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How provinces plans to Easing COVID-19 shutdown

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Provinces have been releasing plans for easing restrictions that were put in place to limit the spread of COVID-19.

Here is what some of the provinces have announced so far:

Newfoundland and Labrador

Newfoundland and Labrador lifted some of the public health restrictions imposed to slow the spread of COVID-19 on May 11. The province has entered “alert level four” in its five-level reopening plan, allowing some businesses such as law firms and other professional services to reopen along with regulated child-care centres, with some restrictions. Small gatherings for funerals, burials and weddings are also permitted with a limit of 10 people following physical distancing rules. Municipal parks, golf courses and driving ranges can open and recreational hunting and fishing are permitted. Officials are reminding people that the new rules do not allow for parties or other social gatherings.

The province is loosening restrictions in a series of “alert levels” descending from five. The current alert level is to remain in place for at least 28 days. At Level 3, private health clinics, such as optometrists and dentists, are to be permitted to open, as well as medium-risk businesses such as clothing stores and hair salons. At Level 2, some small gatherings will be allowed, and businesses with performance spaces and gyms are to reopen. Level 1 would represent “the new normal.”

Nova Scotia

Nova Scotia Premier Stephen McNeil has announced there will be no return to school this year. He also says a decision on whether daycares will reopen will be made by June 8. Nova Scotia has eased some public health restrictions, however, directives around physical distancing and social gatherings remain in place. Trails and provincial and municipal parks can now reopen, but playground equipment is still off limits. Garden centres, nurseries and similar businesses can open, and while golf driving ranges can open, courses remain closed. Sportfishing is permitted and people can attend boating, yacht or sailing clubs for the purpose of preparing boats for use. Drive-in religious services are now allowed, as long as people stay in their cars, park two metres apart and there are no interactions between people.

Prince Edward Island

P-E-I is accelerating its Renew PEI Together plan. Phase two of the plan will still begin May 22 as scheduled, but the third phase will now begin June 1 instead of June 12. Phase three will allow gatherings of up to 15 people indoors and 20 people outdoors, organized recreational activities and the opening of child care centres and in-room dining. Members of a household can currently gather indoors with up to five other people. Other precautions, such as physical distancing remain in place. Screening also continues at points of entry into the province and all people coming into P.E.I. are required to isolate for 14 days. Priority non-urgent surgeries and select health-service providers, including physiotherapists, optometrists and chiropractors, resumed on May 1. The Renew P.E.I. Together plan also allows outdoor gatherings and non-contact outdoor recreational activities of no more than five individuals from different households.

New Brunswick

New Brunswick’s education minister says licensed daycares can begin reopening May 19. Children won’t have to wear masks or maintain physical distancing, but they will be in small groups. Anyone who has travelled outside of New Brunswick will not be allowed to visit early learning and child-care facilities for 14 days. Meanwhile, the province has allowed more businesses and services to reopen. Retail businesses, offices, restaurants, libraries, museums and seasonal campgrounds can do so under certain conditions. Those include having an operational plan that explains how they are meeting public health guidelines including physical distancing, hand hygiene and allowing staff to remain home when ill. Outdoor gatherings of up to 10 people are also allowed if physical distancing is respected. The resumption of elective surgeries is also part of the province’s phase two of its reopening plan.

The third phase will allow regular church services, dentistry work and the reopening of fitness centres. The final phase, which will probably come only after a vaccine is available, will include large gatherings. Phase one, which started on April 24, allowed limited play on golf courses as well as fishing and hunting. Post-secondary students  were allowed to return if it was deemed safe by the school, and outdoor church services were again permitted, providing people remain in their vehicles and are two metres apart.

