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What Canada's top public health officials say about the state of the pandemic and uncertainty ahead – CBC.ca

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This is an excerpt from Second Opinion, a weekly roundup of health and medical science news emailed to subscribers every Saturday morning. If you haven’t subscribed yet, you can do that by clicking here.


It may be hard to believe, but it’s been exactly six months to the day since Canada’s first case of COVID-19 was announced.

Since then, more than 100,000 Canadians have been infected with COVID-19 and almost 9,000 have died — over 80 per cent in long-term care homes.

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Globally, cases have now topped 15 million.

Throughout the pandemic, Canada’s top public health officials have faced scrutiny, praise and backlash for the choices they’ve made since that first case was announced on Jan. 25. 

As Canada braces for a second wave that threatens to overwhelm hospitals and push Canadians back into lockdown, CBC News spoke to key officials across the country about what gives them hope — and concern — in the coming months.

Dr. Bonnie Henry, British Columbia’s provincial health officer, says her biggest concerns moving forward are the reintroduction of visitors into long-term care homes, travellers from other provinces and the reopening of the U.S. border. (Darryl Dyck/The Canadian Press)

Dr. Bonnie Henry

British Columbia’s provincial health officer has been called one of the most effective public health officials in the world after successfully flattening the curve in the province when it seemed early on it would be overrun with COVID-19.

“We got hit hard and early,” she told CBC News in two recent interviews. 

Henry acted quickly to clamp down on outbreaks across B.C. before they spun out of control, taking the province from one of the most at risk early in the pandemic to one of the fastest to reopen safely.

“The timing that we had, the recognition of a couple of big super-spreading events in a conference that was held here and then in our long-term care homes early on — those were the things that we responded to,” she said. 

Henry said outbreaks in households in B.C., meat processing plants in Alberta and the accommodations of undocumented workers in Ontario showed how different the experience has been with COVID-19 across the country. 

“It’s really hard to compare. There’s a lot of differences around timing, around access to tests, around population density and recognition of certain outbreaks early enough,” she said. “These are the things that we’ve all been learning across the country.”

To date, B.C. has had just under 3,400 COVID-19 cases and 189 deaths — a response that could have been much worse for a province of more than five million people.

In the coming months, Henry said, she is most hopeful about the reopening of schools in B.C. and aims to have elementary school students back in the classroom full-time in September.

WATCH | Luck, sound decisions helped B.C. avoid worst-case scenario:

British Columbia avoided the worst-case scenario during the COVID-19 pandemic largely because of its well co-ordinated messaging, sound decisions and a little bit of luck. 6:45

“We’re also contingency planning,” she cautioned. “If we get a major outbreak and lots of cases in the community and things start to get hairy, then we have plans to step back to partial in-class or if needed to full online teaching.”

Henry said her biggest concerns moving forward are the reintroduction of visitors into long-term care homes and travellers from other provinces and the reopening of the U.S. border — particularly since B.C.’s first cases were tied to outbreaks in Washington state.  

Henry said she hopes to maintain a “sweet spot” going forward where B.C. can see an increase in activities, travel and socialization in a safe way to prevent “rapidly explosive growth” as new cases arise. 

“We are going to see more cases, and we know that,” she said. “We need to make sure that if we do get some spread, which we have seen and will continue to see, that we’re able to prevent wide transmission to large groups of people.”

Henry said her approach in the coming months won’t necessarily be to fully shut down parts of the province in response to outbreaks but instead work to limit spread while remaining open.

“This is going to be for the next coming months, but it’s not forever, and we will get back to being together again in the way that we want to be together again — but not right now.”

Alberta’s Chief Medical Officer of Health Dr. Deena Hinshaw says she’s less worried about travel between provinces and is instead more concerned about individuals’ actions. (Jason Franson/The Canadian Press)

Dr. Deena Hinshaw

Alberta’s chief medical officer of health has faced major challenges during the pandemic after large outbreaks at meatpacking plants across the province led to a spike in cases early on.  

