According to the latest data from the Public Health Agency of Canada, more women have been diagnosed with COVID-19 than men, and more women have died as a result. As of May 15, 55 per cent of confirmed cases of COVID-19 are women, and 45 per cent are men.
Of the total deaths, 53 per cent are women and 47 per cent are men.
The provinces with the highest number of cases and deaths — Quebec and Ontario — also have starker gaps between the genders, according to daily provincial epidemiologic summaries.
In Ontario, currently around 57 per cent of those infected are women, while close to 42 per cent are men. Similarly, in Quebec, close to 60 per cent of confirmed COVID-19 cases are women and around 54 per cent of deaths are also women.
This kind of data stands out from other countries who track coronavirus cases, as the vast majority have had more men than women die of COVID-19 since the emergence of the virus, according to Global Health 50/50, an organization out of the UCL Centre for Gender and Global Health in London, England.
Why more women are possibly dying
It’s difficult to discern why women are being more affected by COVID-19 in Canada, but there are several factors that could impact how the virus impacts different genders, says Colin Furness, an epidemiologist at the University of Toronto who specializes in infection control.
One possible reason could be because there are more female residents in Canada’s long-term care homes, where the brunt of the cases and deaths in Canada are concentrated, Furness said.
Eighty-two per cent of Canada’s COVID-19-related deaths have been in nursing homes, according to the National Institute on Aging.
“Because of life expectancy differences, you are going to have more women represented in ,” Furness said, pointing out that Canadian women have higher life expectancies than men.
Data published in 2018 by Statistics Canada found that women were more likely to be widowed than men, and were more likely to be living in a nursing home or seniors’ residence.
Other countries are not seeing their long-term care homes ravaged by COVID-19 to the extent that Canada has. A study by the International Long-Term Care Policy Network published this month found that compared to 14 other countries, Canada had the most COVID-19-related deaths in long-term care.
Along with a higher representation in nursing homes, women are also more likely to work in “caring” professions that involve a lot of interaction with other people, Furness said.
This includes jobs like personal support workers (PSWs), like those who work in long-term care homes, he said. A recent study on PSWs in Canada found that workers are largely women and people of colour and/or immigrants.
A report published in February by the Ontario Health Coalition found that Ontario is facing a shortage of PSWs as many leave the profession due to being overworked, underpaid or injured on the job.
Last month, after a second PSW in Ontario died due to COVID-19, the union representing health care workers across the province blamed their deaths due to a lack of available personal protective equipment (PPE).
A report by Global News in April also found that long-term care homes across the country are struggling to access PPE.
Intersection of race and gender
It’s also important to assess exactly which women are being impacted by COVID-19, said Suzanne Sicchia, an associate professor at the Interdisciplinary Centre for Health and Society at the University of Toronto Scarborough.
If data on race and socioeconomic status is collected, it’s likely to show women of colour are being disproportionately impacted, she said. More women of colour are employed as personal support workers in Canada, and research has found that people of colour often have worse health outcomes.
Canada should also be collecting data when it comes to the care work women do, personally and professionally, she said.
“Paid or unpaid, women’s care work, for the sick and elderly at home, in their extended family, in their communities, is another possible source of elevated risk of infection,” Sicchia said.
Many often think health is shaped by lifestyle choices or genetics, which are important. But it’s crucial to remember there are a multitude of other factors that shape the health of individuals or populations including income, employment, social status and racism, Sicchia said.
While more women in long-term care along with the number of women working as care providers are factors, it’s difficult to make concrete assessments without consistent data being collected by governments, Sicchia said.
“Undoubtedly there are other determinants at play, and this is why more research and the collection of race-based data and data on other intersecting determinants of health is so important.”
Questions about COVID-19? Here are some things you need to know:
Symptoms can include fever, cough and difficulty breathing — very similar to a cold or flu. Some people can develop a more severe illness. People most at risk of this include older adults and people with severe chronic medical conditions like heart, lung or kidney disease. If you develop symptoms, contact public health authorities.
To prevent the virus from spreading, experts recommend frequent handwashing and coughing into your sleeve. They also recommend minimizing contact with others, staying home as much as possible and maintaining a distance of two metres from other people if you go out.
For full COVID-19 coverage from Global News, click here.
© 2020 Global News, a division of Corus Entertainment Inc.
N.S. boosts gathering limit to 10, will allow campgrounds to reopen; no new COVID-19 cases – CTV News
As Nova Scotia reported no new cases of COVID-19 for the first time in over two months, the province also announced it is increasing the social gathering limit, and will allow campgrounds to reopen next month.
