A woman with COVID-19 has died after being exposed to an outbreak of the disease at a Manitoba care home.
The woman in her 90s from the Steinbach health district in the Southern Health region was connected to a COVID-19 outbreak at the Bethesda Place care home, according to a provincial news release.
She is the 13th person in the province to die from the virus.
Last week, public health officials declared an outbreak at Bethesda Place after one person tested positive for the virus. In total, four staff members and three patients are affected, including the woman who recently died.
“There was a staff member that tested positive that had worked during the infectious period, but not during the period of symptomatic spread,” said Dr. Brent Roussin, Manitoba’s chief public health officer, on Monday.
“That’s the only possible link.”
Alan Wiebe, a spokesperson from Southern Health, told CBC News all residents of the personal care home are self-isolating in their rooms. The visitors allowed inside must wear masks.
The province also reported 25 new cases of the virus in Manitoba on Tuesday.
Of the 25 new cases reported Tuesday, 10 are in the Prairie Mountain Health region, nine are in the Southern Health region and six are in the Winnipeg Health region.
Manitoba leads country with most cases per capita
For the first time since the pandemic began, Manitoba leads the country with the most active cases per capita in Canada, according to data from Health Canada.
“The current situation reinforces the need to follow the fundamentals in the fight against COVID-19,” Premier Brian Pallister said in an emailed statement Tuesday, referring to physical distancing, hand hygiene and staying home when sick.
“Our Restart Pandemic Response System allows us to implement targeted, specific measures and restrictions where needed to help slow the spread of this virus. I am confident that Manitobans will follow the recommendations of Dr. Roussin and our public health experts as we work together to get back on track.”
There are 399 active cases in the province, while 606 people have recovered. The total number of confirmed cases in Manitoba is 1,018.
The current five-day COVID-19 test positivity rate is 2.7 per cent, down from 2.9 per cent Monday.
Currently, Brandon health district has the most active cases in the province with 120, followed by Winnipeg with 92, Asessippi with 51 and Niverville-Ritchot with 27.
“We’re, of course, concerned. Everybody I’ve talked to usually voices their concern,” said Merv Starzyk, mayor of the rural municipality of Yellowhead, which is in the Asessippi health district in the Prairie Mountain Health region.
Starzyk says he doesn’t know where the positive cases are coming from, and wants the government to release more detailed information about the cases.
“I think it would strike home for some of the, what I call the naysayers … some of those that refuse to accept there’s a problem with the virus.”
Masks became mandatory on Monday in all indoor public spaces and in outdoor public gatherings in southwestern Manitoba, following a surge of cases in the Prairie Mountain Health region.
Gatherings are also limited to 10 people, both inside and outside.
An additional 1,428 lab tests were completed on Monday, bringing the total number of tests completed since early February to 128,576.
Latest local news
Canada at risk of another lockdown as coronavirus cases surge – Hindustan Times
Canada’s two largest provinces have warned they may have to lock down parts of the economy again after a spike in Covid-19 cases.
Quebec, which has had more virus deaths than 40 US states, is an epicenter of the problem. The province has about 5,000 active cases, a 71% jump from the beginning of August, and is on the verge of closing bars and restaurants again in its two biggest cities, Montreal and Quebec City. Hospitalizations went up 26% in six days.
Ontario, the largest province with 14.7 million people, reported 700 new cases Monday, the most ever in a day, though it’s also testing far more people than it was in spring. A group of hospitals called on Premier Doug Ford’s government to revert to stricter “stage two” measures in Toronto and Ottawa, which would mean restricting or closing indoor businesses such as gyms, movie theaters and restaurants.
“It’s up to each of us. Together our collective actions will decide if we face a wave or a tsunami,” Ford said Monday at a news conference during which he pleaded for residents to follow rules and get the flu vaccine — but did not move the province back to stage two.
It’s a reversal of fortune for a country that avoided the summertime spike that hit the US As the pandemic got worse in Sun Belt states, a largely compliant Canadian population hunkered down and wore masks.
Provincial governments, which set the rules for most companies, allowed the vast majority of businesses to open up again, sometimes with capacity limits and new sanitation rules. In Toronto, the financial capital, many restrictions were lifted on July 31.
