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COVID-19 pandemic in Canada

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COVID-19 pandemic in Canada
The results of panic buying in Halifax, Nova Scotia
Quebec police stop vehicles on the Macdonald-Cartier Bridge
An empty Yonge–Dundas Square in Toronto
Mass-vaccination site at the Olympic Stadium in Montreal, Quebec
A sign encouraging social distancing in Nanaimo, British Columbia
The COVID Alert app developed by Shopify and Health Canada
(clockwise from top)
  • The results of panic buying in Halifax, Nova Scotia
  • Quebec police stop vehicles on the Macdonald-Cartier Bridge
  • Mass-vaccination site at the Olympic Stadium in Montreal, Quebec
  • The COVID Alert app developed by Shopify and Health Canada
  • A sign encouraging social distancing in Nanaimo, British Columbia
  • An empty Yonge–Dundas Square in Toronto
DiseaseCOVID-19
Virus strainSARS-CoV-2
LocationCanada
First outbreakWuhan, Hubei, China
Index caseToronto, Ontario
Arrival dateJanuary 25, 2020[1]
(1 year, 7 months, 3 weeks and 5 days)
Confirmed cases1,559,410[2]
Active cases42,322[2]
Recovered1,489,783[2]
Deaths
27,305[2]
Fatality rate1.75%
Vaccinations
  • 28,036,964 (73.77%) (people with at least one dose)
  • 25,768,558 (67.80%) (fully vaccinated people)
Government website
canada.ca/coronavirus, health-infobase.canada.ca/covid-19/vaccination-coverage/

The COVID-19 pandemic in Canada is part of the ongoing worldwide pandemic of coronavirus disease 2019 (COVID-19). It is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Most cases over the course of the pandemic have been in Ontario, Quebec and Alberta. Confirmed cases have been reported in all of Canada's provinces and territories.[3]

The virus was confirmed to have reached Canada on January 27, 2020, after an individual who had returned to Toronto from Wuhan, Hubei, China, tested positive. The first case of community transmission in Canada was confirmed in British Columbia on March 5.[4] In March 2020, as cases of community transmission were confirmed, all of Canada's provinces and territories declared states of emergency. Provinces and territories have, to varying degrees, implemented school and daycare closures, prohibitions on gatherings, closures of non-essential businesses and restrictions on entry. Canada severely restricted its border access, barring travellers from all countries with some exceptions. The federal Minister of Health invoked the Quarantine Act, introduced following the 2002–2004 SARS outbreak.[5] For the first time in its legislative history, the act has been used, legally requiring all travellers (excluding essential workers) returning to the country to self-isolate for 14 days, until rules were changed to accommodate fully vaccinated travellers.

By mid to late summer of 2020, the country saw a steady decline in active cases until the beginning of late summer. Through autumn, the country saw a resurgence of cases in all provinces and territories.[6] On September 23, 2020, Prime Minister Trudeau declared that Canada was experiencing a second wave of the virus.[7] New restrictions and reactions from provincial governments were put in place once again as cases increased, including variations of regional lockdowns. In late November, there was the disbandment of the Atlantic Bubble, a travel-restricted area of the country (formed of the four Atlantic provinces: New Brunswick, Prince Edward Island, Nova Scotia, and Newfoundland and Labrador) which had been established in July 2020. The federal government passed legislation to approve further modified economic aid for businesses and individuals.[8]

Nation-wide cases, hospitalizations and deaths spiked preceding and following the Christmas and holiday season in December 2020 and January 2021. Alarmed by hospital capacity issues, fatalities and new cases, heavy restrictions (such as lockdowns and curfews) were put in place in affected areas (primarily Ontario, Quebec, and Alberta) and across the country. These lockdowns resulted in active cases beginning to steadily decline, reaching a plateau in active cases in mid-February 2021. During a third wave of the virus, cases began rising across most provinces west of Atlantic Canada in mid-March,[9] prompting further lockdowns and restrictions in the most populous provinces like Ontario and Quebec.[9][10] Due to a relatively low volume of cases in the Atlantic provinces, plans to reopen the special travel restricted area known as the Atlantic Bubble,[11] however, in late April, the third wave had spread to the Atlantic provinces as well. In response, Prince Edward Island and Nova Scotia reinstated travel bans toward the rest of the country.

Following Health Canada's approval of the Pfizer–BioNTech COVID-19 vaccine, and later the mRNA-1273 vaccine developed by Moderna, mass vaccinations began nationwide on December 14, 2020.[12][13] On February 26, 2021, Health Canada approved the Oxford–AstraZeneca COVID-19 vaccine for use[14] and on March 5, 2021, they additionally approved the Janssen COVID-19 vaccine for a total of four approved vaccines in the nation.[15] However, most provinces discontinued first doses of Oxford-AstraZeneca by May 12, 2021,[16] while the administration of the Janssen vaccine was determined unnecessary.[17] Canada became one of the most vaccinated countries in the world, with a continually high uptake of the vaccine.[18] Despite high general uptake of the vaccine, cases began to surge particularly amongst the unvaccinated population in provinces like Alberta who had removed virtually all pandemic restrictions.

Near the end of summer 2021, cases began to surge across the country and notably in the provinces of British Columbia, Alberta, Quebec and Ontario, particularly amongst the unvaccinated population. During this fourth wave of the virus, return to pandemic restrictions such as mask mandates were reinstated in provinces like British Columbia and Alberta.[19] Due to the surge in cases largely being a "pandemic of the unvaccinated",[20] vaccine passports were adopted in British Columbia, Manitoba, Ontario, Quebec, Nova Scotia and Newfoundland and Labrador.[21][22] Federally, Prime Minister Justin Trudeau promises to instate requirements for vaccination in order to partake in air travel, trains and other federally regulated travel industry. Additionally, the mandate would include any federally regulated workers.[23]

Background and epidemiology

On January 12, 2020, the World Health Organization (WHO) confirmed that a novel coronavirus was the cause of a respiratory illness in a cluster of people in Wuhan City, Hubei Province, China, reported to the WHO on December 31, 2019.[24][25]

The case fatality ratio for COVID-19 has been much lower than SARS of 2003,[26][27] but the transmission has been significantly greater, with a significant total death toll.[28][26]


COVID-19 pandemic in Canada by province and territory, 17 September 2021 0125 UTC ()
Province Population Tests Per k Cases Per m Recov. Deaths Per m Active Ref.
British Columbia British Columbia 5,174,724 3,742,264 723.2 177,186 34,241 169,083 1,877 364.7 5,844 [29]
Alberta Alberta 4,444,277 5,315,772 1196.2 275,538 62,002 254,327 2,505 563.7 18,706 [30]
Saskatchewan Saskatchewan 1,179,906 1,078,107 913.7 60,589 51,347 55,895 630 533.9 4,064 [31]
Manitoba Manitoba 1,382,904 959,512 693.8 59,526 43,041 57,724 1,203 869.8 599 [32]
Ontario Ontario 14,789,778 17,634,733 1192.3 577,253 39,030 561,492 9,632 651.3 6,129 [33][34]
Quebec Quebec 8,585,523 11,222,771 1307.2 400,625 46,663 382,703 11,315 1317.9 6,607 [35][36]
New Brunswick New Brunswick 783,721 429,881 548.5 3,180 4,058 2,795 48 61.2 336 [37]
Prince Edward Island Prince Edward Island 160,536 185,066 1152.8 267 1,663 233 0 0 34 [38]
Nova Scotia Nova Scotia 982,326 1,164,759 1185.7 6,294 6,407 6,027 94 95.7 173 [39]
Newfoundland and Labrador Newfoundland and Labrador 520,286 283,985 545.8 1,551 2,981 1,488 7 13.5 49 [40]
Yukon Yukon 42,596 16,318 383.1 713 16,739 686 9 211.3 22 [41]
Northwest Territories Northwest Territories 44,991 31,087 691 720 16,003 503 1 22.2 216 [42]
Nunavut Nunavut 39,536 31,592 799.1 659 16,668 654 4 101.8 1 [43]
 Repatriated travellers N/A N/A N/A 13 N/A 13 0 N/A 0 [44][45][46]
Canada Canada 38,131,104 42,095,847 1104 1,564,114 41,019 1,493,623 27,325 716.6 42,780


