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COVID-19 hasn't gone anywhere in Canada — and we could still see another surge – CBC.ca

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This is an excerpt from Second Opinion, a weekly health and medical science newsletter. If you haven’t subscribed yet, you can do that by clicking here.


COVID-19 may no longer be top of mind for Canadians, but there are still more cases and hospitalizations now than at some of the worst points of the pandemic — and while we may have moved on, the virus definitely hasn’t.

Canada has lifted almost all public health measures as COVID-19 levels continue to drop from the peak of the devastating Omicron wave that overwhelmed testing capacity and fuelled a record surge in hospitals across the country.

But a recent rise in global COVID-19 cases, the spread of a more contagious Omicron subvariant and a spike in early surveillance signals across Canada has experts increasingly worried we could be on the verge of another surge.

“Following several weeks of declining activity nationally, the average daily case counts are now levelling off,” Canada’s Chief Public Health Officer Dr. Theresa Tam said during a news conference Friday. 

“As public health measures ease, increased levels of transmission are not unexpected since the SARS-CoV-2 virus is still circulating widely.” 

People walk through Robson Square near the Vancouver Art Gallery in Vancouver on March 8. (Ben Nelms/CBC)

‘This is not over yet’ 

A steep drop in testing across much of the country has blurred the picture of how much the virus is circulating, yet other metrics such as wastewater data and hospitalizations suggest COVID-19 levels remain higher than at many other points in the pandemic.

More than 4,000 Canadians are currently hospitalized for COVID-19, and although that total has been dropping from a January peak, it’s still the highest since April 2021 — and almost as high or higher than the peak of every other wave. 

“Even though we’re in a much better place now than we were one and two months ago, there’s still a lot of COVID around and there’s still a lot of people in hospital with COVID,” said Dr. Isaac Bogoch, an infectious diseases physician at Toronto General Hospital and member of Ontario’s COVID-19 vaccine task force. 

“Sadly, this is not over yet.”



The silver lining for Canada is that our combination of high vaccination rates and infection-based immunity will ensure most Canadians are protected against serious illness. 

Yet the highly-contagious Omicron variant — including the BA.2 subvariant that’s on track to dominate new cases — is proving able to infect people more easily than its predecessors.

Measuring booster protection

There are also concerns over waning immunity, with studies showing protection from infection can decline within months even after a booster — while protection against hospitalization appears to be holding up. 

A recent report from the U.S. Centers for Disease Control and Prevention (CDC) found protection from infection dropped from 69 per cent within two months of a second dose to just 37 per cent after five months. 

That protection increased to 87 per cent with a booster, but dropped down to 66 per cent between four and five months and fell to just 31 per cent after five or more.

A new CDC report released Friday suggests boosters can still prevent hospitals from being overwhelmed, finding those who received three doses were 94 per cent less likely to be put on a ventilator or die from COVID-19 compared to those who are unvaccinated.

But while boosters are still remarkably protective against severe illness, less than half of Canadians have received one.

“Our third shot coverage is still lower than in many other jurisdictions, and Omicron in any case infected lots of people who’d had three shots,” said Dr. David Naylor, who co-chairs the federal government’s COVID-19 Immunity Task Force.

“It’s likely that the Omicron tsunami did provide a pretty substantial boost to background immunity for lots of Canadians. What’s not clear, however, is how much immunity is conferred by a mild case of COVID-19 due to Omicron and how long that protection lasts.” 

Nurses attend to a patient in the intensive care unit of Humber River Hospital in Toronto on Jan. 25. (Evan Mitsui/CBC)

That could be a key factor in whether Canada can avoid a major uptick in hospitalizations in the weeks ahead, Naylor said, but there’s still a possibility we may be in for an “ugly spring.”

“We might have a wave or a smaller wavelet. The extent to which this impacts us in Canada is not really known,” Bogoch added. 

“While we do have some good community level protection, is it good enough to stop hospitals from filling up again? I’m not sure.”

Wastewater signals increasing in Canada

In Ontario, where PCR testing access is now extremely limited — making it tougher to figure out accurate infection rates — the province’s COVID-19 Science Advisory Table recently reported a slight uptick in concentrations of SARS-CoV-2 through wastewater surveillance.