“Today we come before you with good news – no new cases to report, zero — that’s exciting,” said Premier Stephen McNeil. “Your sacrifice and your patience and your hard work is paying off.”
The province reported its first three presumptive cases of COVID-19 in mid-March and the numbers continued to grow steadily, peaking around mid-April. The highest number of cases reported in a single day was 55 cases on April 23.
The numbers have dwindled over the past month, with single-digit cases being reported since May 5.
“This is a significant and encouraging milestone,” said Chief Medical Officer of Health Dr. Robert Strang. “It hasn’t been easy, but we are seeing positive results.”
Gathering limit increased to 10
The province has slowly been easing some of the COVID-19 restrictions and on Friday announced that 10 people can now gather in a group, effective immediately. Before Friday, only five people could gather.
However, Strang said the rules around physical distancing still apply; a distance of six feet or two metres must be maintained among those in the group, except for those who are members of the same household or family household bubble.
The household bubble is not expanding at this time. Only two households can “bubble” and they must be mutually exclusive. People in the same “bubble” do not have to practise physical distancing.
“I know many of you wanted to add to the family bubble household, but we are not there yet, sorry, because that involves physical contact, and we will still need to limit that,” said McNeil.
“But 10 of you can gather in the driveway, in the backyard, in the park, or even inside your house, as long as you stay six feet apart.”
The 10-person gathering limit applies both inside and outside.
Weddings and funerals
The province is making an exception for weddings and funeral services held outdoors, which 15 people can attend, in addition to the officiant.
“Our province has experienced a lot of death,” said McNeil. “Families need to come together to celebrate the life of their loved one.”
The 10-person rule still applies to weddings and funerals held indoors.
“I hate to be a damper on these joyous events, but at this time, we need to make sure that numbers are limited, so the officiant is the only extra person,” clarified Strang. “If you want a photographer or a DJ or something like that, they would be included in your number of 10 indoors or 15 outdoors.”
Events, sports, faith gatherings and businesses
Strang said the 10-person gathering limit applies to social gatherings and arts and culture events, such as theatre performances and dance recitals.
“If it makes sense to have a musician host a small performance with nine other people all maintaining physical distancing, that would be fine,” he said.
It also applies to faith gatherings, though drive-in services are allowed, provided those in attendance remain in their vehicles.
Strang said faith gatherings can be held inside or outside, with physical distancing.
“It’s important that they continue to follow other safety precautions such as not passing things like collection plates or communion between people,” he said.
He also discouraged against singing.
“There’s now evidence that people singing actually significantly increases the spreading of respiratory droplets, increasing the risk of transmitting the virus that causes COVID-19,” he explained.
As for sports, he said 10 people can practice on a soccer field, for example, as long as they keep their distance from one another.
“But they can’t play a typical game of soccer because that would involve close contact,” said Strang. “They also cannot have two separate groups of 10 on the same field.”
The 10-person rule also applies to businesses whose main function is gatherings, such as theatres, concerts, festivals and sporting activities, and to businesses that are too small to ensure physical distancing.
Strang said it doesn’t apply to fitness facilities, but that they must have a plan that addresses how they control numbers to ensure social distancing, among other things like handwashing and increased hygiene.
Gyms can reopen on June 5, along with most businesses that were forced to close at the start of the pandemic in March.
The province will allow private campgrounds to open on June 5, for all types of campers.
Private campgrounds can only operate at 50 per cent capacity and must ensure public health protocols are followed, including adequate distance between campsites.
“One thing I’ve discovered is Nova Scotia has a lot of avid campers and we want you to get back out and enjoy the outdoors,” said McNeil.
Provincial campgrounds will open to Nova Scotians on June 15. The reservation line will open on June 8.
A schedule of which campgrounds are open for reservations and the days they open can be found on the provincial parks website. Reservations can be made online or by phone starting at 9 a.m. on those days.
Campgrounds will not accept reservations from out-of-province visitors and only registered campers will be allowed to enter campgrounds.
The number of available campsites has been reduced by 30 per cent to allow for physical distancing and a minimum of 20 feet between individual campsites.
The province says common areas will be cleaned more frequently, signs to promote physical distancing and other healthy practices will be posted, and there will be changes to the on-site check-in process to minimize physical contact with park employees.
All provincial park events are cancelled until at least June 30.
Playgrounds and group facilities at campgrounds will remain closed until public health restrictions are lifted.
Group camping sites, yurts and cabins will be closed this season.
The province says pools can start maintenance work to prepare for reopening, likely in time for summer, though a date has not been set.
Sleepover camps will not be permitted this year.
“When you’re bringing numbers of kids together for a week or two weeks, they’re sleeping in bunk houses together, eating together, activities throughout the day, there’s just too much of a level of risk there,” said Strang.
