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What the end of the COVID emergency means for Canada

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The World Health Organization has ended the global COVID-19 emergency, citing increased immunity, fewer deaths and less pressure on hospitals. But while the situation with the virus has improved worldwide, it has also exposed major issues with Canada’s health-care system.

Canadian experts said Friday that regardless of WHO’s decision, COVID will remain a challenge to public health for years to come and has left lasting scars on the health-care system.

Dr. Bonnie Henry, British Columbia’s provincial health officer and chair of the Council of Chief Medical Officers of Health, told CBC News that while the emergency phase of the pandemic is ending, COVID shed light on problems in long-term care and hospitals that need to be addressed.

“We have to pay attention to ensuring that we have that surge capacity in our health-care system,” she said, adding that COVID also exposed “basic societal inequities” around pay and staffing in the system.

“This is another virus that is in our communities, it’s going to be with us for a period of time and it adds to that baseline number of people that are going to require hospital care periodically in our community,” Henry said. “So we need to add that on top of, and not go back to, the very stretched system we had before.”

The pandemic, which was first declared an international crisis by WHO, the United Nations’ health agency, on Jan. 30, 2020, resulted in unprecedented lockdowns, economic upheaval and the deaths of at least seven million people worldwide and more than 52,000 people in Canada.

But the death toll is likely much higher than reported, and WHO estimates it could be more than 20 million globally.

“It’s with great hope that I declare COVID-19 over as a global health emergency,” WHO director general Tedros Adhanom Ghebreyesus said Friday. “That does not mean COVID-19 is over as a global health threat.”

Following WHO’s declaration, the Public Health Agency of Canada said in a statement that it will “continue its work with provinces and territories to implement a long-term, sustainable approach to the ongoing management of COVID-19.”

 

WHO says COVID-19 is no longer a global health emergency

 

World Health Organization director general Tedros Adhanom Ghebreyesus says population immunity has increased from vaccination and infection, and the pressure on health systems from COVID-19 has eased.

Lessons for a fragile health-care system

COVID hospitalizations still remain stubbornly high in Canada, with 2,881 hospital beds occupied by COVID patients across the country, according to the latest federal data, despite continuing to decline since the beginning of the year. But the numbers are a far cry from where they once were.

“We had some very, very challenging times with COVID,” said Dr. Isaac Bogoch, an infectious diseases physician at Toronto General Hospital, recalling instances where adults had to be treated in pediatric wards and authorities built tents outside ERs to treat the overflow of patients in the spring of 2021.

He said that WHO’s declaration should be treated as an opportunity to reflect on the country’s flawed health-care system and how it can be improved going forward.



In many parts of the country, emergency rooms remain under immense strain despite the decline in COVID hospitalizations.

“It’s a patchwork of many different systems that don’t necessarily fit well together,” Bogoch said.

“Many people working in health care would have told you this years before the pandemic, but it was exposed during the pandemic.”

Dr. Prabhat Jha, a professor of global health epidemiology at the University of Toronto’s Dalla Lana School of Public Health, said the global reality is that we now have stronger population immunity from a combination of infection and vaccination — but the crisis isn’t over.

“We still have incredible challenges when it comes to our health-care system, particularly when it comes to primary health,” he said, adding that vaccination infrastructure needs to be maintained in Canada for COVID and other viruses to prevent a further burden on hospitals.

“What is needed is to strengthen public health systems, strengthen the surveillance, the ability to get out rapid tests and vaccination. In peacetime, you don’t let the entire infrastructure erode.”

More than 77 per cent of Canadian adults and close to 90 per cent of young adults (aged 17 to 24) are estimated to have previously had the disease as of mid-January, according to national blood donor data from the federal government’s COVID-19 Immunity Task Force.

Those high levels of infection, combined with the more than 83 per cent of Canadians who’ve received at least two doses of a COVID vaccine, better treatment access and less severe infections than previous strains, have led to stronger immune protection against a virus that continues to spread globally.