Preparations

On January 1, 2020, the WHO set up the IMST (Incident Management Support Team) across all three levels of the organization: headquarters, regional headquarters and country-level, putting the organization on an emergency footing for dealing with the outbreak.[47]

On January 7, when it appeared that there was a health crisis emerging in Wuhan, Public Health Canada advised travellers to China to avoid contact with animals, noting that they were very carefully monitoring the situation. Still there was no evidence of what caused the illness, or how it spread.[48]

On January 14, a person in Thailand was the first patient outside of China who was confirmed to have COVID-19.[47]

On January 15, the federal government activated its Emergency Operations Centre.[49]

On January 17, the Canada Border Services Agency (CBSA) indicated plans were in progress "to implement signage" in the Montreal, Toronto, and Vancouver airports to raise awareness of the virus. An additional health screening question added to the electronic kiosks for passengers arriving from central China. The agency noted the overall risk to Canadians was low, and there were no direct flights from Wuhan to Canada. The CBSA said it would not be, at that time, implementing extra screening measures, but would "monitor the situation closely".[50][51]

On January 23, the federal Minister of Health, Patty Hajdu, said they were monitoring five or six people for signs of the virus.[52][53] That same day, the chief public health officer of Canada, Theresa Tam, was a member of the WHO committee that broadcast that it was too early to declare a Public Health Emergency of International Concern. The following day, in Wuhan, China, construction began on a new hospital to treat COVID-19 patients. The hospital took only 10 days to build and was widely reported around the world.[54]

Initially, Canada faced a shortage of personal protective equipment, as the Trudeau government had cut PPE funding in the previous years.[55][56]

Timeline of outbreak in Canada

COVID-19 cases in Canada  ()
     Deaths        Recoveries        Active cases
20202021
JanFebMarAprMayJunJulAugSep
Last 15 days
Date
# of cases
# of deaths
2021-09-01
1,503,035(+0.26%) 26,962(+0.11%)
2021-09-02
1,507,065(+0.27%) 26,991(+0.11%)
2021-09-03
1,511,225(+0.28%) 27,006(+0.06%)
2021-09-04
1,515,395(+0.28%) 27,016(+0.04%)
2021-09-05
1,519,265(+0.26%) 27,021(+0.02%)
2021-09-06
1,522,339(+0.2%) 27,024(+0.01%)
2021-09-07
1,525,669(+0.22%) 27,067(+0.16%)
2021-09-08
1,529,305(+0.24%) 27,107(+0.15%)
2021-09-09
1,533,488(+0.27%) 27,134(+0.1%)
2021-09-10
1,538,125(+0.3%) 27,170(+0.13%)
2021-09-11
1,542,956(+0.31%) 27,189(+0.07%)
2021-09-12
1,547,180(+0.27%) 27,198(+0.03%)
2021-09-13
1,551,135(+0.26%) 27,238(+0.15%)
2021-09-14
1,555,154(+0.26%) 27,263(+0.09%)
2021-09-15
1,559,410(+0.27%) 27,305(+0.15%)
Source: CTV News

* On 17 July 2020, the large number of recoveries is due to a revision of the algorithm used in Quebec to determine whether a patient who is neither deceased nor currently hospitalized may be considered recovered.[57]

Vaccination

Percentage of the population vaccinated with at least one dose as of August 25, 2021

Health Canada is responsible for approval and regulation of vaccines (and other pharmaceuticals), while the Public Health Agency of Canada (PHAC) is responsible for public health, emergency preparedness and response, and infectious and chronic disease control and prevention. Vaccines are authorized by Health Canada, purchased by the Government of Canada and distributed by PHAC to individual provinces and territories in tranches based on various factors such as population size and prioritized peoples. The National Advisory Committee on Immunization (NACI) has also issued recommendations on how vaccines should be distributed.

The National Research Council Canada (NRC) has made investments in the domestic development of vaccine candidates, including candidates by the University of Saskatchewan and Variation Biotechnologies. In May 2020, the NRC announced a planned agreement to conduct clinical trials of a vaccine candidate by Chinese company CanSino Biologics, and plans to manufacture it at its facilities in Montreal once authorized. However, the deal collapsed due to strained Canada–China relations, and the federal government later announced commitments to purchase vaccines being produced by AstraZeneca, Moderna, and Pfizer.
COVID-19 vaccinations in Canada by province and territory, September 13, 2021 ()
Province Population People who have at least one dose People fully vaccinated Total population with at least one dose (%) Total population fully vaccinated (%) Ref
British Columbia British Columbia 5,174,724 3,985,906 3,632,547 77.03% 70.2% [58]
Alberta Alberta 4,444,277 2,979,886 2,676,327 67.05% 60.22% [58]
Saskatchewan Saskatchewan 1,179,906 793,195 709,525 67.23% 60.13% [58]
Manitoba Manitoba 1,382,904 1,004,335 941,188 72.63% 68.06% [58]
Ontario Ontario 14,789,778 11,016,595 10,195,431 74.49% 68.94% [58]
Quebec Quebec 8,585,523 6,650,266 6,151,271 77.46% 71.65% [58]
New Brunswick New Brunswick 783,721 595,900 535,575 75.75% 67.84% [58]
Prince Edward Island Prince Edward Island 160,536 129,343 116,871 80.57% 72.8% [58]
Nova Scotia Nova Scotia 982,326 765,734 706,246 77.95% 71.9% [58]
Newfoundland and Labrador Newfoundland and Labrador 520,286 421,223 375,926 80.96% 72.25% [58]
Yukon Yukon 42,596 33,504 32,190 78.66% 75.57% [58]
Northwest Territories Northwest Territories 44,991 35,184 32,930 78.2% 73.19% [58]
Nunavut Nunavut 39,536 23,849 21,074 60.32% 53.3% [58]
Canada Canada 38,131,139 28,264,207 25,897,113 74.12% 67.92% [58]


Variants of concern

On 26 December 2020, Ontario announced that two cases of the B.1.1.7 variant had been found in Durham.[59] On January 8, 2021, the Public Health Agency of Canada announced that the first case of the South African variant B.1.351 had been found in Alberta.[60] On February 8, CTV reported that the first case of the P.1 variant out of Brazil had been detected in Toronto.[61] On April 21, the B.C. Ministry of Health announced that they had seen cases of B.1.617 as early as April 4.[62] On May 14, Canada added B.1.617 (including what is now known as Delta) to its variants of concern. On 31 May 2021, WHO announced that the variant B.1.1.7 was being renamed Alpha, P.1 Gamma, B.1.617.2 Delta and B.1.351 Beta.

Early evidence out of Alberta[63] suggests that the Pfizer and Moderna vaccines will continue to be effective against death or hospitalization from the Alpha and Gamma variants. A study in Ontario found that the Pfizer vaccine was 95% effective to prevent hospitalization or death from the Alpha, Beta and Gamma variants 7 days after the second dose.[64] Moderna was 94% effective against Alpha 7 days after the 2nd dose. Moderna appeared to be highly effective against Delta.

