Alberta announced millions in funding for sanitation and staffing at long-term care facilities and seniors’ homes on Tuesday, a move that came as Ontario said an independent commission will look into the province’s long-term care system.
Long-term care homes have been particularly hard-hit by the novel virus, which causes an illness called COVID-19. While most people who contract the virus experience mild to moderate symptoms, some — particularly the elderly and those with underlying health issues — are at increased risk of severe disease and death.
The vast majority of COVID-19-related deaths in Canada have been linked to care homes and long-term care facilities, with deadly outbreaks occurring in several provinces, including Alberta.
The province announced the $170 million in spending on Tuesday, saying in a statement that it would allocate more than $14 million a month to help with COVID-19-related expenses at these facilities. The funding for staffing and sanitation, which will be retroactive to mid-March, will continue until orders from Dr. Deena Hinshaw, the province’s chief medical officer of health, are lifted.
In Ontario, the Ontario Long-Term Care Association, opposition parties and the health-care union SEIU have all called for a full public inquiry into the sector. But Premier Doug Ford suggested that would take too long.
“I’m responsible at the end of the day to make sure we get the answers,” Ford said Tuesday after the province announced the commission, which is set to begin in September.
WATCH | Toronto respirologist tackles questions about COVID-19:
Long-Term Care Minister Merrilee Fullerton said COVID-19 has “broken” the long-term care system and the province cannot lose time addressing the situation by waiting for the findings of a public inquiry.
As of 7:30 a.m. ET on Wednesday, Canada had 79,112 confirmed and presumptive cases of the coronavirus, with 40,063 of those considered recovered or resolved. A CBC News tally of the coronavirus death toll in Canada based on provincial data, regional health information and CBC’s reporting stood at 6,011.
Public health officials have cautioned that official figures don’t capture data on people who haven’t been tested and cases that are still under investigation, and have urged people to take precautions like stepped-up hand hygiene and physical distancing even if there are no known cases in their communities.
Here’s what’s happening in the provinces and territories
British Columbia reported just two new coronavirus cases on Tuesday and three additional deaths, bringing the death toll to 146. The province has 2,446 confirmed cases, with 1,975 of those considered recovered. Read more about what’s happening in B.C.
Alberta reported 33 new coronavirus cases on Tuesday, bringing the total case number to 6,716, with 5,584 of those considered recovered. The province had no new deaths. Read more about what’s happening in Alberta.
Saskatchewan is allowing some health services to resume, including some additional non-urgent surgeries. The province said surgeons are working with patients to assess and sort out who meets the criteria for the expanded service. Read more about what’s happening in Saskatchewan.
Manitoba’s chief public health officer says if the number of active COVID-19 cases in the province continues falling, the province may accelerate its plan to ease restrictions on public and business activities. A 10-person limit on public gatherings is already set for review on June 1, and Dr. Brent Roussin said the limit may be raised sooner than expected. Read more about what’s happening in Manitoba.
Ontario announced Tuesday that publicly funded schools won’t be opening their doors to students for the rest of the academic year. Read more about what’s happening in Ontario.
WATCH | Parents face tough child-care choices as Ontario keeps schools closed:
Quebec’s public health director said Tuesday that people need to keep up physical distancing even as the province lifts some coronavirus guidelines. Horacio Arruda said if the situation in the province gets worse in the coming weeks, officials will close some sectors again. Read more about what’s happening in Quebec.
Testing the public’s trust: Quebec premier mulls adopting contact-tracing app <a href=”https://t.co/3w9tkN3zbp”>https://t.co/3w9tkN3zbp</a>
New Brunswick’s teachers will be back in the classroom in June — but without the students. The teachers will be finishing up the academic year’s work and preparing for the fall, officials said. Education Minister Dominic Cardy said it’s not yet clear what schools will look like in the fall. “We don’t know whether classes will be back or online because we don’t decide what happens to the coronavirus,” Cardy said. Read more about what’s happening in N.B.
Nova Scotia could lift some more restrictions put in place in response to COVID-19 in early June, the premier said Tuesday. Read more about what’s happening in N.S.
