What you need to know about COVID-19 in Ottawa on Monday, Sept. 28

Recent developments:

• With 90 new positive tests reported Monday, Ottawa has now hadmore confirmed COVID-19 casesin September than in any other month.
• The Ontario Hospital Association wants Ottawa and the GTA to go back to Stage 2 of the reopening plan.
• Some Ottawa parents are unhappy with a new online system to schedule a COVID-19 test for children.
• Voting kicks offin the Cumberland ward byelection,Ottawa'sfirst campaign duringthe pandemic.

What's the latest?

With 90 new COVID-19 cases reported by Ottawa Public Health (OPH) on Monday,September pushes past April for most positive tests in a single month.

Ontario set a new one-day high Monday with 700 confirmed cases, promptingthe Ontario Hospital Association to call onOttawa and the Toronto area to returnto Stage 2of the province's reopening plan.Health Minister Christine Elliott said Monday that would only happen if absolutely necessary.

Complaints have emerged about thenew online booking portal for COVID-19 tests at Ottawa's Brewer Arenalaunched last week by CHEO, eastern Ontario's children's hospital.

Cumberland ward residents can begin casting their councillor byelection ballots today in what's been the first campaign the city's seen since the start of the COVID-19 pandemic.

How many cases are there?

As of the most recent OPH update on Monday, 4,153Ottawa residents have tested positive for COVID-19. That includes 631knownactive cases,3,240resolved cases and 282deaths.

Overall, public health officials have reported more than6,300 cases ofCOVID-19 across eastern Ontario and western Quebec, with more than5,000of those casesconsidered 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?

Some public health rules are being rolled backbecause of the second waveof the pandemic.

• Ontario's 2nd wave of COVID-19 forecast to peak in October

Ottawa and Kingston, Ont., public health officials areordering anyone with symptoms or who has been identified as a close contact of someone who's tested positiveto immediately self-isolate or face a fine of up to$5,000 per day in court.

Kingstonhas also tightened its distancing rules in city parksand increased fines.

Ottawa will resume ticketing drivers who park longer than allowed in unmarked areasand bring back public skating at five city arenason Thursday.

It's also closing the McNabb Arena respite centre for people without housing on Fridayand expanding services at nearby support centres.

Private, unmonitored gatherings across Ontario are now limited to 10 people indoors and 25people outdoors.

TheShorelines Casino Thousand Islands in Gananoque, Ont., reopens today with a limit of 50 people and without table games.

Quebec has introduced tighter restrictions in the province's "orange zones," which nowincludes the Outaouais.

Distancing and isolating

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

People canbe contagious without symptoms.

This means precautions such as working from home, keeping your hands and frequently-touched surfaces clean socializingoutdoors as much as possible and keeping distance from anyone you don't live with or have in yoursocialcircle, including when you have a mask on.

Ottawa's medical officer of health is pleading with residents to reduce the number of people they're in close contact withas new cases of COVID-19 continue to surge.

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

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.

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.

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 pink eye. Children candevelop a rash.

Getting tested any sooner than five days after potential exposure may not be usefulsince thevirus may not yet bedetectable, says OPH.

If you have severe symptoms, call 911.

Where to get tested

Wait times and lines have been long at many of the area's test sites, causing some to reach capacity before closing time or even before opening.

It's also taking up to five days for laboratories to process tests, Etches said last Wednesday.

Ontario health officials have said they're trying to add more test capacity.

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In eastern Ontario:

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

• Confused about COVID-19 testing guidelines? Find out if you should get tested

Most ofOttawa's testinghappensat one of four permanent sites, with additional mobile sites wherever demand is particularly high.

A testclinic is expected toopenat the Ray FrielRecreation Complexin Orlans, likely bymid-October.

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

In the Eastern Ontario Health Unit, there are drive-thru centres in Casselman andLimogesand a walk-up sitein Hawkesburythat doesn't require people to call ahead.

• Hundreds flock to COVID-19 testing site at Calypso waterpark

Its medical officer of health says the Casselman centre will be moved to reduce its impact on traffic.

Others in Alexandria, Rockland,Cornwall andWinchesterrequire an appointment.

In Kingston, the city's test site is nowattheBeechgrove Complex nearKing StreetWest and Portsmouth Avenue.

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

WATCH | Q&A on health rule changes:

Quebec better prepared for COVID-19 as second wave hits, says epidemiologist

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A second wave of the coronavirus was predictable, but we know more about the virus now and can help 'change the direction of this upswing,' says Dr. Christopher Labos.

People canarrange a test in Bancroft, Belleville,Picton or Trenton by calling the centre. Only Belleville and Trenton run seven days a week andalso offer online booking.

TheLeeds, Grenville and Lanark unithas walk-in sites in KemptvilleandBrockville.There are testing sites in Smiths Falls and Almonte which require an appointment.

The health unit will also run pop-up drive-thru test sites in Gananoquetodayand in Prescott tomorrow.

Renfrew County residents should call their family doctor. Those without access to a family doctor can call 1-844-727-6404 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 can make an appointmentin 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 in communities such as Gracefield, Val-des-Monts and Fort-Coulonge.

They can call 1-877-644-4545if they have other questions, including if walk-in testing is available nearby.

Tests are strongly recommended for people with symptoms or who have been in contact with someone with symptoms. People without symptoms can also get a test.

WATCH | 750 more cases in Quebec:

First Nations, Inuit and Mtis:

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.

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

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

Anyone inTyendinaga who's interested in a test can call 613-967-3603 to talk to a nurse.

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.