A preprint study from epidemiologists at the University of Toronto, David Fisman and Ashleigh Tuite, found that the Delta variant had a 120% greater risk of hospitalization, 287% greater risk of ICU admission and 137% greater risk of death compared to non-variant of concern strains of SARS-COV-2.[65]

Number of cases of variants (as of 31 August 2021)
Alpha Gamma Delta Beta
229,377[66] 21,334[66] 38,156[66] 2,400[66]

Government response

Federal

Public health

The federal government activated its Emergency Operations Centre on January 15.[49] The federal government's pandemic response is based on two primary documents: the Canadian Pandemic Influenza Preparedness planning guidelines, which outlines risks and measures to address a viral disease,[67] and the Federal/Provincial/Territorial Public Health Response Plan for Biological Events, which includes identifying, tracking, and ensuring rapid access to medical care.[68] As of February 27, the response plan was at level 3 (escalated).[69]

On March 18, the federal Minister of Health, Patty Hajdu, announced that the federal government had signed an interim order to speed up access to COVID-19 test kits that would allow provincial labs to increase testing. The test kits are made by Switzerland-based Roche Molecular Systems and Thermo Fisher Scientific.[70] According to Health Canada, "an Interim Order is one of the fastest mechanisms available to the Government of Canada to help make health products available to address larger-scale public health emergencies. This Interim Order provides the Minister with the flexibility to consider the urgent circumstances relating to the need for the medical device, authorizations granted by foreign regulatory authorities, or possible new uses for medical devices that are approved in Canada."[71]

Social distancing at Shoppers Drug Mart in Toronto with limited number of shoppers allowed inside the store.

On March 19, 2020, the federal government announced that it had added to Trudeau's March 11 announcement of $275 million in funding for an additional 49 projects to bring the total to 96 research projects that will focus on developing and implementing measures to detect, manage, and reduce the transmission of COVID-19.[72][73]

On March 20, as part of the announcement on Canada's industrial strategy (see below), Trudeau stated that the National Research Council would work with small- and medium-sized companies on health research to fight the virus.[74]

On March 23, Theresa Tam began appearing in public service announcements on radio and television, urging personal hygiene, social distancing, and against unnecessary travel.[75]

On April 6, Tam began to suggest that the use of non-medical face masks in public could be an "additional measure" of protection. She stated to "protect others around you in situations where physical distancing is difficult to maintain", but that this is not proven to protect the wearer and is considered complementary to all existing health guidance issued thus far.[76]

In response to backlogs in COVID-19 testing, especially provinces like Ontario, Health Canada approved new rapid testing for the virus.[77]

Long-term care homes

"Thank You Heroes" sign at a long-term care home in Markham, Ontario

Long-term care homes have been impacted heavily by the pandemic. On April 13, Tam reported that at least half of COVID-19 deaths in Canada were linked to long-term care homes (with the exact number varying by province), and that "these deaths will continue to increase, even as the epidemic growth rate slows down.[78][79] Tam cited factors such as outside visitors, communal living spaces, and staff being transferred among multiple facilities as particular vulnerabilities.[80][81] The pandemic has exacerbated pre-existing staffing issues at some facilities, including underpaid staff and being understaffed in general.[82][78][83] On April 28, Tam stated that as many as 79 percent of Canada's COVID-19 fatalities occurred in long-term care homes.[84]

Health Canada issued recommendations for long-term care homes. They encouraged them to restrict outside visitors and volunteers, restrict employees from being transferred between multiple facilities, provide personal protective equipment, enforce physical distancing during meals, screen staff and essential visitors. On April 15, Trudeau announced that the federal government planned to provide additional pay to long-term care workers.[85][86]

Canadian Armed Forces

In April 2020, the Department of National Defence gave the provinces the option to get Canadian Armed Forces assistance in combating the pandemic in long-term care facilities. Quebec was the first to act, with military personnel arriving on April 17.[87] Ontario responded next, with Premier Doug Ford requesting military aid on April 22.[88]

Travel and entry restrictions

An almost empty SkyTrain in Vancouver on a Saturday afternoon

On March 14, Canada recommended against any international travel and advised those returning from outside of Canada, except for essential workers (such as flight crew), to self-isolate for 14 days.[89] The Quarantine Act was invoked by Hajdu on March 26, making self-isolation a legal mandate for travellers (excluding essential workers) returning to the country. It also prohibits those who are symptomatic from using public transit as transport to their place of self-isolation, and prohibiting self-isolation in settings where they may come in contact with those who are vulnerable (people with pre-existing conditions and the elderly).[90]

Since March 16, only Canadian citizens and their immediate families, permanent residents, and U.S. citizens can enter the country. The only exceptions are flight crews, diplomats, and trade and commerce. Travellers showing COVID-19 symptoms are not allowed to board flights into Canada, regardless of their citizenship.[91][92] International flights to Canada from outside the Caribbean, Mexico, and the U.S. were instructed to land at either Calgary International Airport, Montréal–Trudeau International Airport, Toronto Pearson International Airport, or Vancouver International Airport.[91][92]

Since March 20, Canada and the United States have temporarily restricted all non-essential travel across their border while maintaining supply chains between both countries.[93][94] On April 16, Trudeau stated that the Canada/U.S. border restrictions would remain in place "for a significant amount of time".[95] The next day, Canada and the United States had agreed to extend their entry restrictions, which were to expire on April 21, for an additional 30 days beyond that date.[96] Border restrictions were extended until September 21, 2020.[97]

Since March 30, individuals showing COVID-19 symptoms must be refused boarding on domestic flights (10 seats or more) and passenger trains. However, it excluded buses and intercity passenger rail services.[98] Since April 20, all travellers were required to wear face masks while departing and arriving on air travel, including during security screenings. Those who did not comply were prevented from proceeding.[99]

As the border with the United States continued to be closed to non-essential travel, the Canadian government announced plans in October to allow family members to reunite under compassionate terms.[100] Within the country, the Canadian provinces of New Brunswick, Prince Edward Island, Nova Scotia and Newfoundland and Labrador established the Atlantic Bubble, restricting travel from other provinces but allowing free movement amongst residents of the member provinces.[101] Suspending the Atlantic Bubble was necessary in November 2020 due to the second wave.

On January 6, 2021, the federal government announced that all incoming travellers must present proof of a negative COVID-19 PCR test conducted within 72 hours of their departure time to board flights into Canada.[102]

On January 29, 2021, due to concerns surrounding SARS-Cov2 variants, Trudeau announced a series of new travel restrictions. Travellers arriving in Canada will be required to receive a COVID-19 PCR test on arrival and must quarantine at an "approved hotel" at their own expense. At the same time, they awaited test results or recovery and were subject to "increased surveillance" during the remainder of the mandatory 14-day isolation period. On February 12, an announcement of a third PCR test would be required at the end of the 14-day isolation period. The new rules for international travel will go into effect on February 22.[103]

Foreign flights are only allowed to land in Calgary, Montreal, Toronto, or Vancouver. In addition, all flights to the Caribbean and Mexico have been suspended until April 30.[104][105]

Governmental cancellations

A First Ministers' meeting scheduled for March 12 and 13 was cancelled after Trudeau and his wife Sophie Grégoire entered self-isolation.[106] The Canadian House of Commons was suspended between March 14 and April 20, immediately after passing the new North American free trade deal. The federal budget, previously scheduled for March 20, was also suspended.[107]

Bank of Canada rate changes

In March 2020, the Bank of Canada twice lowered its overnight rate target by 50 basis points—first to 1.25 percent on March 4, and then to 0.75 percent on March 13. It cited the "negative shocks to Canada's economy arising from the COVID-19 pandemic and the recent sharp drop in oil prices" in explaining the move.[108][109]

On March 27, the Bank lowered the rate a third time to 0.25 percent, citing "serious consequences for Canadians and for the economy" due to the COVID-19 pandemic.[110] The Bank also launched a program to "alleviate strains in the short-term funding markets" and another program to acquire Government of Canada securities at a minimum of $5 billion per week.[111]

Federal aid

On March 18, the federal government announced an $82-billion response package with a variety of measures.[112] On March 25, the COVID-19 Emergency Response Act received royal assent from Governor General Julie Payette.[113]

The measures in this first package included:

  • Canada Child Benefit (CCB): Payments for the 2019–20-year were increased by $300 per child.[114]
  • Goods and Services Tax (GST) credit: The maximum annual GST credit payment amount for the 2019–20 year was doubled.[115]
  • Canada Emergency Response Benefit (CERB): This new benefit provided a taxable benefit of $2,000 a month for up to four months for those who had lost their job, were sick, quarantined, or taking care of someone sick with COVID-19, as well as working parents staying home to take care of their kids.
  • Canada Student Loans: A six-month moratorium was placed on repayment.
  • Temporary business wage subsidy: Eligible small employers received a three-month 10 percent wage subsidy.
  • Tax flexibility: The income tax filing deadline was also extended from April 30, 2020, to June 1, 2020. Tax payments were deferred to September 2020.

