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'It wasn't called COVID at the time:' One year since Canada's first COVID-19 case – CTV News

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TORONTO —
The patient, when he came into the hospital ER with what seemed to be mild pneumonia, wasn’t that sick and might otherwise have been sent home.

Except the man had just returned from China, where a new viral disease was spreading like a brush fire. His chest X-rays were also unusual.

“We’d never seen a case like this before,” says Dr. Jerome Leis. “I’d never seen an X-ray quite like that one.”

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It was the evening of Jan. 23, 2020, when the team at Toronto’s Sunnybrook Health Sciences Centre decided to admit the 56-year-old patient. That same day, Canada’s chief public health officer, Dr. Theresa Tam, told the country:

“The risk of an outbreak in Canada remains low,” Tam said in a refrain she and other officials would repeat for weeks on end.

Less than two days after admission to Sunnybrook, the man would become “Patient Zero” — the first COVID-19 case in Canada.

For several weeks, Leis, the hospital’s medical director of infection prevention and control, had been anticipating just such a moment. He had known since the end of December about the outbreak in Wuhan, China, and he’d been following Chinese authorities as they published information about the new pathogen and its effects.

Drawing on lessons learned from the SARS epidemic years earlier, Sunnybrook’s screening staff were already asking new specific questions of incoming patients. Protocols were sharpened. Just that morning, in fact, internal-medicine residents and faculty had done a refresher around protective gear.

“We were extremely suspicious that this was the novel coronavirus that had been described,” Leis says. “It does feel like a lifetime ago and yet it does just seem like yesterday.”

Dr. Lynfa Stroud, on-call general internist and division head of general internal medicine at Sunnybrook, was notified the new patient needed to be admitted.

“We didn’t know what exactly we were dealing with,” Stroud says. “We had early reports of presentations and how people evolved. We were a bit nervous but we felt very well prepared.”

The following day, as China was locking down Hubei province, Dr. Peter Donnelly, then head of Public Health Ontario, was asked about lockdowns in Canada. “Absolutely not,” he declared: “If a case comes here, and it is probably likely that we will have a case here, it will still be business as normal.”

Confirmation of the clinicians’ suspicions at Sunnybrook would come from the agency’s laboratory, which had been working furiously to develop and validate a suitable test for the novel coronavirus based on information from China. The agency’s lab had been testing samples for two weeks when the Sunnybrook call came in.

“They sent a sample to us in a cab,” says Dr. Vanessa Allen, chief of microbiology and laboratory science at Public Health Ontario.

It would be the start of a round-the-clock effort to test and retest the new samples.

“The last thing you need is a false signal or some kind of misunderstanding,” says Allen, who had been a resident during the SARS outbreak.

By about midday of Saturday, Jan. 25, the lab was sure it had identified the new organism that would soon take over the world and become a household name.

“It wasn’t called COVID at the time,” Allen says of the disease.

Over at Sunnybrook, Leis received the confirmation without much surprise.

“It was consistent with what we were seeing and what we suspected,” he says. “I was actually happy that the lab was able to confirm it.”

Within hours, public health authorities would let the country know that Canada had its first case of the “Wuhan novel coronavirus,” although further confirmation from the National Microbiology Laboratory in Winnipeg was pending.

“I want Ontarians to know that the province is prepared to actively identify, prevent and control the spread of this serious infectious disease in Ontario,” Health Minister Christine Elliott declared as the province announced a new “dedicated web page” for latest information.

The wife of “Patient Zero” would also soon be confirmed as COVID-19 positive but was able to self-isolate at home.

“This (man) was one of the first cases to report on the more milder spectrum of disease, which was not something we were aware of,” Leis says. “It helped to teach us about the larger spectrum in disease severity that we see with COVID-19, which is very different from SARS.”

Looking back now at their roles in a small piece of Canadian pandemic history, those involved talk about how much we didn’t know about a virus that has since infected three-quarters of a million people in Canada, killing more than 18,800 of them.

“The initial detection, in some ways, was the easy part,” Allen says. “This virus and the implications are extremely humbling, and just the prolonged nature and impact of this was certainly not on my radar in January of last year.”