Prince Edward Island’s tourism association said companies that rely on travellers are in a “holding pattern” as they try to decide whether to open this summer as they wait for word on travel restrictions and ongoing efforts to fight the coronavirus. Read more about what’s happening on P.E.I.
WATCH | Communities with less COVID-19 want to reopen:
Newfoundland and Labrador on Tuesday reported no new cases of COVID-19. The province has now gone 12 days without a new case of the novel virus. Read more about what’s happening in N.L.
There were no new coronavirus cases in Yukon, Northwest Territories or Nunavut on Tuesday. Read more about what’s happening across the North, including the story of a Whitehorse educator who has been using driveway visits to check in on students while school buildings are closed.
Here’s what’s happening around the world
Kamloops ranch that refused vaccinated guest but kept their deposit now says they'll issue $3.2K refund – CBC.ca
A ranch owner in Kamloops, B.C., has been criticized by the province’s solicitor general for refusing to accept a vaccinated international traveller.
The Equinisity Ranch in Kamloops, in the province’s central Interior, is run by owner Liz Mitten Ryan. She told CBC News she catered almost exclusively to international travellers, including from England, Switzerland and Australia.
In a report in The Guardian, published Thursday, a prospective traveller called J.W. York said they had booked a $3,200 retreat (£2,000) with Ryan in May 2020, but the trip was put off due to lockdowns and other pandemic restrictions.
According to York, they were told recently they were not welcome at Equinisity anymore because they were fully vaccinated against COVID — and they would not be receiving a refund due to ranch policy.
Ryan confirmed that the ranch had a “no vax” policy for patrons, even though international travellers have to be fully vaccinated to enter Canada. The Guardian article quoted her as saying that vaccines were a “bioweapon depopulation tool” that could transfer to animals.
The entire episode was called “outrageous” by B.C. Solicitor General Mike Farnworth.
“I have asked my ministry, the consumer protection branch, to look into this,” he told CBC News.
“This is just wrong. Like, you want to subscribe to a wack job conspiracy theory. That’s your business. But you don’t rip people off like this. It’s unethical.”
Refunds will happen, says owner’s husband
In a statement, Kevin Ryan — Liz Ryan’s husband — said the ranch would eventually send refunds to customers.
“For personal reasons for this summer, [Liz] has implemented a policy of non-vaccinated guests only,” the statement read. “Not, I stress, realizing any regulations were being broken.
“Due to the current public interest in this situation, and the subsequent informed discussions, she now realizes that it is appropriate the deposit, in this case, needs to be returned to comply with said regulation.”
Ryan told CBC News all deposits “of a similar status” would be returned by the end of the month.
On its website, Equinisity says it provides “a unique journey” for patrons to find “true healing” through meditation, horse riding and other activities. Ryan says his wife had been running the establishment for over 15 years.
Their pricing guide shows that individual patrons can expect to pay $2,800 for an eight-day retreat, while couples can expect to pay $2,400 each.
Before her husband’s statement about refunds, Liz Ryan had suggested that any vaccinated traveller sell their booking. She also said her ranch had been shut down for two years, the longest such span of her career, due to border restrictions.
Farnworth told CBC News that Equinisity’s stance against vaccinated travellers would give international travellers a bad impression of the province.
“It sends a terrible message in terms of tourism here in British Columbia and Canada,” he said. “Because, let’s face it, this person that took this trip is now going to tell their friend … ‘Why would you want to come here?'”
Farnworth said his staff would be investigating if the ranch had received any COVID relief funding, and that the ranch would not be eligible in any case, given the requirements placed on vaccinated travellers.
“I don’t think it’s particularly good business practice,” he said.
How Canada’s new NOC will affect Express Entry eligibility – Canada Immigration News
Immigration, Refugees and Citizenship Canada (IRCC) currently uses NOC 2016 to determine the eligibility of occupations under its temporary and permanent residency programs. However, IRCC must switch to NOC 2021 starting in November as per Canadian law.
The NOC is managed by Employment and Social Development Canada (ESDC) and Statistics Canada, which revise the system every 10 years. NOC 2021 will introduce new terminology and a revised classification structure that will affect IRCC programs.
