When it comes to preventing spread coronavirus, we are all involved together.
However, when it comes to Canada, each province and region is rather independent.
Each grapples with its own combination of geography and travel patterns – and has responded with its own public health actions – all of which have shaped the spread of the virus.
While British Columbia was the first province to realize the deadly consequences of COVID-19, Quebec has emerged as the epicenter of the Canadian epidemic, with long-term care homes at the forefront.
Meanwhile, Nunavut, the only Canadian jurisdiction free from the corona virus, is struggling to stay that way, because of the stress of the disease that will be placed on the limited health care resources in the region potentially to be disastrous.
Each provincial government struggles with how to balance the need to distance socially with effects on the economy, and as the virus continues to spread this spring and into summer, the effect will feel very different in every corner of Canada.
This is where everything stands now.
BC was the first province to face the deadly consequences of COVID-19 – and also to be the first to show signs of slowing the spread of the virus.
Long before the World Health Organization declared a global pandemic, the specter of the corona virus loomed over BC. in the form of neighboring Washington – the first jurisdiction in North America where a deadly virus was detected.
In the second week of March, cases of COVID-19 did not only spread in BC. at a level that exceeds other provinces, but long-term nursing homes have become a deadly epicenter for the provincial struggle against the virus as happened in neighboring BC in the south.
The first coronavirus death in Canada was recorded at Lynn Valley Nursing Center in North Vancouver on March 9.
Partly because of early detection of coronavirus in BC, the province was quick to implement extensive testing and containment strategies. Provincial Health Officer Dr. Bonnie Henry said this week that her time, coupled with a bit of luck, had helped ensure that more serious isolation and rules of distance that had existed since coronavirus was declared a global pandemic on March 12, had had a strong impact.
The number of daily tests for a new positive corona virus in BC has fallen over the past week, with the result that officials have begun to talk openly about the future to stop distance restrictions.
Hospitals, which usually operate at 100 percent or more capacity, currently operate below 60 percent due to the cancellation of widespread elective surgery and reduced emergency visits.
But Henry warned that the province was still in the long run, and that easing of the impending restrictions would not be completely back to normal.
In remote Yukon communities such as Old Crow in the far north, the consequences of flooding the health care system with a pandemic will not be catastrophic. In the Arctic community of about 280 people, there is only one treatment station and one doctor who flies once every two months.
That is why, when a The Quebec couple flew to Old Crow with the intention of hiding from COVID-19, his reaction was very angry, and the couple’s immediate expulsion.
With three hospitals, and a population of 35,874 people spread over nearly 500,000 square kilometers, the Yukon government is taking a few chances with this virus. Of the 775 tests conducted there, seven have returned positive for coronavirus.
On April 2, they imposed extensive travel restrictions, including restrictions that non-residents must leave the Yukon when entering within 24 hours. It placed agents at the border and Whitehorse airport to enforce the rules.
Yukon Prime Minister Sandy Silver made an agreement with SM Premier John Horgan to transfer patients to British Columbia if the regional system became overwhelmed. The region also agreed to open borders with BC. for communities bordering Atlin Fire Side, Pleasant Camp, Fraser and Jade City.
A first look at Alberta’s projections this week reveals cautious indicators that the province might be ready – relatively speaking – for the coronavirus fight. But while modeling shows some progress in avoiding the worst case – there are still many questions about what happens afterwards.
Despite having the second highest per capita level after Quebec, the province has conducted aggressive tests and maintained relatively low hospitalizations. Prime Minister Jason Kenney has spoken optimistically about the storage of protective equipment for doctors, and has plans to improve hospital beds and ventilators.
According to modeling, the “probable” scenario will see between 400 and 3,100 Albert people die of disease before the end of the summer. This is a tragic number, but there are some initial indications that social distance measures that were imposed in March have reduced the total number of infections.
But as serious as Coronavirus, Alberta faces battles on two fronts. This pandemic has paralyzed economies around the world, but when coupled with a fall in global oil prices, the effect on oil-dependent provinces tends to be longer and harder.
“We cannot focus on the pandemic or the economy. The two are related, “Kenney said in a televised address to Albertans on Tuesday.
