Amended Amended Certified Record of Proceedings Filed July 12, 2022

COURT FILE NO.
2203-04046
COURT COURT OF QUEEN'S BENCH OF ALBERTA
FILED
JUDICIAL CENTRE EDMONTON DIGITALLY
2203 04046
Jul 12, 2022
APPLICANTS C.M, LITIGATION GUARDIAN FOR A.B., 3:34 PM
S.A., LITIGATION GUARDIAN FOR F.S.
C.H., LITIGATION GUARDIAN FOR G.H.,
A.B. LITIGATION GUARDIAN FOR J.K.,
R.L., LITIGATION GUARDIAN FOR L.M,,
and ALBERTA FEDERATION OF LABOUR
RESPONDENT HER MAJESTY THE QUEEN IN RIGHT OF ALBERTA
DOCUMENT AMENDED AMENDED CERTIFIED RECORD OF PROCEEDINGS
ADDRESS FOR SERVICE MCLENNAN ROSS LLP Lawyer: Gary Zimmermann

AND CONTACT #600 McLennan Ross Building Telephone: 780.482.9208
INFORMATION OF 12220 Stony Plain Road Fax: 780.733.9709
PARTY FILING THIS Edmonton, AB T5N 3Y4 Email: gary.zimmermann@mross.com
DOCUMENT File No.: 20220908
i Please find attached:
(@) The decision or written record of the act that is the subject of the originating application
for judicial review;
i. The Record of Decision — CMOH Order 08-2022 (“Decision”).
(b) The reasons given for the decision or act;
i. Unable to provide for reasons given in paragraph 2 below.
(c) The document starting the proceeding;
(d) The evidence and exhibits filed with us; and
(e) Anything else in our possession relevant to the decision or act, namely
i. See attached Schedule “A”.
Page 1 of 4
The following are parts of the notice to obtain record of proceedings that cannot be fully complied
with and the reasons why:
Paragraph 1(b): The reasons given for the No reasons were given because the exercise of
decision or act. the authority to make a CMOH Order is a
delegated legislative function given to medical
officers of health, which includes the CMOH,
under the Public Health Act.
Paragraph 1(c): The document starting the There is no such document. There is no
proceeding. commencement document that initiates a
proceeding that results in the issuance of a
CMOH Order. There is in fact no proceeding.
Rather, section 29(2.1) of the Public Health Act
sets out the conditions that must exist in order
for the medica! officer of health (which includes
the CMOH) to take further action.
Paragraph 1(d): The evidence and exhibits None exist because the process does not allow
filed. for it. Although Dr. Hinshaw and her staff, along
with staff from Health's Emergency Operations
Centre, continually monitor and evaluate
emerging scientific data regarding COVID-19 in
Alberta, across Canada as well as around the
globe to help inform policy options for CMOH
Orders, evidence and exhibits are not filed with
the CMOH as part of the decision-making
Paragraph 1(e): Power-Point presentation to

Executive Council with information regarding
the ongoing COVID-19 Pandemic.
Paragraph 1(e): The Official Record of Decision

consisting of Cabinet meeting minutes arising
from the February 8, 2022 meeting where
ongoing public health orders were discussed
and considered.
Paragraph 1(e) As noted, Dr. Hinshaw and her staff, along with
taff from Health's Emergency Operations Centre,
ontinually monitor and evaluate emerging
cientific data regarding COVID-19 in Alberta,
across Canada as well as around the globe to help
inform policy options for CMOH Orders. It is not
possible to reconstruct every record that may have
been reviewed prior to the Decision being made.
However, Dr. Hinshaw and her staff have made
best efforts to identify and provide the documents
and information that were most critical and
directly relevant to the Decision.
Page 2 of 4
Form 9
Alberta Rules of Court
Rule 3.19
3. I certify that I have attached all records as required by Rule 3.19(1).
Name of person who certifies this record: Dr. Deena Hinshaw
Position: Alberta’s Chief Medical Officer of Health
20220908 - 4156-9559-3786 v.2 Page 3 of 4

il EL
Schedule “A”
Description
1 Jurisdictional scan of masking requirements in other Canadian provinces

January 31, 2022 and territories as well as other countries
February 2022 Guidance for Schools (K-12) and School Buses
3 | January 10, 2022 CMOH Order 02-2022
4 | February 2, 2022 CMOH Order 04-2022
EN
5 February 7, 2022 Alberta COVID-19 Immunization Program Report (Information as of

