Ontario's COVID-19 rates lower than expected due to public health measures: experts
Ontario's daily COVID-19 case counts are lower than what many experts had expected by now, and while they point to a number of factors for the relative relief, they say now is not the time to ease up on those measures.
For much of the summer, the province's top doctor warned of a September surge, followed by a bleak fall and winter. That has not materialized - yet - as the daily case counts remain under 1,000 and the graph of Ontario's seven-day average roughly shows a plateau since the beginning of September.
That's well under the worst-case scenario in Ontario's most recent modelling, which showed about 4,000 daily cases by now. Reality is more in line with the best-case scenario, in which cases would have steadily fallen since Sept. 1.
Dr. Zain Chagla, an infectious disease physician at St. Joseph's Healthcare Hamilton, said hospitalizations and ICU admissions are also stable even without more restrictions being introduced - noting the proof-of-vaccination system only took effect a few days ago.
"There is a little bit of cautious optimism in that with society being more open, kids back to school, all of the things that we...would have concerns about leading to escalating transmission, we're not seeing," he said.
Ontario's vaccination campaign is certainly helping, he said, particularly the targeting of high-risk communities. About 86 per cent of eligible people have received at least one dose.
The province's chief medical officer of health, Dr. Kieran Moore, attributed the stable cases to Ontarians' adherence to public health measures.
"I think Ontarians are being prudent and cautious and have realized that this virus can take off at any given time if we let our guard down," he said.
"Sadly, we only have to look out west to see what can happen if we let our guard down with this Delta."
In Alberta, there are more than 10 times the number of active COVID-19 cases per capita than Ontario. Hospitals there are overwhelmed and the head of the Alberta Medical Association says major components of triage have already started.
Chagla noted that Alberta's vaccination rate is not substantially lower than Ontario's. What he sees as the major reason for Ontario's relatively lower numbers is the different approach to public health measures.
In July, Alberta lifted its restrictions, including gathering limits and a mask mandate, while in Ontario a few weeks later, the government announced that it would delay any further lifting of restrictions. Masks were still going to be required even when the province moved out of Step 3 of its reopening.
Masks certainly help, Chagla said, but it also matters what signal a government is sending, whether the pandemic is being treated as over.
"I think again, not getting to a point where there were complete decompression of all the rules, treating COVID as if it was normal. I think it again kept that foot on the gas to continue vaccinating even through the summer aggressively, using every last mile effort to get it out there," he said.
"Keeping some of these precautions on I think helps also with that behavioural piece about people still taking it seriously and not creating the opportunities for transmission."
Beate Sander, the co-chair of the province's modelling consensus table, said she would have expected to see more cases by now, but that doesn't mean a bump won't materialize in a few weeks.
"The situation is so very fragile," said Sander, a professor at the University of Toronto's Dalla Lana School of Public Health.
"It's stable, it's not exactly decreasing. So things could turn really quickly. You just need to look at Alberta, to look at how quickly things could change."
Sander said Ontario likely has not yet seen the rise in cases that schools will spark. In-person classes have been in session again for a little over two weeks, but Sander said because most of a child's contacts - such as their parents - are likely vaccinated, if a child gets COVID-19, it would take the virus longer to find someone else to infect.
"The rate of infection has been increasing quite a lot in the five-to-11-year-old kids," Sander said.
"Something is growing under the surface and because it's relatively small numbers compared to the overall population, it's going to take a while to go through."
The colder weather will likely also force more gatherings and activities indoors and drive transmission, the experts said.
"We're just right at that point where things could flip and we could be out of balance," Sander said. "We do not want to open up anything else."
Moore said he is still expecting a difficult winter.
"I have seen modelling where we have a significant rise in January and February after the Christmas holidays and that is disconcerting," he said.
A bit of optimism is good to have, Chagla said, but it's still important to continue doing everything that has led Ontario to this point.
"There's a lot of factors that probably say we're going to come out on the other side towards the late winter, early spring and start getting back to a true normal, but there's still variants...there's still a lot of things that could go wrong," he said.
This report by The Canadian Press was first published Sept. 26, 2021.
CTVNews.ca Top Stories
'Anything to win': Trudeau says as Poilievre defends meeting protesters
Prime Minister Justin Trudeau is accusing Conservative Leader Pierre Poilievre of welcoming 'the support of conspiracy theorists and extremists,' after the Conservative leader was photographed meeting with protesters, which his office has defended.
What is changing about Canada's capital gains tax and how does it impact me?
The federal government's proposed change to capital gains taxation is expected to increase taxes on investments and mainly affect wealthy Canadians and businesses. Here's what you need to know about the move.
'My stomach dropped': Winnipeg man speaks out after being criminally harassed following single online date
A Winnipeg man said a single date gone wrong led to years of criminal harassment, false arrests, stress and depression.
Bank of Canada officials split on when to start cutting interest rates
Members of the Bank of Canada's governing council were split on how long the central bank should wait before it starts cutting interest rates when they met earlier this month.
Pilot reported fire onboard plane carrying fuel, attempted to return to Fairbanks just before crash
One of the two pilots aboard an airplane carrying fuel reported there was a fire on the airplane shortly before it crashed and burned outside Fairbanks, killing both people on board, a federal aviation official said Wednesday.
'One of the single most terrifying things ever': Ontario couple among passengers on sinking tour boat in Dominican Republic
A Toronto couple are speaking out about their 'extremely dangerous' experience on board a sinking tour boat in the Dominican Republic last week.
Quebec nurse had to clean up after husband's death in Montreal hospital
On a night she should have been mourning, a nurse from Quebec's Laurentians region says she was forced to clean up her husband after he died at a hospital in Montreal.
7 surveillance videos linked to extortions of South Asian home builders in Edmonton released
The Edmonton Police Service has released a number of surveillance videos related to a series of extortion cases in the city now dubbed 'Project Gaslight.'
Ukraine uses long-range missiles secretly provided by U.S. to hit Russian-held areas, officials say
Ukraine for the first time has begun using long-range ballistic missiles provided secretly by the United States, bombing a Russian military airfield in Crimea last week and Russian forces in another occupied area overnight, American officials said Wednesday.