Based on that case growth, the table estimates the current daily number of infections is anywhere from 15,000 to 20,000 and expects hospital occupancy to rise, though not to the crushing levels of earlier waves.

There’s a recent upturn in wastewater data from Calgary as well, while in Saskatoon, the wastewater virus load increased by 5.4 per cent by March 9 when compared to the weekly average of the previous week, University of Saskatchewan data shows.

That Saskatoon data also shows the BA.2 subvariant made up more than 42 per cent of the latest reported virus load — slightly higher than its fellow subvariant, BA.1 — and the university now expects BA.2 will likely “completely overtake” BA.1 over the next few weeks.

Meanwhile on the east coast, P.E.I. public health officials say positivity rates at test centres are rising, while Newfoundland data shows cases began going up again in just the last few days.

Global rise in COVID-19 ‘stark reminder’ to Canada

New infections have jumped by eight per cent globally compared to the previous week, World Health Organization data shows, with 11 million new cases and just over 43,000 new deaths reported between March 7 to 13 — marking the first spike since the end of January.

The biggest jump was in the Western Pacific region, which includes South Korea and China, where cases rose by 25 per cent and deaths by 27 per cent. 

Many European countries are also experiencing a rise in cases. In Denmark, a BA.2-driven surge began in February, while the U.K. is now seeing rising infection rates and hospitalizations — both up at least 20 per cent from last week — following the end of the country’s pandemic restrictions.

WATCH | COVID-19 cases surge in Asia, Europe as public health measures relax

COVID-19 cases surge in Asia, Europe as public health measures relax

2 days ago
Duration 4:18

Figures showing a global rise in COVID-19 cases are ‘just the tip of the iceberg,’ says the director general of the World Health Organization, blaming the increase on the BA.2 subvariant, easing public public measures and low vaccination rates in some countries. 4:18

“Watching what’s going on in terms of case numbers in Europe, I think should be certainly a bit of a stark reminder that the virus has not disappeared,” said Jason Kindrachuk, an assistant professor of viral pathogenesis at the University of Manitoba in Winnipeg and Canada Research Chair of emerging viruses.

“BA.2 should, in my mind, kind of reinvigorate us to realize we’re not through with this yet and in fact the virus can still change.” 

Canada remains a unique situation, given its underlying population differences and vaccination rates, Kindrachuk said, which could mean things play out differently here. 

“But we have throughout the pandemic also seen that things that have happened in Europe have ultimately then moved into North America,” he said.

“And we’ve had a bit of time lag where we at least can start to try and prepare.”

A couple walk through a market in Hong Kong on March 18. (Isaac Lawrence/AFP/Getty Images)

The latest available data shows BA.2 accounts for 22 per cent of cases in Canada and estimates are that it spreads roughly 30 per cent more easily. 

Tam said it will likely become the dominant strain in Canada in the coming weeks but so far it’s been increasing at a “slow rate” here — likely due to a combination of vaccination and prior infection.

“What it will do is seek out pockets of the population where the immunization rates are lower, where people haven’t been boosted and where there hasn’t been a lot of [Omicron infection] — those are the at-risk populations,” she said.

Dr. Lisa Salamon, an emergency room physician with the Scarborough Health Network in Toronto, said communities that are lagging behind on vaccinations, and those featuring lower-income residents in crowded housing or multi-generational homes, remain more at risk of household transmission and dire outcomes.

“My concern is, locally, there are going to be places that are overwhelmed that people just don’t care about,” she said.

“The general population doesn’t care if it doesn’t impact them.”

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Mitchell throws two TD passes as Ticats earn important 37-21 home win over Redblacks

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HAMILTON – It remains faint but Bo Levi Mitchell and the Hamilton Tiger-Cats still have a playoff pulse.

Mitchell threw two touchdown passes as Hamilton defeated the Ottawa Redblacks 37-21 in the CFL’s annual Hall of Fame game Saturday afternoon. The Ticats (4-9) earned a second straight win to move to within six points of the third-place Toronto Argonauts (7-6) in the East Division.

Hamilton visits Toronto on Friday night.