February 7, 2022
Cl February 7, 2022 Memo from Premier's Office Staff to Premier Kenney Re: Student Masking
in School. provided to Dr. Hinshaw.
7
7
Ea February 7, 2022 Email from Scott Fulmer to Dr. Hinshaw and others Re: School Masking
Evidence Summary.
9 [February 8,2022 | COVID-19 Situation Update — Epidemiology and Surveillance. |
February 8, 2022 Documents from Alberta Health Internal Dashboard — COVID-19 in Alberta,
Analytics and Performance Reporting Branch, Epidemiology and
Surveillance Unit.
Analytics and Performance Reporting Branch, Epidemiology and

| Surveillance Unit, 2022-February-08 12:01
11 | March 2, 2022 Briefing Note — Advice to Honourable Jason Copping, Minister of Health —
COVID-19 Measures in Schools — for information (plus attachments —
COVID-19 Measures in Schools Alberta Data and COVID-19 Measures in
Schools Literature).
May 31, 2022 Appendix 1 - summarizing context of COVID-19 and evidence relevant to
masking in schools at the time of the decision.
February 8, 2022 Power-Point presentation to Executive Council with information regarding
the ongoing COVID-19 Pandemic.
February 8, 2022 The Official Record of Decision consisting of Cabinet meeting minutes
arising from the February 8, 2022 meeting where ongoing public health
orders were discussed and considered.
20220908 - 4156-9559-3786 v.2 Page 4 of 4

Office of the Chief Medical Officer of
Health
Health 10025 Jasper Avenue NW
PO Box 1360, Stn. Main
Edmonton, Alberta T5J 2N3
Canada
RECORD OF DECISION — CMOH Order 08-2022
Re: 2022 COVID-19 Response — Step 1 Easing Measures
Whereas |, Dr. Deena Hinshaw, Chief Medical Officer of Health (CMOH) have initiated an
investigation into the existence of COVID-19 within the Province of Alberta.
Whereas the investigation has confirmed that COVID-19 is present in Alberta and constitutes a
public health emergency as a novel or highly infectious agent that poses a significant risk to
public health.
Whereas under section 29(2.1) of the Public Health Act (the Act), | have the authority by order to
prohibit a person from attending a location for any period and subject to any conditions that |
consider appropriate, where | have determined that the person engaging in that activity could
transmit an infectious agent. | also have the authority to take whatever other steps that are, in my
opinion, necessary in order to lessen the impact of the public health emergency.
Whereas more Albertans are now eligible for COVID-19 vaccination including five to eleven year
olds and more Albertans are eligible for COVID-19 booster vaccinations.
Whereas rapid testing for COVID-19 is widely available.
Whereas having determined that certain measures are necessary to protect Albertans from
exposure to COVID-19 and to prevent the spread of COVID-19, | hereby make the following
order:
Table of Contents
Part 1 Application
Part 2 Definitions
Part 3 Masking
A. indoor masking requirements
B. General exceptions to indoor masking
C. Exceptions for health conditions
D. Exception for childcare programs
E. Exceptions for farming or ranching operations
Part 4 Work from one's private residence

Part 5 Private residences
Part 6 Private social gatherings
A. Private social gatherings for protests
Part 7 Capacity restrictions
Page 2
Part 8 Food and Beverage Service, Operating Hours and Interactive Activities
Part 9 Youth activities
Part 10 Schools
A. Physical distancing in schools
B. Masking requirements in schools
C. Exceptions to masking in schools
D. School buses
E. School buses (effective February 14, 2022)
F. Exception to masking where physical distancing can be maintained
Part 1 1 General
Part 1 — Application
1.1 This Order applies throughout the province of Alberta.
1.2 Unless otherwise stated herein, this Order comes into force on February 8, 2022 at 11:59
p.m..
1.3 If a section of this Order is inconsistent or in conflict with a provision in Record of Decision
— CMOH Order 02-2022, CMOH Order 06-2022 or CMOH Order 07-2022, the sections in
those Orders prevail to the extent of the inconsistency or conflict.
1.4 This Order rescinds Record of Decision - CMOH Order 54-2021 and Record of Decision -
CMOH Order 55-2021,
Part 2 —- Definitions
241 In this Order, the following terms have the following meanings:
(a) “adult” means a person who has attained the age of eighteen years.
(b) “authorizing health professional” means one of the following regulated members under
the Health Professions Act who holds a practice permit:
i. nurse practitioners;
ii. physicians;
ii. psychologists.
(c) “child care program” means any of the following:

i. a facility-based program providing day care, out of school care or preschool care;
ii. afamily day home program;
iii. a group family child care program;
iv. an innovative child care program.
(d) “Class A, B or C liquor licence” has the same meaning given to it under the Gaming,
Page 3
Liquor and Cannabis Regulation, under the Gaming, Liquor and Cannabis Act.
(e) “cohort”, as the context of this Order requires, means:

