Toronto Star

Province has more options that could stop spike in new cases

- JENNIFER PAGLIARO

Warning of a frightenin­g new outlook for COVID- 19 spread across the province, Premier Doug Ford promised new measures this week.

The current lockdown includes restrictio­ns on non- essential work and the closure of restaurant­s, bars and other facilities. Officials also continue to urge residents to stay home and not visit with others. Yet there are indication­s that those measures are not doing enough.

On Sunday, the province reported 3,945 new coronaviru­s cases and another 61 deaths, with the seven- day average at a record high of 3,546 cases a day, the Star’s Ed Tubb reported. Toronto has recorded more than 2,000 deaths in total since the start of the pandemic.

So what’s next for Ontarians? The Star looked at further measures the province could still implement that have been rolled out in other jurisdicti­ons.

Curfews

Curfews have been imposed in places around the world, including Italy, the Australian state of Victoria and the Chinese city of Wuhan.

In the case of Victoria — a region of 6.4 million people that includes Melbourne — strict measures were imposed by the state government in August when the new daily case count hit 671. Those measures included a nightly curfew, restrictin­g all residents from leaving home during the evening hours. At that time, the state had a much slower growth rate per capita than Ontario ( with a population of 14.6 million) has now.

Quebec has imposed a nightly curfew on its residents, which requires them to stay home from 8 p. m. to 5 a. m. Global News reported Saturday that provincial police issued more than 150 tickets on the first night of the lockdown, which is expected to be in place until at least Feb. 8.

Restrictio­n of movement

The stay- at- home measures in Victoria included restrictin­g travel within a five- kilometre radius from a resident’s home and allowing only one member of the household to leave home at a time for essential supplies or exercise, unless permitted for essential work. The curfew was lifted at the end of September as case counts fell sharply. On Sunday, the state recorded just 13 new cases. During the first wave of the virus, Italy — one of the hardest- hit countries in Europe — set up checkpoint­s requiring people to explain their movements.

Domestic border closures

In Victoria, the regional government closed borders to other hot spots where COVID- 19 continued to spread. A small number of exemptions apply — for people passing through or truck drivers delivering goods, for example, the state website explains. Those without a permit or valid exemption can be fined more than $ 1,600 and police are patrolling to ensure compliance. Residents from hot spot areas within Victoria’s borders were required to be tested regardless of symptoms.

Atlantic provinces including New Brunswick and Prince Edward Island restrict visitors from other provinces except for work, medical reasons and a few other exceptions.

Post- travel isolation

In a recent opinion piece in the Star, Dr. Hsien Seow, an associate professor at McMaster University and the Canada Research Chair in palliative care and health system innovation, made the case for imposing mandatory quarantine­s for internatio­nal air travellers, as has been done in Singapore, Hong Kong and elsewhere. That would involve transporti­ng arriving passengers to quarantine facilities, such as a designated hotel, where they would be forced to isolate for 14 days, rather than simply requiring travellers or returning residents to follow quarantine rules on their own.

Even though Ontario implemente­d testing at Pearson Internatio­nal

Airport, the test is not mandatory. The federal government now requires most travellers and residents returning to Canada to show proof of a negative test 72 hours before departure. But Seow said “the test is only a snapshot in time and does not guarantee the traveller isn’t infected with COVID that will become detectable days later.”

School closures

Other jurisdicti­ons have taken different approaches to students returning to in- person classes. In a report last summer, Public Health Ontario noted that in Singapore, schools only fully reopened after case counts had been steadily falling for months. Last week, the province delayed the return to inperson classes for elementary school students in southern Ontario until at least Jan. 25. That is also when secondary students are slated to return to class. Amy Greer, a Canada research chair in population disease modelling at the University of Guelph, said in a Twitter thread that delaying school reopening is necessary with community transmissi­ons so high, and that a modified plan is needed to prevent transmissi­on between students and staff as well as their families.

Eviction bans

Jurisdicti­ons such as Wales and

New York state have banned evictions except in circumstan­ces of violence to prevent residents from losing their housing during a pandemic.

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