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Inside an isolation hotel: What to expect in quarantine – CBC.ca

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Not far from the country’s largest airport near Toronto, a Peel Region hotel has been converted into an isolation centre for anyone exposed to COVID-19, including those confirmed to be infected.

Almost anyone is eligible to stay — free of charge — with one big exception. This quarantine facility isn’t for returning travellers.

“We’re hoping to fill the place,” said Leslie Moreau, who runs three other hotel sites in Brampton and Mississauga, now giving the region a total isolation capacity of 373 rooms.

While the federal government ramps up a requirement for inbound travellers to stay at least three days in a hotel, at their own expense, Peel Region has been scaling up its own local isolation operation, opening three hotel sites in just over a month. The fourth started accepting people on Monday.

The area has consistently had one of the country’s highest rates of COVID-19 infections. Public health authorities point to a concentration of health and long-term care workers, as well as communal work settings like e-retailing warehouses and manufacturing, as contributors to the spread of the virus in the community.

Peel also has a significant number of large multigenerational households, where elderly grandparents may live alongside working parents and school-age grandchildren.

“It’s very hard to safely isolate,” said Moreau of Peel’s multigenerational homes, “so if they’re here [at the hotel] in their own room, then it’s safer and we’re going to be able to control the spread.”

Persuading the skeptical to leave home to isolate

Though the region has requested that the exact location of the hotels not be revealed publicly, the four sites are located in East Brampton, South Brampton, North Mississauga and now, South Mississauga.

The cost to rent and staff the hotels is paid for entirely with emergency money from the federal and provincial governments. As a result, guests requiring isolation pay nothing for their stay.

Rebekah Brant Garcia, with the Salvation Army, lays out a meal package on Feb. 1 ahead of the arrival of guests at a hotel converted into a voluntary COVID-19 isolation facility near Pearson Airport. Peel Region started the initiative to help reduce community spread of the coronavirus, particularly in multigenerational homes that are common in the area. (Evan Mitsui/CBC)

With transportation to the facility available in a specially sealed mini-bus, 24-hour on-site nursing staff, temperature checks, security, and meals delivered right to the door, Peel Region is trying to remove any inconvenience, fear or stigma from the isolation process.

“Racialized Canadians are most impacted by COVID-19. It requires a nuanced approach,” notes nurse Ameek Singh.

“To hear a common language … their anxiety goes way down. It starts not only with us as the health care providers here, but the food that’s offered, the facilities that are offered, and the cultural norms that are understood.”

Nurse Ameek Singh, part of a group of health care and hospitality workers, prepares a room for the arrival of a guest at a hotel converted into a voluntary COVID-19 isolation facility in Peel Region on Feb. 1. (Evan Mitsui/CBC)

Families are, for instance, able to drop off food or other supplies should a guest ask for anything. Menu options offer everything from hamburgers to vegetarian biryani, and mild jerk chicken to fish tandoori.

The catch, of course, is the isolation. By checking in, a guest is agreeing to stay inside their room with rare opportunities to go outside, and they can’t mingle with others or see anyone other than staff. Guests are forbidden. Even for those who remain asymptomatic, cable TV and wifi only stave off boredom to a certain degree.

Others who come to an isolation hotel will also be COVID-positive, and could become very ill during their time there. Those who test positive are kept on a separate floor, and nursing staff conduct regular health checks to ensure wellbeing. Anyone needing hospitalization is offered transfer by ambulance.

The keys to the success of the program are twofold — persuading people of the benefits of isolation outside their homes, and timing.

Health authorities want those potentially exposed to COVID-19 to come here immediately, rather than returning home or to a workplace where the risk of transmission jumps.

Guests at Peel Region’s isolation hotel are offered menu options ranging from hamburgers to vegetarian biryani. (Evan Mitsui/CBC)

Having restricted who could access an isolation hotel earlier in the pandemic, the criteria has recently been loosened in the hopes more will use the service. Anyone who learns of a potential exposure through public health, or contacts them directly, is now told of the isolation hotel if they report not having a suitable place to quarantine apart from others.