Yet treating “Patient Zero” and his wife afforded valuable lessons about what was then a poorly understood disease. For one thing, it became apparent that most of those afflicted don’t need hospital admission — hugely important given the massive number of infections and resulting stresses on critical-care systems.

“To be honest: We would have sent this patient home from the emergency room,” Stroud says. “We admitted him because, at that time, it wasn’t known very well what the course of illness was.”

Sunnybrook alone has now assessed more than 4,000 COVID-19 patients. To survive the onslaught, the hospital developed a program in which patients are screened and, if possible, sent to self-isolate under remote medical supervision.

Both “Patient Zero” and his wife recovered. Their cases would mark Canada’s first minor health-care skirmish of what was to become an all-out global defensive war against COVID-19. It also marked the beginning of relentless work hours for those on the front lines of health care.

For health-care workers, it’s been a long year since those first energized, if anxious, days one year ago. There’s a weariness in their voices, a recognition the war is still raging, even as vaccines developed with stunning alacrity offer some hope of a truce.

“We have been working essentially non-stop since last January and it’s not slowing down now,” Leis says. “Health-care teams are tired. There’s a lot of concern about burnout. It’s been challenging for sure.”

Despite COVID-19’s deadly toll, the vast majority of COVID-19 patients, like “Patient Zero,” recover. Still, even for some of those, their battle might never be over.

“These people just don’t get magically better,” Stroud says. “Some will have lifelong lung scarring and damage to their lungs.”

This report by The Canadian Press was first published Jan. 24, 2021.

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Bad traffic, changed plans: Toronto braces for uncertainty of its Taylor Swift Era

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TORONTO – Will Taylor Swift bring chaos or do we all need to calm down?

It’s a question many Torontonians are asking this week as the city braces for the arrival of Swifties, the massive fan base of one of the world’s biggest pop stars.

Hundreds of thousands are expected to descend on the downtown core for the singer’s six concerts which kick off Thursday at the Rogers Centre and run until Nov. 23.

And while their arrival will be a boon to tourism dollars — the city estimates more than $282 million in economic impact — some worry it could worsen Toronto’s gridlock by clogging streets that already come to a standstill during rush hour.

Swift’s shows are set to collide with sports events at the nearby Scotiabank Arena, including a Raptors game on Friday and a Leafs game on Saturday.

Some residents and local businesses have already adjusted their plans to avoid the area and its planned road closures.

Aahil Dayani says he and some friends intended to throw a birthday bash for one of their pals until they realized it would overlap with the concerts.

“Something as simple as getting together and having dinner is now thrown out the window,” he said.

Dayani says the group rescheduled the gathering for after Swift leaves town. In the meantime, he plans to hunker down at his Toronto residence.

“Her coming into town has kind of changed up my social life,” he added.

“We’re pretty much just not doing anything.”

Max Sinclair, chief executive and founder of A.I. technology firm Ecomtent, suggested his employees avoid the company’s downtown offices on concert days, saying he doesn’t see the point in forcing people to endure potential traffic jams.

“It’s going to be less productive for us, and it’s going to be just a pain for everyone, so it’s easier to avoid it,” Sinclair said.

“We’re a hybrid company, so we can be flexible. It just makes sense.”

Swift’s concerts are the latest pop culture moment to draw attention to Toronto’s notoriously disastrous daily commute.

In June, One Direction singer Niall Horan uploaded a social media video of himself walking through traffic to reach the venue for his concert.

“Traffic’s too bad in Toronto, so we’re walking to the venue,” he wrote in the post.

Toronto Transit Commission spokesperson Stuart Green says the public agency has been working for more than a year on plans to ease the pressure of so many Swifties in one confined area.

“We are preparing for something that would be akin to maybe the Beatles coming in the ‘60s,” he said.

Dozens of buses and streetcars have been added to transit routes around the stadium, and the TTC has consulted the city on potential emergency scenarios.

Green will be part of a command centre operated by the City of Toronto and staffed by Toronto police leaders, emergency services and others who have handled massive gatherings including the Raptors’ NBA championship parade in 2019.

“There may be some who will say we’re over-preparing, and that’s fair,” Green said.

“But we know based on what’s happened in other places, better to be over-prepared than under-prepared.”

Metrolinx, the agency for Ontario’s GO Transit system, has also added extra trips and extended hours in some regions to accommodate fans looking to travel home.