As Labor Day neared, virus cases started to rise again. They flared in British Columbia, praised for its early handling of the crisis. Nationally, active cases have more than doubled since Sept. 1, to 12,759. Almost 95% are in the four largest provinces, with the greatest problems in big cities.
Six months of restrictions left some Canadians just as restless as their counterparts in the rest of the world. Across the country, the spike in new cases is being driven by social gatherings among people in their 20s and 30s, fed up with social distancing and hoping to take advantage of the last weeks of warm weather.
“What we’ll tell people is: Stay home. We’re going to ask for a considerable social sacrifice,” Quebec Health Minister Christian Dube said in an interview on Radio Canada late Sunday. “There’s going to be difficult decisions for bars and restaurants” he added, as Quebec City and Montreal are about to be declared a “red zone,” the highest level in the province’s alert system.
The greater concern is that Covid-19’s toehold is becoming a foothold just as the country begins its rapid slide through autumn to winter, said Colin Furness, an infection control epidemiologist at the University of Toronto. This coronavirus survives and stays in the air longer in cold, dry weather, he said — people’s mucous membranes are less effective at filtering it out and infection rates are much higher indoors. Despite a run on fire pits and patio heaters, most policy makers are not expecting Canadians to dine outside in sub-zero temperatures.
One bright spot in the situation is the relatively low mortality rate in Canada. With the tragic exception of elder care facilities in Ontario and Quebec, where death rates soared early on, Canada’s fatality rate, per capita, is less than half that of the U.S. since the pandemic began — roughly 25 people per 100,000 population versus 63 in the U.S.
As treatments have improved, along with better protection for the elderly and, crucially, greater testing — and therefore identification — of cases in younger people, so have the mortality numbers.
But while a lower fatality rate is good news, it doesn’t protect hospitals from being overwhelmed by a surge in cases, especially during flu season. And there are significant health consequences with the virus, Furness said.
“If we focus just on the death rate, eventually everyone is going to say this is no big deal,” Furness said. “We should reframe our understanding of Covid as vascular disease that causes widespread brain damage in the population.”
For policy makers and politicians, protecting the hospitals, which already have enormous backlogs of delayed surgeries, and keeping the schools open are key. But the rising numbers threaten disruption on all fronts.
“If politicians do not have the political fortitude to reintroduce some restrictions, then our risk of sliding into something much worse — like the U.K. or Spain — that’s still on the table,” said Furness. Canada needs to implement rapid testing across the country, tighten definitions on “non-essential” travel and hold the line on 14-day quarantine periods for those who have been out of the country, he said.
COVID-19 cases will climb in Canada before effects of latest restrictions kick in, experts say – CBC.ca
Cases of COVID-19 will likely continue to climb in Canada’s most populous provinces for a while even if people start to hunker down, experts say, because of the nature of the infection.
Epidemiologists look at the effective reproductive number of COVID-19, which describes how many other people an infected person will pass the coronavirus onto on average.
Public health experts like to see the value significantly below one so cases don’t snowball and spread out of control.
The effective reproductive number of COVID-19 in Canada continues to hover at 1.4, the Public Health Agency of Canada reported on Friday. That means for every 10 people who test positive for COVID-19, they’ll likely infect 14 others who then pass it on to 20 others and so on.
Christopher Labos, a physician in Montreal with an epidemiology degree, said the effective reproductive number also varies depending on the population in which a virus is spreading.
“If nothing changes, certainly it’ll keep rising and may even surpass a number of cases we had before,” Labos said.
The doubling time depends on how contagious someone is, the likelihood they’ll contact and infect another susceptible person and the frequency of contact.
But Labos said there’s another important factor: individual changes in behaviour.
“We probably will see rising case numbers in the next few days, maybe in the next few weeks. But if we take action now and control stuff, we might see this virus plateau before the end of the year. And that’s really what we’re trying to hope for.”
To that end, Quebec’s premier announced on Monday partial shutdowns in areas with high case counts, namely Montreal, Quebec City and Chaudière-Appalaches, south of the provincial capital.