The Cargill plant near High River in southern Alberta was the largest single coronavirus outbreak in North America and led to more than 1,500 people infected and several deaths. 

The province managed to flatten its curve by mid-June, but a worrying rise in the number of cases this week has threatened to jeopardize Alberta’s future

As of Wednesday, the province had 1,251 active cases of COVID-19 — the highest total seen in more than two months.

“In some ways, we’re a victim of our own success. We have controlled the spread in Alberta relatively well, which means that a lot of people haven’t directly experienced the impact of having a loved one with COVID who’s become very ill,” Hinshaw said in a recent interview. 

“I am concerned that people are perhaps relying too much on their own personal observations in their daily lives and feeling that this is something to not be too concerned about.”

WATCH | Dr. Deena Hinshaw warns of pandemic exhaustion:

Four months into the COVID-19 pandemic, Dr. Deena Hinshaw says officials are worried about COVID exhaustion leading to an increase in cases, the majority of which are Albertans under the age of 40. 2:19

Hinshaw said she’s less worried about travel between provinces, despite reports of exposure to the coronavirus at house parties in B.C. involving Alberta residents, and is instead more concerned about individuals’ actions.

“The challenge is about people really being tired of restrictions and wanting to move on,” she said. “Part of what we’re seeing is somewhat linked to relaunch having perhaps given people a message that COVID is over — even though we haven’t said that.”

Hinshaw said that while the danger of increased transmission from reopening further is top of mind, the alternative is that people will go underground to congregate in much riskier settings. 

“It’s really about convincing all of our population that they need to be taking these measures seriously,” she said. 

“We need to shift how we interact with each other to make sure that we don’t get huge amounts of transmission and potentially overwhelm our health-care system.”

Dr. Vera Etches, Ottawa’s medical officer of health, says the city will need to remain ‘vigilant’ about outbreaks as Ontario continues to move into Stage 3 of reopening. (Sean Kilpatrick/The Canadian Press)

Dr. Vera Etches

Ottawa’s top doctor raised the alarm early about the possibility of COVID-19 infections going undetected in the community and the need to act quickly. 

Only four days after Ottawa’s first case of COVID-19 was confirmed on March 15, Etches told reporters she believed there were as many as 1,000 cases of coronavirus in the capital.

She’s been described as having a “will of steel” and recently warned residents to be prepared to live with the risk of COVID-19 spreading in the community well into 2021 or even 2022.

Etches doesn’t pull punches, but she still remains hopeful about the future. 

“We have been able to progressively go back to more activities, and yet our case counts are stable or declining, our hospitalizations are declining, our deaths are declining,” she said. 

“So it really is the actions of individuals that has added up to breaking chains of transmission.”

WATCH | COVID-19 threat could be present in Ottawa for several years: 

Vera Etches, Ottawa’s chief medical officer of health, says community transmission could continue into 2021 and 2022, with the virus rebounding periodically in either smaller or larger waves. 2:21

Ottawa has had just over 2,300 cases of COVID-19 and 263 deaths. Despite a recent spike in new daily cases, the city reported just 14 on Thursday.

Etches is confident Ottawa will be able to continue to maintain that level of control moving forward but is concerned about what she’s seeing south of the border. 

“It is the United States that is one of the most telling stories for us about the ever-present risk of a resurgence. People talk about a fall wave, but it could start in the summer,” she said. 

“We’re opening up bars, I think it’s fair to say that is one of the settings we know has had outbreaks in other places and so that is a risk.”

Etches said the city will need to remain “vigilant” about outbreaks as the province continues to move into Stage 3 of reopening.

“In the early days, before people started physically distancing, we saw case numbers double every three days and that could happen again,” she said. 

“I hope that people can take a look and see that the virus is still here. I think the language about a second wave as if it’s gone, and it might come back, has undermined the reality that the virus is here and it will grow if we let down our guard.”