The Alberta budget was released a little more than a month ago based on oil prices of $ 58 per barrel, but supply disputes between Saudi Arabia and Russia, combined with falling demand due to coronavirus, have hovering prices of less than half, which would cost billions of Alberta.
United Conservative Kenney was chosen based on a plan to balance the budget, a mission that continued throughout the pandemic. While Kenney said the province would not allow the protection of Albert’s health, they had shot several groups continue cutting – including cutting funds for 25,000 education support workers – and increasing the number of unemployed.
Notable given the current pressure on health care workers, many doctor in Alberta said that they were simultaneously preparing for coronaviruses and competing with governments that did not listen. In particular, forced changes to the way they are paid that began in early April have begun to worsen – many doctors say they now make less money, and some have closed clinics or reduced the services they offer, even when pandemic anger.
In a public letter released Tuesday, Dr. Christine Molnar, head of the Alberta Medical Association, called the coronavirus “the greatest challenge of our lifetime,” but the challenge faced by doctors in Alberta “without the belief that we are valued by our government.”
“But we do not serve the government, we serve the Albertans.”
Nunavut is the only Canadian jurisdiction that is free of coronavirus cases.
His government did not take risks while the pandemic was taking place. Only residents and critical workers are allowed in, and they must isolate themselves for 14 days before entering the area.
Corona virus betting enters a community in Nunavut, where a population of nearly 40,000 spread across the vast Arctic Islands, could be a major disaster. This area only has one hospital with 35 beds. It was in the capital, Iqaluit.
With five confirmed COVID-19 cases, the Northwest Region has implemented some of the most stringent isolation requirements among Canadian jurisdictions.
After a public health emergency was declared in the region on March 18, all trips to the area were banned, including trips from other places in Canada.
Residents are still allowed to return to the area, but they are required to isolate themselves for 14 days in one of the four regional centers upon their return, to avoid situations where communities that are truly isolated are exposed to the virus.
Although Saskatchewan remains slightly behind its neighbor in western Prairie Alberta in terms of the spread of the corona virus, government projections show that the province could witness as many deaths at the end of the pandemic.
A government project released Wednesday estimates that 3,000 to 8,300 people could die in the province from COVID-19. That’s about the same – or a little more than Alberta – even though Saskatchewan has about a quarter of the population.
But its spread is slower in Saskatchewan, one of the most densely populated places in southern Canada. The total number of provinces is still less than 300, compared to nearly 1,500 cases in Alberta.
“We are lucky now at the start. “It remains flat for now and we remain cautiously optimistic that this is what we hope will continue,” said health worker Dr. Susan Shaw. “However, we have a responsibility to plan what if.”
Representatives for indigenous peoples have pointed out that problems in some First Countries, such as overcrowding or lack of health resources, add to the challenges posed by coronaviruses.
North Saskatchewan is largely Indigenous, and according to Global News, health authorities for North First First are concerned that frontline workers are not equipped to handle a pandemic.
The Northern Inter-Tribal Health Authority said that February orders for personal protection equipment were only partially filled, and asked for more from the federal and provincial governments.
The chair of the authority council said he recognized the global shortcomings of things such as masks and gloves, but feared the province had not yet reached out to ask First Nations about their need to follow the federal government’s response package.
“The impact of this disease will be devastating and we request clear communication from the provincial and federal governments that our population in our member community will not miss the process when it comes to the amount of PPE needed in northern Saskatchewan,” Chief Carolyn Bernard told Global.
Despite having more than 200 confirmed cases of coronavirus this week, and three deaths, fear about the COVID-19 pandemic in Manitoba is quite high.
Part of that is because officials believe there has been a spread of the virus community in Winnipeg, which means that the number can increase.
Nurse unions in Manitoba have been vocal about the issue of how best to protect workers who might be related to the virus – especially since three hospital workers were infected in March.
Nurses want all health workers to have access to N95 respirator masks, which provide more protection than surgical masks.
Ontario has traveled a long and tragic path since January 25, when the confirmed coronavirus case in the province was a traveler who had returned to Toronto on a China Southern Airlines flight.
The disease was not even named COVID-19 at the time, but has since become a household language in the province which was mostly closed with cases that were confirmed doubled in the last week to more than 6,000 with more than 200 deaths.