The CERB launched on April 6.[116] On April 15, Trudeau announced an extension to the CERB to workers making up to $1,000 per month and that the government planned to work with the provinces to implement salary top-ups for essential workers who make less than $2,500 per month.[117]

The Canada Emergency Wage Subsidy (CEWS) was announced on April 1, an expanded version of the temporary business wage subsidy. The Parliament reconvened on April 11 to pass the COVID-19 Emergency Response Act, No. 2 on division. It implemented the CEWS, allowing eligible companies to receive a 75 percent subsidy on each of their employees' wages (up to their first $58,700) for 12 weeks retroactive to March 15.[118]

Trudeau introduced new financial aid programs on April 10, including the Canada Emergency Business Account (CEBA), which offers loans, interest-free until the end of 2022, of up to $40,000 for small- and medium-sized businesses.[119][120] The CEBA was expanded on April 16 to make more businesses eligible.[how?]

Trudeau announced the Canada Emergency Student Benefit (CESB) on April 22.[121]

On April 30, Parliamentary Budget Officer Yves Giroux issued a report projecting the federal deficit for the fiscal year 2020 could be in excess of $252 billion, based on nearly $146 billion in spending on federal aid measures.[122]

On October 12, 2020, the federal government rolled out a new income support program after the ending of CERB, the Canada Recovery Benefit (CRB).[123] Another program, the Canada Recovery Caregiving Benefit (CRCB), supports Canadians working but have to take a break to care for dependents (a child below 12 years of age or a disabled family member). The benefit only applies if schools and care centres are closed or the dependent fell sick or contracted COVID-19.[124]

Oversight

On July 3, 2020, the Ethics Commissioner announced an investigation into Trudeau and the government's decision to have WE Charity administer the summer student grant program.[125][126] WE Charity was criticized for its close ties to the Trudeau family. On the same day, the Minister of Diversity and Inclusion and Youth, Bardish Chagger, announced that WE Charity would no longer administer the Canada Student Service Grant program.[127]

Industrial strategy

On March 20, 2020, the government announced a plan to ramp up production of medical equipment, switching assembly lines to produce ventilators, masks, and other personal protective gear. Companies will be able to access funds through the government's Strategic Innovation Fund. The PM stated that Canadian medical supply firms Thornhill Medical, Medicom and Spartan Bioscience were looking to expand production. To address shortages and supply-chain disruption, Canada passed emergency legislation that waived patent protection, giving the government, companies or organizations that it selects the right to produce patented products without permission from the patent holder.[128] According to Innovation, Science and Industry minister Navdeep Bains, "the country's entire industrial policy will be refocused to prioritize the fight against COVID-19".[129][130]

Virtual care

During the COVID-19 pandemic, 34% of people consulted their doctors over the phone.[131][132] In May 2020, Justin Trudeau announced an investment of $240.5 million to support the growth of virtual care and mental health tools in Canada.[133]

States of emergency

Restrictions imposed by provincial and territorial governments
Province or territory State of Emergency [a] Gatherings banned Border status [b] Mask mandate [c] Vaccine passport Sources
Start date End date Start date Status
Alberta Alberta March 17, 2020 Ongoing No restrictions Open September 4, 2021 Ongoing Planned [134][135][136][137]
British Columbia British Columbia March 18, 2020 July 1, 2021 No restrictions Open August 25, 2021 Ongoing Yes [138][139][140][141][142][143][144][145][135]
Manitoba Manitoba March 20, 2020 Ongoing Over 50[d] Screened[e] August 28, 2021 Ongoing Yes [146][147][148][135][149]
New Brunswick New Brunswick March 19, 2020 July 31, 2021 No restrictions Open[f] October 9, 2020 Expired No [150][135]
Newfoundland and Labrador Newfoundland and Labrador March 18, 2020 Ongoing Over 20 Screened[f] August 24, 2020 Expired[g] Planned [151][152][153][135][154][155]
Northwest Territories Northwest Territories March 18, 2020 Ongoing All gatherings Restricted May 3, 2021 Ongoing No [156][157][135]
Nova Scotia Nova Scotia March 22, 2020 Ongoing Over 25 Screened[f] July 31, 2020 Ongoing Planned [158][159][160][135][161][162]
Nunavut Nunavut March 18, 2020 Ongoing All gatherings Restricted[h] June 14, 2021 Ongoing No [163][135]
Ontario Ontario March 17, 2020 Ongoing Over 100[i] Open[j] October 3, 2020 Ongoing Planned [k][165][166][167][168][169][170][135][l][m][n]
Prince Edward Island Prince Edward Island March 16, 2020 Ongoing Over 50 Screened[f] November 20, 2020 Expired[g] No [173][135][174]
Quebec Quebec March 12, 2020 Ongoing Over 20[o] Regional restrictions[p] July 18, 2020 Ongoing Yes [q][177][178][179][180][135][181][182][183]
Saskatchewan Saskatchewan March 18, 2020 July 11, 2021 No restrictions Open November 19, 2020 Expired No [184][185][186][135][187]
Yukon Yukon March 18, 2020 Ongoing Over 10 Screened December 1, 2020 Ongoing No [188][189][135][190]
  1. ^ The start date refers to the first declaration of a state of emergency, while the end date refers to the final expiry date for all declarations.
  2. ^ Refers to status of internal borders only. Although the Canadian Charter of Rights and Freedoms guarantees broad mobility rights to Canadian citizens, during a state of emergency provincial and territorial governments can effectively restrict or deny entry due to primarily their lawful authority to, at their discretion, refuse any person permission to use their roads:
    Open: No restrictions on entry from other Canadian provinces and territories.
    Screened: Health checks and/or self-isolation mandatory for persons entering from other Canadian provinces and territories.
    Restricted: Entry prohibited for non-residents without a valid reason to enter the province or territory.
    Regional: Entry restricted to (a) specific region(s) of the province or territory.
  3. ^ Face masks are compulsory for ages 2 and up, except in British Columbia (ages 12 and up for both madates), Québec (ages 10 and up as of August 24, 2020; previously ages 12 and up), and Newfoundland and Labrador (ages 5 and up).

    British Columbia and Manitoba implemented mask mandates for two periods. The first provincial mask mandate was effective from December 13, 2020 to June 30, 2021 in Alberta, from November 19, 2020 to June 30, 2021 in British Columbia, and from November 2, 2020 to August 6, 2021 in Manitoba.