“We’ve done a lot of work in the past week … getting out to assessment centres,” said Moreau, Peel’s manager of Human Services.

“What we really want is people to come here when they’re looking to book a COVID test, not once they’re already positive. So we would like to get them here sooner rather than later.”

Isolation hotels similar to what incoming travellers will soon face

While guests are strongly encouraged to stay for their entire 14-day quarantine period, this is not an obligation at the Peel Region facility and the other three isolation hotels in the area.

That is not the case at another hotel in Mississauga operated by the Public Health Agency of Canada, which may serve as the model for the mandated isolation period that returning or arriving international travellers could soon face.

On Jan. 28, Prime Minister Justin Trudeau announced that mandatory testing for the coronavirus would soon be required for people returning to Canada, on top ofpre-departure test requirements implemented earlier this year. Travellers will then have to wait up to three days at a government-approved hotel for their results, which Trudeau said must be paid by the traveller and could cost upwards of $2,000.

Ottawa isn’t banning non-essential travel; it’s making it as inconvenient and expensive as possible. Now, in addition to existing requirements, returning travellers will need to quarantine in a hotel for three days at their own expense, at a likely cost of at least $2,000. 2:33

“It’s not an experience that I would pay to have,” Hyunseo Cho said.

Cho and her husband, JT Stubbs, returned from South Korea in the early months of the pandemic. At the time, they were sharing a home with a pregnant relative and, unable to afford temporary accommodations, asked border officials if there was an alternative. They were transported to a hotel room where they spent 23 hours a day.

Unlike the regional isolation hotel, the young couple was not permitted to leave the hotel unless seeking urgent medical treatment. They were required to remain in their room for 14 days after arrival, with the exception of one hour of walking time each day in the fenced-off parking lot.

“Boredom was my big issue,” Cho recalled.

The couple is now strongly opposed to any international travel, except for emergency reasons.

Their experience — confined by security guards, seeing only cleaning staff passing through the peep-hole in the hotel door — may be indicative of what Canadians returning from abroad will now experience.

Saving lives in hotel isolation

While federal authorities are sending a message of discouragement through their new hotel quarantine urging Canadians to stop travelling abroad, regional officials are sending a very different message.

Peel Region is encouraging those who’ve been exposed to isolate safely with them. And besides the desire to protect their families and community, the care and monitoring people receive at Peel’s isolation hotel may help attract those who have been exposed or infected.

At the regional facility for local residents, nurse Rasheen Oliver is a veteran of isolation hotels. Just before Christmas in one of the hotels, she was caring for a woman whose health was rapidly deteriorating, but the woman’s anxiety about going to hospital was also high.

Nurse Rasheen Oliver says the work at isolation hotels is stressful, but also rewarding. (Evan Mitsui/CBC)

Oliver called an ambulance and coaxed the woman to leave the hotel. The patient ended up hospitalized for 21 days.

“If she would have stayed in the hotel room … she probably would have died. So she was very grateful. She sent me flowers and a beautiful card saying she would pray for me for the rest of her life.”

Oliver is now working at the newest of the four hotels, part of a team going door-to-door in full personal protective equipment (PPE) to regularly check on residents and respond to their concerns. As she does so, she remembers that one woman.

“It reminds me of why I’m here. The work in itself sometimes can be a little stressful, but it’s rewarding when you have moments like that.”


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Virginia Democrats advance efforts to protect abortion, voting rights, marriage equality

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RICHMOND, Va. (AP) — Democrats who control both chambers of the Virginia legislature are hoping to make good on promises made on the campaign trail, including becoming the first Southern state to expand constitutional protections for abortion access.

The House Privileges and Elections Committee advanced three proposed constitutional amendments Wednesday, including a measure to protect reproductive rights. Its members also discussed measures to repeal a now-defunct state constitutional ban on same-sex marriage and ways to revise Virginia’s process to restore voting rights for people who served time for felony crimes.

