After weeks of asking the public to limit socialization to bring the COVID-19 crisis under control, Canada's chief public health officer issued a sobering warning Friday: If contacts increase above current levels, we'll be hurdling toward a worst-case scenario.
"Absolutely do not go above what we have now," Dr. Theresa Tam told reporters. "Otherwise, we're really in trouble."
Tam emphasized the "urgency" to decrease infections as officials released dire new forecasts indicating that COVID-19 case counts have far surpassed levels seen during the first wave.
If Canadians increase their contact rates going into the holiday season, COVID-19 cases could skyrocket to 60,000 per day by the end of the year, according to the modelling.
That would be a twelvefold increase from the current level of around 5,000 cases per day, which is already straining the health-care system in some regions.
Tam warned "the time is now" for Canadians to do everything to do reduce their contacts, saying it will take a combined effort on the part of individuals and public health authorities to bring infection rates down to manageable levels.
Tam said at current rates of contact, Canada is careening toward a surge of more than 20,000 cases per day by the end of December, with a commensurate increase in hospitalizations and deaths.
She said it will require a combined effort on the part of individuals and public health authorities to bring infection rates down to manageable levels.
Tam pointed to Western European countries confronting COVID-19 resurgences as a cautionary tale of where Canada could be heading, and what it will take to douse the wildfire spread of the virus.
Countries such as France and Belgium are starting to curb massive cases increases and surging hospitalizations after closing non-essential businesses and limiting outings to the necessities, said Tam.
She noted that several provinces, such as Manitoba, have implemented tougher restrictions in recent days, saying authorities will hopefully see the rewards of those measures in the weeks to come.
The federal forecasts predict that at current rates Canada's case total could land between 366,500 and 378,600 and the death toll could fall between 11,870 and 12,120 by the end of the month.
Currently, Tam said an average of 4,800 cases are being reported daily — an increase of about 15 per cent from last week.
Some hospitals have postponed important medical procedures, said Tam, and some intensive care units are near or at capacity.
The models suggest the percentage of people testing positive has increased to about 6.5 per cent, above the World Health Organization's benchmark of five per cent.
Tam said this could indicate that Canada is not testing enough, and is a clear sign that the spread of the virus is accelerating.
There are about 52,000 active cases in Canada to date, with a cumulative tally of more 315,000 cases.
Still, Tam said that amounts to less than one per cent of the population that has tested positive, meaning the vast majority of Canadians are still susceptible to infection.
Prime Minister Justin Trudeau is expected to amplify Tam's plea for Canadians to stay home as much as possible at a news conference Friday.
To underscore this message, Trudeau will speak to reporters outside his home, Rideau Cottage — the site of his daily briefings during the first wave of the pandemic last spring.
This report by The Canadian Press was first published Nov. 20, 2020.