    For all ages, limited medical exemptions may apply. Some cities implemented local mandates earlier:
    July 7, 2020: Toronto and Ottawa (in Ontario)
    July 31, 2020: Banff (in Alberta)
    August 1, 2020: Calgary and Edmonton (in Alberta)
    September 25, 2020: Winnipeg (in Manitoba)
  4. ^ Public indoor gatherings are restricted to 50 people. Outdoor gatherings are restricted to 1,500 people, but for venues with capacity limits, they are restricted to the greater of: 150 people or 50% capacity.
  5. ^ Travellers from outside of the province are required to isolate for 14 days.
  6. ^ Jump up to: a b c d Effective July 3, the Atlantic Provinces have formed a travel bubble that allows travel between the four provinces of the Atlantic region. Visitors outside of this bubble must continue to follow all public health orders.
  7. ^ Jump up to: a b The mask mandate expired on July 10, 2021 in PEI and on August 10, 2021 in Newfoundland and Labrador, but the state of emergency continues.
  8. ^ Nunavut is not accessible from the rest of Canada by road. Its entry restrictions are therefore effectively enforced with respect to prospective non-resident air travellers by federal transportation officers serving at airports from which flights depart for the territory. Returning Nunavummiut and others permitted to enter the territory are required to isolate at designated hotels in the city of departure for fourteen days prior to boarding a flight.
  9. ^ Outdoor gatherings are limited to 100 people, though they can be larger if distanced and of a religious nature. Indoor gatherings are limited to 25 people. Indoor religious services, including weddings and funerals, can operate at 25% capacity.
  10. ^ From April 19 to June 16, 2021, entry into the province via land borders was prohibited for non-essential travel.[164]
  11. ^ On July 16, 2021, Ontario entered Step 3 of reopening. Almost all businesses can reopen, with limited restrictions.

    Ontario implemented its first SAHO on March 24, 2020. To date, a total of three SAHOs were imposed, with province-wide SAHOs and lockdowns totalling 165 days. Most activities in Ontario were closed for even longer.
  12. ^ Effective July 27, daycares can open if they have 15 people (staff and children) per group.[171]
  13. ^ Stage 3 is effective July 17 in most regions, July 24 in a few other regions, July 31 in Peel and Toronto, and August 12 in Windsor-Essex.
  14. ^ Dancing is prohibited but if the dancers are hired by the bar they are allowed to dance.[172]
  15. ^ Outdoor gatherings are limited to 20 people on private properties and balconies, though religious gatherings and peaceful protests can be larger if distanced. Indoor gatherings are limited to 10 people at home, and a limit of three households applies. Indoor religious services, including weddings and funerals, can operate at 25% capacity.
  16. ^ Essential travel only in Nunavik and James Bay Territory
  17. ^ Summary of reopening for Quebec:
    April 1, 2021: Dark Red zones, with special emergency measures, are introduced in several regions: most of Capitale-Nationale, most of Outaouais, and the city of Lévis, Quebec.
    May 24, 2021: All of Quebec is at Red zone or better.
    June 28, 2021: All of Quebec is at Green zone.

    Québec implemented a curfew from January 9 to May 27, 2021 for Dark Red, Red and Orange zones.[175][176]

On March 12, Quebec declared a public health emergency, requiring international travellers to self-isolate for 14 days and banning gatherings of 250 people. Extending the ban to all gatherings outside workplaces and retail.[191]

On March 16, Prince Edward Island declared a public health emergency. Alberta and Ontario declared emergencies on March 17, followed by British Columbia, Newfoundland and Labrador, the Northwest Territories, Nunavut, Saskatchewan, and Yukon on March 18. New Brunswick, Manitoba, and Nova Scotia declared emergencies on March 19, March 20, and March 22 respectively.[192]

These emergencies allowed provinces to ban gatherings and require international travellers to self-isolate. On March 25, mandatory self-isolation was imposed federally, making it a legal requirement for all provinces that had not done so already.[193]

New Brunswick, the Northwest Territories, Nunavut, Prince Edward Island and have all restricted entry through interprovincial borders, prohibiting the entry of non-residents without a valid reason. Quebec has additionally restricted travel into 9 of its 18 regions and parts of 3 other regions. The borders of Nova Scotia and Newfoundland and Labrador are being screened, while also requiring travellers to self-isolate for 14 days upon entering the province.[194]

Schools and universities

Let's Work Together Stop the Spread sign at a school in the GTA.

Public schools (under Provincial control) across the country quickly followed suit and closed.[195]

Schools in the Toronto District School Board were closed under a 2-week class-free quarantine beginning on the week after the regularly scheduled March Break. Virtual learning was implemented in the week following the quarantine and extended until the beginning of the next school year, giving students the option of going in-person with restrictions or continuing virtual learning. March Break was pushed back to the week of April 11.

Laurentian University in Greater Sudbury was the first to voluntarily suspended classes and moved to online instruction on March 12.[196] This was quickly followed by many other universities across the country.

Business closures

Playground in Port Moody, British Columbia, closed off with caution tape. A sign indicates the playground is closed because of COVID-19.

Bars, restaurants, cinemas, and other businesses have been ordered closed by provinces, territories, and municipalities across the country. Initially, some jurisdictions allowed restaurants or bars to stay open with reduced capacity and social distancing. Takeout and delivery orders are largely still permitted.[194] Jurisdictions have differed on daycare closures. In particular, British Columbia and Saskatchewan have faced criticism for allowing daycares to remain open while closing schools, bars, and restaurants.[197]

Ontario, Quebec, and Saskatchewan have mandated the closure of all businesses not deemed essential by the provinces. Essential businesses include grocery stores, takeout and delivery restaurants, pharmacies, transportation, manufacturing, food production, energy, and healthcare.[198][199][200]

Liquor and cannabis stores remained mainly open across the country, with governments reversing their closure orders due to alcohol withdrawal syndrome[201][202] concerns.

Aid programs

Alberta, British Columbia, New Brunswick, Prince Edward Island, and Manitoba all offered one-time payments that aimed to bridge the gap before implementating the federal Canada Emergency Response Benefit. Quebec's Temporary Aid for Workers Program provides up to four weeks of payments for those who do not qualify for federal assistance. Prince Edward Island also provides payments to those who have kept their jobs but work reduced hours.[203]

Many provinces and territories have increased payments for those already receiving income supports.

Courts

Courts across the country instituted measures to reduce public contact while maintaining access to the courts.[204] The Supreme Court of Canada has closed the building to public tours while maintaining the ability to file documents for cases electronically. It has also adjourned appeals which were to be heard in March, to dates in June.[205] Other courts have prioritized the cases that will be heard, giving priority to ongoing criminal trials and trials in family and child protection matters while adjourning most pending cases to later dates.

First Nations

On March 19, the Pimicikamak Cree Nation in northern Manitoba restricted entry to essential travellers, and Chief David Monias said the Sayisi Dene and others are doing the same.

As of March 19, the Council of the Haida Nation said it was discouraging all non-resident travel to the islands "for the time being."[206]

On March 27, Wasauksing First Nation declared a state of emergency with Gimaa (chief) Wally Tabobondung announcing the creation of a response team and the state of emergency via YouTube video. In an update posted on May 16, the chief and council announced they had installed cameras with facial and licence plate recognition technology at local checkpoints to identify outsiders entering the territory. Cottagers leasing property on the territory had been barred from entering until June 6. As of June 6, anyone entering the Wasauksing must have a tag issued by the band government and provide information for a centralized registry. Re-opening has been occurring in phases. As of an update posted on June 21, the state of emergency had been extended an additional 90 days.[207]

On October 1, in anticipation of the "Second Wave," Tk’emlups te Secwepemc Secwépemc First Nation instituted a mandatory face mask policy in indoor spaces where physical distancing was not possible, including hallways, staircases, and shared vehicles.[208]

As of October 8, the infection rate in Indigenous communities had been one-third of the infection rate in non-Indigenous communities, according to an update from Indigenous Services Minister Marc Miller. Miller praised Indigenous leadership and with Indigenous Services Canada's Chief Medical Officer Dr. Tim Wong, encouraging Indigenous people to remain vigilant and safe.[209]

First Nations communities are prioritized amongst others in the first phase of vaccinations against the virus.[210]

Economic impact

Panic buying: empty toilet paper shelves on 12 March 2020 at an Atlantic Superstore in Halifax, Nova Scotia.