i. for a person who resides on their own, one or two other persons with whom the
person who resides on their own regularly interacts with during the period of this
Order;
ii. for a household, the persons who regularly reside at the home of that household;
iii. for a school, the group of students and staff who primarily remain together for the
purposes of instruction as a COVID-19 safety strategy.
(f) “commercial vehicle” means a vehicle operated on a highway by or on behalf of a

person for the purpose of providing transportation, but does not include a private
passenger vehicle.
(9) “day care” has the same meaning given to it in the Early Learning and Child Care
Regulation.
(h) “face mask” means a medical or non-medical mask or other face covering that covers
a person's nose, mouth and chin.
(i) “facility-based program” has the same meaning given to it in the Early Leaming and
Child Care Act.
() “Facility Licence” has the same meaning given to it in the Gaming, Liquor and
Cannabis Regulation, under the Gaming, Liquor and Cannabis Act.
(k) “family day home program” has the same meaning given to it in the Early Leaming and
Child Care Act.
(1) “tarming or ranching operation” means the primary production of eggs, milk, grain,
seeds, fruit, vegetables, honey, livestock, diversified livestock animals within the
meaning of the Livestock Industry Diversification Act, poultry or bees, an operation that
produces cultured fish within the meaning of the Fisheries (Alberta) Act, and any other
primary agricultural operation specified in the regulations, but does not include the
operation of a greenhouse, mushroom farm, nursery or sod farm.
(m)*“fitness activity” means a physical activity that occurs at a gym, fitness studio, dance
studio, rink, ski hill, pool, hot tub or sauna, arena or recreation centre and includes
dance classes, bobsled, pole dancing, rowing, spin, yoga, boxing, boot camp, Pilates
and other activities of a similar nature.
(n) “food-serving business or entity” means a restaurant, café, bar, pub or similar business
or entity.
(0) “Gaming Licence” has the same meaning given to it in the Gaming, Liquor and
(p) “gaming terminal” means a computer, video device or machine that is used, or could
be used, to play a lottery scheme as defined in the Criminal Code (Canada) where, on
Page 4
insertion of money or a token or on payment of any consideration a person may

receive or be entitled to receive money, either directly from the computer, video device
or machine or in another manner.
(q) “group family child care program” has the same meaning given to it in the former Child
Care Licensing Regulation.
(r) “health condition” means the following mental or physical limitations:

sensory processing disorders;
developmental delays;
iii. mental ilinesses including: anxiety disorders; psychotic disorders; dissociative
identity disorder; and depressive disorders;
facial trauma or recent oral maxillofacial surgery;
contact dermatitis or allergic reactions to face mask components; or
vi. clinically significant acute respiratory distress.
(s) “highway” means any thoroughfare, street, road, trail, avenue, parkway, driveway,
viaduct, lane, alley, square, bridge, causeway, trestleway or other place or any part of
any of them, whether publicly or privately owned, that the public is ordinarily entitled or
permitted to use for the passage or parking of vehicles and includes:
a sidewalk, including a boulevard adjacent to the sidewalk;
if a ditch lies adjacent to and parallel with the roadway, the ditch; and
if a highway right of way is contained between fences or between a fence and one
side of the roadway, all the land between the fences, or all the land between the
fence and the edge of the roadway, as the case may be,
but does not include a place declared by regulation not to be a highway.
(t “innovative child care program” has the same meaning given to it in the former Child
Care Licensing Regulation.
(u) “interactive activities” means the following activities engaged in by a person:

dancing;
ii. billiards;
iii. arcades;
photo booths;
. darts;
i. other substantially similar multi-person or interactive activities, but for greater
certainty, does not include a live performance activity observed by a person or
gaming terminals where the person who games at the gaming terminal is masked
and stationary.
(v) “masking directive or guidance” means, as the context of this Order requires, either:
a directive or guidance document made by a regional health authority, or a