But only about two thirds of Canadians over the age of 60 have been previously infected, and fewer than 20 per cent have received a shot in the past few months, meaning there is still a significant part of the population vulnerable to infection and hospitalization.



Past and future challenges

Experts have warned that the pandemic’s ongoing burden on the health-care system will be felt for years to come, with long COVID affecting a subset of those infected, and delays for cancer screenings and surgeries causing massive backlogs in Canada’s system.

Dawn Bowdish, an associate professor at McMaster University in Hamilton and a Canada Research Chair in Aging and Immunity, said maintaining vaccination rates, particularly among more vulnerable populations, will be crucial going forward.

standing at podium
Dr. Bonnie Henry, British Columbia’s provincial health officer, shown last year, says WHO’s pronouncement is an emotional reminder of how challenging the last three years have been for Canadians. (Ben Nelms/CBC)

“COVID is still worse than the flu,” Bowdish said. “COVID is in now the top three causes of death and will probably persist — and that means just like the flu will have surges where health-care capacity is at its maximum and there will be compromises for other treatments.”

B.C.’s Dr. Bonnie Henry said that while the end of the emergency phase of the pandemic wasn’t unexpected, it’s an emotional reminder of how challenging the last three years have been for Canadians.

“Adversity introduces us to ourselves, and I think across this country, across this province, people have been generous and kind and resourceful, and brave,” Henry said, adding that Canadians stepped up to get vaccinated across the country when it mattered most.

“Let’s use this as another opportunity to move forward with coming together and not being polarized, not trying to make this an issue. Let’s remember the things that we learned through this about how we can support each other.”

 

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Indonesia swears in Prabowo Subianto as the country’s eighth president

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JAKARTA, Indonesia (AP) — Prabowo Subianto was inaugurated Sunday as the eighth president of the world’s most populous Muslim-majority nation, completing his journey from an ex-general accused of rights abuses during the dark days of Indonesia’s military dictatorship to the presidential palace.

The former defense minister, who turned 73 on Thursday, was cheered through the streets by thousands of waving supporters after taking his oath on the Quran, the Muslim holy book, in front of lawmakers and foreign dignitaries. Banners and billboards to welcome the new president filled the streets of the capital, Jakarta, where tens of thousands gathered for festivities including speeches and musical performances along the city’s major throughfare.

Subianto was a longtime rival of the immensely popular President Joko Widodo, who ran against him for the presidency twice and refused to accept his defeat on both occasions, in 2014 and 2019.

But Widodo appointed Subianto as defense chief after his reelection, paving the way for an alliance despite their rival political parties. During the campaign, Subianto ran as the popular outgoing president’s heir, vowing to continue signature policies like the construction of a multibillion-dollar new capital city and limits on exporting raw materials intended to boost domestic industry.

Backed by Widodo, Subianto swept to a landslide victory in February’s direct presidential election on promises of policy continuity.

Subianto was sworn in with his new vice president, 37-year-old Surakarta ex-Mayor Gibran Rakabuming Raka. He chose Raka, who is Widodo’s son, as his running mate, with Widodo favoring Subianto over the candidate of his own former party. The former rivals became tacit allies, even though Indonesian presidents don’t typically endorse candidates.

But how he’ll govern the biggest economy in Southeast Asia — where nearly 90% of Indonesia’s 282 million people are Muslims — remains uncertain after a campaign in which he made few concrete promises besides continuity with the popular former president.

Subianto, who comes from one of the country’s wealthiest families, is a sharp contrast to Widodo, the first Indonesian president to emerge from outside the political and military elite who came from a humble background and as president often mingled with working-class crowds.

Subianto was a special forces commander until he was expelled by the army in 1998 over accusations that he played a role in the kidnappings and torture of activists and other abuses. He never faced trial and went into self-imposed exile in Jordan in 1998, although several of his underlings were tried and convicted.

Jordanian King Abdullah II bin Al-Hussein was expected to attend Sunday’s ceremony, but canceled at the last minute because of escalating Middle East tensions, instead deciding to send Foreign Affairs Minister Nancy Namrouqa as his special envoy. Subianto and Abdullah met in person in June for talks in Amman on humanitarian assistance to people affected by the war in Gaza.