Dr. Eileen de Villa, Toronto’s medical officer of health, says COVID-19 cases in the U.S. and even Canadian cities like Montreal linked to the reopening of bars are important lessons for Toronto. (Christopher Katsarov/The Canadian Press)

Dr. Eileen de Villa

Toronto’s medical officer of health has guided Canada’s largest city through the pandemic with cautious optimism, despite moving slower than other parts of the country. 

But de Villa said the city has used that extra time to understand more about the spread of COVID-19 in order to stop it and prepare for reopening.  

“We’re fortunate in the sense that there are a number of other jurisdictions, cities and countries that are a little ahead of us in terms of their outbreaks, and so we have this opportunity to learn from their experiences,” she said. “If we want to keep our progress moving forward here in the City of Toronto, we need to be mindful of these experiences.”

De Villa said surges in COVID-19 cases in the U.S. and even Canadian cities like Montreal linked to the reopening of bars  are important lessons for Toronto, because people are in close contact and consuming alcohol and can be “less careful” about following public health guidelines. 

But she admits she faces a “balancing act” with giving people a place to socialize safely while avoiding congregating indoors at places like house parties. 

“We are social creatures as human beings, and there is an importance to having social connection through means other than just online,” she said. “There is a desire, and it’s a very human desire, for in-person connection. The question is, how do we help people achieve that much-needed connection, but to do so safely?”

WATCH | Toronto’s top doctor says physical distancing still needed:

Patios, salons, and indoor malls are now allowed to open in Toronto. The moves come as Toronto and neighbouring Peel Region enter phase two of reopening. But Toronto’s Medical Officer of Health Dr. Eileen de Villa says public health measures must still be followed.  11:40

De Villa said many of the U.S. states that have seen spikes in cases tied to bars and restaurants had not put in place strict physical distancing or masking measures before reopening and while case counts were still high. 

Toronto has seen more than 15,000 cases of COVID-19 since the pandemic began, with over 1,100 deaths. That number has declined significantly in recent weeks, with just 24 cases reported on Thursday. 

“If the level of COVID-19 activity in the community is low when you start to reopen and still do that reopening in a gradual and cautious fashion, it can be done safely,” de Villa said. “I do think it means that you need to be vigilant.” 

Looking forward, the reality that Toronto could see a spike in COVID-19 cases isn’t lost on her, but she’s hopeful citizens will keep up their resolve as the city looks to reopening further. 

“I think people are appreciating, as challenging as the circumstances are, that it does take all of us, and each one of us has to do our part and that we are only as strong as the weakest link in the chain,” she said. 

“I do have a lot of faith in the people of Toronto. That doesn’t mean perfection, right? As a mother of three, I can tell you that I don’t look for perfection, I don’t think we can expect perfection from anybody,” she said.

“But I do try to look for the strengths that we see in our community and do what we can to build on those.”


To read the entire Second Opinion newsletter every Saturday morning, subscribe by clicking here.

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Federal budget 2024 disliked by half of Canada: poll – CTV News

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OTTAWA –

A new poll suggests the Liberals have not won over voters with their latest budget, though there is broad support for their plan to build millions of homes.

Just shy of half the respondents to Leger’s latest survey said they had a negative opinion of the federal budget, which was presented last Tuesday.

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Only 21 per cent said they had a positive opinion, and one-third of respondents said they didn’t know or preferred not to answer.

Still, 65 per cent of those surveyed said the plan to spend $8.5 billion on housing, aimed at building 3.9 million homes by 2031, is good for the country.

Leger’s poll of 1,522 Canadians last weekend can’t be assigned a margin of error because online surveys are not considered truly random samples.

People in Alberta were most likely to say they had a very negative impression of the budget, with 42 per cent selecting that option compared to 25 per cent across the entire country.

More than half of the people who took the poll said they are in favour of the government’s plans to spend more on energy efficiency, national defence and student-loan forgiveness for health care and education workers.