As a result of these changes, the following 16 occupations will become eligible under Express Entry:
- Payroll administrators;
- Dental assistants and dental laboratory assistants;
- Nurse aides, orderlies and patient service associates;
- Pharmacy technical assistants and pharmacy assistants;
- Elementary and secondary school teacher assistants;
- Sheriffs and bailiffs;
- Correctional service officers;
- By-law enforcement and other regulatory officers;
- Estheticians, electrologists and related occupations;
- Residential and commercial installers and servicers;
- Pest controllers and fumigators;
- Other repairers and servicers;
- Transport truck drivers;
- Bus drivers, subway operators and other transit operators;
- Heavy equipment operators; and
- Aircraft assemblers and aircraft assembly inspectors.
There will also be three occupations that will become ineligible, including:
- other performers;
- program leaders and instructors in recreation, sport and fitness; and
- tailors, dressmakers, furriers and milliners.
These three occupations will remain eligible for programs with broader occupational eligibility criteria, such as some streams of the Provincial Nominee Program.
The major change to NOC 2021 is the current four-category “skill level” structure has been overhauled and replaced by a new six-category system. The new system outlines the level of Training, Education, Experience and Responsibilities (TEER) required to enter each occupation.
The previous NOC had four skill levels. NOC A represented jobs that tend to require university degrees, NOC B included jobs in the skilled trades or that require a college diploma, NOC C covered jobs that require intermediate skills or job-specific training, and NOC D was for labour jobs that require on-the-job training.
In September 2020, IRCC’s Executive Committee decided that the new TEER structure will be adopted as follows:
|NOC 2016||NOC 2021|
|Skill Type 0||TEER 0|
|Skill Level A||TEER 1|
|Skill Level B||TEER 2|
|Skill Level B||TEER 3|
|Skill Level C||TEER 4|
|Skill Level D||TEER 5|
NOC 2021 will use a five-tier hierarchical system to classify occupations. Also, occupations will now have a five-digit codification system instead of the current four-digit system. The TEER system has six categories, 0, 1, 2, 3, 4, and 5.
Statistics Canada explains there are two main reasons why the skill type model is being replaced by the TEER system. First, the TEER system aims to provide more clarity on the level of education and work experience required to work in an occupation. Second, the skill type model creates artificial categorizations between low- and high-skilled jobs. Implementing TEER is intended to give stakeholders a better sense of the skills required for each occupation.
This Statistics Canada tool allows you to see how your current NOC corresponds with NOC 2021.
© CIC News All Rights Reserved. Visit CanadaVisa.com to discover your Canadian immigration options.
More Canadians could face late-stage cancer tied to diagnosis delays during COVID pandemic – CBC News
It all started with a stomach bug.
That’s what Cheryl-Anne Labrador-Summers thought, anyway. It was October 2020, not long after she’d moved to the tranquil lakeside Ontario community of Georgina, and instead of relaxing with her family like she’d planned, the mother of three was struggling to figure out why she kept experiencing strange, unexplained stomach cramps.
Labrador-Summers tried to visit her family physician, but the office was shuttered because of the COVID-19 pandemic. So she searched for another clinic — only to be offered a phone appointment rather than an in-person assessment. She wound up being told that her grumbling digestive system was likely caused by a mild gastrointestinal illness.
By January, the 58-year-old had a distended stomach, looking — in her own words — “about nine months pregnant.” Again, she reached out to a physician, went for some tests, then headed to the nearest emergency department.
After finally seeing a doctor face to face for the first time in months, she learned the real cause of her discomfort: an intestinal blockage caused by cancer.
“It ended up being a nine-centimetre tumour, and it had completely blocked off my lower bowel,” she said.
An emergency surgery left Labrador-Summers with 55 staples along her torso and a months-long recovery before she could begin oral chemotherapy. Her question now is unanswerable but painful to consider: Could that ordeal have been prevented, or at least minimized, by an earlier diagnosis?
“Had I maybe been able to see the doctors earlier, I would not be in Stage 3,” she said. “I might have been a Stage 2.”
951,000 fewer cancer screenings in Ontario
More Canadians could experience late-stage cancer diagnoses in the years ahead, medical experts warn, forecasting a looming crisis tied to the ongoing COVID-19 pandemic.