Slow, measured steps
Strang noted that the rules might be confusing to some Nova Scotians who wonder why they can go to a restaurant but can’t hug their grandchildren.
He explained different settings and activities come with different levels of risk, which is taken into consideration when making decisions.
When deciding whether an activity or gathering carries a low or high risk, Strang said he considers how many people would be involved, the chance of close contact, whether physical distancing can be maintained, and whether the setting would allow for the spread of COVID-19.
“This is about taking measured steps so we can reopen … we have to do this slowly and carefully,” he said.
“It is not gone, even though our epidemiology looks very good. It is still here, it’s still circulating in other part of the country and internationally.”
1,055 cases; 978 recovered
The QEII Health Sciences Centre’s microbiology lab completed 1,034 tests on Thursday.
No new cases were identified.
To date, Nova Scotia has 40,914 negative test results, 1,055 positive COVID-19 test results and 59 deaths.
Fifty-two of the 59 deaths involved residents at Halifax’s Northwood long-term care home, which has seen the most significant outbreak of the virus in Nova Scotia.
In a news release, the province said one more person has recovered from COVID-19, for a total of 978 recoveries.
However, in the same news release, the province also indicated that two more Northwood residents have recovered from the virus.
Thursday, the province reported 16 active cases at Northwood, involving 12 residents and four staff members.
Friday, the province reported 14 active cases at Northwood, involving 10 residents and four staff members.
CTV News reached out to the province for clarification on these numbers and received the following response:
“As. Dr Strang has previously stated, data is received from different sources and entered into our system. We report the information each day, but there may be delays that result in the data not reconciling.”
Based on Friday’s numbers, there are 18 active cases in the province, with 14 of those cases linked to Northwood, leaving four outside of Northwood.
There are still eight people in hospital and three patients in the intensive care unit.
CTV News reached out to the province for clarification on hospitalizations and whether there are Northwood residents in hospital.
The Department of Health and Wellness provided this statement on Wednesday:
“Throughout the pandemic, there have been residents of [long-term care facilities] in Nova Scotia admitted to hospital due to COVID-19. However, due to the small number of these hospitalizations, we cannot provide more information about the current cases for privacy reasons.”
The province’s confirmed cases range in age from under 10 to over 90.
Sixty-two per cent of cases are female and 38 per cent are male.
The cases are broken down by the Nova Scotia Health Authority’s four zones. The central zone, which contains the Halifax Regional Municipality, has seen the most significant number of cases:
- western zone: 54 cases
- central zone: 905 cases
- northern zone: 45 cases
- eastern zone: 51 cases
Anyone who tests positive for COVID-19 is required to self-isolate at home, away from the public for 14 days.
Anyone who travels outside of Nova Scotia must also self-isolate for two weeks.
The provincial state of emergency, which was first declared on March 22, has been extended to June 14.
List of symptoms expanded
Last week, the province expanded the list of symptoms for which it is screening.
Anyone who experiences one of the following symptoms is encouraged to take an online test to determine if they should call 811 for further assessment:
- fever (i.e. chills, sweats)
- cough or worsening of a previous cough
- sore throat
- shortness of breath
- muscle aches
- nasal congestion/runny nose
- hoarse voice
- unusual fatigue
- loss of sense of smell or taste
Opioid crisis not going away amid pandemic, and will 'kill more Canadians,' says Dr. Daniel Kalla – CBC.ca
As the country and the rest of the world grapple with the coronavirus pandemic, the opioid crisis threatens to deepen and “kill more Canadians,” says a Vancouver ER doctor.
“[COVID-19] knocked … opioids right off the front page,” Dr. Daniel Kalla told White Coat, Black Art.
“But this is a crisis that we both know isn’t going away.”
In British Columbia, a total of 113 people died of suspected illicit drug overdoses in March — the highest death toll in a year, according to the B.C. Coroners Service. Experts have warned fentanyl and other contaminants are still present in many illicit drugs.
Kalla says people were afraid to use safe injection sites or join other people because they feared contracting COVID-19.
“So there was an increase in users using alone which … can be suicidal for opiate users.”
In his latest novel The Last High, Kalla chronicles the search for a deadly form of fentanyl in Vancouver. He spoke to White Coat, Black Art host Dr. Brian Goldman about his experience working in the ER for more than 20 years, how it has shaped his books and the pandemic’s impact on the opioid crisis.
Here is part of their conversation.
Your latest book The Last High begins with seven teenagers partying. All of them [overdose]. Only two make it to the ICU alive. Eventually we learn that an ultra-powerful form of fentanyl and carfentanil are behind the deaths. It sounds ripped from the headlines. Has anything like that ever happened on your watch?