“Obviously they’re (wins) huge now,” Mitchell said. “We didn’t do ourselves any favours by getting into this position and not being able to really control our own destiny.

“But right now, we need certain people to win at certain times. Our job is to go out there and try to win the next five, then the next three after that.”

Mitchell finished 20-of-27 passing for 299 yards and an interception. He entered weekend action leading the CFL in passing yards (3,383) and TD strikes (21).

Greg Bell’s 15-yard TD run at 11:30 of the fourth and two-point convert put Hamilton up 36-21 after backup Jeremiah Masoli led Ottawa on two scoring drives. Following a 13-yard TD strike to Andre Miller at 2:53, Masoli found Dominique Rhymes on a 10-yard touchdown pass at 7:43 before Khalan Laborn’s two-point convert cut Hamilton’s lead to 29-21.

“When you’re scoring from (15) yards out on a run play, that makes offence easy,” Mitchell said. “It’s one of those things when you get down there as a quarterback, it takes you sometimes five, eight, 10 plays and now it’s ‘OK, now we have to create some stuff and find something.’

“When you hand the ball off and you’re scoring from (15) yards, it makes the offence really easy.”

Ottawa (8-4-1) would have clinched a playoff spot with a victory.

Ottawa committed six turnovers (three interceptions, two fumbles, once on downs) before an announced Tim Hortons Field gathering of 22,119. Lawrence Woods III also returned a punt 83 yards for a touchdown at 11:51 of the first quarter that put Hamilton ahead 10-3.

“You’ve got to bring your best every single week and this wasn’t our best, all of us, from coaches to the players,” said Ottawa head coach Bob Dyce. “If you don’t play great for four quarters, I don’t care who you’re playing you’re not going to have a successful day.

“We should’ve made the tackle (on Woods), we had him wrapped up it’s that simple. Even though we didn’t make the play on that, there should’ve been extra bodies there to clean it up when he did break the tackle.”

Hamilton also tied the season series with Ottawa 1-1. The teams meet again at TD Place on Oct. 25.

“If we didn’t turn it over today I would’ve said we played really well offensively and that to me is what the biggest difference is,” said Hamilton head coach Scott Milanovich. “Even the turnovers today (interception, fumble), at least they were in their end and we weren’t giving them a short field.

“The biggest play of the game was Woodsie’s return. It got us jump-started, gave us the lead and we were kind of off after that.”

Ottawa starter Dru Brown was 17-of-27 passing for 164 yards and an interception. Masoli entered late in the third and finished 13-of-19 passing for 183 yards with two TDs and two interceptions, but Dyce said Brown will start next weekend against Montreal (10-2-1), which earned a 19-19 tie Saturday night with Calgary (4-8-1).

The Canadian Football Hall of Fame’s ’24 class of S.J. Green, Chad Owens, Weston Dressler, Vince Goldsmith and Vince Coleman, along with builders Ray Jauch and Ed Laverty (posthumously), was honoured at halftime. All were enshrined Friday night.

Steven Dunbar Jr. and Ante Litre had Hamilton’s other touchdowns. Marc Liegghio kicked two field goals, three converts and two singles.

Ottawa’s Lewis Ward booted two field goals and a convert.

Mitchell culminated a five-play, 96-yard march with a 20-yard TD pass to Litre at 13:34 of the third. It followed Jonathan Moxey’s interception.

Liegghio’s single at 7:05 of the third put Hamilton up 22-6.

Mitchell’s 54-yard TD strike to Dunbar at 14:18 of the second staked Hamilton to its 21-6 halftime lead. The advantage was well-deserved as the Ticats had more first downs (12-six), net offensive yards (260-144) and scored on both offence and special teams.

Mitchell was 14-of-20 passing for 210 yards and a TD, but his interception cost Hamilton at least a field-goal attempt. Dunbar had five receptions for 113 yards and the touchdown.

Brown completed 13-of-21 passes for 127 yards.

Liegghio’s missed 47-yard attempt went for the single at 12:45 to put Hamilton ahead 14-6. It followed a Kiondre Smith catch that was ruled incomplete and at the very least cost the Ticats a first down that would’ve kept the drive alive.

Ward’s 30-yard kick at 9:15 had pulled Ottawa to within 13-6.