And 56 per cent said they think the increase to the capital gains tax inclusion rate — a move that’s estimated to raise another $19.4 billion in revenue over the next four years — is a good thing.

The Liberals are billing the change as critical to their plan to improve generational fairness by taxing the ultra-rich.

It has drawn criticism, including from the Canadian Medical Association, which warned on Tuesday that it could affect the country’s ability to recruit and keep physicians.

The budget proposes to make two-thirds of capital gains — the profit made on the sale of assets — taxable, rather than half. For individuals, this would apply to profits above $250,000, but there is no lower threshold for corporations.

The medical association said many doctors will face higher taxes because they have incorporated their practices and used those companies to save for retirement.

While the Liberals are aiming changes to the capital gains tax at younger Canadians including millennials and gen-Zers, Leger’s poll found it had the support of 60 per cent of respondents over the age of 55 — the highest among any age group.

People between 18 and 35 were least likely to support the Liberal plan to spend another $73 billion on defence in the next two decades. Just 45 per cent of respondents in that age group said ramping up defence spending is good for the country, compared with 70 per cent of people over the age of 55.

Leger also asked questions about the country’s fiscal future.

Almost half the respondents, 47 per cent, said they want to see the government cut back on spending and programs to get the budget balanced as quickly as possible.

Just 16 per cent said spending more and running large deficits is the best plan for the next five years, and 14 per cent want to see the government increase taxes to bring the deficit down.

This report by The Canadian Press was first published April 24, 2024.

— The Canadian Medical Association funds a fellowship that supports journalism positions at The Canadian Press.

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Provincial audit turns up more than 40 medical clinics advertising membership fees

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Alberta’s health ministry says an audit has determined that more than 40 medical clinics in the province are advertising membership fees for services, nearly a year after one such plan landed a Calgary clinic in hot water.

The audit was launched last December. In July, CBC News reported that a medical clinic in Calgary’s Marda Loop district was moving to a membership system and planned to charge $4,800 a year for a two-parent family membership, covering two adults and their dependent children.

The next day, Health Canada said the arrangement at the Marda Loop Medical Clinic equated to patients purchasing “preferential access” and warned Alberta that it could face cuts to federal health transfers if the situation wasn’t handled.

Alberta Premier Danielle Smith and Alberta Health Minister Adriana LaGrange directed Alberta Health to investigate, and the clinic halted its plan for membership fees shortly after.

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In December, LaGrange told CBC News that “appropriate action” would be taken if audits determined that violations were found, adding the province would do whatever it took to ensure clinics were in compliance.

A woman speaks at a podium.
Speaking at a news conference in July 2023, Alberta Premier Danielle Smith said the Marda Loop Medical Clinic would be fined, lose medicare funding or be shut down altogether if it proceeded with a plan to charge membership fees. (CBC)

The province promised the audits early in the new year. Now, the health ministry says it has conducted interviews to gather information on operations and business models of the clinics, adding this work is ongoing.

“Over 40 clinics in the province [advertise] a membership meant to pay for a defined set of uninsured services, while also providing insured services covered under the Alberta Health Care Insurance Plan at no cost to Albertans,” wrote spokesperson Andrea Smith in a statement.

“Once this review is completed, its findings will be used to inform next steps. Alberta’s government will also determine if additional audits of more membership clinics is required.”

In July, Health Canada said executive and primary health clinics charging patients enrolment and annual membership fees exist in a number of provinces. Generally, investigations have indicated that clinics provide members with an variety of uninsured services, such as life coaching and nutritional services.

“However, in some cases … these fees are also a prerequisite to accessing insured services at the clinic (i.e., medically necessary physician services). Mandatory fees to access or receive preferential access to insured services are contrary to the Canada Health Act,” the government department wrote in a statement.

A spokesperson for LaGrange told CBC News in July the ministry wasn’t aware of any other clinics offering services for membership fees that didn’t align with legislation.

