What you need to know about COVID-19 in Ottawa on Monday, Oct. 26

Recent developments:.

• Four people have now died in an outbreak atPrescott and Russell Residence where the Red Cross is on site helping.
• A COVID-19 outbreak has been declared at the Ottawa-Carleton Detention Centre.
• Three more people with COVID-19 have died in the region.
• Ontario will table a budget next week.
• A coalition of Quebec fitness centres says they'll reopen Friday, no matter what.

What's the latest?

Ottawa Public Health (OPH) reported76newcases of COVID-19 on Monday and one more death. OPH has also declared an outbreak at the Ottawa-Carleton Detention Centre, where one person has tested positive.

Two more people with COVID-19 have died in western Quebec.

Ontario will table a budget next Thursday,Nov. 5.A plan to release a full budget in late March was scrapped as the pandemic took hold.

A coalition of Quebec gyms, yoga studios and other recreational activity centres are threatening to reopen at the end of the week, even if the province extends the 28-day partial lockdownin Montreal and Quebec City.

A total of four people atPrescott and Russell Residence in Hawkesbury, Ont., along-term care home, have now died and more than100 residents and staff have tested positive, theEastern Ontario Health Unitsaid Monday.

The Red Cross and local paramedics are working in the home to support staff as it manages the outbreak. The health unit said staffing levels over the weekend, with the extra help, are now adequate.

How many cases are there?

As of Monday'supdate from OPH,6,636Ottawa residents havetested positive for COVID-19.

There are 713known active cases,5,606 resolved cases and 317 deaths.

Public health officials have reported More than 10,100COVID-19 cases across eastern Ontario and western Quebec, withmore than 8,500of them resolved.

Seventy-twopeople with COVID-19 have diedelsewhere in eastern Ontario, along with 40in western Quebec.

What can I do?

Both Ontario and Quebec aretelling people to limit close contact only to those they live withor one other home if people live alone to slow the spread of the coronavirus.

In Ottawa which has been rolled back to a modified Stage 2 and Gatineau, Que., health officials are asking residents not to leave homeunless it's essential.

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New restrictions are now in effectin the Eastern OntarioHealth Uniteast of Ottawa, includinglimitson indoor dining and gym class sizes.

Indoor dining at restaurants has been prohibited, while gyms, cinemas and performing arts venues are all closed.

Dr. Vera Etches, the national capital's medical officer of health,said earlier this month the city'shealth-care system is on the verge of collapse.

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Lorraine Thomas, a retired nurse whose husband lives in the Peter D. Clark long-term care facility, says the standard of care at the centre is inadequate and that her husbands condition has deteriorated sharply in the last six months.

OPH and some eastern Ontario health unitsare urging peoplenot to have a Halloweenparty with other households or go trick-or-treating.

The province's chief medical officer of health says Ontarians shouldlisten to local officials, but as a rule of thumb,if trick-or-treating is allowed, people should stick to their neighbourhood and do it outside with their household only.

The health unit in the Belleville, Ont., area is bothaskingpeople not to trick-or-treat and telling them if they feel they must, how it can be done more safely.

Gatineau and parts of the Outaouaisare onred alert, which meansrestaurants and bars can't serve people indoors, organized sports are suspended and theatresmust close.

Quebecers are also urged not to travel to Ontario or between regions at different levels on its scale except for essential reasons.

Even though most of the region has been declared a red zone,PremierFranois Legault said kids can trick-or-treat as long as they don't go with friends and precautions are taken when giving out candy.

What about schools?

There have been more than 180schools in the wider Ottawa-Gatineau region with a confirmed case of COVID-19:

• Conseil des coles catholiques du Centre-Est
• Conseil des coles publiques de l'Est de l'Ontario
• Ottawa-Carleton District School Board
• Ottawa Catholic School Board

Few have had outbreaks, which are declared by a health unit in Ontario when there's a reasonable chance someone who has tested positive caught COVID-19 during a school activity.

As of mid-October, a small fraction of Ottawa students and staff had tested positive.