Subianto, who has never held elective office, will lead a massive, diverse archipelago nation whose economy has boomed amid strong global demand for its natural resources. But he’ll have to contend with global economic distress and regional tensions in Asia, where territorial conflicts and the United States-China rivalry loom large.

Leaders and senior officials from more than 30 countries flew in to attend the ceremony, including Chinese Vice President Han Zheng and leaders of Southeast Asia countries. U.S. President Joe Biden sent Linda Thomas-Greenfield, the U.S. ambassador to the United Nations. Adm. Samuel Paparo, the U.S. Commander of the Indo-Pacific Command, was also among the American delegation.

Army troops and police, along with armored vehicles, fire trucks and ambulances, were deployed across the capital, and major roads were closed to secure the swearing-in.

The election outcome capped a long comeback for Subianto, who was banned for years from traveling to the United States and Australia.

He has vowed to continue Widodo’s modernization efforts, which have boosted Indonesia’s economic growth by building infrastructure and leveraging the country’s abundant resources. A signature policy required nickel, a major Indonesian export and a key component of electric car batteries, to be processed in local factories rather than exported raw.

He has also promised to push through Widodo’s most ambitious and controversial project: the construction of a new capital on Borneo, about 2,000 kilometers (1,240 miles) away from congested Jakarta.

Before February’s presidential election, he also promised to provide free school lunches and milk to 78.5 million students at more than 400,000 schools across the country, aiming to reduce malnutrition and stunted growth among children.

Indonesia is a bastion of democracy in Southeast Asia, a diverse and economically bustling region of authoritarian governments, police states and nascent democracies. After decades of dictatorship under President Suharto, the country was convulsed by political, ethnic and religious unrest in the late 1990s and early 2000s. Since then, it has consolidated its democratic transition as the world’s third-largest democracy, and is home to a rapidly expanding middle class.

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Associated Press journalists Edna Tarigan and Andi Jatmiko contributed to this report.

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Voters in Arizona and Nebraska will face competing ballot measures. What happens if they both pass?

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Voters in Nebraska and Arizona will see competing measures on their November ballots — in one case about abortion, in the other about primary elections. If voters approve them all, what happens next could be up to the courts to decide.

Like more than a dozen other states, Arizona and Nebraska have constitutions stating that if two or more conflicting ballot measures are approved at the same election, the measure receiving the most affirmative votes prevails.

That sounds simple. But it’s actually a bit more complicated.

That’s because the Arizona and Nebraska constitutions apply the most-votes rule to the specifically conflicting provisions within each measure — opening the door to legal challenges in which a court must decide which provisions conflict and whether some parts of each measure can take effect.

The scenario may may sound odd. But it’s not unheard of.

Conflicting ballot measures “arise frequently enough, and the highest-vote rule is applied frequently enough that it merits some consideration,” said Michael Gilbert, vice dean of the University of Virginia School of Law, who analyzed conflicting ballot measures as a graduate student two decades ago when his curiosity was peaked by competing measures in California.

What’s going on in Nebraska?

After the U.S. Supreme Court overturned a nationwide right to abortion, Nebraska enacted a law last year prohibiting abortion starting at 12 weeks of pregnancy except in medical emergencies or when pregnancy results from sexual assault or incest.

Abortion-rights supporters gathered initiative signatures for a proposed constitutional amendment that would create “a fundamental right to abortion until fetal viability, or when needed to protect the life or health” of a pregnant woman, without interference from the state. Fetal viability generally is considered to be some time after 20 weeks. The amendment is similar to abortion-rights measures going before voters in eight other states.

Abortion opponents, meanwhile, pursued their own initiative to essentially enshrine the current law into the constitution. That measure would prohibit abortion in the second and third trimesters, except in medical emergencies or pregnancies resulting from sexual assault or incent.

The Nebraska Constitution says the winning measure with the most votes shall become law “as to all conflicting provisions.” State law says the governor shall proclaim which provision is paramount. Lawsuits could follow.