What comes next for those 40 clinics is a murky grey area, said Fiona Clement, a professor at the University of Calgary in the department of community health sciences. Much of it has to do with the exact language being used when services are outlined as parts of packages.

“We’re on the razor’s edge of exact wording there that runs them afoul. Really, I think it will come down to what the government is willing to fight with these clinics about,” she said.

CBC News asked the provincial government for a list of the clinics identified, but did not receive it by publication time. A spokesperson with the province said if any clinics are found to be non-compliant with legislation, appropriate action would be taken.

Report had identified 14 clinics

Clement said the big issue that got the Marda Loop Medical Clinic in hot water was the concept of guaranteed access.

“That’s the problem that Marda Loop got into, because there you are charging access to medical care, which is the part that contravenes the Canada Health Act,” Clement said.

At the time the Marda Loop clinic fell under scrutiny, it was clear there were other such clinics providing membership programs, in Calgary and Canada.

In 2022, researchers from Dalhousie University and Simon Fraser University released a paper tracking the number of clinics taking private payment across the country. Between November 2019 and June 2020, the period of the analysis, there were 14 private clinics in Alberta with a range of membership fees and private payment.

A woman smiles at the camera.
Fiona Clement, a professor at the University of Calgary in the department of community health sciences, says she hopes to see an ongoing review tied to Alberta clinics charging membership fees made publicly available. (Riley Brandt/University of Calgary)

“So, 40 is a larger number than I was expecting. And I think it speaks to growth in this area, the number of clinics that are charging fees for different parts of care,” Clement said.

“I think it underscores the lack of stability, and the need to really think about how we’re funding primary care, because more and more clinics are turning to this private charge as a revenue source to keep the doors open.”

Provinces that allow private health-care providers to charge patients for medically necessary services have dollars clawed back by the federal government under the Canada Health Act.

According to Health Canada, Alberta was subject to a $20,450,175 deduction to its Canada Health Transfer payment in March 2024 under the diagnostic services policy. That’s up from $13,781,152 last year.

But the province received $20,538,796 in partial reimbursements tied to its March 2023 and 2024 deductions, which represents actions that Alberta Health has taken to limit patient pay for publicly funded goods or services, according to Clement.

“I guess we’re making some progress. But it’s still a big number, which says there’s still a lot of patient billing going on,” she said.

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What is a halal mortgage? How interest-free home financing works in Canada – Global News

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The federal government is looking at making Islamic home financing increasingly accessible to help more Canadians break into the housing market.

As part of the 2024 federal budget that was released last week, Ottawa said it is “exploring new measures to expand access to alternative financing products, like halal mortgages.”

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Last month, the federal government started consulting financial services providers and communities to understand how policies can better support the needs of all Canadians seeking home ownership, according to the budget.

“Canada is home to a vibrant and growing market of alternative financing products, including halal mortgages, that enable Muslim Canadians, and other diverse communities, to further participate in the housing market,” the budget states.


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Currently, none of Canada’s big six banks offer halal mortgages, which are an interest-free payment structure that follows Islamic principles.

However, some lenders in Canada have been offering halal mortgages for several years now.

“Halal mortgages are already offered to all Canadians by financial institutions,” Caroline Thériault, a spokesperson for the Department of Finance, said in an emailed statement to Global News Tuesday.

Thériault said halal mortgages are not government of Canada products.

“The government is simply looking at ways to help more Canadians become homeowners, while ensuring adequate consumer protections are in place.”

What is a halal mortgage?

A halal mortgage is a real estate financing method that complies with Islamic principles and teachings.

Under Sharia law, it is forbidden for Muslims to receive and pay interest, so a halal mortgage essentially takes interest out of the equation.

Instead, the mortgage is based on the principle of profit, said Mohamad Sawwaf, founder and CEO of Manzil, a Canadian financial institution that offers Sharia-compliant services.

Manzil has been offering halal mortgages that are both partnership- and profit-based since 2020.