“We see that our hospitals are in a fragile situation,” Premier François Legault said.
As of Thursday for 28 days, visiting those in other households won’t be allowed (with exceptions), restaurants will be serving delivery and takeout only and other gathering places such as bars, concert halls, cinemas, museums and libraries in the affected regions will close, he said
To explain why, Legault said protecting people in school communities, hospitals and long-term care homes are a priority.
Sacrifices required to change course
“None of this is a given. We can change the outcome,” Labos said. “It simply requires us to sacrifice a little bit.”
Nicola Lacetera, a behavioural economist at the University of Toronto, first studied compliance with physical distancing during the start of the pandemic in Italy. He found that the more frequently governments extended lockdown dates, the more disappointed the public tended to get, which could lessen co-operation.
“People say, ‘Well, I don’t know anybody who has COVID,'” Lacetera said. “From a statistical point of view, it makes no sense. But people tend to over-weigh what’s closer to them, like having known someone who got COVID.”
When the public can’t see the health consequences of COVID-19 directly in their daily lives then Lacetera said making hygiene, distancing and wearing masks more of a habit, alongside consistent messaging from different levels of government and communicating the science, could help.
Ontario’s Chief Medical Officer of Health, Dr. David Williams, suggested “targeted” measures are under consideration. His Toronto counterpart, Dr. Eileen de Villa, called for new limits in restaurants on Monday, such as reducing the number of patrons from 100 to 75 and requiring establishments to collect contact information from those attending.
De Villa also said the extent of spread of the infection in the city means the concept of the bubble or a social circle “no longer reflects the circumstances in which we live.”
Jacob Wharton-Shukster said his Toronto restaurant would stay open until 2 a.m. before the pandemic. He voluntarily chose to close at 11 p.m. after watching what can happen elsewhere in the world late at night when people have been drinking alcohol.
“The numbers are doubling from last week, and this is all reasonably foreseeable,” he said. ” We would have had to have taken a mitigation strategy a month ago to see any result now.”
Epidemiologists agree, saying the effects of measures only become apparent two weeks down the road because of the lag when someone is newly infected, develops symptoms, gets tested and receives the result.
How Quebec went from COVID-19 success story to hot spot in 30 days – CBC.ca
A little over a month ago, Health Minister Christian Dubé congratulated Quebecers for their hard work at containing the spread of the coronavirus.
It was a Tuesday, Aug. 25, and the province had registered just 94 new cases of COVID-19 in the previous 24 hours.
“We have really succeeded at controlling the transmission of COVID,” Dubé said at a news conference in Montreal.
It was a statement of fact, but the ground had already started to shift. In the intervening weeks, transmission increased. At first it grew slowly, then exponentially.
On Monday, the government implicitly acknowledged it has again lost control of the virus. The province is reimposing lockdown measures on Quebec’s two biggest cities, starting Oct. 1.
Until Oct. 28, Quebecers won’t be able to entertain friends or families at home. Bars, restaurant dining rooms, theatres and cinemas will also be closed.
“The situation has become critical” Premier François Legault said Monday evening. “If we don’t want our hospitals to be submerged, if we want to limit the number of deaths, we must take strong action.”
The new measures will bring abrupt changes to the lives of millions of Quebecers. They will also prompt questions about how the public health situation could have deteriorated so quickly.
This story tries to trace how Quebec again lost control of the spread of COVID-19.
At first, a stern warning
As Dubé addressed reporters on that Tuesday in late August, public health officials in Quebec City were busy trying to track down patrons of Bar Kirouac, a watering hole in the working-class Saint-Sauveur neighbourhood.
A karaoke night at the bar ultimately led to 72 cases and the activity being banned in the province.
There were also numerous reports by then of young people holding massive house parties and flouting physical distancing recommendations. One of them, in Laval, led to a small outbreak.
WATCH | Legault explains why harsh measures are necessary:
On Aug. 31, as Quebec’s daily average of new cases neared 152 cases, Legault delivered a stern warning.
“There has been a general slackening in Quebec,” Legault said. “It’s important to exercise more discipline.”