School closure it was announced on March 12 for three weeks and then extended until early May, but many parents doubt that children will return to class even then.
And when the March school holidays start soon, the chief medical officer Dr. David Williams suddenly urged Ontarians not to leave the province on trips that had been reserved for weeks and months.
While many stay away and enjoy their holidays, some interrupt their sunny holidays and return after a few days to go to self-isolation prevention at home, waiting for possible symptoms.
With two-thirds of COVID-19 cases known in the densely populated and often jammed Greater Toronto Area, GO commuter train services have dramatically reduced and street trams often run along empty roads when thousands work from home. Light traffic.
Nearly half of the deaths have occurred long term care homeThe hardest hit was Pinecrest Nursing Home, a 90-minute drive northeast of Toronto in the city of Bobcaygeon. The house has lost at least 28 residents to the virus and more than two dozen staff have been infected.
Premier Doug Ford has struggled, like other provincial and federal leaders, to secure a supply of new masks, face shields and other personal protective equipment for doctors, nurses, and other health care workers.
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He sounded from above lack of testing in Canada’s most populous province, ordered officials to examine more elderly, health care workers, first responders and others at high risk to get better treatment of how quickly the virus spreads.
“My patience is running low,” he said bluntly this week, noting that less than a third of the provincial laboratory testing capacity was used every day in the past few days.
“I will do this like a dog on a bone.”
On Thursday, Ford admitted that he was “frustrated” that a highly developed country could run out of so many important things apart from pandemic planning.
“Unfortunately, it needs a crisis to see where many areas have been damaged throughout the government and in the private sector as well. You really see a system that works and doesn’t work. “
Quebec has emerged as a corona virus center in Canada.
The fight was terrible, but it wasn’t the hospital that had the biggest impact: Long-term care homes.
On Wednesday, the province reached a grim milestone of 10,000 confirmed COVID-19 cases, and 175 total deaths from this disease.
More than half the deaths were recorded in long-term nursing homes, a facility which resulted in some of the deadliest coronavirus outbreaks in North America.
A long-term care home north of Montreal, the Center d’Hebergement Sainte-Dorothée in Laval, reported more than 115 cases of COVID-19 and 13 deaths on Wednesday afternoon, and the province is looking for ways to re-employ the hospital’s healthcare staff to care homes devastated.
Part of the reason Quebec sees more corona virus spread than other provinces may be related to spring break.
While most provinces begin one or two week breaks for public schools on or after March 16, Quebec and New Brunswick both experienced breaks the week before.
BC Provincial health officer Dr. Bonnie Henry said this week which meant that more people left and returned to Quebec during an important period of time when the coronavirus was spreading and travel restrictions were not yet widespread.
The Prime Minister of Quebec, François Legault, said on Wednesday that there might be a way out, with hospitalization from COVID-19 apparently stabilizing in the province.
Embarrassed by the initial round of poor data collection, the New Brunswick government had to reorganize in early April and take the second step in collecting the results of their coronavirus tests.
From the first round of 3,234 tests, one-six had missing location information, making virus tracking spread in troubled provinces. The province also found that a disproportionate number of tests were carried out in the Moncton region.
Since the initial error, the provincial database has been strengthened with location information from its assessment center, and testing for the virus has spread more evenly throughout the province.
With a more stringent set of testing criteria, New Brunswick’s test level is proportionately lower than its neighboring provinces. On Tuesday, the chief health officer Dr. Jennifer Russell for the first time expanded testing criteria to include people with coronavirus symptoms who had never traveled outside the province.
This happened shortly after the province received 5,000 shipments of test equipment from the federal government.
Although taking into account low-level testing, the rate of New Brunswick infections is relatively low. One of 58 tests in New Brunswick produced positive results, compared to the Nova Scotia level of one in 35. The total province now sits at 111, without death on April 9.
The lower number is partly due to a higher proportion of the New Brunswick population living in sparsely populated rural areas.
The epidemic has taken its toll on provincial fisheries too. After being hit with a rapid decline in lobster prices, fishermen in the Bay of Fundy asked the Department of Fisheries and Maritime Affairs to delay the opening of their lobster season for a month, from March 31 to April 30.
Prince Edward Island
The smallest province in the country, predictably, had among the fewest cases of coronavirus with 25, on April 9.