Not in that scale. I’ve seen a couple of kids come in — and overdose — who didn’t know they were taking fentanyl or opioids. I saw one tragic 21-year-old girl — who ended up brain dead — who is not a regular opioid user.
As much as anything, I meant this book to be a cautionary tale. I have a 19 and 22 -year-old [daughters], and it’s the message I wanted to get out there that this stuff is the ultimate Russian roulette that some people are playing with.
I want to take you back to that to that 21-year-old. What was that experience like for you?
Most opioid overdoses either die in the field or they get Narcan [brand name], naloxone, an antidote.
And by the time we usually see them in the emergency, they’re generally wide awake.
And then there’s that slim proportion that’s in the middle — whose [hearts] stay alive long enough to get to hospital — but they’re effectively brain dead. And I described that in the novel a little bit.
I had the sense immediately when I saw her that she probably was brain dead.
She was deeply comatose … but, you know, she had a blood pressure. Her parents were rushing in.
It was very devastating because even though we were trying to resuscitate her, I [had] this sinking feeling at the pit of my stomach that she’s never going to wake up, and sure enough, the CT scan confirmed that the brain damage was already irreversible.
And she died a couple days later.
Clearly as a fiction author you want to entertain, but I’m getting the sense just listening to you that there’s a serious message behind this book. What would you say that is?
Opioids touch everyone whether you’re a direct user or you’re a friend or a loved one of a victim and … when you look at our hardest core street users, homeless addicts … no one would choose that lifestyle.
They have a genetic predisposition towards addiction.
They make some wrong choices, and they end up where they do.
I have friends … non-medical friends [who say], “Well, you know, it’s sad about fentanyl, but that’s a ‘them’ kind of thing.”
And it’s not. It’s pervasive, it’s everywhere, it can touch you personally.
Based on your experience as an emergency physician, but also having conversations with your undercover police officer [Kalla’s source of background for his novels], any ideas on how to solve this crisis?
I’m one of those people who … first and foremost, believes in harm reduction at the top of the list and treating substance usage as a disease and getting them help and therapy.
Second of all, stop treating users as criminals and treat them … as patients.
The war … against drugs has never worked in the history [of] any country that’s tried it.– Dr. Daniel Kalla
Third of all, I think you need to decriminalize the drug. If we had control over the source, and you weren’t bringing in this dynamite that they’re using, we could control the death rate for sure.
The war … against drugs has never worked in the history [of] any country that’s tried it, and I think we really need to change the attitude.
We have to stop the criminal supply of fentanyl that’s being shipped into the country,
But as long as people don’t have an alternative, they’re going to turn to the illegal dangerous stuff.
What are the lessons from the COVID-19 pandemic that you think might inform us on how to meet the needs of the patients you see?
I’ve been so generally impressed in the level of our response … the effort that we’ve put in, the innovativeness.
We basically rejigged our entire emergency department … we had, not just money, but thought and effort and dedication, and, you know, we saw a result right away.
I think the same thing can be applied to [not] just the opioid crisis, but the mental health crisis and the homelessness crisis.
Obviously the pandemic gave us a pretty strong stimulus, but at the end of the day … I think the opioid crisis is going to kill more Canadians, certainly more young Canadians for sure, and be with us long after the pandemic.
You write fiction and sometimes real life is stranger than fiction. So let’s end our conversation on this. How do you think COVID-19 ends?
I keep hearing mixed things about how long the vaccine will take and … if ever they will get one.
I think until we have that vaccine, or at least a very good treatment, which personally I think will come first — I think it’ll be like a cocktail HIV drug kind of treatment that will manage the sickest, and we reduce the death rate.
Until then, I think we’ll see a rolling series of small little waves … that will lead to all kinds of, you know, social distancing.
We’ll move forward in these phases that Canada’s proposing now, and then we’ll have an outbreak, and we’ll all be stuck indoors for a couple of weeks again.
I don’t see any way around that because I don’t imagine natural herd immunity developing [with] this virus unless it has a horrific death toll across the world.
Q&A edited for length and clarity.
N.S. reports no new COVID-19 cases, gathering limit increased to 10 – CBC.ca
With no new case of COVID-19 being reported for the first time since March 15 in Nova Scotia, the province is increasing the number of people allowed to gather from five to 10.
“Today we come before you with good news. No new cases to report. Zero. That’s exciting,” Premier Stephen McNeil said at a press briefing on Friday.
Dr. Robert Strang, Nova Scotia’s chief medical officer of health said zero cases is a “significant and encouraging milestone.”
