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COVID-19 cases in Canada surpass 200000 – CTV News

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TORONTO —
The second wave of the COVID-19 pandemic pushed Canada’s total case count past the 200,000 mark on Monday as tougher health restrictions took effect in some regions facing a surge in infections.

The latest numbers from Saskatchewan lifted the national tally over the bleak milestone as the province reported 66 new cases of the novel coronavirus, though other provinces reported significantly more new cases.

The development came just over four months after Canada reached the 100,000-case threshold.

The bulk of the country’s case load has been concentrated in Ontario and Quebec, though numbers have been surging in much of the country in recent weeks.

The 200,000-case milestone isn’t all that significant in and of itself but it does provide an opportunity to examine how the country is doing in grappling with the COVID-19 pandemic, said Barry Pakes, a public health and preventatine medicine physician with the University of Toronto’s Dalla Lana School of Public Health.

Canada saw its first confirmed case of COVID-19 in late January and marked 100,000 cases in mid-June, about five months later.

That it took almost as long to double the caseload to 200,000 suggests public health measures slowed the virus’s spread to some degree in that time, Pakes said.

“That’s not how infectious diseases work – they double, and they go straight up on an exponential line, and when we put in proper public health measures we’re able to dull that somewhat, so I think that’s a testament to what we’ve been doing so far,” he said.

At the same time, it’s crucial to remember that Canada is in the midst of a second wave of the pandemic, and milestones such as this one can sometimes serve as a reminder not to let our guard down, he said.

“The problem arises when we rest on our laurels and I think we shouldn’t do that, but I think we can be sort of hopeful that we won’t see some of the numbers and some of the really big societal effects that have been seen in the U.S. or Europe,” he said.

“But it does remain to be seen.”

Quebec continued to lead in new daily cases, reporting 1,038 cases and six more deaths Monday – the fourth consecutive day it has seen more than 1,000 new infections.

Ontario, meanwhile, reported 704 new cases and four new deaths.

The province has reinstated stricter health measures in four regions – Toronto, Peel Region, York Region and Ottawa – and Dr. David Williams, Ontario’s top doctor, recommended against traditional Halloween activities in those areas.

The tighter rules, which include closing gyms and movie theaters and barring indoor dining in restaurants or bars, kicked in for York Region on Monday but took effect earlier this month in the other three hot spots.

Williams said that when daily case counts began to rise again in September, the province predicted it would see new infections double every 10 to 12 days, which would have led to daily numbers in the 1,200 to 1,400 range by now. He noted that at the time, the City of Toronto also predicted seeing its cases double every six days if no additional steps were taken.

“Neither of us, fortunately, have seen that. Measures have been taken, they’ve dropped that down,” he said Monday.

The daily case numbers were slow to come down in the first wave but they did drop over time, “and I think we can do that again,” he said.

Manitoba reported 80 new COVID-19 cases on Monday, nearly two thirds of them in Winnipeg, as new restrictions on gatherings and businesses took effect in that city. The new rules limit gatherings to five people and force casinos and bars to close, and will be reviewed in two weeks.

Meanwhile, the federal government announced Monday that limits on travel between Canada and the United States will remain in place until Nov. 21.

This report by The Canadian Press was first published Oct. 19, 2020.

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Once Canada gets a vaccine, what happens next? Doctor answers our COVID-19 questions – Global News

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Canadians have been asking this question for months now — when will we get the vaccine?

Epidemiologist Dr. Isaac Bogoch recently joined The Morning Show to speak to that question and to share all the latest COVID-19 updates.

On Tuesday, Moderna gave the world good news when it announced that its vaccine is up to 94.5 per cent effective.

However, Dr. Bogoch says the promising results also call for optimistic caution. The data still needs to be peer-reviewed and made accessible to experts.

READ MORE: Britain approves Pfizer coronavirus vaccine for use, 1st in world to do so

Moderna applied for vaccine approval in the U.S. and the U.K. However, the company has been gradually releasing data to Health Canada for its approval.

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The infectious diseases expert believes the approval process will be fair and transparent.

READ MORE: Canada in talks with coronavirus vaccine makers ‘every day’ as approvals near: Anand

While we still don’t know when will we receive the vaccine, Bogoch says prioritized groups like people in long-term care homes and front-line workers will be among the first to get the vaccine when it is available.

He says a significant number of deaths come from long-term care homes and giving them vaccines will reduce the stress on the health-care system.

As for concerns about side-effects of the vaccine, Bogoch says people receiving the two-shot vaccine may experience fatigue, fever and a sore arm. “It is important to inform people on what they can expect,” he says.

READ MORE: How to naturally boost your immune system during cold and flu season

While Canada, and indeed the world, waits for vaccines amid continued restrictions to curb the spread of COVID-19, lockdowns have been working elsewhere — in countries like France and the U.K. — to reduce infection.