“This meeting was an important next step considering the moment in history we find ourselves in,” Democratic Del. Cia Price, the committee chair, said during a news conference. “We have urgent threats to our freedoms that could impact constituents in all of the districts we serve.”

The at-times raucous meeting will pave the way for the House and Senate to take up the resolutions early next year after lawmakers tabled the measures last January. Democrats previously said the move was standard practice, given that amendments are typically introduced in odd-numbered years. But Republican Minority Leader Todd Gilbert said Wednesday the committee should not have delved into the amendments before next year’s legislative session. He said the resolutions, particularly the abortion amendment, need further vetting.

“No one who is still serving remembers it being done in this way ever,” Gilbert said after the meeting. “Certainly not for something this important. This is as big and weighty an issue as it gets.”

The Democrats’ legislative lineup comes after Republican Governor Glenn Youngkin, to the dismay of voting-rights advocates, rolled back a process to restore people’s civil rights after they completed sentences for felonies. Virginia is the only state that permanently bans anyone convicted of a felony from voting unless a governor restores their rights.

“This amendment creates a process that is bounded by transparent rules and criteria that will apply to everybody — it’s not left to the discretion of a single individual,” Del. Elizabeth Bennett-Parker, the patron of the voting rights resolution, which passed along party lines, said at the news conference.

Though Democrats have sparred with the governor over their legislative agenda, constitutional amendments put forth by lawmakers do not require his signature, allowing the Democrat-led House and Senate to bypass Youngkin’s blessing.

Instead, the General Assembly must pass proposed amendments twice in at least two years, with a legislative election sandwiched between each statehouse session. After that, the public can vote by referendum on the issues. The cumbersome process will likely hinge upon the success of all three amendments on Democrats’ ability to preserve their edge in the House and Senate, where they hold razor-thin majorities.

It’s not the first time lawmakers have attempted to champion the three amendments. Republicans in a House subcommittee killed a constitutional amendment to restore voting rights in 2022, a year after the measure passed in a Democrat-led House. The same subcommittee also struck down legislation supporting a constitutional amendment to repeal an amendment from 2006 banning marriage equality.

On Wednesday, a bipartisan group of lawmakers voted 16-5 in favor of legislation protecting same-sex marriage, with four Republicans supporting the resolution.

“To say the least, voters enacted this (amendment) in 2006, and we have had 100,000 voters a year become of voting age since then,” said Del. Mark Sickles, who sponsored the amendment as one of the first openly gay men serving in the General Assembly. “Many people have changed their opinions of this as the years have passed.”

A constitutional amendment protecting abortion previously passed the Senate in 2023 but died in a Republican-led House. On Wednesday, the amendment passed on party lines.

If successful, the resolution proposed by House Majority Leader Charniele Herring would be part of a growing trend of reproductive rights-related ballot questions given to voters. Since 2022, 18 questions have gone before voters across the U.S., and they have sided with abortion rights advocates 14 times.

The voters have approved constitutional amendments ensuring the right to abortion until fetal viability in nine states: Arizona, California, Colorado, Maryland, Michigan, Missouri, Montana, Ohio and Vermont. Voters also passed a right-to-abortion measure in Nevada in 2024, but it must be passed again in 2026 to be added to the state constitution.

As lawmakers debated the measure, roughly 18 members spoke. Mercedes Perkins, at 38 weeks pregnant, described the importance of women making decisions about their own bodies. Rhea Simon, another Virginia resident, anecdotally described how reproductive health care shaped her life.

Then all at once, more than 50 people lined up to speak against the abortion amendment.

“Let’s do the compassionate thing and care for mothers and all unborn children,” resident Sheila Furey said.

The audience gave a collective “Amen,” followed by a round of applause.

___

Associated Press writer Geoff Mulvihill in Cherry Hill, New Jersey, contributed to this report.

___

Olivia Diaz is a corps member for The Associated Press/Report for America Statehouse News Initiative.