The COVID-19 pandemic had a deep impact on the Canadian economy, leading it into a recession. The governments' social distancing rules had the effect of limiting economic activity in the country. Companies started considering mass-layoffs of workers, which was largely prevented by the Canada Emergency Wage Subsidy. But despite these efforts, Canada's unemployment rate was 13.5% in May 2020, the highest it has been since 1976.[211]

Many large-scale events that planned to take place in 2020 in Canada were cancelled or delayed. This includes all major sporting and artistic events.[212] Canada's tourism and air travel sectors were hit especially hard due to travel restrictions.[213] Some farmers feared a labour shortfall and bankruptcy.[214]

COVID-19 affected consumer behaviours. In the early stages of the pandemic, Canadian grocery stores were the site of large-scale panic buying which lead to many empty shelves. By the end of March, most stores were closed to walk-in customers with the exception of grocery stores and pharmacies, which implemented strong social distancing rules in their premises. These rules were also implemented in other Canadian businesses as they began to re-open in the following months.

Pandemic by province or territory

Alberta

The province of Alberta has the third-most cases of COVID-19 in Canada, behind only Ontario and Quebec.

Jason Kenney, the Premier of Alberta, working closely with the Emergency Management Cabinet Committee, followed the recommendations of Alberta's Chief Medical Officer of Health, Dr. Deena Hinshaw, in response to the "rapidly evolving global threat". A state of public health emergency was declared on March 17. Alberta's public health laboratory greatly increased tests for COVID-19, reaching 1,000 a day by March 8, and 3,000 a day by March 26.[215] Hinshaw said that by March 20, "World-wide, Alberta has been conducting among the highest number of tests per capita."[216] As of September 16, 2021, 5,315,772 tests have been conducted in Alberta.[217] On June 12, the entire province of Alberta moved to Stage 2 of the government's economic relaunch plan.[218]

The peak of the first wave was reached on April 30, 2020, when the number of active cases of COVID-19 in the province reached 3,022.[219] By October 19, 2020, during the second wave, the number of active cases reached 3,138.[219] This began a series of new record high case numbers in Alberta, peaking on December 14, 2020 at 20,500 active cases.[220] An attempt to lift restrictions after cases subsided in early-2021 was interrupted in March by a third wave, fuelled by variants of concern. This led to a rollback of the reopening process until the first vaccine dose was sufficiently distributed among residents. On July 1, Alberta lifted almost all remaining public health orders. In late-July 2021, amid evidence of a fourth wave in Alberta, the province faced criticism for plans to treat COVID-19 as an endemic illness by scaling back testing, contact tracing, and self-isolation requirements.[221]

British Columbia

Deserted exterior of Canada Place in Vancouver.

On January 28, 2020, British Columbia became the second province to confirm a case of COVID-19 in Canada.[222] The first case of infection involved a patient who had recently returned from Wuhan, Hubei, China.[223] The first case of community transmission in Canada was confirmed in British Columbia on March 5, 2020.[224]

British Columbians have taken numerous emergency measures in an effort to reduce the spread of the virus, such as social distancing and self-isolation. On March 23, British Columbian Premier John Horgan announced the details of the province-wide emergency relief plan, which includes income support, tax relief and direct funding in order to mitigate economic effects of the pandemic.[225]

Manitoba

Manitoba officially reported its first cases on March 12, 2020. A state of emergency was declared on March 20, and implemented its first lockdown on April 1—ordering the closure of all non-essential businesses. In comparison to other provinces, case counts remained relatively low in Manitoba throughout the spring and summer months, and the province began lifting some of its health orders on May 4. Some isolated outbreaks occurred in communal Hutterite colonies and in the Brandon, Manitoba area in late-July and August respectively.

By September 2020, the province had begun to develop a harsher second wave, which led to restrictions being reimplemented in parts of the province (including the city of Winnipeg), and by November 12, all of Manitoba being placed under the highest, "Critical" (red) level of the province's tier-based response system, which reintroduced strong restrictions on gatherings and non-essential activities similar to the first wave.

While some restrictions were eased in early-2021 while remaining under the Critical tier, strong restrictions on gatherings, retail capacity, and specific non-essential sectors of businesses were reintroduced in May 2021 due to a harsher third wave of COVID-19 fuelled by variants of SARS-CoV-2. The province's healthcare system was overwhelmed, which required it to send some of its COVID-19 intensive care patients to neighbouring provinces, and seek federal aid.[226] By June 2021, the province had begun to lift some of its restrictions due to vaccination progress.

New Brunswick

The province of New Brunswick has the eighth-most cases (out of ten provinces and three territories) of COVID-19 in Canada. As of May 27, 2021, New Brunswick has reported 2,172 cases, with the first one reported on March 11,2020. There have been 1,991 recoveries and 43 deaths.[227] 329,398 tests have been completed as of May 27.[227]

In New Brunswick's first case, the person had returned to southeastern New Brunswick from France, and self-isolated at home.[228] The second case was a close contact.[228]

On July 3, New Brunswick joined three other provinces to form the Atlantic Bubble, which allowed free travel amongst the member provinces but restricted access to travellers from outside provinces. However, this was suspended in November.

Newfoundland and Labrador

As of July 5, 2021, there have been 1400 cases and seven deaths confirmed in Newfoundland and Labrador.

The province announced its first presumptive case on March 14, 2020, and declared a public health emergency on March 18. Health orders, including the closure of non-essential businesses, and mandatory self-isolation for all travellers entering the province (even from within Canada) were enacted over the days that followed. After the initial outbreaks, the number of cases in Newfoundland remained relatively low, with several stretches of days with no cases over early-to-mid-2020. The province began a gradual lifting of restrictions on a five-stage scale on May 11, 2020.

Cases continued to remain relatively low and stable over the summer months of 2020, although several clusters (including the first case involving a school student) emerged in November and December. In February 2021, the province began to experience a major surge in new cases and community transmission, including its largest single-day increases to-date. On February 12, 2021, a second lockdown was declared after samples from these cases tested positive for the highly-transmissible SARS-CoV2 variant B.1.1.7. The province began to emerge from the second lockdown on February 27, returning to its prior state ("Alert Level 2") with modifications on March 27.

Northwest Territories

Border Checkpoint on the Dempster Highway

As of July 5, 2021, there have been 128 confirmed cases in the Canadian territory of the Northwest Territories with 28 cases recovered. 11,789 tests have been conducted, with 11,758 negative results.[229]

On March 21, 2020, the Northwest Territories reported its first case of COVID-19; the individual had travelled to British Columbia and Alberta before returning home to Yellowknife.[230]

Nova Scotia

On March 15, 2020, three presumptive cases in Nova Scotia were announced. All three were travel-related.[231] The province is amongst four provinces in the Atlantic Bubble, along with New Brunswick, Prince Edward Island and Newfoundland & Labrador which have reported a significantly smaller portion of cases during the COVID-19 pandemic in Canada.

Nunavut

COVID sign at one of the local stores in Cambridge Bay

Until November 6, 2020, Nunavut remained the only province or territory in Canada, and the only place in North America, that had not yet recorded a confirmed case of COVID-19,[232][233] with two early presumptive cases later ruled to be false positives,[234][235] and clusters of cases at mines in September and October involving employees flown in from outside of the territory.[236][237][238][239]

On November 6, 2020, Nunavut recorded its first confirmed case of COVID-19 in-territory.[240] By mid-November, evidence of community transmission began to emerge, prompting the territory to reimplement restrictions in the affected communities. Nunavut's Chief Medical Officer Michael Patterson announced on November 16 that a territory-wide lockdown would take effect on November 18, reinstating the closure of schools and all non-essential businesses for at least two weeks.[241]

Ontario

Social distancing markers at Whole Foods Market in Toronto.