Bogoch says “we can all acknowledge that they’re terrible for mental health, they bad for physical health, they take a tremendous economic toll,” and urges Canadians to stay patient in these lockdowns because they can get the cases under control despite the challenges.

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“Unfortunately, when health-care systems are stretched beyond capacity, that’s really the last straw,” he added.

To find out more about Canada’s process of getting vaccines, watch the full video above. 

© 2020 Global News, a division of Corus Entertainment Inc.

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CDC shortens quarantine recommendation for U.S., raising questions in Canada – CBC.ca

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The recommended quarantine time for close contacts of a positive COVID-19 case is being reduced by up to a week in the United States, but while some of Canada’s health experts say a similar approach could be useful here, others aren’t so sure.

The U.S.-based Centers for Disease Control and Prevention (CDC) announced Wednesday it had shortened the recommended length of quarantine after exposure from 14 days to 10 — or seven days with a negative test result.

Health Canada was still recommending a 14-day quarantine period as of Wednesday, but Dr. Zain Chagla, an infectious disease specialist at McMaster University in Hamilton, says cutting that time in half would be beneficial.

“It would be super important for the sake of incentivizing people to actually quarantine after exposure,” he said.

“And there’s a lot of different things that could theoretically open up — getting health-care workers back to work, getting kids back to school — a lot of ways where this could ease the burden of potential exposure in society.”

The CDC had previously said the incubation period for the coronavirus that causes COVID-19 could extend to 14 days, but the organization now says most people become infectious and develop symptoms between four and five days after exposure.

Chagla says the 14-day window was likely inspired from SARS data, where the incubation period was longer.

While isolation and quarantine are sometimes used interchangeably, Chagla says there’s a difference in the terms. Isolation is for those who have tested positive, while quarantine is for people who may or may not actually have the virus, like close contacts of positive cases or those travelling into Canada. Isolation recommendations for positive cases vary, but are typically 10 days after symptom onset.

Typical course of infection

Ashleigh Tuite, an epidemiologist at the University of Toronto, says a change in quarantine guidance reflects our evolving understanding of COVID-19.

“If you’re exposed, it takes a couple days for you to become infectious, so [seven to 10 days] should be enough to tell whether you’ve got the virus,” Tuite said. “But of course, that’s assuming your experience is reflective of the typical course of infection.”

The key to the CDC’s new guidance for Tuite is having the option to end quarantine at seven days with a negative test result. She suspects that’s in place to stop people who have the virus but no symptoms from ending the quarantine period too early.

A positive test at Day 7 would mean that person should continue to isolate, Tuite said, while a negative result would mean they could safely end quarantine, knowing enough time has passed since exposure to confidently assume they won’t still get sick.

Testing capacity challenges

Dr. Don Sheppard, the founder and director of the McGill Interdisciplinary Initiative in Infection and Immunity (MI4), says the CDC’s plan makes sense scientifically, but there would be logistical issues in testing every COVID contact in Canada who wanted to end their quarantine at Day 7.

“It’s impossible to do that,” he said. “It’s either 14 days of proper isolation, or it’s seven days with a negative test, and right now our system cannot offer seven days plus testing to the public at large.”

WATCH | Could the 14-day isolation period be shorter? (At 01:18:45):

Canadians put their questions about the worsening COVID-19 pandemic to experts during an interactive two-hour special, hosted by Adrienne Arsenault and Andrew Chang. 1:39:27

Testing capacity does exist in certain situations, Sheppard said, like for health-care workers and other front-line staff that need a quicker quarantine to get back to work. He cautioned, however, that taking a test on Day 7 still means isolating for an extra day or two while awaiting results.

Quarantine also needs to be done solo in order to work, Sheppard added, warning that the CDC guidance isn’t meant as a loophole for holiday gatherings if your family isolates together for seven days before an event.

Supports for people to quarantine

He used an example of military recruits in the U.S. who were told to quarantine for 14 days before reporting to camp. A handful of positive tests (0.9 per cent) were caught upon arrival, suggesting true quarantine hadn’t been followed.

Those recruits were sent home while the rest underwent another group quarantine. When tested again two weeks later, the positivity rate had grown to 1.3 per cent.

“Why? Because there were people incubating and they turned positive. And those people infected others in their groups,” Sheppard said.

“So if you don’t do strict, single-person isolation, you don’t actually break the cycle of transmission, you just pass it around in your group.”

Tuite says that further illustrates the usefulness of a shortened quarantine period.

A mother with young children, or someone who shares a small apartment with another person will find it harder to properly quarantine for longer periods, she said, as will someone who can’t afford to take a full two weeks off work.