Liegghio’s 19-yard field goal at 5:13 pushed Hamilton’s lead to 13-3. It followed the defence stopping Ottawa’s Dustin Crum on third-and-one, giving the Ticats possession at the Redblacks 40.

Liegghio’s 47-yard field goal opened the scoring at 2:42 before Ward tied in with a 24-yard boot at 8:44.

UP NEXT

Redblacks: Host the Montreal Alouettes (10-2-1) next Saturday, Sept. 21.

Tiger-Cats: Visit the Toronto Argonauts (7-6) on Friday.

This report by The Canadian Press was first published Sept. 14, 2024.



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Toronto FC downs Austin FC to pick up three much-needed points in MLS playoff push

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TORONTO – Needing three points to keep their playoff push alive, Toronto FC’s Jonathan Osorio and Deandre Kerr stepped up with first-half goals against Austin FC on Saturday with goalkeeper Sean Johnson doing his bit at the other end.

A 76th-minute goal by Austin’s Owen Wolff made for a nervy ending but TFC hung on for a 2-1 win.

While Toronto (11-15-3) remains on the Major League Soccer playoff bubble in eighth place in the Eastern Conference (the eighth- and ninth-place teams in each conference square off in a wild-card playoff with the winner facing the top seed in the conference), other results went their way.

Seventh-place Charlotte, 10th-place Atlanta and 11th-place Philadelphia all lost while ninth-place D.C. United tied.

Toronto midfielder Alonso Coello called it “a game we had to win.”

“It’s a big win … To see that fight tonight was important,” added coach John Herdman.

Austin (9-12-7) came into the game in 11th place in the West, two points below ninth-place Minnesota. The Texas side has won just one of its last six league games (1-4-1).

Austin outshot Toronto 7-6 (6-2 edge in shots on target) in the first half but found itself trailing 2-0 at the break as Toronto took advantage of its chances and the visitors didn’t in their first-ever visit to BMO Field, before an announced crowd of 25,538.

Toronto had a dream start, catching Austin on the counterattack in the seventh minute. A sliding Austin player dispossessed an onrushing Kerr, who had been set free by a long ball from Coello, but the ball bounced to Osorio, who beat goalkeeper Brad Stuver with a rising shot.

It was the Toronto captain’s second goal of the season in league play and his 65th for TFC in all competitions. Only Sebastian Giovinco (83) and Jozy Altidore (79) scored more in Toronto colours.

TFC went ahead on another counterattack in the 30th minute after an Austin giveaway. Osorio found Richie Laryea outpacing his marker and the wingback unselfishly sent a perfect low cross across goal for Kerr to knock home for his third of the season.

Wolff, the son of Austin head coach Josh Wolff, made it interesting with his late strike. The 19-year-old U.S. youth international, controlling a long ball, beat defender Raoul Petretta and then waited out Johnson before slotting it home for his first of the season.

Toronto survived a nervy six minutes of stoppage time as Austin pressed for the equalizer. Austin outshot Toronto 14-9 (8-3 in shots on target) and had 52.5 per cent possession.

The win evened Toronto’s home record at 7-7-0, while Austin slipped to 3-8-3 on the road.

It was a costly evening for Austin with defender Brendan Hines-Ike, midfielder Jhojan Valencia and star attacker Sebastian Driussi allpicking up cautions to miss Wednesday’s game with Los Angeles FC due to yellow-card accumulation.

Toronto defender Shane O’Neill will miss Wednesday’s game against visiting Columbus for the same reason. Toronto could be short mid-week, too. The hope is veteran centre back Kevin Long, who missed Saturday’s game after tweaking his hamstring in training, will be good to go.

Toronto has five games remaining, including three more at home as it looks to return to the post-season for the first time since 2020 when it lost to Nashville after extra time at the first hurdle.

It is a challenging road.

TFC hosts Columbus, the New York Red Bulls and Inter Miami while playing away at the Colorado Rapids and Chicago Fire. All but Chicago are in playoff positions.

The only previous meeting between Toronto and Austin was in May 2023, when Zardes scored a 91st-minute winner to give Austin a 1-0 win over visiting Toronto, which was then mired at the bottom of the Eastern Conference. That loss prompted a post-game outburst from Italian star Federico Bernardeschi about TFC’s drab play.