If the measure creating a right to abortion until fetal viability gets the most votes, it could be construed as fully conflicting with the restrictive measure and thus prevail in its entirety, said Brandon Johnson, an assistant law professor at the University of Nebraska.

But if the restrictive measure gets the most votes, a court could determine it conflicts with the abortion-rights measure only in the second and third trimesters, Johnson said. That could create a scenario where abortion is elevated as a fundamental right during the first trimester but restricted in the second and third.

“There’s a decent legal argument, based on the language that talks about conflicting provisions of the measures, that you can synchronize the two,” Johnson said.

What’s going on in Arizona?

Arizona, like most states, currently uses partisan primaries to choose candidates for the general election.

The Republican-led Legislature, on a party-line vote, placed an amendment on the November ballot that would enshrine partisan primaries in the state constitution, reaffirming that each party can advance a candidate for each office to the general election.

A citizens initiative seeks to change the current election method. It would create open primaries in which candidates of all parties appear on the same ballot, with multiple candidates advancing to the general election. It would be up to lawmakers or the secretary of state to enact requirements for exactly how many should advance. If at least three make it to a general election, then ranked choice voting would be used to determine the winner of the general election.

The Arizona Constitution says the winning ballot measure with the most votes shall prevail “in all particulars as to which there is conflict.”

In the past, the Arizona Supreme Court has cited that provision to merge parts of competing measures. For example, in 1992, voters approved two amendments dealing with the state mine inspector. One measure extended the term of office from two to four years. The other measure, which got more votes, limited the mine inspector to serving four, two-year terms.

In a case decided 10 years later, the Supreme Court said parts of both measures should take effect, ruling the mine inspector could serve four, four-year terms. That could have implications for Arizona’s future elections if voters approve both competing measures on this year’s ballot.

“The court really goes out of its way to harmonize the two,” said Joseph Kanefield, an attorney and former state election director who teaches election law at the University of Arizona. Striking one measure entirely “is something that the court will try to avoid unless they absolutely determine the two cannot exist together.”

What’s happened in other states?

When Gilbert’s curiosity was peaked about conflicting ballot proposals, he teamed up with a fellow graduate student at the University of California, Berkeley, to examine 56 instances of competing ballot measures in eight states between 1980 and 2006. In some cases, the measures appeared to directly conflict. In others, the measures merely addressed similar topics.

Their research found that the measure getting the most affirmative votes often was the one that made the least change from the status quo.

But sometimes, the highest-vote rule never comes into play, because voters approve one measure while rejecting the other. Or voters defeat both measures.

In 2022, California voters were presented with two rival proposals to legalize sports betting. Interest groups spent roughly $450 million promoting or bashing the proposals, a national record for ballot measures. But both were overwhelmingly defeated.

In 2018, Missouri voters faced three different citizen-initiated proposals to legalize medical marijuana. Voters approved one and rejected two others.

“It is not unusual to have conflicting measures,” said John Matsusaka, executive director of the Initiative and Referendum Institute at the University of Southern California. “But my observation is that voters usually understand the game and approve one and turn down the other.”

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From showgirl feathers to shimmering chandeliers, casino kitsch finds new life

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LAS VEGAS (AP) — Crystal chandeliers that once glimmered above a swanky lounge, bright blue costume feathers that cloaked shimmying showgirls, and fake palm trees that evoked a desert oasis are just some the artifacts making their way from the latest casino graveyards of Las Vegas into Sin City history.

The kitsch comes from the Tropicana, which was demolished in a spectacular implosion Oct. 9 to make room for a new baseball stadium; and from The Mirage, the Strip’s first megaresort, which dealt its last cards in July and is set to reopen as a new casino nearly 40 years after it originally debuted.

As the neon lights dimmed and the final chips were cashed in, a different kind of spectacle unfolded behind the casino doors. Millions of items big and small were meticulously sorted and sold, donated and discarded.

“You take this hotel-casino and you turn it upside down, shake everything out of it until it’s empty,” said Frank Long, whose family business, International Content Liquidations, led the effort to unload the Tropicana’s merchandise before its implosion.