“It really comes down to having the means to do it,” she said. “Can you survive for two weeks if you’re not getting income? Can you isolate in a household with multiple people?

“We need to have support in place so that people can quarantine, and that doesn’t change whether it’s for a week or 14 days. But it becomes much more challenging when it’s for longer periods.”

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CDC shortens quarantine recommendation for U.S., raising questions in Canada – CBC.ca

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The recommended quarantine time for close contacts of a positive COVID-19 case is being reduced by up to a week in the United States, but while some of Canada’s health experts say a similar approach could be useful here, others aren’t so sure.

The U.S.-based Centers for Disease Control and Prevention (CDC) announced Wednesday it had shortened the recommended length of quarantine after exposure from 14 days to 10 — or seven days with a negative test result.

Health Canada was still recommending a 14-day quarantine period as of Wednesday, but Dr. Zain Chagla, an infectious disease specialist at McMaster University in Hamilton, says cutting that time in half would be beneficial.

“It would be super important for the sake of incentivizing people to actually quarantine after exposure,” he said.

“And there’s a lot of different things that could theoretically open up — getting health-care workers back to work, getting kids back to school — a lot of ways where this could ease the burden of potential exposure in society.”

The CDC had previously said the incubation period for the coronavirus that causes COVID-19 could extend to 14 days, but the organization now says most people become infectious and develop symptoms between four and five days after exposure.

Chagla says the 14-day window was likely inspired from SARS data, where the incubation period was longer.

While isolation and quarantine are sometimes used interchangeably, Chagla says there’s a difference in the terms. Isolation is for those who have tested positive, while quarantine is for people who may or may not actually have the virus, like close contacts of positive cases or those travelling into Canada. Isolation recommendations for positive cases vary, but are typically 10 days after symptom onset.

Typical course of infection

Ashleigh Tuite, an epidemiologist at the University of Toronto, says a change in quarantine guidance reflects our evolving understanding of COVID-19.

“If you’re exposed, it takes a couple days for you to become infectious, so [seven to 10 days] should be enough to tell whether you’ve got the virus,” Tuite said. “But of course, that’s assuming your experience is reflective of the typical course of infection.”

The key to the CDC’s new guidance for Tuite is having the option to end quarantine at seven days with a negative test result. She suspects that’s in place to stop people who have the virus but no symptoms from ending the quarantine period too early.

A positive test at Day 7 would mean that person should continue to isolate, Tuite said, while a negative result would mean they could safely end quarantine, knowing enough time has passed since exposure to confidently assume they won’t still get sick.

Testing capacity challenges

Dr. Don Sheppard, the founder and director of the McGill Interdisciplinary Initiative in Infection and Immunity (MI4), says the CDC’s plan makes sense scientifically, but there would be logistical issues in testing every COVID contact in Canada who wanted to end their quarantine at Day 7.

“It’s impossible to do that,” he said. “It’s either 14 days of proper isolation, or it’s seven days with a negative test, and right now our system cannot offer seven days plus testing to the public at large.”

WATCH | Could the 14-day isolation period be shorter? (At 01:18:45):

Canadians put their questions about the worsening COVID-19 pandemic to experts during an interactive two-hour special, hosted by Adrienne Arsenault and Andrew Chang. 1:39:27

Testing capacity does exist in certain situations, Sheppard said, like for health-care workers and other front-line staff that need a quicker quarantine to get back to work. He cautioned, however, that taking a test on Day 7 still means isolating for an extra day or two while awaiting results.

Quarantine also needs to be done solo in order to work, Sheppard added, warning that the CDC guidance isn’t meant as a loophole for holiday gatherings if your family isolates together for seven days before an event.

Supports for people to quarantine

He used an example of military recruits in the U.S. who were told to quarantine for 14 days before reporting to camp. A handful of positive tests (0.9 per cent) were caught upon arrival, suggesting true quarantine hadn’t been followed.

Those recruits were sent home while the rest underwent another group quarantine. When tested again two weeks later, the positivity rate had grown to 1.3 per cent.

“Why? Because there were people incubating and they turned positive. And those people infected others in their groups,” Sheppard said.

“So if you don’t do strict, single-person isolation, you don’t actually break the cycle of transmission, you just pass it around in your group.”

Tuite says that further illustrates the usefulness of a shortened quarantine period.

A mother with young children, or someone who shares a small apartment with another person will find it harder to properly quarantine for longer periods, she said, as will someone who can’t afford to take a full two weeks off work.

“It really comes down to having the means to do it,” she said. “Can you survive for two weeks if you’re not getting income? Can you isolate in a household with multiple people?

“We need to have support in place so that people can quarantine, and that doesn’t change whether it’s for a week or 14 days. But it becomes much more challenging when it’s for longer periods.”

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