“We look at this product as an innovation within the Canadian mortgage marketplace to allow for a segment of the population and the broader ethical community that may want to participate,” Sawwaf said in an interview with Global News Monday.

The end result of homeownership is the same, but the process and documentation are different compared with a regular mortgage, he said.


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“Within the Islamic finance principles, you’re acquiring a real asset, it’s commodity-based, and then you are reselling it or partnering in that asset long-term, so that is the key difference here.”


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Victor Tran, a mortgage and real estate expert at Ratesdot.ca and broker with True North Mortgage, said a halal mortgage is almost like a traditional mortgage where the lender and the homeowner have shared ownership of the property, but there are extra steps involved.

He said the difference is that “instead of charging interest to the homeowner, the contract is structured in a way where there’s a fee charged.”

Even though halal mortgages are interest-free, it doesn’t mean the lending happens at a zero per cent charge, Sawwaf said.

“It just means that you’re not part of a transaction where money is being lent and you have to pay more money back,” Sawwaf said.

“That is the principle of usury within Islam and other Abrahamic faiths that we’re trying to avoid.”

Usury, which is the lending of money at exorbitant interest rates, is also prohibited in Judaism and Christianity.

Types of halal mortgages

Halal mortgages in Canada fall under three different types of agreements, called Ijara, Murabaha and Musharaka, according to Rates.ca.

Ijara is like a rent-to-own agreement in which the inhabitant of the home starts as a renter and becomes the owner upon final loan payment, Tran said.

Under this type of financing, the home is purchased by a trust, which then leases it to the customer.

The Murabaha is a cost-plus financing structure in which an Islamic financial company becomes the owner of a home and sells it to their client for a price that includes a profit rate, which is benchmarked against the Bank of Canada’s overnight lending rate, Tran explained.

The client enters into a purchase agreement that specifies fixed monthly payments for the duration of the contract, which is usually up to 15 years.


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Under the Musharaka arrangement, an Islamic financial company and its client become co-owners of a home, Tran said.

Throughout the mortgage term, which will follow the traditional mortgage term of up to 25 to 30 years, the financial company’s equity position decreases and the customer’s equity position increases proportionately as they pay out the owned balance.

At the end of the contract, the client will have 100 per cent home ownership and the company will have zero per cent, Sawwaf said.

Financial pros and cons of halal mortgages

From the financial standpoint, one of the main benefits of halal mortgages is that it introduces a long-term fixed mortgage rate, Sawwaf said.

For instance, under the Murabaha agreement, which follows the buy-and-sell structure, the mortgage can run up to 10 to 25 years.

Sawwaf said because the lender is sharing in the long-term risk, halal mortgages are “much more ethical and valuable at the end of the day” as opposed to having a debt-based system that is “not really good for society and its long-term social impact.”

However, the downside is that the costs of halal mortgages are higher because the lenders are not able to access low-cost capital, Sawwaf said.

“We’re hoping that the government signalling that they’re in support of halal mortgages with respect to potential legislation or policy changes, this could allow us to tap into institutional capital at the banks or other institutions,” he said.


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Tran said because the costs and fees are a little bit higher for a halal mortgage than a traditional mortgage, it may not be a financially feasible option for many.

Among the measures that Ottawa is exploring are changes in the tax treatment of halal mortgages or a new regulatory sandbox for financial service providers.

Who can apply for a halal mortgage?

Anyone in Canada, Muslim or non-Muslim, can apply for a halal mortgage, which is currently offered by a few financial institutions.

“Everyone is allowed to have a halal mortgage no different than you can go to any restaurant and eat a shawarma with halal chicken in it,” Sawwaf said.

“We don’t care what your background is, your religion, your creed, even if you’re non-religious or an atheist.”

As for the down payment, most lenders in Canada require clients of halal financing to pay a minimum of 20 per cent of the market value, or purchase price, of the house.

Customers should also have a good credit history and sufficient income to meet the monthly payment obligation, the Canadian Halal Financial Corporation says.

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