The new gathering limit is effective immediately, but physical distancing — except among members of a household or family bubbles — is still required.
The limit is the same indoors and outdoors, with an exception for outdoor weddings and funeral services, which can have 15 people.
“I hate to be a damper on these joyous events, but at this time we need to make sure that the numbers are limited so the officiant is the only extra person and if you want a photographer or a DJ or something like that, they would be included in your number of 10 indoors and 15 outdoors,” Strang said.
The 10-person limit applies to:
- Social gatherings.
- Arts and culture activities like theatre performances and dance recitals.
- Faith gatherings.
- Sports and physical activities.
Strang said for faith gatherings, safety precautions are required. He said passing around a collection plate is not allowed. Strang said singing is highly discouraged because “people singing can significantly increase the spreading of respiratory droplets, [which] increases the risk of transmitting the virus that causes COVID-19.”
It also applies to businesses that are too small to ensure physical distancing.
Reopening timelines announced for campgrounds
The province also announced timelines for the reopening of more businesses:
- Starting June 5, private campgrounds can open for all types of campers. But they can only operate at 50 per cent capacity and must ensure public health protocols are followed.
- Provincial campgrounds will open to all Nova Scotians June 15, with the reservation line opening June 8. Those campgrounds will operate at a reduced capacity.
- Pools can begin maintenance work to prepare for reopening, likely in time for summer.
- Sleepover camps are not permitted this year.
Two things not changing are the requirement of self-isolating for 14 days when people visit Nova Scotia, and the household bubble is not expanding.
“I know some of this is confusing. People say, ‘I can go to a restaurant and there will be 10, 20, 30 people in that restaurant as long as the tables are kept apart.’ That seems to be OK, but they can’t go hug their grandparents or they can’t go practise with their soccer team,” Strang said.
“It’s important that people understand we recognize those, but this is about taking measured steps so we can reopen the economy, loosen restrictions in a carefully, measured way.”
In a news release Friday, the province said the microbiology lab at the QEII Health Sciences Centre completed 1,034 tests on Thursday.
Why daycares are reopening later
McNeil addressed why daycares aren’t reopening at the same time as many other businesses on June 5.
He said he wanted daycares to reopen at the same time as everything else, but public health made a recommendation against it, so the date was moved from June 8 to 15.
“When public health comes to me and says the plan is not ready and they need another week, why would I go against that? That is about the safety of our children,” McNeil said.
He said “too many provinces” reopened daycares too soon and “look what’s happened in those provinces.”
“Some of you are saying, ‘Why didn’t you change the date of the economy?’ Because people have to get back to work to pay the bills and take care of their families,” he said.
McNeil acknowledged the 10-day difference “will be long for people going back to work right away and [who] need child care.”
Respect employees having child-care issues
McNeil asked businesses to “please respect” employees who have “issues with child care” over that 10-day period.
“We need to take care of each other, we need to be kind to each other, we need to support each other as our province tries to come back from COVID-19,” he said.
McNeil closed the briefing by addressing people who are asking about expanding their household bubble and “get the long-awaited hug.”
“A hug is a beautiful and dangerous thing,” McNeil said. “Close contact means so much to us, but it is the very thing that could set our province back.”
McNeil said people can “hang out” now and grandparents can “watch your grandchildren play.” But to protect everybody, he said hugs, kisses and handshakes are off limits.
“Stay six feet apart a little longer,” he said. “If we continue to flatten the curve, we’ll be able to lift up your spirits by taking down more restrictions.”
There remain 18 active cases of COVID-19 in the province, 14 of which are residents and staff at the Northwood long-term care home in Halifax. There are eight people in hospital, including three people who are in the intensive care unit.
Northwood remains the only long-term care facility in the province with active cases.
In an interview Friday, Northwood CEO Janet Simm said it was the first day “in a number of weeks” the facility had no new cases to report.
“So we’re celebrating that within the facility,” she said.
Fifty-nine people in Nova Scotia have died from the virus, 52 of those at Northwood.
Simm said 179 residents in Northwood had recovered as of Friday.
The state of emergency declared under the Emergency Management Act on March 22 has been extended to June 14.
Updated symptoms list
The list of COVID-19 symptoms recently expanded. People with one or more of the following updated list of symptoms are asked to visit 811’s website:
- Fever (chills, sweats).
- Cough or worsening of a previous cough.
- Sore throat.
- Shortness of breath.
- Muscle aches.
- Nasal congestion/runny nose.
- Hoarse voice.
- Unusual fatigue.
- Loss of sense of smell or taste.
- Red, purple or bluish lesions on the feet, toes or fingers that do not have a clear cause.
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