they can make a decision on whether to close those institutions to prevent further transmission.
However, he said the average person can rely on wastewater data to assess the risk of contracting COVID-19 in their community since it’s “much more cost-effective” and “tells us similar information” to PCR testing.
Dr. Peter Juni, scientific director of the Ontario COVID-19 Science Advisory Table, said it’s “likely not sustainable” to expand access to PCR testing to all symptomatic individuals again because of the high cost of the tests.
Juni noted that when PCR testing was available to all residents in Ontario, only somewhere between 30 and 45 per cent of infections were being detected because not everyone with the virus was getting tested. Some may have been asymptomatic, while others may not have had time to get tested., and still others may not have been getting tested early enough.
As for rapid antigen tests available in Canada, he said they have shown “lower test performance” when it comes to detecting the Omicron variant.
What’s needed is a COVID-19 detection system that can use a random sample in a population “to try to understand what’s actually happening and which can be ramped up if needed,” Juni said.
“If we see in wastewater, for instance, that infections start to increase, (then) we actually can really activate the system or extend it a bit, but it will be just a surveillance system that gives us enough situational awareness.”
This report by The Canadian Press was first published April 21, 2022.
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This story was produced with the financial assistance of the Meta and Canadian Press News Fellowship.
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VANCOUVER – Contract negotiations resume today in Vancouver in a labour dispute that has paralyzed container cargo shipping at British Columbia’s ports since Monday.
The BC Maritime Employers Association and International Longshore and Warehouse Union Local 514 are scheduled to meet for the next three days in mediated talks to try to break a deadlock in negotiations.
The union, which represents more than 700 longshore supervisors at ports, including Vancouver, Prince Rupert and Nanaimo, has been without a contract since March last year.
The latest talks come after employers locked out workers in response to what it said was “strike activity” by union members.
The start of the lockout was then followed by several days of no engagement between the two parties, prompting federal Labour Minister Steven MacKinnon to speak with leaders on both sides, asking them to restart talks.
MacKinnon had said that the talks were “progressing at an insufficient pace, indicating a concerning absence of urgency from the parties involved” — a sentiment echoed by several business groups across Canada.
In a joint letter, more than 100 organizations, including the Canadian Chamber of Commerce, Business Council of Canada and associations representing industries from automotive and fertilizer to retail and mining, urged the government to do whatever it takes to end the work stoppage.
“While we acknowledge efforts to continue with mediation, parties have not been able to come to a negotiated agreement,” the letter says. “So, the federal government must take decisive action, using every tool at its disposal to resolve this dispute and limit the damage caused by this disruption.
“We simply cannot afford to once again put Canadian businesses at risk, which in turn puts Canadian livelihoods at risk.”
In the meantime, the union says it has filed a complaint to the Canada Industrial Relations Board against the employers, alleging the association threatened to pull existing conditions out of the last contract in direct contact with its members.
“The BCMEA is trying to undermine the union by attempting to turn members against its democratically elected leadership and bargaining committee — despite the fact that the BCMEA knows full well we received a 96 per cent mandate to take job action if needed,” union president Frank Morena said in a statement.
The employers have responded by calling the complaint “another meritless claim,” adding the final offer to the union that includes a 19.2 per cent wage increase over a four-year term remains on the table.
“The final offer has been on the table for over a week and represents a fair and balanced proposal for employees, and if accepted would end this dispute,” the employers’ statement says. “The offer does not require any concessions from the union.”
The union says the offer does not address the key issue of staffing requirement at the terminals as the port introduces more automation to cargo loading and unloading, which could potentially require fewer workers to operate than older systems.
The Port of Vancouver is the largest in Canada and has seen a number of labour disruptions, including two instances involving the rail and grain storage sectors earlier this year.
A 13-day strike by another group of workers at the port last year resulted in the disruption of a significant amount of shipping and trade.
This report by The Canadian Press was first published Nov. 9, 2024.
The Royal Canadian Legion says a new partnership with e-commerce giant Amazon is helping boost its veterans’ fund, and will hopefully expand its donor base in the digital world.
Since the Oct. 25 launch of its Amazon.ca storefront, the legion says it has received nearly 10,000 orders for poppies.
Online shoppers can order lapel poppies on Amazon in exchange for donations or buy items such as “We Remember” lawn signs, Remembrance Day pins and other accessories, with all proceeds going to the legion’s Poppy Trust Fund for Canadian veterans and their families.
Nujma Bond, the legion’s national spokesperson, said the organization sees this move as keeping up with modern purchasing habits.
“As the world around us evolves we have been looking at different ways to distribute poppies and to make it easier for people to access them,” she said in an interview.
“This is definitely a way to reach a wider number of Canadians of all ages. And certainly younger Canadians are much more active on the web, on social media in general, so we’re also engaging in that way.”
Al Plume, a member of a legion branch in Trenton, Ont., said the online store can also help with outreach to veterans who are far from home.
“For veterans that are overseas and are away, (or) can’t get to a store they can order them online, it’s Amazon.” Plume said.
Plume spent 35 years in the military with the Royal Engineers, and retired eight years ago. He said making sure veterans are looked after is his passion.
“I’ve seen the struggles that our veterans have had with Veterans Affairs … and that’s why I got involved, with making sure that the people get to them and help the veterans with their paperwork.”
But the message about the Amazon storefront didn’t appear to reach all of the legion’s locations, with volunteers at Branch 179 on Vancouver’s Commercial Drive saying they hadn’t heard about the online push.
Holly Paddon, the branch’s poppy campaign co-ordinator and bartender, said the Amazon partnership never came up in meetings with other legion volunteers and officials.
“I work at the legion, I work with the Vancouver poppy office and I go to the meetings for the Vancouver poppy campaign — which includes all the legions in Vancouver — and not once has this been mentioned,” she said.
Paddon said the initiative is a great idea, but she would like to have known more about it.
The legion also sells a larger collection of items at poppystore.ca.
This report by The Canadian Press was first published Nov. 9, 2024.
