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What Canada's hardest-hit provinces can learn from those that handled COVID-19 best – CBC.ca

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When epidemiologist Susan Kirkland opened a Halifax newspaper on Saturday, she was stunned. 

“Three protest rallies planned,” the Chronicle Herald headline read, in part.

“Oh, no,” the head of public health and epidemiology at Dalhousie University thought to herself. “Please don’t be anti-vaxxers or anti-maskers.”

As Kirkland read further, she realized they weren’t related to the pandemic at all. 

One was a rally for alleged victims of a pediatric dentist, a second to demand reparations for former residents of Africville and the third was an anti-war protest about an upcoming security conference. 

“Oh,” she said with relief. “Phew.” 

Critical juncture for Atlantic bubble

The situation in the Atlantic bubble has been like night and day from the rest of Canada. 

The four Atlantic provinces have managed to control the spread of COVID-19 through tight border restrictions, strict isolation of travellers and comprehensive tracing of outbreaks. 

But Kirkland says much of the credit also belongs at an individual level. 

“I do feel like the response from the public in the Atlantic region is different than other parts of the country,” she told CBC News. 

“I think there’s also a certain amount of pride that we have been able to maintain the bubble, and I don’t think that people want to see it change.”

Visitors explore Peggy’s Cove, N.S., on July 4. When the Atlantic bubble is operating, people in the four Atlantic provinces can move around the region without self-isolating. People from outside Atlantic Canada must self-isolate for 14 days upon arriving. (Andrew Vaughan/Canadian Press)

But it has changed, put on hiatus with the news Monday that Prince Edward Island and Newfoundland and Labrador were pulling out of the bubble due to rising COVID-19 cases in New Brunswick and Nova Scotia. 

Nova Scotia reported 37 new cases of COVID-19 Tuesday, its most in a single day since April 23. 

“I am worried. I think that we’re on the brink and at a very, very critical juncture,” Kirkland said. “This is the point where we either make it or break it. We’ll keep numbers low or they will, like everywhere else, just begin to escalate and skyrocket.

“The window is narrowing — but we still have the potential to get it under control.”

‘Squandered’ sacrifices in Alberta

Elsewhere in the country, people are facing a much different situation. 

Alberta is seeing COVID-19 cases skyrocket at an unprecedented rate, rising to more than 1,500 per day and even outpacing provinces such as Ontario despite only having a third of the population. 

“I’ve been worried for many weeks now,” said Dr. Leyla Asadi, an infectious diseases physician in Edmonton. “I don’t know what the next two weeks will bring.” 

Asadi says the situation in Alberta isn’t a result of individuals not following public health guidelines necessarily, but instead reflects that the province has been a victim of its own success. 

A man wears a mask in downtown Calgary on Oct. 30. On Nov. 14, Alberta broke 1,000 daily new cases of COVID-19 for the first time. (Jeff McIntosh/The Canadian Press)

When COVID-19 cases dropped to relatively low numbers in the summer, there was a reluctance to act on the part of the provincial government. 

“We had great success and maybe that resulted in our leadership questioning the models and, because crisis was averted, perhaps they thought that the models just weren’t accurate,” she said. 

“We’ve squandered our sacrifices from the summer, and now we’re in a really tough place.”

Premier Jason Kenney declared a state of emergency in Alberta Tuesday and implemented new public health measures to address the rising COVID-19 case numbers across the province, but stopped short of a lockdown. 

Most indoor social gatherings are prohibited, while outdoor gatherings, weddings and funerals can have a maximum of 10 people. Masks are also mandatory in all indoor work places in Calgary and Edmonton, but not provincewide. 

Unlike Nova Scotia, which instituted mandatory mask mandates on July 24 — a day when it reported no new cases — Alberta has hesitated.

Alberta’s daily reported COVID-19 cases now rival Ontario’s for the highest in the country, even though it has a third of the population. The province’s resistance to restrictions may be crumbling, but Alberta’s top doctor says a surge in hospitalizations is inevitable as cases ‘snowball.’ 2:02

Asadi, who was part of a group of experts who penned a letter to provincial leaders last month calling on them to put in place stricter restrictions, said before Kenney’s announcement that masks are “low-hanging fruit.”

“Having masks mandated provincially, that’s not going to negatively impact the economy in any way,” she said. 

“If we act earlier then the measures can be more targeted and can be shorter in time. But now, I can’t see anything other than a strict lockdown getting us out of trouble — and it won’t even get us out of trouble.” 

Reluctance to act ‘early and hard’ reason for surge

COVID-19 is spiralling out of control in many parts of the country, with a record high 5,713 cases in a single day this week.

Ontario and Manitoba also announced all-time high numbers of new COVID-19 cases, and millions of Canadians were plunged back into strict lockdowns in different parts of the country.

In response, Canada’s chief public health officer said provinces and territories need to be more proactive — and act sooner rather than later.

Canada’s Chief Public Health Officer Dr. Theresa Tam talks to The National’s Andrew Chang about the holiday season and getting to the end of the COVID-19 pandemic. 6:31

It’s not only the number of cases that are worsening; it’s who is being infected.

“The other huge problem that we have now are the inequities associated with this pandemic,” said Dr. Allison McGeer, an infectious disease physician with Sinai Health System in Toronto.

“Part of the reason I think that we’re not paying as much attention as we should be to the harm is that the harm is not predominantly occurring to the people in power in our society.”

McGeer is watching the worsening outbreaks across Canada through the eyes of a microbiologist who has decades of experience in infection prevention and control.

“I’m a little bit worried about what’s going to happen in Alberta,” McGeer said. “I think we’ll be cancelling surgery again, probably in order to cope with the ICU load three or four weeks from now.”

Surgeries such as hip and knee replacements could be cancelled down the road, as it can take up to two weeks for symptoms of COVID-19 to appear.

Surgical oncologist Dr. Usmaan Hameed, centre, operates on a patient at North York General Hospital on May 26. Putting in measures sooner could help prevent surgeries from being cancelled. (Evan Mitsui/CBC)

“The reason we’re having this surge is because we kept things open longer than we should have,” she said. 

“The more cases you have when you act, the longer it takes to slow down and regain control and the more trouble you’re in going forward. So if we had put in measures two weeks before we did, then we might not be cancelling surgery.”

McGeer also acknowledges that politicians in Canada can only re-introduce safety measures when their citizens are behind them.

“If politicians move and they don’t have the population with them, then it’s not going to work either.”

McGeer advocates for preventative measures such as testing, tracing and isolating individuals who test positive to keep COVID-19 case counts low.

“It’s very clear that if we had been able to start this outbreak early and hard with preventive measures, if we’d been able to do the contact tracing, if we’d been willing to put people up in hotels for quarantine, we might be where Newfoundland is now,” she said. “And that has huge rewards.”

Those tantalizing rewards could help reinvigorate Canadians outside the Atlantic provinces who face a resurgence of COVID-19 cases and the hospitalizations and deaths that could follow the holiday season. 

“I get how tired people are; I’m tired of it myself. But this is not about being tired,” McGeer said. “We just need to hold on until we can get vaccines, right? And they are coming.”

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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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