Two local health units have their most COVID deaths in a month.
Two western Quebec emergency rooms are reopening.
Ottawa's COVID-19 hospitalizations remained stable Wednesday. The city's wastewater levels are stable and show signs of a slow decline.
Two health units west of Ottawa have had more COVID deaths in January 2022 than any other month.
Western Quebec's health authority CISSSO says the Gatineau Hospital emergency room is fully reopening as of Monday and the St-André-Avellin ER will start opening 8 a.m. to 2 p.m. on weekdays. It says hiring 25 more staff is part of the reason these services can return.
Ontario's backlog of health-care services has grown "quite substantially" during the pandemic, with some caught in it describing an excruciating wait for care.
Numbers to watch
Testing can't meet demand during the Omicron wave, meaning many people with COVID-19 won't be reflected in the case count. Hospitalizations and wastewater monitoring can help fill in some of the grey areas.
The average level of coronavirus in Ottawa's wastewater has stabilized at a very high level. It's also high and stable in Kingston.
There are 104 Ottawa residents in local hospitals for treatment of active COVID-19 as of Wednesday's daily Ottawa Public Health (OPH) report. Seventeen of these patients are in an ICU. Both numbers have been rising, but changed little Wednesday.
Ottawa-Gatineau area confirmed COVID-19 cases
They also don't tell the entire hospital picture: as of Monday, there were 286 hospital patients with COVID in Ottawa, roughly split between those needing care for COVID and those in hospital for other reasons who happen to have COVID.
As of Wednesday, Ottawa has had 56,516 confirmed cases of COVID-19. There are 3,062 known active cases — a number that may actually be much higher — and 678 residents have died from the illness.
Local public health officials have reported more than 120,000 COVID-19 cases across eastern Ontario and western Quebec. The last case total update from the Eastern Ontario Health Unit was Jan. 14 as it makes reporting changes.
Outside of Ottawa, the wider region has about 170 COVID-19 hospitalizations, with 29 of them needing intensive care. Those numbers have been relatively stable and don't include Hastings Prince Edward Public Health, which has instituted a different way of reporting.
In eastern Ontario outside of Ottawa, 309 people with COVID-19 have died. In western Quebec, the death toll is 256.
What are the rules?
The province's private gathering limits are five people indoors and 10 outside.
Indoor dining, gyms and museums are among the closures, while other businesses and religious services can reach 50 per cent capacity.
The province plans to roll back these rules in stages starting Monday, when most closed businesses can reopen and private gathering limits go back up. The step after that is planned for Feb. 21.
In-person learning is back.
The province's vaccine passport is required for many public places for people above 12 years and 12 weeks old. People can prove they've had at least two vaccine doses with a paper or digital document that has a QR code.
Indoor gatherings involving more than one household bubble are generally prohibited.
Restaurant dining rooms are closed, as are most places of worship. Indoor sports have also been cancelled.
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As of Monday dining rooms can reopen at half capacity, those kinds of indoor gatherings can happen again and some youth sports can happen again.
Theatres and places of worship will be allowed to reopen as of Feb. 7.
Schools are reopen for in-person learning.
Quebec's health minister said earlier this month that people will eventually have to have three doses for the passport. The premier said people who remain unvaccinated without a medical exemption will have to pay a health tax.
What can I do?
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That level of spread puts vulnerable people at risk and is making staffing a challenge in many sectors, delaying many more medical procedures and increasing the workload of staff who aren't sick or isolating.
There are signs that COVID-19 spread during this pandemic wave may be plateauing at very high levels and without these staffing pressures easing yet.
Health officials say people should recommit to the fundamentals of getting all vaccine doses as they're eligible for and staying home when sick. If people are going to have social visits, they should keep them small and do it outside if possible.
Health Canada recommends older adults and people with underlying medical conditions get help with errands and have supplies in case they need to isolate.
Travellers older than 12 years and four months must be fully vaccinated to board a plane, train or marine vessel in Canada.
The federal government is officially advising against non-essential international travel.
The U.S. requires all adults crossing a land, air or water border to be fully vaccinated. People flying there will need proof of a negative COVID-19 test within a day of departure.
The hope is that other countries will accept provincial or territorial proof of vaccination.
Both local provinces generally recommend doses for kids age five to 11 be given at least eight weeks apart for the best possible protection. Some health authorities say parents can request a shorter interval; the minimum time between doses is three weeks.
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Guidance varies on when, not if, people should get a third dose after contracting COVID-19. Experts do agree people shouldn't get it until they're feeling recovered.
There have been more than 4.9 million first, second and third COVID-19 vaccine doses administered in the wider Ottawa-Gatineau region, which has about 2.3 million residents.
Eligible people can look for provincial appointments online or over the phone at 1-833-943-3900.
Pharmacies and some family doctors offer vaccines through their own booking systems.
All adults are eligible for a third dose; the general recommendation between second and third is three months.
Symptoms, treatment and testing
"Long-haul" symptoms can last for months.
If you have severe symptoms, call 911.
In eastern Ontario:
Only high-risk people with symptoms or who are at risk of severe illness from COVID-19 can get a laboratory-checked PCR test due to Omicron demand.
Qualified people can check with their health unit for clinic locations and hours. Other people with symptoms should assume they have COVID-19 and isolate.
Only students and teachers who show symptoms at school will have access to PCR tests. Rapid and take-home tests are available in some child-care settings when risk is high.
Travellers who need a test have local options to pay for one.
In western Quebec:
Quebec has also stopped giving PCR tests to the general public.
PCR tests will be reserved for those in high-risk settings such as hospitals, long-term care homes, detention centres and homeless shelters.
The online portal where people can report rapid test results is now online.
First Nations, Inuit and Métis:
First Nations, Inuit and Métis people, or someone travelling to work in a remote Indigenous community, are eligible for a test in both Ontario and Quebec.
Akwesasne has COVID-19 test and vaccine information online or at 613-575-2341. Residents can contact its Community in Quarantine Program if they need help getting essentials while isolating.
The neighbouring Saint Regis Mohawk Tribe is also offering tests.
It has had more than 1,700 residents test positive for COVID-19 and has reported 18 deaths between its northern and southern sections.
People in Kitigan Zibi Anishinabeg can call the health centre at 819-449-5593 for a test or vaccine; email is another option for vaccine booking. Ode Widokazowin can help people in isolation get groceries at 819-449-2323.
It had more than 150 confirmed cases and one death as of mid-January, and 118 of those cases are since Dec. 3, 2021.
People in Pikwàkanagàn can call a COVID-19 hotline at 613-401-0428 for updates on its response. It's offering PCR tests four mornings a week.
The community didn't have any confirmed COVID-19 cases until December 2021; it had 61 confirmed cases as of Jan. 21.
Anyone in Tyendinaga who's interested in a test can call its community health team at 613-967-3603, text it at 613-686-5510 or send it an email. It had 91 confirmed cases and two deaths until it paused sharing its count in early January 2022.
Inuit in Ottawa can call the Akausivik Inuit Family Health Team at 613-740-0999 for service, including testing and vaccines, in Inuktitut or English on weekdays.