Coronavirus: What's happening in Canada and around the world on March 30

The latest:

• What's happening with the AstraZeneca-Oxford COVID-19 vaccine around the world.
• Trudeau urges Canadians to 'stay strong'as vaccine deliveries accelerate.
• Canada among nations calling for further, transparent COVID-19 origin probe after WHO report release.
• Why Canada is suspending use of AstraZeneca vaccine in people under 55.
• Track how many people have been given the COVID-19 vaccine across Canada.
• Have a question about the COVID-19 pandemic? You can sendyour questions toCOVID@cbc.ca

Ontario Premier Doug Ford said his government is considering additional restrictions to combat a surge in COVID-19 casesand urged people not to gather over the upcoming long weekend.

Ford said he is "extremely concerned" about rising infections and stressed that residents must follow public health rules.

"Don't make plans for Easter," hesaid. "I won't hesitate to lock things down if we have to."

Ford would not specify what measures are being considered, but he said he will consult Chief Medical Officer of Health Dr. David Williams before making a decision.

The province has seen rising COVID-19 rates for weeks, fuelled by the spread of more transmissible variants of the virus. Ontarioreported2,336 new cases of COVID-19 and 14additional deaths on Tuesday.

Critical Care Services Ontario (CCSO) says 46 more people with the illness were taken to intensive care units since yesterday morning, bringing the current total to 410. Admissions of COVID-19 patients to ICUs peaked at 420 in mid-January, during the height of the second wave in the province.

CCSO compiles a daily internal report that hospitals and health organizations use for planning. The latest data show that COVID-19 patients require, on average, about two weeks of critical care, according to the agency.

Ford was asked about whether Ontario might adjust its vaccination plan based on the fact that younger people now make up the majority of the province's COVID-19 cases.

"Our goal is to make sure we take care of the most vulnerable," he said of the province's strategy to vaccinate in descending order of age groups, adding there are no plansto change that strategy.

Meanwhile,an infectious disease expert on Ontario's COVID-19 science table told CBC News thatthe pandemicis "completely out of control"and that total hospitalizations are already more than 20 per cent higher than they were at the start of the last provincewide lockdown.

Trudeau promises more vaccine dose arrivals

Earlier, Prime Minister Justin Trudeau said Canadians just need to hold on "a little longer," adding that even more COVID-19 vaccine doses will arrive this spring.

Pfizer is going to send five million more doses to Canada in June than it previously planned, Trudeau said, and AstraZeneca will ship 4.4 million by the end of that month.

Procurement Minister Anita Anand also confirmed on Tuesday that the first deliveries of the Johnson & Johnson vaccine will arrive in Canada at the end of April, though she said she couldn'tsay yet how many of the 10 million doses that Canada purchased will be in the initial shipment.

Even without J&J, and barring any unexpected interruptions in production or export of vaccines, Canada is in line to receivemore than 44 million doses before Canada Day.

That should mean that all adults over 18 will be offereda vaccine sooner than originally anticipated and that the wait for a second dose may not be as long asfour months. Canada needs about 31 million doses to offer at least one shot to every adult.

The news,however, comes as concernabout the AstraZeneca-Oxford vaccine has pushed all provinces to stop using it for people under age 55 pending further analysis.

Dr. Theresa Tam, Canada's chief public health officer, said on Tuesday thatCOVID-19 activity has been steadily increasing for several weeks. The ongoing increase in infection rates is now playing out in hospitals, she said, and placing "renewed strain" on the health-care system.

To date, more than9,000 variant of concern cases have been reported across Canada with the B117 variant first reported in the U.K. accounting for 90 per cent of the variant cases, Tam said.

"New variant case numbers represent the tip of the iceberg, as there are thousands more cases that have screened positive for problematic mutations," Tam said.

What's happening in Canada

As of 7:30 p.m.ETTuesday,Canada had reported 976,604cases of COVID-19, with 46,395 cases considered active. A CBC News tally of deaths stood at22,926.

Canada has signed on to a joint declaration with 13 other countries voicing concerns with an international report on the origins of the COVID-19 pandemic. The statement outlines the nations' unease after World Health Organization experts went to study the original outbreak of the virus in China's Wuhan province.

Other signatories include the United States, Australia, Israel, Japan, Denmark and the U.K. The countries decry what they call the significant delays and lack of access to complete, original data and samples that the international study team faced in China.