Page 5
contracted service provider of a regional health authority, which sets out directions
or guidance respecting the use of face masks in facilities or settings operated by
the regional health authority or the contracted service provider; or
a directive or guidance document made by Alberta Health and posted on the
Government of Alberta website.
(w) “medical exception letter” means written confirmation provided to a person by an

authorizing health professional which verifies that the person has a health condition
that prevents the person from wearing a face mask while attending an indoor public
place and
clearly sets out the information required by section 3.6 of this Order; and
is valid for a period of one year from the date on which it is made.
(x) “out of school care” has the same meaning given to it in the Early Learning and Child
Care Regulation.
(y) “performance activity” means singing, playing a musical instrument, dancing, acting or
other activities of a similar nature and includes, but is not limited to, a rehearsal,
concert, theatre, dance, choral, festival, musical and symphony events but excludes:
congregational singing or dancing;
. singing or dancing in a nightclub;
. singing along or dancing at a concert; or
any substantially similar activity.
(2) “person who resides on their own” means a person living on their own or a person
living on their own who has one or more youth living with them and under their care.
(aa) “physical activity” means a fitness activity or sport activity.
(bb) “post-secondary institution” means:

a public or private post-secondary institution operating under the Post-Secondary
Learning Act; and
i. private colleges which are those institutions that have been accredited by Alberta’s
Ministry of Advanced Education;
iii. private faith-based institutions that have been accredited either by Alberta's
Ministry of Advanced Education or the Association for Biblical Higher Education or
the Association of Theological schools;
. Maskwacis Cultural College;
Old Sun Community College;
i. Red Crow Community College;
. University nuhelot'ine thaiyots'i nistameyimakanak Blue Quills; and
viii. Yellowhead Tribal College.
Page 6
and includes the physical location or place where the post-secondary institution
provides a structured learning environment through which a program of study is
offered.
(cc) “preschool care”, has the same meaning given to it in the Early Learning and Child
Care Regulation.
(dd) “private place” means a private place as defined under the Public Health Act.
(ee) “private social gathering” means any type of private social function or gathering at
which a group of persons come together and move freely around to associate, mix or
interact with each other for social purposes rather than remaining seated or
stationary for the duration of the function or gathering, but does not include a cohort
consisting of persons referred to in section 2.1(e) of this Order or persons referred to
in section 5.3 of this Order.
(ff) “public place” has the same meaning given to it in the Public Health Act, and for
greater certainty does not include a rental accommodation used solely for the
purposes of a private residence.
(99) “recreational activity” means any structured or organized activity or program where
the purpose of the activity or program is intended to develop a skill, including but not
limited to, Girl Guides, Scouts, arts and crafts, pottery or other substantially similar
activities.
(hh) “school” has the same meaning given to it in the Education Act.
(i) “school building” has the same meaning given to it in the Education Act.
(ii) “Special Event Licence” has the same meaning given to it under Gaming, Liquor and
(kk) “sport activity” means sports training, practices, events, games, scrimmages,
competitions, gameplay, league play, and other activities of a similar nature.
(Ih “stadium seating” means the designated space in an indoor arena, movie theatre or
other similar indoor settings where a person sits to observe a physical activity,
performance activity or recreational activity.
(mm) “staff member” means any person who is employed by, or provides services under a
contract with, an operator of a school.
(nn) “student” has the same meaning given to it in the Education Act.
(00) “visitor” means any person who attends a school, but who is not a student or staff
member.
(Pp) “youth” means a person who has not attained eighteen years of age.
Page 7
Part 3 — Masking
A. Indoor masking requirements
3.1 Except as set out in this Order and subject to Part 10, a person must wear a face mask at
all times while attending an indoor public place.
3.2 For greater certainty, indoor public places include, but are not limited to:
(a) a school building;
(b) commercial vehicles transporting the driver and one or more other persons who are
not members of that person's household, or if the person is a person living alone, then
the person’s cohort;
(c) the common areas of a day camp or overnight camp; and
(d) allindoor spaces under the control of a business or entity, including all areas where
the public or employees of the business or entity may attend.
3.3 For greater certainty, except as otherwise set out in this Order:
(a) face masks must be worn at a wedding ceremony or funeral service that is held in an
indoor public place; and
(b) a person must comply with all masking directives or guidance while attending at a
facility operated by a regional health authority under the Regional Health Authorities
Act or a facility operated by a contracted service provider of a regional health
authority.
. General exceptions to indoor masking
3.4 Despite this Part of this Order, a person is not required to wear a face mask at all times
while attending an indoor public place if the person is:
(a) a youth under two years of age;
(b) effective February 13, 2022 at 11:59 p.m., a youth under thirteen years of age;
(c) effective February 13, 2022 at 11:59 p.m., a student enrolled in kindergarten through
grade 12 while attending at a school and participating in curriculum related or
extracurricular school activities;