Ontario has had the largest number of confirmed COVID-19 cases among Canada's provinces and territories. Due to having the largest population, only ranks fourth adjusted per capita.[242]

Section 'Timeline' is empty

Prince Edward Island

As of July 6, 2021, Prince Edward Island has reported 207 confirmed cases of the virus, 206 of which have resolved.[243] As of that date, 28,653 tests have come back negative and 84 are currently under investigation.[243] On March 14, 2020, the first confirmed case in Prince Edward Island was announced, a woman in her 50s who had returned from a trip on a cruise ship on March 7.[244] By March 26, 2020, there were five cases, all of which had been travel related, i.e., been contracted while persons were abroad.[245] To date, there was no re-transmission reported in the island province.[246]

Quebec

The pandemic first spread to Quebec in late February 2020, with the first confirmed case being a 41-year-old woman from Montreal who had returned from Iran on a flight from Doha, Qatar.[247][248][249]

Quebec declared its first Public Health Emergency in its history on March 14, 2020,[250] which was later renewed and extended multiple times through 2020 and 2021 indefinitely.[251] On March 15, the government enforced the closure of various entertainment and recreational venues, and on March 23, all non-essential businesses were ordered to close. By the end of March, over four and a half thousand cases had been confirmed in all regions of the province. Long-term care homes were particularly hard-hit, with around 80% of deaths in the first wave occurring in centres d'hébergement de soins de longue durée (CHSLDs) and résidences privée pour aînés (RPAs).[252]

As summer approached, the number of daily cases saw a steep decline, leading to the relaxation of some health restrictions.[253][254][255] However, beginning in late summer and autumn 2020, a second wave of the virus began to emerge in Quebec and throughout Canada.[256] In September, certain restrictions, including the prohibition of private gatherings and the closure of indoor dining rooms, were reinstated in the greater areas of Montreal and Quebec City.[257] As autumn progressed into winter, cases continued to rise, with daily case counts periodically breaking provincial records, prompting the Quebec government to tighten restrictions further and expand them to more regions. By early December, Quebec had reached a total of 100,000 cases of COVID-19.[258]

Saskatchewan

Chief Medical Officer Saqib Shahab announced the first presumptive case of in the province on March 12, 2020, a person in their 60s that had recently returned from Egypt.[259] A provincial state of emergency was declared on March 18, and the province began to institute mandatory closures of non-essential facilities and lines of business over the days that followed.[260][261] Saskatchewan reported its first deaths from COVID-19 on March 30.[262] By April 6, the number of new recoveries began to regularly equal or exceed the number of new cases, which also began to steadily drop.[263][264][265][266][267] On April 23, Premier Scott Moe stated that Saskatchewan's caseload was 70% below the national average per-province, and hospitalizations and deaths were 90% below average.[268]

The province's first major outbreak began in late-April, centred upon the remote northwestern community of La Loche. It was traced to an outbreak at the Kearl Oil Sands Project in northern Alberta, with wider community spread attributed to overcrowded living conditions in local First Nations communities.[269] In June and July, a new outbreak emerged in the western and central regions of the province, centred around communal Hutterite colonies. The province hit a new peak of 332 active cases during the spike, which subsided by late-August.[270] In early-October, the number of new cases in Saskatchewan began to rapidly increase in urban communities, with a gospel outreach in Prince Albert being attributed as a superspreader event,[271] and increasing community spread in Saskatoon — particularly at nightclubs.[272]

New restrictions on gatherings were introduced in mid-November, including a prohibition of all group sports activities.[273][274] By early-December, the province reached over 4,000 active cases,[275] and there were increases in deaths tied to long-term care facilities.[276][277] COVID-19-related deaths to-date in Saskatchewan roughly doubled during January 2021.[278] Despite numbers having declined elsewhere in Saskatchewan,[279][280] a third wave attributed to Alpha variant (lineage B.1.1.7) began to emerge in mid-March 2021, centred upon the provincial capital of Regina, as well as nearby Moose Jaw, and southeast Saskatchewan. On March 23, the province ordered the closure of indoor arts, entertainment, restaurant, and event facilities in the Regina area to slow the spread of variants of concern. The province also reinstated a prohibition of private gatherings that had recently been lifted to allow household bubbles,[281] while schools in Regina, Moose Jaw, and southeast Saskatchewan voluntarily suspended in-person classes through at least April 26.[282][283][284]

By late-May, the third wave had begun to subside due to vaccination progress, resulting in the province beginning to lift restrictions on a timeline based on vaccine metrics. On June 1, the province saw its smallest single-day increase in cases (86) since late-February.[285][286] On July 11, 2021, the province sunset almost all remaining public health orders and declared the state of emergency over.[287] However, residents who test positive may still be legally ordered to self-isolate by health officials.[288] The province reported that the "overwhelming" majority of new infections in July were among the unvaccinated. This is exasperated by Saskatchewan's vaccination numbers trailing in comparison to other provinces.[289]

By August, evidence of a fourth wave driven by the unvaccinated began to emerge in the province, with increasing rates of cases in Saskatchewan's northern zones and in Saskatoon, and the province reporting its largest increase in new cases since May on August 12.[290][291][292] By August 22, hospitalizations had reached their highest number since June, and the seven-day average had reached 166.[293] On September 13, Saskatchewan reported a new peak daily increase of 449 cases (with the majority being among the unvaccinated), while surpassing 200 hospitalizations for the first time since April 2021.[294]

Premier Moe repeatedly declined to reinstate public health orders such as mandatory masks,, or require proof of vaccination in order to attend certain locations or events, stating that public health orders were redundant to vaccine availability, and that he did not want to implement "heavy-handed" vaccine passport requirements like other provinces. [295][296][297][298] However, on September 16, citing that the fourth wave was being "driven almost entirely" by the unvaccinated, Premier Moe backtracked on his earlier statements and announced an "interim" mask mandate for indoor public spaces, and a plan for mandating proof of vaccination for certain activities.[299]

Yukon

As of November 21, 2020 in the Canadian territory of Yukon has reported 29 confirmed cases of COVID-19, of which 22 have recovered and one has died. 4,509 tests have been completed, with 4,361 confirmed negative and 121 still under investigation.[300]

On March 22, 2020, Premier Sandy Silver and the Chief Medical Officer, Brendan Hanley, announced that Yukon had its first cases of coronavirus, a couple who had attended a convention in the United States and then returned home to Whitehorse. They developed symptoms upon their return and immediately sought medical assistance. They have self-isolated and have meticulously followed all public health directions.[301]

During the pandemic, the territory opened its first public university in the north, Yukon University.[302]

COVID-19 testing

COVID-19 testing can be used to track the prevalence and spread, to diagnose individuals for treatment, to identify infections for isolation and contact tracing, to screen at-risk populations, to clear exposed healthcare workers to return to work, and to identify individuals with potential immunity. The World Health Organization says that jurisdictions should aim to test every suspected case of COVID-19.[303] Since health care is under provincial jurisdiction, almost all testing is conducted by the provinces and territories rather than the federal government. On April 23, Trudeau identified broader testing as key to reopening the country, mentioning the target of 60,000 tests per day set by Dr. Theresa Tam, but warned that up to 120,000 per day may be required.[304] As of late April, approximately 20,000 tests per day were being performed in Canada.[305] Total numbers of tests conducted for the provinces and Canada show that over 800,000 Canadians have been tested as of early May 2020. The displayed chart shows the testing rates per capita in the provinces and territories from March to May 2020.

