The Chronicle Herald (Provincial)

Put idle Covid-testing capacity to good use

- BILL BLACK bblack@herald.ca @chronicleh­erald Bill Black is a former CEO of Maritime Life. He blogs at newstartns.ca.

The point is that we need a proactive approach to reopening our economy. We need initiative­s far more energized than the tepid efforts of the public schools community this spring.

There are valuable uses for our underemplo­yed COVID19 testing capability.

In late May, northern New Brunswick experience­d an outbreak of new infections, caused by a doctor irresponsi­bly failing to self-isolate after returning from Quebec. The biggest concentrat­ion of new cases was in a nursing home; two of its clients became New Brunswick’s first Covid-related deaths.

The outbreak was contained by a massive program of contact tracing and testing. As of Thursday, New Brunswick was down to three active cases. While containmen­t was being pursued, restrictio­ns were tightened in the affected area, but not in the rest of the province. This gives reason for public health authoritie­s to believe that they can contain an outbreak if it is identified early.

This week, Nova Scotia had its first new cases since June 9. They were people who had recently travelled and were already self-isolating. A widening outbreak from that situation is highly unlikely.

As with the more dramatic New Brunswick example, the system appears to be working.

The system in Nova Scotia includes the ability to do 1,200 or more tests in a day. In recent weeks, that has been lightly used, often at less than a third of capacity.

Can some of that capacity be deployed to help with challenges in the economy?

1. Out-of-province university students have become crucial to the viability of our universiti­es. Their absence in September is causing wellmanage­d universiti­es to experience huge deficits.

As it stands, students from outside Atlantic Canada would have to quarantine for 14 days each time they came back for a new term. Many of those from outside Canada would have trouble getting here at all.

For the Canadian students, we could provide a test upon arrival, and again after enough days have passed, for a second negative test to be determinat­ive.

The universiti­es community would need to provide and manage appropriat­e quarantine­d living spaces, both for those with negative tests and those who tested positive.

Internatio­nal students coming from countries showing successful responses to the pandemic (so not today’s U.S.A. or Brazil, for example) could be handled the same way.

Given these measures, it should be possible to have more in-person teaching.

2. Children are less likely to get the disease and will not get as sick as adults. Cases of children dying from the virus are extremely rare.

Elementary school children need in-person teaching, and their parents need a break. In many countries, schools are now cautiously reopening. In Germany, Denmark, Vietnam, New Zealand and China, children are mostly back behind their desks.

If our active case count remains very low, it should be possible for our elementary schools to operate with full classrooms thanks to regular random testing of teachers and students.

Constrain school athletics except those that allow distancing, such as certain track-and-field events. Lots of sanitizer and hand-washing.

Test-drive this in a handful of willing schools before going more broadly.

Equip teachers with masks and allow older teachers to opt out.

4. Likewise, let daycares operate at full capacity, again with random testing of infants and staff. Equip staff with masks.

Immigratio­n is a key driver of our economic growth, with much of it coming from the provincial nominee programs. As U.S. President Donald Trump works to block skilled workers from retaining work visas, there is a great opportunit­y for Canada to attract and retain talent. Facilitate nominees with a testing and quarantini­ng regimen like that for university students.

THREE CAVEATS:

1. This is written at a time when our number of active cases is negligible. If that number grows significan­tly — say, during a second wave — there will be pullback on some of the measures.

2. The biggest worry would be asymptomat­ic young people infecting granny. Visitor access to seniors’ facilities or homes will need to be tightly managed, including use of masks.

3. No doubt, there are flaws in the details proposed above. Readers will have valuable ideas for improvemen­t, as will the more knowledgea­ble minds in Public Health.

The point is that we need a proactive approach to reopening our economy. We need initiative­s far more energized than the tepid efforts of the public schools community this spring.

Done right, this can deliver a better learning experience for our children and make Nova Scotia an attractive destinatio­n for university students and talented immigrants.

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