A day before Swift’s first performance, the city began clearing out tents belonging to homeless people near the venue. The city said two people were offered space in a shelter.

“As the area around Rogers Centre is expected to receive a high volume of foot traffic in the coming days, this area has been prioritized for outreach work to ensure the safety of individuals in encampments, other residents, businesses and visitors — as is standard for large-scale events,” city spokesperson Russell Baker said in a statement.

Homeless advocate Diana Chan McNally questioned whether money and optics were behind the measure.

“People (in the area) are already in close proximity to concerts, sports games, and other events that generate massive amounts of traffic — that’s nothing new,” she said in a statement.

“If people were offered and willingly accepted a shelter space, free of coercion, I support that fully — that’s how it should happen.”

This report by The Canadian Press was first published Nov. 13, 2024.



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‘It’s literally incredible’: Swifties line up for merch ahead of Toronto concerts

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TORONTO – Hundreds of Taylor Swift fans lined up outside the gates of Toronto’s Rogers Centre Wednesday, with hopes of snagging some of the pop star’s merchandise on the eve of the first of her six sold-out shows in the city.

Swift is slated to perform at the venue from Thursday to Saturday, and the following week from Nov. 21 to Nov. 23, with concert merchandise available for sale on some non-show days.

Swifties were all smiles as they left the merch shop, their arms full of sweaters and posters bearing pictures of the star and her Eras Tour logo.

Among them was Zoe Haronitis, 22, who said she waited in line for about two hours to get $300 worth of merchandise, including some apparel for her friends.

Haronitis endured the autumn cold and the hefty price tag even though she hasn’t secured a concert ticket. She said she’s hunting down a resale ticket and plans to spend up to $600.

“I haven’t really budgeted anything,” Haronitis said. “I don’t care how much money I spent. That was kind of my mindset.”

The megastar’s merchandise costs up to $115 for a sweater, and $30 for tote bags and other accessories.

Rachel Renwick, 28, also waited a couple of hours in line for merchandise, but only spent about $70 after learning that a coveted blue sweater and a crewneck had been snatched up by other eager fans before she got to the shop. She had been prepared to spend much more, she said.

“The two prized items sold out. I think a lot more damage would have been done,” Renwick said, adding she’s still determined to buy a sweater at a later date.

Renwick estimated she’s spent about $500 in total on “all-things Eras Tour,” including her concert outfit and merchandise.

The long queue for Swift merch is just a snapshot of what the city will see in the coming days. It’s estimated that up to 500,000 visitors from outside Toronto will be in town during the concert period.

Tens of thousands more are also expected to attend Taylgate’24, an unofficial Swiftie fan event scheduled to be held at the nearby Metro Toronto Convention Centre.

Meanwhile, Destination Toronto has said it anticipates the economic impact of the Eras Tour could grow to $282 million as the money continues to circulate.

But for fans like Haronitis, the experience in Toronto comes down to the Swiftie community. Knowing that Swift is going to be in the city for six shows and seeing hundreds gather just for merchandise is “awesome,” she said.

Even though Haronitis hasn’t officially bought her ticket yet, she said she’s excited to see the megastar.

“It’s literally incredible.”

This report by The Canadian Press was first published Nov. 13, 2024.

The Canadian Press. All rights reserved.



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Via Rail seeks judicial review on CN’s speed restrictions

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OTTAWA – Via Rail is asking for a judicial review on the reasons why Canadian National Railway Co. has imposed speed restrictions on its new passenger trains.

The Crown corporation says it is seeking the review from the Federal Court after many attempts at dialogue with the company did not yield valid reasoning for the change.

It says the restrictions imposed last month are causing daily delays on Via Rail’s Québec City-Windsor corridor, affecting thousands of passengers and damaging Via Rail’s reputation with travellers.

CN says in a statement that it imposed the restrictions at rail crossings given the industry’s experience and known risks associated with similar trains.

The company says Via has asked the courts to weigh in even though Via has agreed to buy the equipment needed to permanently fix the issues.

Via said in October that no incidents at level crossings have been reported in the two years since it put 16 Siemens Venture trains into operation.

This report by The Canadian Press was first published Nov. 13, 2024.

Companies in this story: (TSX:CN)

The Canadian Press. All rights reserved.



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