The statement goes on to say that the international community must understand how COVID-19 began circulating in the local population to improve future pandemic responses. Such a response can only happen if experts can study the origins of COVID-19 free from interference and undue influence, the statement added.

InQuebec, health officials reported 864 new cases of COVID-19 and seven additional deaths on Tuesday. A provincial dashboard put the number of COVID-19 hospitalizations at487, with 126 people in intensive care.

Newfoundland and Labradorreported two new COVID-19 cases on Tuesday both related to domestictravel, according to a news release from the provincial Department of Health.

Both Prince Edward Island and Nova Scotia reported three new cases of COVID-19 on Tuesday.

Health officials inNew Brunswickreported 14 new cases of COVID-19 on Tuesday. Eight of the new cases are in the Edmundston region and involve contacts of previously reported infections, officials said.

Manitoba reported 77 new COVID-19 cases on Tuesday, according to a provincial news release. The province also announced that another 11 screened or sequenced cases stemming from the more contagious coronavirus variants have been identified.

Saskatchewanreported 164 new cases of COVID-19 and one related death on Tuesday.

The Ministry of Health also said stricter public health rules for Regina and surrounding communities will be in place for at least another week. A ban on household visits and restrictionspermittingrestaurants to only offer takeout or deliveryservices will now be reviewed April 12.

As well, the SaskatchewanHealth Authority announcedthat people older than 60 in the province can register for a COVID-19 vaccine appointment beginning Wednesday morning.

Albertareported576 new COVID-19 cases and four related deaths on Tuesday.

As well, Alberta Health Services said 49 members of the public who attended vaccination appointments on March 23 and 25 at the South Calgary Health Centre may have been exposed to COVID-19 and should get tested. The agency said the risk is low because of strict safety protocols at the site.

British Columbiareported840 new cases of COVID-19 on Tuesday. Aretail group said criticism of young people by Premier John Horgancould be replaced by better ways of educating them about the risks of COVID-19.

Greg Wilson, a director for the B.C. division of the Retail Council of Canada, said he understands Horgan's frustration as cases rise, but social media or other channels may be a way of reaching youth rather than hour-long briefings.

Horgan asked those in the 20-39age group not to "blow this for the rest of us" as the province introduced new pandemic measures Monday, saying the higher infection rates wereputting everyone in a challenging situation.

"Do not blow this for your parents and your neighbours and others who have been working really, really hard making significant sacrifices so we can get good outcomes for everybody," Horgan said during a briefing with Dr. Bonnie Henry, the provincial health officer, and Health Minister Adrian Dix.

WATCH | Dr. Bonnie Henry says B.C. needs a 'circuit-breaker to stop this virus now':

Why B.C. needs a 'circuit breaker' to control COVID-19 transmission

4 years ago

Duration 1:28

Dr. Bonnie Henry says health officials have agonized over bringing in additional restrictions but the exponential growth in cases has made it necessary.

Wilson said young workers in the retail sector have generally been pleased with the COVID-19 response in B.C., where stores have remained open even as some other provinces imposed restrictions.

"If I were a 20-to-39-year-old, I'd be insulted. But you know, I have to look at the broader picture. And the broader picture is that for retail workers in B.C., we've had a much better pandemic experience because the government has protected retail shops," Wilson said.

What's happening around the world

As of Tuesday afternoon, more than127.8 million cases of COVID-19 had been reported worldwide, according to a tracking tool maintained by Johns Hopkins University. The global death toll stood at more than 2.7 million.

More than 20 heads of government and global agencies in a commentary published Tuesday called for an international treaty for pandemic preparedness that they say will protect future generations in the wake of COVID-19.

But the commentary includedfew details to explain how such an agreement might actually compel countries to act more co-operatively.

WATCH |WHO, some world leaders urge creation of pandemic treaty:

WHO, some world leaders urge creation of pandemic treaty

4 years ago

Duration 2:45

The World Health Organization says a global treaty should be crafted for future pandemic preparedness before the current coronavirus pandemic ends. But the U.S. and China were not part of the initial push for such a treaty.

World Health Organization Director General Tedros Adhanom Ghebreyesus and leaders including British Prime Minister Boris Johnson, Premier Mario Draghi of Italy and President Paul Kagame of Rwanda proposed "a renewed collective commitment" to reinforce preparedness and response systems by leveraging the UN health agency's constitution.