“We expect to see more advanced stages of presentation over the next couple of years, as well as impacts on cancer treatments,” said oncologist Dr. Timothy Hanna, a clinician scientist at the Cancer Research Institute at Queen’s University in Kingston, Ont.
“We know that time is of the essence for people with cancer. And when people are waiting for a diagnosis or for treatment, this has been associated with increased risks of advanced stage and worse survival.”
One review of Ontario’s breast, lung, colon, and cervical cancer screening programs showed that in 2020 there were 41 per cent — or more than 951,000 — fewer screening tests conducted compared with the year before.
Screening volumes rebounded after May 2020, but were still 20 per cent lower compared to pre-pandemic levels.
WATCH | Late-stage cancer being diagnosed in Canadian ERs:
That drop in screenings translates into fewer invasive cancer diagnoses, including roughly 1,400 to 1,500 fewer breast cancers, wrote Dr. Anna N. Wilkinson, an assistant professor in the department of family medicine at the University of Ottawa, in a May commentary piece for the journal Canadian Family Physician.
“The impact of COVID-19 on cancer is far-reaching: screening backlogs, delayed workup of symptomatic patients and abnormal screening results, and delays in cancer treatment and research, all exacerbated by patient apprehension to be seen in person,” she wrote.
“It is clear that there is not only a lost cohort of screened patients but also a subset of missed cancer diagnoses due to delays in patient presentation and assessment,” leading to those cancers being diagnosed at a more advanced stage.
Tough accessing care in a ‘timely way’
The slowdown in colonoscopies may already be leading to more serious cases of colorectal cancer in Ontario, for instance, suggests a paper published in the Journal of the Canadian Association of Gastroenterology.
“Patients who were treated after the COVID-19 pandemic began were significantly more likely to present emergently to hospital. This means that they were more likely to present with bowel perforation, or severe bowel obstruction, requiring immediate life-saving surgery,” said the study’s lead author, Dr. Catherine Forse, in a call with CBC News.
“In addition, we found that patients were more likely to have large tumours.”
In some cases — like Labrador-Summers’s situation — Canadians learned alarming news about their health in hospital emergency departments after struggling to receive in-patient care through other avenues.
Shuttered family physician offices, a shift to telemedicine, and some patients’ fears surrounding COVID-19 may all have played a role.
“It became harder for patients to access care and to access it in a timely way,” Hanna said.
“At the same time, there were real risks — and there are real risks for leaving home to go anywhere, particularly to go to an outpatient clinic or a hospital in order to get checked out.”
Dr. Lisa Salamon, an emergency physician with the Scarborough Health Network in Toronto, said she’s now diagnosing more patients with serious cancers, including several just in the last few months.
“So previously, it may have been localized or something small, but now we’re actually seeing metastatic cancer that we’re diagnosing,” she explained.
Lessons for future pandemics
Health policy expert Laura Greer is dealing with Stage four, metastatic breast cancer herself after waiting more than five months for a routine mammogram she was initially due for in the spring of 2021 — a precautionary measure given that her mother had breast cancer as well.
Unlike an early-stage diagnosis, Greer’s cancer is only treatable, not curable.
“It was an example of what happens when you don’t have the regular screening, or those wellness visits,” said the Toronto resident and mother of two.
“I most likely would have had earlier-stage cancer if it had been sooner.”
Pausing access to care and screenings for other health conditions can have dire impacts on patients, according to Greer, offering lessons for how policy-makers tackle future pandemics.
“We need to make sure that we’ve got enough capacity in our health system to be able to flex, and that’s what we really didn’t have going into this,” she said.
For Labrador-Summers, it’s hard to forget the moment her life changed while she was alone in an emergency department, learning a terrifying diagnosis from a physician she’d just met. Her mind raced with questions about the future and concerns for her family.
“My older son had just told us they were expecting a child, and I just wanted to be there for them. And I didn’t know what next steps were. And we had lost my mom to cancer a few years back — to us, cancer was always terminal,” she recalled.
“So again, I’m alone, trying to process all of this.”
A screening following Labrador-Summers’ surgery and chemotherapy treatment wound up finding more cancer.
“It’s now life-threatening,” she said.
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