Quebec

Quebec reopened retail stores outside Montreal on May 11. Lottery terminals are also reopening after being shut down on March 20 with sales moving to online only. Quebec’s construction and manufacturing industries have resumed operations with limits on the number of employees who can work per shift. Elementary schools and daycares outside Montreal reopened on May 11, but high schools, junior colleges and universities will stay closed until September. Elementary schools in the greater Montreal area will remain closed until late August. Premier Francois Legault says public health conditions haven’t been met in the area hardest hit by the coronavirus, so Montreal daycares will also remain closed until at least June 1. Officials haven’t made a firm decision about retail businesses, which are scheduled to reopen May 25. Meanwhile, checkpoints set up to slow the spread of COVID-19 are coming down today (May 18) in various parts of Quebec, including between Gatineau and Ottawa.

Ontario

Ontario is set enter its first stage of reopening on May 19 including lifting restrictions on retail stores and surgeries. The province says workplaces can begin to reopen, but working from home should continue as much as possible. All construction can resume and limits will be lifted on maintenance, repair and property management services, such as cleaning, painting and pool maintenance. Most retail stores that have a street entrance can reopen with physical distancing restrictions, such as limits on the number of customers in a store and providing  curbside pickup and delivery. Golf courses can reopen though clubhouses can only open for washrooms and take-out food. Marinas, boat clubs and public boat launches can also open, as can private parks and campgrounds for trailers and RVs whose owners have a full season contract, and businesses that board animals. Other businesses and services included in the stage one reopening include regular veterinary appointments, pet grooming, pet sitting and pet training; libraries for pickup or deliveries; and housekeepers and babysitters. Ontario has previously announced that publicly funded schools will be closed until at least May 31.

Saskatchewan

The Saskatchewan government’s five-phase plan to reopen its economy started May 11 with dentists, optometrists and other health professionals allowed to resume services. Phase 1 also includes reopened golf courses and campgrounds. Phase 2 will give the green light to retail businesses and salons. Restaurants and gyms could open in Phase 3, but with limited capacity. Phase 4 could see arenas, swimming pools and playgrounds opening. In Phase 5, the province would consider lifting restrictions on the size of public gatherings.

Manitoba

The Manitoba government has lifted its one-month limit on people’s prescription drug supplies, allowing people to again get prescriptions filled or refilled for 90 days. Its health offices, including dentists, chiropractors and physiotherapists can also reopen. Retail businesses can reopen at half occupancy providing they ensure physical spacing. Restaurants can reopen patios and walk-up service. Museums and libraries can also reopen, but with occupancy limited to 50 per cent. Playgrounds, golf courses and tennis courts reopened as well, along with parks and campgrounds. A second phase is to begin no earlier than June 1. That’s when restaurants would be allowed to open indoor dining areas and non-contact children’s sports would resume. Mass gatherings such as concerts and major sporting events will not be considered before September. Meanwhile, Manitoba has extended a province-wide state of emergency until mid-June, to help prevent the spread of COVID-19.

Alberta

Alberta has increased the limit for outdoor gatherings to 50 people — up from 15. The province allowed stores, restaurants, daycares and hair salons to reopen across much of the province on May 14. But hair salons and restaurant dining rooms can’t reopen in Calgary and Brooks until May 25. Restaurants can only open at half capacity. Premier Jason Kenney says if the first stage of reopening goes well, the next phase — which includes movie theatres and spas — could go ahead on June 19. Alberta allowed some scheduled, non-urgent surgeries to start on May 11. Service provided by dentists, physiotherapists and other medical professionals are also permitted. Golf courses reopened May 2, though pro shops and clubhouses remain shuttered.

British Columbia

The provincial government is allowing a partial reopening of the B.C. economy starting May 19. The reopening plans are contingent on organizations and businesses having plans that follow provincial guidelines to control the spread of COVID-19. Hotels, resorts and parks will follow in June. Parents in B.C. will be given the choice of allowing their children to return to class on a part-time basis in June. The government says its goal is for the return of full-time classes in September, if it’s safe. Under the part-time plan, for kindergarten to Grade 5, most students will go to school half time, while grades 6 to 12 will go about one day a week. A mix of online and classroom post-secondary education is planned for September. Conventions, large concerts, international tourism and professional sports with a live audience will not be allowed to resume until either a vaccine is widely available, community immunity has been reached, or effective treatment can be provided for the disease.

