What you need to know about COVID-19 in Ottawa on Monday, Sept. 14

Recent developments:

• Ottawa has 61new cases of COVID-19, continuing what the mayor calls a "concerning"trend.
• All options are on the table to manage the spread of COVID-19, Ontario's premier said Monday.
• One more death in Ottawa has been linked to COVID-19.
• Sandy Hill businesses say they're struggling as university students stay home.

What's the latest?

Ottawa reported 61new cases of COVID-19 on Monday, the highest daily tally since early May.

Both Mayor Jim Watson and Premier Doug Ford said large social gatherings are of particularconcern. Ford said all optionsare on the table to slow the spread of COVID-19 in Ontario's hardest-hit regions, including Ottawa.

One more fatality in Ottawa has been linked to COVID-19, bringing the death toll to 268.

Long lines could be seen outsidethe Brewer Arena assessment centre Monday morning, while on social media people also reportedmulti-hour waits for a COVID-19 test at the Moodie Drive location.

Businesses near the University of Ottawa say they're suffering with so many students staying home this fall. Some Sandy Hill shopsand restaurants are reporting a 75 per cent decline in business, and say they may not survive.

How many cases are there?

Testing has confirmed 3,335 people in Ottawa have had COVID-19.

Of those, 334 remain active cases and 2,733are considered resolved.

Overall, public health officials have reported more than 5,100 people with COVID-19 across eastern Ontario and western Quebec, with more than 4,200 of them considered resolved.

COVID-19 has killed 104 people in the region outside Ottawa: 52 people have died in Leeds, Grenville and Lanark counties, 34 in the Outaouais and 18 in other parts of eastern Ontario.

What's open and closed?

Every local school board or service centre has started bringing students back. All classes should startby Friday.

More than 2,000 students in Ottawa's Englishschool boards don't have their usualschool busbecause of a shortage of bus drivers.

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Ontario is in Stage 3 of its reopening plan, which means more businessesopen and gatherings of up to 50 people indoors and 100 outdoors are now allowed underphysical distancing guidelines.

There won't be any further loosening of rules until at least Oct. 6because of the concerning upward trend in its numbers. Last week, Premier Doug Ford saidhe'd like any stricter rule changes to be done by local officials, not the province.

Kingston, Ont.,has tightened its distancing rules in city parks.

PR Transpo transit service in Prescott-Russell is back today.

Quebechas similar reopening rules to Ontario, with its cap on physically distanced gatherings in public venues now up to 250 people, allowing smaller festivals.

It is allowing more extracurriculars in its schools today.

Distancing and isolating

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

People don't need to have symptoms to be contagious.

That means physical distancing measures such as working from home, meeting others outdoors as much as possible and keeping distance from anyone you don't live with or have in their circle, including when you have a mask on.

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Masks are nowmandatory in indoor public settings in all of eastern Ontarioand Quebec, includingtransit services and taxis in some areas.

Quebec has given police the power to fine people ignoring mandatory mask laws.

Masks are also recommended outdoors when you can't stay the proper distance from others.

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

In Ontario, that's the same period of self-isolation for anyone with symptoms. When self-isolating, only leave home or see other people if it's critically important, such as to go see a doctor.

Most people with a confirmed COVID-19 case in Quebeccan end their self-isolation after 10 days if they have not had a fever for at least 48 hours and has had no other symptom for at least 24 hours.

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

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What are the symptoms of COVID-19?

COVID-19can 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 pinkeye. Children candevelop a rash.

People should not get tested any sooner than five days after potential exposure, since it takes about that long for the virus to grow to be detectable by a test, said Ottawa's medical officer of health Vera Etches in early September.

If you have severe symptoms, call 911.

Where to get tested

In eastern Ontario:

In Ottawa any resident who feels they need a test, even if they are not showing symptoms, can be tested at one of four sites including anew drive-thru testing centre.

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

There's also a mobile testing van operated by Inner City Health that mostly serves people experiencing homelessness and some tests done in hospitals.

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In the Eastern Ontario Health Unit, there is a drive-thru centre in Casselman and assessment centres in Hawkesbury and Winchester that don't require people to call ahead.

Others in Alexandria, Rockland and Cornwall require an appointment.

In Kingston,the Leon's Centre is hosting the city's test site though Gate 2.

Napanee's test centre is open daily for people who call ahead.

You canarrange a test in Bancroft, Belleville or Trenton by calling the centre and in Picton by texting or calling. Only Belleville and Trenton run seven days a week.

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TheLeeds, Grenville and Lanark unit asks you to get tested if you have a symptom or concerns about exposure.

It has a walk-in site in Brockville at the Memorial Centre and testing sites in Smiths Falls and Almonte which require an appointment.

Renfrew County residents should call their family doctor and those without access to a family doctor can call 1-844-727-6404 to register for a test or if they have health questions, COVID-19-related or not.

People can also visit the health unit's website to find out where testing clinics will be taking place each week.

In western Quebec:

Outaouais residents now can get a walk-in test in Gatineau seven days a week at 135 blvd. Saint-Raymond.

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

They can call 1-877-644-4545 to make an appointment or if they have other questions.

First Nations:

Akwesasne has had 14 confirmed COVID-19 cases, most linked to a gathering on an island in July.

It has a mobile COVID-19 test site available by appointment only. 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.

In early September, it expanded its gathering limit to 50 people. Its schools start bringing students back the week of Sept. 21.

Anyone in Tyendinaga who's interested in a test can call 613-967-3603 to talk to a nurse. Its office and well-being centre are now open by appointment.

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

Kitigan Zibi's fitness centre and playground park are opening up with restrictions..

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.