Trudeau is not listed among the signatories to the letter,nor are the leaders of China, Russia or the United States.

When asked about China, Russia and the U.S.,Tedros said signatories to the letter mainly joined throughan opt-in process inwhich countries signalled their wishto join, though he noted that in some instances, the WHO invited regional representation.

• Read the op-ed released by the WHO in full here

"The comment from member states, including U.S. and China, was actually positive," Tedrossaid. "And we hope the future engagements will bring all countries."

In theAsia-Pacificregion,Australia's Queensland state warned that more cases were expected to emerge as authorities scrambled to contain an outbreak linked to the virulent B117variant, throwing Easter travel plans into disarray.

India reported the highest daily increase in coronavirus cases in five months, with the second wave of the disease driven by surging infections in the country's richest state, Maharashtra.

In theAmericas,U.S. President Joe Biden urged states to pause reopening efforts, and a top health official warned of "impending doom" amid a surge in COVID-19 cases that threaten efforts to quash the coronavirus pandemic.

Honduras said it would temporarilyrestrict arrivals from South America, citing fears about the variant first discovered in travellers from Brazilentering its territory.

InAfrica,Ethiopian health authorities on Tuesday received 300,000 doses of China's Sinopharm COVID-19 vaccine. The shots arrived a day after the East African country introduced stricter lockdown measures to stem a spike in infections.

Earlier in March, Ethiopia received nearly 2.2 million doses of the AstraZeneca vaccine through the COVAX initiative that ensures vaccine access for low- and middle-income countries.

Johnson & Johnson said it's agreed to provide up to 400 million doses of its one-dose COVID-19 vaccine to African countries, starting this summer. The drugmaker said under its agreement with the African Vaccine Acquisition Trust, the company will provide up to 220 million vaccine doses for the African Union's 55 member countries, with delivery beginning in the July-to-September quarter. The trust will be able to order 180 million additional doses from J&J, for a total of up to 400 million shots through 2022.

The company's vaccine still must receive authorization from regulators in the African countries, but the World Health Organization approved it for emergency use on March 12. In late-stage testing, J&J's vaccine prevented about 67 per centof symptomatic infections with the coronavirus and was 85 per centeffective at preventing severe disease, beginning 28 days after vaccination.

InEurope,Italy has imposed a five-day quarantine on people entering from other EU countries in a bid to deter Easter getaways and limit the spread of the coronavirus.

Health Minister Roberto Speranza says he signed the new ordinance Tuesday. It requires a virus test before arriving in Italy, five days of quarantine once here and another virus test to get out of quarantine for anyone entering Italy from the EU.

In Germany, authorities in Berlin and Munich are again suspending the use of AstraZeneca's coronavirus vaccine for residents under age 60 due to new reports of unusual blood clots in people who recently received the shots, officials said Tuesday. The action was taken as a precaution ahead of a meeting later Tuesday of representatives from Germany's 16 states and further recommendations were expected from national medical regulators, said Berlin's top health official, Dilek Kalayci.

Germany is also extending virus-related border controls along its border with the Czech Republic by a further 14 days but ending entry requirements for people coming from the Austrian region of Tyrol.

WATCH |Why the Czech Republic is being hit hard by the 3rd wave:

Why the Czech Republic is being hit hard by the 3rd wave

4 years ago

Duration 2:01

Experts say poor contact tracing and vaccine hesitancy are among the reasons why the Czech Republic now has some of the highest COVID-19 infection and death rates in the world, despite having low rates earlier in the pandemic.

Britain will focus on vaccinating the whole of its adult population before it can provide any surplus shots to other countries such as Ireland, British business minister Kwasi Kwarteng said on Tuesday. More than 30 million Britons have received their first shots in the fastest vaccine rollout in Europe, with the aim of offering shots to all adults by the end of July.

However, Britain has found itself involved in a public spat with the European Union, where the vaccination program has been much slower, over the supply of doses.

In theMiddle East,Israel has reopened its border crossing with neighbouring Egypt for the first time since the start of the coronavirus pandemic. Israeli authorities on Tuesday started allowing 300 citizens per day to enter and exit for the purpose of tourism in the Sinai Peninsula, provided they pass coronavirus tests before each crossing and are vaccinated against COVID-19 or recovered from it.