Northwest Territories

The Northwest Territories announced on May 12 a reopening plan that contains three phases, but the government didn’t say when it would be implemented. The plan includes more gatherings and the possible reopening of some schools and businesses. However, the territory’s borders remain closed indefinitely to non-residents and non-essential workers. There are several requirements that must be met before any measures are relaxed: there must be no evidence of community spread until today; travel entry points in the territory are strong and secure; risks are reduced from workers coming into the territory; and expanded community testing is available.

Yukon

The territory’s reopening plan outlines five phases including a period after a vaccine is available. The plan’s “restart” phase began May 15, with businesses that were ordered to close allowed to reopen as long as they submit an operational plan. Two households of up to 10 people in total are also able to interact with each other as part of a “household bubble.” But bars and restaurants that offer dine-in services won’t be allowed to reopen until the chief medical officer of health lifts restrictions. The territory’s borders also remain closed but residents are allowed to travel throughout Yukon more easily.

This report by The Canadian Press was first published May 18, 2020

The Canadian Press

Edited Harry Miller

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Health Canada approves updated Moderna COVID-19 vaccine

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TORONTO – Health Canada has authorized Moderna’s updated COVID-19 vaccine that protects against currently circulating variants of the virus.

The mRNA vaccine, called Spikevax, has been reformulated to target the KP.2 subvariant of Omicron.

It will replace the previous version of the vaccine that was released a year ago, which targeted the XBB.1.5 subvariant of Omicron.

Health Canada recently asked provinces and territories to get rid of their older COVID-19 vaccines to ensure the most current vaccine will be used during this fall’s respiratory virus season.

Health Canada is also reviewing two other updated COVID-19 vaccines but has not yet authorized them.

They are Pfizer’s Comirnaty, which is also an mRNA vaccine, as well as Novavax’s protein-based vaccine.

This report by The Canadian Press was first published Sept. 17, 2024.

Canadian Press health coverage receives support through a partnership with the Canadian Medical Association. CP is solely responsible for this content.

The Canadian Press. All rights reserved.

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These people say they got listeria after drinking recalled plant-based milks

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TORONTO – Sanniah Jabeen holds a sonogram of the unborn baby she lost after contracting listeria last December. Beneath, it says “love at first sight.”

Jabeen says she believes she and her baby were poisoned by a listeria outbreak linked to some plant-based milks and wants answers. An investigation continues into the recall declared July 8 of several Silk and Great Value plant-based beverages.

“I don’t even have the words. I’m still processing that,” Jabeen says of her loss. She was 18 weeks pregnant when she went into preterm labour.

The first infection linked to the recall was traced back to August 2023. One year later on Aug. 12, 2024, the Public Health Agency of Canada said three people had died and 20 were infected.

The number of cases is likely much higher, says Lawrence Goodridge, Canada Research Chair in foodborne pathogen dynamics at the University of Guelph: “For every person known, generally speaking, there’s typically 20 to 25 or maybe 30 people that are unknown.”

The case count has remained unchanged over the last month, but the Public Health Agency of Canada says it won’t declare the outbreak over until early October because of listeria’s 70-day incubation period and the reporting delays that accompany it.

Danone Canada’s head of communications said in an email Wednesday that the company is still investigating the “root cause” of the outbreak, which has been linked to a production line at a Pickering, Ont., packaging facility.

Pregnant people, adults over 60, and those with weakened immune systems are most at risk of becoming sick with severe listeriosis. If the infection spreads to an unborn baby, Health Canada says it can cause miscarriage, stillbirth, premature birth or life-threatening illness in a newborn.

The Canadian Press spoke to 10 people, from the parents of a toddler to an 89-year-old senior, who say they became sick with listeria after drinking from cartons of plant-based milk stamped with the recalled product code. Here’s a look at some of their experiences.