But it also faces some bleak economic times ahead. Tourism, fisheries, and agriculture are the three biggest industries and at least two of the first have been hit big by the coronavirus epidemic.
A recent provincial economic prospect report for 2020 projects 20,200 job losses in May, representing about a quarter of P.E.I.’s workforce.
Most of the job losses will be in the Accommodation and Food Services sector, which will bear the burden of tourism loss, which represents 3 percent of the Island’s GDP.
The province has limited cruise ship docking until July 2020, which will reduce the number of cruise ship visits by 17 percent, according to the report.
The province will face a difficult decision on whether the island will be opened for tourism after July 1, as it seeks to balance tourism revenue against the spread of disease.
At the same time, P.E.I. The Fisher Association and its members are considering a decision on whether to postpone the lobster spring season which starts on April 30. Although the debate mainly concerns the coronavirus safety issue, the fact is that a radically reduced market for lobster means a profitable lobster season that seems unlikely.
The economic prospect report suggests that the agricultural sector – except for any weather problems – will not be too affected by the pandemic, and will continue to make a strong contribution to the economy of P.E.I.
Nova Scotia reported her first coronavirus death on April 6, a woman in her 70s from Cape Breton with an underlying medical condition. A woman in her 90s, also in Cape Breton, became the second person in the province to die of the disease on April 8.
Nova Scotia was the first of the Atlantic Province to adopt many restrictions designed to slow the spread of the corona virus, but that still hasn’t stopped large populations from ignoring the social distance protocol.
Parks Canada on Wednesday closed the entire park area around Citadel Hill – the historic site of Halifax’s Citadel National Historic site overlooking downtown Halifax – in response to the number of people still using the yard and not paying attention to the recommended physical distance. The park closed the fort itself on March 25.
Two weeks ago, Nova Scotia’s chief medical officer Dr. Robert Strang closed the provincial borders, ordering anyone who came from outside the province to avoid public space and immediately isolate himself for 14 days. On Monday, in Amherst, N.S., police ticketed three New Brunswick residents who had crossed the border and visited hardware and grocery stores. The ticket came with a $ 1,000 fine.
The province has also been hit hard by lobster prices that have dropped dramatically since the coronavirus epidemic has stifled demand from China, which was once its biggest customer. Until February, lobster prices have fallen by almost 50 percent, causing some of the industry to call for a season delay.
With the largest population in the Atlantic Province, predictably, Nova Scotia also has the highest number of cases at 373, with two deaths on April 9, mostly clustered in the Eastern zone of the Nova Scotia Health Authority, which includes Halifax.
The province expanded the list of symptoms that showed screening for the corona virus on Wednesday after determining that about 10 percent of the cases were the result of community transmission.
Newfoundland and Labrador
In Newfoundland, police arrested the same woman twice in three days at the end of March for failing to comply with the provincial coronavirus guidelines on self-isolation.
That is one extreme example but represents, in some people’s minds, from what was originally an arrogant attitude among some in the easternmost provinces of Canada towards the corona virus and the requested health protocol.
On more than one occasion, both Prime Minister Dwight Ball and Health Minister John Haggie have taken time during their daily briefings to scold those who do not take the coronavirus virus seriously.
That attitude may have changed now, because the province has seen the death toll increase in other parts of the country – and because the impact now feels closer to home. The province reported 236 cases and 3 deaths on April 9.
One outbreak traced to a single funeral home over a three-day period has resulted in 167 cases of the virus – including the first death – as well as a direct ban on funerals. It was called the Caul cluster, after the Caul Funeral Home in St. John’s, where he came from.
The COVID-19 crisis also presented an economic threat in Newfoundland, prompting the prime minister to write a worrying letter to Prime Minister Justin Trudeau last month that the province could barely pay its employees.
In response, the federal government made a commitment to buy short-term bonds from the province, preventing a fiscal disaster for now.
One factor in Newfoundland’s financial imbalance is that 21 percent of the population is 65 years or older, and of them, 84 percent have at least one chronic disease. In general, it shows that the population of Newfoundland will suffer greatly when the inevitable spike in the case of coronavirus comes. And with the end of the uncertain crisis, health care funds will be overwhelmed.
With files from The Canadian Press