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Vancouver Canucks winger Joshua set for season debut after cancer treatment

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Vancouver Canucks winger Dakota Joshua is set to make his season debut Thursday after missing time for cancer treatment.

Head coach Rick Tocchet says Joshua will slot into the lineup Thursday when Vancouver (8-3-3) hosts the New York Islanders.

The 28-year-old from Dearborn, Mich., was diagnosed with testicular cancer this summer and underwent surgery in early September.

He spoke earlier this month about his recovery, saying it had been “very hard to go through” and that he was thankful for support from his friends, family, teammates and fans.

“That was a scary time but I am very thankful and just happy to be in this position still and be able to go out there and play,,” Joshua said following Thursday’s morning skate.

The cancer diagnosis followed a career season where Joshua contributed 18 goals and 14 assists across 63 regular-season games, then added four goals and four assists in the playoffs.

Now, he’s ready to focus on contributing again.

“I expect to be good, I don’t expect a grace period. I’ve been putting the work in so I expect to come out there and make an impact as soon as possible,” he said.

“I don’t know if it’s going to be perfect right from the get-go, but it’s about putting your best foot forward and working your way to a point of perfection.”

The six-foot-three, 206-pound Joshua signed a four-year, US$13-million contract extension at the end of June.

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

The Canadian Press. All rights reserved.

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Trump chooses anti-vaccine activist Robert F. Kennedy Jr. as health secretary

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NEW YORK (AP) — President-elect Donald Trump says he will nominate anti-vaccine activist Robert F. Kennedy Jr. to lead the Department of Health and Human Services, putting him in charge of a massive agency that oversees everything from drug, vaccine and food safety to medical research and the social safety net programs Medicare and Medicaid.

“For too long, Americans have been crushed by the industrial food complex and drug companies who have engaged in deception, misinformation, and disinformation when it comes to Public Health,” Trump said in a post on his Truth Social site announcing the appointment. Kennedy, he said, would “Make America Great and Healthy Again!”

Kennedy, a former Democrat who ran as an independent in this year’s presidential race, abandoned his bid after striking a deal to give Trump his endorsement with a promise to have a role in health policy in the administration.

He and Trump have since become good friends, with Kennedy frequently receiving loud applause at Trump’s rallies.

The expected appointment was first reported by Politico Thursday.

A longtime vaccine skeptic, Kennedy is an attorney who has built a loyal following over several decades of people who admire his lawsuits against major pesticide and pharmaceutical companies. He has pushed for tighter regulations around the ingredients in foods.

With the Trump campaign, he worked to shore up support among young mothers in particular, with his message of making food healthier in the U.S., promising to model regulations imposed in Europe. In a nod to Trump’s original campaign slogan, he named the effort “Make America Healthy Again.”

It remains unclear how that will square with Trump’s history of deregulation of big industries, including food. Trump pushed for fewer inspections of the meat industry, for example.

Kennedy’s stance on vaccines has also made him a controversial figure among Democrats and some Republicans, raising question about his ability to get confirmed, even in a GOP-controlled Senate. Kennedy has espoused misinformation around the safety of vaccines, including pushing a totally discredited theory that childhood vaccines cause autism.

He also has said he would recommend removing fluoride from drinking water. The addition of the material has been cited as leading to improved dental health.

HHS has more than 80,000 employees across the country. It houses the Food and Drug Administration, the Centers for Disease Control and Prevention, the Medicare and Medicaid programs and the National Institutes of Health.

Kennedy’s anti-vaccine nonprofit group, Children’s Health Defense, currently has a lawsuit pending against a number of news organizations, among them The Associated Press, accusing them of violating antitrust laws by taking action to identify misinformation, including about COVID-19 and COVID-19 vaccines. Kennedy took leave from the group when he announced his run for president but is listed as one of its attorneys in the lawsuit.

__ Seitz reported from Washington.

The Canadian Press. All rights reserved.

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