The COVID-19 testing rates in the provinces and territories of Canada from March to June 2020. The lines are a 7-day moving average. Sources:[306] and Statistics Canada. Table 17-10-0009-01 Population estimates, quarterly

Role of the Government of Canada

Federal approval and regulation of diagnostic tests

Only COVID-19 tests approved by Health Canada can be imported or sold in Canada.[307] Since this is usually a lengthy process, on March 18, the Minister of Health Hajdu issued an interim order to allow expedited access to COVID-19-related medical devices for use by healthcare providers, including diagnostic test kits.[308] The same day, the first commercial tests were approved, RT-PCR tests from Roche and Thermo Fisher.[309] Another 13 diagnostic products have since been approved, all based on Nucleic Acid tests.[309] As of April 30, 21 diagnostic device applications were listed as submitted by Health Canada.[307]

National Microbiology Lab

Canada's National Microbiology Lab in Winnipeg performs diagnostic testing for and research into COVID-19.[310] Samples from suspected cases early in the pandemic were sent by provinces and territories to this national lab for testing, either as the sole test or as a check of an in-province test result.[311] The lab diagnosed the first confirmed case in Canada on January 27, 2020.[312] Since then, provinces and territories have established their own testing capacity but have occasionally sent samples to the national lab for a second test as a check.[313]

Federal facilitation of testing

Provinces have faced COVID-19 testing backlogs due to a shortage of supplies, including the chemical reagents required to complete the tests.[314] In late April, the federal government arranged for a cargo flight from China that delivered the equivalent of about six to nine months of production for one particular raw material for the 20-odd raw materials needed by supplier LuminUltra to supply reagent kits for RT-PCR machines.[315]

Types of COVID-19 tests

Virus-RNA tests

Health Canada identifies nucleic acid-based testing as "the gold standard used in Canada and abroad, for the diagnosis of active COVID-19 infection in patients with symptoms."[316] The predominant type of testing is used in RT-PCR. They use a carefully produced and validated swab to collect a sample from a person's throat, back of the nose, or front of the nose. The swab is put inside a sealed container containing a medium that preserves the virus, which is sent to test-processing centres in the corresponding province or territory. At the centres, highly skilled technicians use large commercial machines from a variety of manufactures to process tens to hundreds batches of samples at a time. The test chemically strips the RNA from the sample then mixes it with a test kit containing chemical reagents designed to detect RNA signatures of SARS-CoV-2. The sample is cycled between a set of temperatures to amplify the chemical RNA signature. This leads to processing times that range from 4 to 24 hours.[317] The actual RT-PCR test is 99 percent accurate. However, false-negative results are estimated to occur 8 to 10 percent of the time due to poor swabbing technique. They may be as high as 30 percent, depending on how long after symptom onset the test was performed.[318][319]

Provinces have faced COVID-19 testing backlogs due to a shortage of the chemical reagents and swabs required to complete the tests.[314]

Virus-RNA test reagent kits

LuminUltra Technologies Ltd. of Fredericton is producing reagent test kits to use with automated RT-PCR machines. On April 15, Trudeau announced that the company would be "ramping up production ... to meet the weekly demand in all provinces."[314] The company announced the same day that it would provide "500,000 urgently needed COVID-19 tests per week to the Canadian federal government for use across Canada."[315]

Canadian-made viral RNA test systems

Spartan Bioscience of Ottawa signed contracts with the federal government and the provinces of Alberta, Quebec, and Ontario to supply virus-RNA testing systems that process a single swab sample in 30 to 60 minutes.[320] Together the contracts were for over one million swab test kits, and at least 250 handheld devices.[321][320] On April 13, Health Canada approved this test, but on May 3 the test was recalled due to unreliable results.[322]

Precision Biomonitoring of Guelph signed a Letter of Intent on March 31 with the federal government to co-develop a novel point-of-care test kit for COVID‑19, which is now pending an authorization from Health Canada.[323] Their 1.2 kg battery-operated mobile device performs nine tests per hour and takes 60 minutes to produce a result.[324]

Bio-ID Diagnostics of Edmonton developed a direct 24-hour virus test that can be scaled to 20,000 samples per day. Since it is based on sequencing DNA it avoids false positives, and it detects a low concentration of the virus, substantially reducing false negatives in asymptomatic individuals.[318]

On October 5, Health Canada approved a portable PCR test – the Hyris bCUBE —which was based on technology developed at the University of Guelph and can process tests in 90 minutes.[325][326]

Serological testing for antibodies

These blood tests look for antibodies to the SARS-CoV-2 virus and range in complexity from laboratory tests to at-home kits similar to pregnancy tests.[327] Antibodies do not form immediately upon infection, so these tests are not well-suited for detecting a current infection. However, they can potentially identify those who have been infected in the past.[327] Health Canada has been evaluating several antibody tests.[316] Health Canada deemed that "Serological tests are not appropriate for early diagnosis of COVID-19, largely due variability in the time required after infection to develop antibodies."[316] On May 12, 2020, Health Canada announced the first antibody test approved for use, a laboratory test from DiaSorin, an Italian multinational biotechnology company.[328] Health Canada wrote that the trial would "contribute to a better understanding of whether people who have been infected are immune to the virus."[328]

Research and population immunity

Health Canada posts "studies will be required to determine how long the antibodies remain detectable, whether for weeks, months or years" and "the relationship between antibodies and immunity to future viral infection."[316] Nonetheless, many countries are conducting or planning large-scale testing to determine the population's porportion and are potentially now immune. As of April 20, the WHO estimated that the most affected countries had been infected at most 2 to 3 percent of people in affected countries.[329] On April 23, 2020, Trudeau created a COVID-19 Immunity Task Force of researchers, including Dr. Tam, Dr. David Naylor, and Dr. Mona Nemer, to coordinate monitoring of immunity and vulnerability to COVID-19 in the Canadian population.[330] The taskforce will oversee national antibody surveys over the next two years in which will test one million Canadians.[304] Researchers at Sinai Health's Lunenfeld-Tanenbaum Research Institute in Toronto are developing a robotic system that can process mass numbers of antibody tests.[331]

Canadian-made antibody tests

MedMira of Halifax developed one of the first rapid detection kits for HIV and has now developed a COVID-19 antibody test that takes three minutes from taking the blood drop specimen.[332]

Plantform Corp. of Guelph applied for funding from the National Research Council to develop an antibody test for COVID-19.[333]

Rapid antigen testing

Tests for antigens, proteins that are part of the virus's surface, were first approved by Health Canada on October 6, when it approved and ordered 20.5 million units of one manufactured by Abbott Laboratories as a point-of-care test.[334] They can produce results faster than PCR tests (around 20 minutes)[334] but are generally less accurate than PCR tests. Abbott states that they are designed for preliminary results and not intended "as the sole basis for treatment or other management decisions." Deputy Chief Public Health Officer Howard Njoo stated these tests could be deployed in workplaces and communal living environments.[334]

Canadian-made rapid antigen tests

Sona Nanotech of Halifax was developing point-of-care COVID-19 antigen test kits that provide results in 5–15 minutes with an anticipating cost to be less than $50. If successful, the project will yield 20,000 test kits available per week, with the potential to scale up to 1 million test kits per week.[323][335]

Statistics

National maps

By age

Confirmed COVID-19 cases in Canada by age
Classification Cases Hospitalizations ICU Deaths Lethality
(‰)
Number % Number % Number % Number %
All 1,420,278 100 74,836 100 14,045 100 26,396 100 24.0
Age ≥80 70,994 5.0 19,890 26.6 1,465 10.4 16,972 64.3 239.1
70–79 60,004 4.2 14,531 19.4 3,248 23.1 5,333 20.2 88.9
60–69 114,188 8.0 13,214 17.7 3,724 26.5 2,514 9.5 22.0
50–59 184,858 13.0 10,903 14.6 2,792 19.9 972 3.7 5.3
40–49 207,729 14.6 6,738 9.0 1,422 10.1 332 1.3 1.6
30–39 232,463 16.4 5,081 6.8 825 5.9 140 0.5 0.6
20–29 270,900 19.1 2,963 4.0 372 2.6 65 0.2 0.2
0–19 273,349 19.2 1,374 1.8 163 1.2 14 0.1 0.1
Source: Public Health Agency of Canada, as of July 11, 2021.[336]

National

Confirmed new cases per day

Confirmed deaths per day

Provincial and territorial

Daily new cases by province and territory (7-day moving average)
Updated September 07, 2021
Western Canada

  British Columbia   Alberta   Saskatchewan

  Manitoba

Central Canada

  Ontario   Quebec


Atlantic Canada

  New Brunswick   Prince Edward Island   Nova Scotia

  Newfoundland and Labrador

Northern Canada

  Yukon   Northwest Territories   Nunavut

See also

References

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