Sanniah Jabeen, 32, Toronto

Jabeen says she regularly drank Silk oat and almond milk in smoothies while pregnant, and began vomiting seven times a day and shivering at night in December 2023. She had “the worst headache of (her) life” when she went to the emergency room on Dec. 15.

“I just wasn’t functioning like a normal human being,” Jabeen says.

Told she was dehydrated, Jabeen was given fluids and a blood test and sent home. Four days later, she returned to hospital.

“They told me that since you’re 18 weeks, there’s nothing you can do to save your baby,” says Jabeen, who moved to Toronto from Pakistan five years ago.

Jabeen later learned she had listeriosis and an autopsy revealed her baby was infected, too.

“It broke my heart to read that report because I was just imagining my baby drinking poisoned amniotic fluid inside of me. The womb is a place where your baby is supposed to be the safest,” Jabeen said.

Jabeen’s case is likely not included in PHAC’s count. Jabeen says she was called by Health Canada and asked what dairy and fresh produce she ate – foods more commonly associated with listeria – but not asked about plant-based beverages.

She’s pregnant again, and is due in several months. At first, she was scared to eat, not knowing what caused the infection during her last pregnancy.

“Ever since I learned about the almond, oat milk situation, I’ve been feeling a bit better knowing that it wasn’t something that I did. It was something else that caused it. It wasn’t my fault,” Jabeen said.

She’s since joined a proposed class action lawsuit launched by LPC Avocates against the manufacturers and sellers of Silk and Great Value plant-based beverages. The lawsuit has not yet been certified by a judge.

Natalie Grant and her seven year-old daughter, Bowmanville, Ont.

Natalie Grant says she was in a hospital waiting room when she saw a television news report about the recall. She wondered if the dark chocolate almond milk her daughter drank daily was contaminated.

She had brought the girl to hospital because she was vomiting every half hour, constantly on the toilet with diarrhea, and had severe pain in her abdomen.

“I’m definitely thinking that this is a pretty solid chance that she’s got listeria at this point because I knew she had all the symptoms,” Grant says of seeing the news report.

Once her daughter could hold fluids, they went home and Grant cross-checked the recalled product code – 7825 – with the one on her carton. They matched.

“I called the emerg and I said I’m pretty confident she’s been exposed,” Grant said. She was told to return to the hospital if her daughter’s symptoms worsened. An hour and a half later, her fever spiked, the vomiting returned, her face flushed and her energy plummeted.

Grant says they were sent to a hospital in Ajax, Ont. and stayed two weeks while her daughter received antibiotics four times a day until she was discharged July 23.

“Knowing that my little one was just so affected and how it affected us as a family alone, there’s a bitterness left behind,” Grant said. She’s also joined the proposed class action.

Thelma Feldman, 89, Toronto

Thelma Feldman says she regularly taught yoga to friends in her condo building before getting sickened by listeria on July 2. Now, she has a walker and her body aches. She has headaches and digestive problems.

“I’m kind of depressed,” she says.

“It’s caused me a lot of physical and emotional pain.”

Much of the early days of her illness are a blur. She knows she boarded an ambulance with profuse diarrhea on July 2 and spent five days at North York General Hospital. Afterwards, she remembers Health Canada officials entering her apartment and removing Silk almond milk from her fridge, and volunteers from a community organization giving her sponge baths.

“At my age, 89, I’m not a kid anymore and healing takes longer,” Feldman says.

“I don’t even feel like being with people. I just sit at home.”

Jasmine Jiles and three-year-old Max, Kahnawake Mohawk Territory, Que.

Jasmine Jiles says her three-year-old son Max came down with flu-like symptoms and cradled his ears in what she interpreted as a sign of pain, like the one pounding in her own head, around early July.

When Jiles heard about the recall soon after, she called Danone Canada, the plant-based milk manufacturer, to find out if their Silk coconut milk was in the contaminated batch. It was, she says.

“My son is very small, he’s very young, so I asked what we do in terms of overall monitoring and she said someone from the company would get in touch within 24 to 48 hours,” Jiles says from a First Nations reserve near Montreal.