Long, 70, a third-generation auctioneer, likes to say he’s in the business of “going, going, gone.” He jokes that his Ohio home is “decorated in early hotel,” having helped clear out dozens of them as well as casinos across the country. In Las Vegas, that includes the Dunes, Aladdin and Landmark.

“Vegas buyers are special,” Long said. “This is their community, and they want a piece of it.”

Trolling for a piece of history

On a hot day in June, two months after the Tropicana shut its doors, Long welcomed buyers onto the casino floor.

The whirring slot machines were long gone, transferred to other casinos. In their place sat an odd collection of things: desks and chairs, rattan night stands, table lamps, pillows and sofas. Piled high in what was once the high-limit gambling room were mattresses and box springs. Small crystal chandeliers going for $1,000 hung suspended from old luggage carts.

“Fill up your entire truck for 100 bucks,” Long told shoppers, grinning.

Buyers of all ages filled wagons and luggage carts with arm chairs priced at $25, mirrors at $6, floor lamps at $28. Behind red velvet ropes where guests used to check in, customers waiting to pay stood in line with 43-inch flatscreen televisions. One man hugged a mattress and box spring, trying to keep them from toppling over.

In the Tropicana’s vast conference hall, piles of large vintage spotlights labeled “FOLIES” sat in waist-high bins marked for donation. They were off-limits to buyers, destined for the Las Vegas Showgirl Museum.

The Tropicana was home to the city’s longest-running show, “Folies Bergere,” a topless revue imported from Paris. Its nearly 50-year run helped make the feathered showgirl one of the most recognizable Las Vegas icons.

Elvis’ image among the forgotten treasures

One of Long’s favorite parts about the job is sifting through forgotten corners of casinos.

Inside the Tropicana, his team rescued black-and-white photographs of stars who wined, dined and headlined there. His favorite was a candid photo of Elvis Presley found in an unused office.

In its heyday, the casino played host to A-list stars including Elizabeth Taylor and Debbie Reynolds, Frank Sinatra and Sammy Davis Jr.

Long said his people have fun with the job, too. The tedium of collecting several thousand pillows from the Tropicana’s two hotel towers turned into “the world’s biggest pillow fight.”

When Sarah Quigley learned the Tropicana was closing, she knew she needed to act fast if she wanted some of the casino’s historical records for the Special Collections and Archives at the University of Nevada, Las Vegas.

Quigley, director of the special collections, wasn’t the first to call.

But after a meeting with the Tropicana’s management team, UNLV’s special collections acquired five boxes of records from 1956 to 2024, including vintage 1970s ads for the Tropicana’s showroom, old restaurant menus, architectural blueprints and original film reels of the dancing “Folies” showgirls rehearsing in the mid-1970s.

Salvaging the neon Vegas is famed for

The Neon Museum, which rescues iconic Las Vegas signs, got the Tropicana’s red one and The Mirage’s original archway that welcomed guests for 35 years. In a herculean effort, the 30-foot sign was placed on a flatbed truck in August. A chunk of the Strip closed so the piece could be slowly driven to its new home at the museum.

The Mirage opened with a Polynesian theme in 1989, spurring a building boom on the Strip that stretched through the 1990s. Its volcano fountain was one of the first sidewalk attractions, and tourists flocked to the casino to see Cirque du Soleil set to The Beatles or Siegfried and Roy taming white tigers.

In just a few years, the Strip’s skyline will look different. The Mirage will become the Hard Rock Las Vegas in 2027, with a hotel tower shaped like a guitar. The following year, the new baseball stadium is expected to open on the former site of the Tropicana.

While the last of the Tropicana’s buildings came tumbling down in 22 seconds, pieces of the Las Vegas landmark have found a new life in nearby museums, curated collections and homes.

“There’s history here,” said Aaron Berger, executive director of the Neon Museum. “You just have to look past the glitter to find it.”

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Associated Press video journalist Ty O’Neil in Las Vegas contributed to this report.

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