Distancing and isolating

The novel coronavirus primarily spreads through droplets when an infected person coughs, sneezes, breathes or speaks onto someone or something.

People can be contagious without symptoms.

This means people should take precautions such as staying home when sick, keeping hands and frequently touched surfaces clean, socializing outdoors as much as possible and maintaining distance from anyone they don't live with even with a mask on.

Masks are mandatory in indoor public settings in Ontario and Quebecand are recommended outdoors when people can't distance from others.

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Student Sumaira Islam, 24, says the pandemic, and the isolation that comes with it, has made it feel like shes running out of time to fully experience her 20s.

Anyone with symptoms or who's ordered to do so by their local public health unitshouldself-isolate. The durationis subject to a range stipulated by health officials in bothOntario and Quebec.

Health Canada recommends older adults and people with underlying medical conditions and/or weakened immune systems stay home as much as possible.

Anyone who has travelled recently outside Canada must go straight home and stay there for 14 days.

What are the symptoms of COVID-19?

COVID-19 can range from a cold-like illness to a severe lung infection, with common symptoms including fever, a cough, vomiting and the loss of taste or smell.

Less common symptoms include chills, headaches and pink eye. Children can develop a rash.

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If you have severe symptoms, call 911.

Mental health can also be affected by the pandemic and resources are available to help.

Where to get tested

In eastern Ontario:

Ontario recommends only getting tested if you have symptoms, or if you've been told to by your health unit or the province.

Anyone seeking a testshould now book an appointment. Different sites in the area have different ways to book, including over the phone or going in person to get a time slot.

Testing numbers have been lower than the groups running it would like and they want people to know there are often same-day appointments available.

People without symptoms, but who are part of the province's targeted testing strategy, can make an appointment at selectpharmacies.

Ottawa has five permanent test sites, with additional mobile sites deployedwherever demand is particularly high.

The Eastern Ontario Health Unithas sites in Alexandria, Cornwall, Hawkesbury, Limoges,Rockland and Winchester.

The Leeds, Grenville and Lanark health unit has permanent sites in Almonte, Brockville, Kemptville and Smiths Falls.

Kingston'stest site isat the Beechgrove Complex. The area'sother test siteis in Napanee. Both are open seven days a week.

People can arrange a test in Bancroft and Picton by calling the centre or Belleville and Trenton online.

Renfrew County residents should call their family doctor or1-844-727-6404 for a test or with questions, COVID-19-related or not. Test clinic locations are posted weekly.

In western Quebec:

Tests are strongly recommended for people with symptoms or who have been in contact with someone with symptoms.

Outaouais residents can make an appointment in Gatineau seven days a week at 135 blvd. Saint-Raymond or 617 avenue Buckingham.

They can now check the approximate wait time for the Saint-Raymond site.

There are recurring clinics by appointment incommunities such as Gracefield, Val-des-Monts and Fort-Coulonge.

Call 1-877-644-4545 withquestions, including if walk-in testing is available nearby.

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First Nations, Inuit and Mtis:

AkwesasnehasaCOVID-19 test site available by appointment only. It expects to bring back its mobile site in the spring.

Anyone returning to the community on the Canadian side of the international border who's been farther than 160 kilometres away or visited Montreal for non-essential reasons is asked to self-isolate for 14 days.

Its council asks people who do trick-or-treat to do so from 3 to 7 p.m., not go far from their homes and follow the usual distancing and sanitizing recommendations.

People in Pikwakanagan can book a COVID-19 test by calling 613-625-2259.

Anyone in Tyendinaga who's interested in a test can call 613-967-3603.

Inuit in Ottawa cancall the Akausivik Inuit Family Health Team at 613-740-0999 for service, including testing, in Inuktitut or English on weekdays.

For more information

• Ottawa Public Health.
• Your local eastern Ontario health unit.
• The Ontario Ministry of Health (in several languages).
• The Centre intgr de sant et de services sociaux de l'Outaouais.
• The Public Health Agency of Canada.