Then-coach Bob Bradley benched Bernardeschi for the next game.

Current coach John Herdman made four changes to his starting 11 with Bernardeschi and Osorio returning from suspension and Coello and Kerr also slotting in. Coello, who had missed the last eight league games with a hamstring injury, was impressive in his 59-minute return.

Both Toronto and Austin suffered home losses last time out going into the international break. Toronto was beaten 3-1 by D.C. United while Austin lost 1-0 to Vancouver.

Follow @NeilMDavidson on X platform.

This report by The Canadian Press was first published Sept. 14, 2024.

The Canadian Press. All rights reserved.



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CF Montreal finds its groove with 2-1 win over Charlotte

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MONTREAL – CF Montreal is back in the win column after securing a 2-1 Major League Soccer win over Charlotte FC on Saturday night at Stade Saputo.

Montreal’s form had suffered of late, with just one win in MLS since July, but Laurent Courtois’ squad showed a level of poise and control over the tempo of the game that had not been seen since the beginning of the season.

“What we’ve changed in the last few weeks or months in terms of our methodology or coaching, is nothing. We did the exact thing, We had the exact same words, and we expressed them the exact same way,” said Courtois. “Today, everything just clicked.”

Caden Clark scored for the first time as a Montreal (7-12-9) player in the 23rd minute, in addition to Bryce Duke’s goal three minutes later that ended up being the winner, while Tim Ream found the back of the net for Charlotte (10-10-8).

Montreal had the first major scoring chance of the match after 15 minutes of play. With a free kick roughly 25 metres away from goal, Gabriele Corbo sent a near-perfect shot smashing off the crossbar.

Montreal would continue to dictate the tempo in the opening phase, finding first blood just seven minutes later.

Following a phenomenal triple-save from Charlotte goalkeeper Kristijan Kahlina, the ball fell to Clark who volleyed the ball into the wide-open net, picking up his first goal for the club.

“I think you don’t lose the feeling (of scoring), everything happens for a reason, you just can’t lose yourself in the chaos,” said Clark, who had missed a full season due to injury and was briefly without a club, but was grateful for Courtois’ confidence in him.

“(To have a coach’s confidence) is huge and is something I’ve had both ends of so you just can’t take advantage of that in the wrong way. I’m going to keep my discipline with the game plan and keep my head right.”

With momentum completely on their side, the home side doubled the lead just three minutes later. Montreal continued to build up play on the left flank and found a streaking Raheem Edwards in behind the defence who cut the ball back to Duke, sending the Stade Saputo crowd into a frenzy.

Just after the half-hour mark, Charlotte pulled one back through a set piece — something Montreal has struggled defending all season — as Ream rose above everyone at the back post to score his first with his new club.

The second half began in a similar fashion to the end of the first, with Charlotte pressing high up the pitch and forcing several turnovers in dangerous areas. After surviving the pressure, Montreal began to regain control of the game near the hour mark, enjoying the lion’s share of the possession while Charlotte looked to hit back on the counterattack.

“I think when we conceded that goal we were like ‘here we go again.’ 2-1 is a tough lead before halftime … and at the beginning of the half we kind of shot ourselves in the foot and they pressed a bit more, they moved a bit more forward and that opened some gaps,” said captain Samuel Piette.

“I was happy with that, it shows character. At the end of the day, we just wanted the three points and that’s what we got.”

As the game progressed, Charlotte pushed harder to find an equalizer but to no avail. With only one shot on target conceded, the second-worst defence in the league put up an impressive front and confidently rebuffed every single Charlotte attack.

“I’m a big fan of the back five’s performance in their discipline, competitiveness, and synchronization with balls in behind,” said Courtois.

“We can’t explain sometimes in a game it’s not there, they’re capable and today they showed it. Let’s see tomorrow.”

UP NEXT

Both teams are back in action on Sept. 18 away from home as Montreal will look to avenge a 5-0 rout against the New England Revolution while Charlotte visits Orlando City SC.

This report by The Canadian Press was first published Sept. 14, 2024.

The Canadian Press. All rights reserved.



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