Legault and his health minister threatened stiffer punishments for those who disobeyed public-health rules, but stopped short of imposing new restrictions.
Private gatherings identified as the culprit
In late August, public health officials were attributing the rise in infections to Quebecers returning home from vacations around the province, as opposed to the start of school.
Though Quebec’s back-to-school plan wasn’t met with widespread criticism, some experts expressed concern about the large class sizes and the lack of physical distancing guidelines for students.
The government also ignored advice that it should make masks mandatory inside the classroom.
But the first weeks of the school year went relatively smoothly. By the start of Labour Day weekend, only 46 out of the province’s 3,100 schools had reported a case of COVID-19. Importantly, there were no major outbreaks.
The problem was elsewhere. Outside schools, in the community at large, cases continued to rise. On Sept. 8, the province was averaging 228 cases per day.
By now public health officials had identified private gatherings as the main culprit behind the increase.
Montreal’s regional director of public health, Dr. Mylène Drouin, was among those who urged more caution when hanging out with friends and family.
“Yes, we can have social activities, but we have to reduce contacts to be able to reduce secondary transmission,” Drouin said on Sept. 9.
In an effort to spell out the consequences of the increase in cases, the Quebec government unveiled a series of colour-coded alert levels.
Areas coded green would see few restrictions; yellow zones would see more enforcement of existing rules; orange zones would be the target of added restrictions; and red zones would see more widespread closures of non-essential activities.
When the scheme was announced on Sept. 8, Quebec City was classified yellow. Montreal was classified green.
At this point, though, health experts were already concerned that more needed to curb the spread of the virus.
“It is important to intensify these measures,” Dr. Cécile Tremblay, an infectious disease specialist with the Université de Montréal hospital network, said after the alert levels were announced.
The warning signs were starting to multiply.
Officials in Montreal were investigating 20 outbreaks at workplaces on Sept. 9; a week later that number had risen to 30. Long lines were also forming outside testing centres, filled with anxious parents and their children.
And more stories were circulating of private gatherings where the 10-person limit was ignored, angering the health minister.
He told reporters about a dinner with 17 people at a restaurant in Montérégie, which led to 31 cases. A corn roast in the Lower St. Lawrence, he said, resulted in 30 cases.
“To me, that’s unacceptable,” Dubé said on Sept. 15 “If people won’t understand from these examples then, I’m sorry, but they’ll never understand.”
He moved Montreal, and four other regions, into the yellow zones and banned bars from serving food after midnight. The province was averaging 338 new cases per day.
Second wave arrives
The warnings from the government did not curb the spread of the virus. By mid-September, authorities were reporting more cases in closed settings.
On Sept. 17, Herzliah High School in Montreal became the first school in the province to say it was shutting down for two weeks to deal with an outbreak. At least 400 other schools were also dealing with active cases of COVID-19.
Cases accumulated too in private seniors homes (known as RPAs), a major source of concern for public officials given the vulnerability of the residents to COVID-19.
There were only 39 cases in RPAs at the start of the month, and 157 by Sept. 20.
On that day the government announced it was moving Montreal, Quebec City and the Chaudière-Appalaches region into the orange zone, the second-highest alert level. Private gatherings were capped at six people.
The province was by then averaging 501 new cases per day. The second wave had begun, according Quebec’s public health director, Horacio Arruda.
Over the last week, Quebec’s health system has shown signs of strain as authorities race to contain the spread of the virus.
Drouin, the Montreal public health director, admitted on Sept. 21 that her contact-tracing teams were swamped by the demand.
Until now, the increase in cases had not been accompanied by a corresponding surge in hospitalizations. Most of the new cases were concentrated in younger people.
But the number of hospitalized COVID-19 patients in Quebec has increased by 45 per cent in the last seven days. Hospital staff are starting to get stretched. Several thousand health-care workers are in preventive isolation.
“We’re feeling the second wave,” Dr François Marquis, the head of intensive care at Montreal’s Maisonneuve-Rosemont hospital. “We were apprehensive about it, but now it’s a reality.”
On Monday, Quebec reported 750 new cases of COVID-19. Montreal and Quebec City were classified as red zones later that evening.
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