“I never got a call back. I never got an email”

At home, her son’s fever broke after three days, but gas pains stuck with him, she says. It took a couple weeks for him to get back to normal.

“In hindsight, I should have taken him (to the hospital) but we just tried to see if we could nurse him at home because wait times are pretty extreme,” Jiles says, “and I don’t have child care at the moment.”

Joseph Desmond, 50, Sydney, N.S.

Joseph Desmond says he suffered a seizure and fell off his sofa on July 9. He went to the emergency room, where they ran an electroencephalogram (EEG) test, and then returned home. Within hours, he had a second seizure and went back to hospital.

His third seizure happened the next morning while walking to the nurse’s station.

In severe cases of listeriosis, bacteria can spread to the central nervous system and cause seizures, according to Health Canada.

“The last two months have really been a nightmare,” says Desmond, who has joined the proposed lawsuit.

When he returned home from the hospital, his daughter took a carton of Silk dark chocolate almond milk out of the fridge and asked if he had heard about the recall. By that point, Desmond says he was on his second two-litre carton after finishing the first in June.

“It was pretty scary. Terrifying. I honestly thought I was going to die.”

Cheryl McCombe, 63, Haliburton, Ont.

The morning after suffering a second episode of vomiting, feverish sweats and diarrhea in the middle of the night in early July, Cheryl McCombe scrolled through the news on her phone and came across the recall.

A few years earlier, McCombe says she started drinking plant-based milks because it seemed like a healthier choice to splash in her morning coffee. On June 30, she bought two cartons of Silk cashew almond milk.

“It was on the (recall) list. I thought, ‘Oh my God, I got listeria,’” McCombe says. She called her doctor’s office and visited an urgent care clinic hoping to get tested and confirm her suspicion, but she says, “I was basically shut down at the door.”

Public Health Ontario does not recommend listeria testing for infected individuals with mild symptoms unless they are at risk of developing severe illness, such as people who are immunocompromised, elderly, pregnant or newborn.

“No wonder they couldn’t connect the dots,” she adds, referencing that it took close to a year for public health officials to find the source of the outbreak.

“I am a woman in my 60s and sometimes these signs are of, you know, when you’re vomiting and things like that, it can be a sign in women of a bigger issue,” McCombe says. She was seeking confirmation that wasn’t the case.

Disappointed, with her stomach still feeling off, she says she decided to boost her gut health with probiotics. After a couple weeks she started to feel like herself.

But since then, McCombe says, “I’m back on Kawartha Dairy cream in my coffee.”

This report by The Canadian Press was first published Sept. 16, 2024.

Canadian Press health coverage receives support through a partnership with the Canadian Medical Association. CP is solely responsible for this content.

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B.C. mayors seek ‘immediate action’ from federal government on mental health crisis

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VANCOUVER – Mayors and other leaders from several British Columbia communities say the provincial and federal governments need to take “immediate action” to tackle mental health and public safety issues that have reached crisis levels.

Vancouver Mayor Ken Sim says it’s become “abundantly clear” that mental health and addiction issues and public safety have caused crises that are “gripping” Vancouver, and he and other politicians, First Nations leaders and law enforcement officials are pleading for federal and provincial help.

In a letter to Prime Minister Justin Trudeau and Premier David Eby, mayors say there are “three critical fronts” that require action including “mandatory care” for people with severe mental health and addiction issues.

The letter says senior governments also need to bring in “meaningful bail reform” for repeat offenders, and the federal government must improve policing at Metro Vancouver ports to stop illicit drugs from coming in and stolen vehicles from being exported.

Sim says the “current system” has failed British Columbians, and the number of people dealing with severe mental health and addiction issues due to lack of proper care has “reached a critical point.”

Vancouver Police Chief Adam Palmer says repeat violent offenders are too often released on bail due to a “revolving door of justice,” and a new approach is needed to deal with mentally ill people who “pose a serious and immediate danger to themselves and others.”

This report by The Canadian Press was first published Sept. 16, 2024

The Canadian Press. All rights reserved.

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