(d) a youth or adult participating in an indoor performance activity in circumstances where
itis not possible for the youth or adult to wear a face mask while participating in the
indoor performance activity;
(e) a youth or adult participating in an indoor physical activity;
() a person marrying another person during a wedding ceremony, and the persons in
their wedding party;
(9) unable to place, use or remove a face mask without assistance;
(h) seated at a table while consuming food or drink or, if standing at a standing table
while consuming food or drink, as long as the person remains at the standing table at
all times while consuming the food or drink;
Page 8
(i) consuming food or drink while remaining seated where there is no table, including in
stadium seating, at table games or a gaming terminal;
(i) providing or receiving care or assistance where a face mask would hinder that
caregiving or assistance;
(k) alone at a workstation and separated by at least two metres distance from all other
persons;
(I) the subject of a workplace hazard assessment in which it is determined that the
person's safety will be at risk if the person wears a face mask while working;
(m) separated from every other person by a physical barrier that prevents droplet
transmission;
(n) a person who needs to temporarily remove their face mask while in the public place
for the purposes of:
i. receiving a service that requires the temporary removal of their face mask;
ii. an emergency or medical purpose, or
iii. establishing their identity.
. Exceptions for health conditions
3.5 Despite this Part of this Order, a person who is unable to wear a face mask due to a health
condition as determined by an authorizing health professional is excepted from wearing a
face mask while attending an indoor public place.
3.6 For the purposes of section 3.5, the health condition must be verified by a medical
exception letter that includes the following:
(a) the name of the person to whom the exception applies;
(b) the name, phone number, email address, professional registration number, and
signature of the authorizing health professional; and
(c) the date on which the written confirmation was provided.
3.7 For greater certainty, although the medical exception letter must verify that a health
condition applies, the medical exception letter must not include specific information about
the health condition.
. Exception for child care programs
3.8 Despite this Part of this Order, a youth attending at a child care program is not required to
wear a face mask except in accordance with any masking directive or guidance made by
Alberta Health and posted on the Government of Alberta website.
. Exceptions for farming or ranching operations
3.9 Despite this Part of this Order, a person does not need to wear a face mask while working
at a farming or ranching operation, unless the person is interacting with a member of the
public.
Page 9
Part 4 — Work from one’s private residence
4.1 An employer must require a worker to work from the worker's own private residence
unless the employer determines that the worker's physical presence is required at the
workplace to effectively operate the workplace.
Part 5 — Private Residences
5.1 Subject to sections 5.3 and 5.4 of this Order, a person who resides in a private residence
must not permit a person who does not normally reside in that residence to enter or
remain in the residence.
5.2 Section 5.1 of this Order does not prevent a person from entering the private residence of
another person for any of the following purposes:
(a) to provide health care, personal care or housekeeping services;
(b) for a visit between a child and a parent or guardian who does not normally reside with
that child;
(c) to receive or provide child care;
(d) to provide tutoring or other educational instruction related to a program of study;
(e) to perform construction, renovations, repairs or maintenance:
(f) to deliver items;
(9) to provide real estate or moving services;
(h) to provide social or protective services;
(i) to respond to an emergency;
(i) to provide counselling services;
(k) to provide or receive personal or wellness services:
(!) to provide physical activity or performance instruction; or
(m)to undertake a municipal property assessment.
5.3 A maximum of ten persons may visit at each other's private residences.
5.4 For greater certainty, the maximum number of persons set out in section 5.3 does not
include youth when the youth is attending with their parent or guardian.
Part 6 — Private social gatherings
6.1 All persons are prohibited from attending a private social gathering at an outdoor public or
private place when there are more than twenty persons in attendance, unless the private
social gathering is for the purpose of a wedding ceremony, wedding reception, funeral
service, or funeral reception.
Page 10
A. Private social gatherings for protests
6.2 Despite this Part of this Order, a person may attend at an outdoor public place to exercise
their right to peacefully demonstrate for a protest or political purpose without limit to the
number of persons in attendance if the person:
(a) remains outdoors except where necessary to use the washroom;
(b) wears a face mask at all times;
(c) maintains a minimum physical distance of two metres from any other person in
attendance, except where:
i. either the person or the other person is, or both persons are, eleven years of age or
younger; and
ii. both persons are members of the same household;
(d) does not offer food or beverages to any other person in attendance, regardless of
whether the food or beverage is provided for sale or not; and
(e) immediately disperses in a coordinated fashion at the conclusion of the gathering,
while at all times adhering to the requirements in this section.
6.3 For greater certainty, a protest or political purpose as described in section 6.2 means for
the purpose of expressing a position on a matter of public interest.
Part 7 — Capacity restrictions
74 An operator of a business or entity with a total operational occupant load, as determined in

accordance with the Alberta Fire Code and the fire authority having jurisdiction, of:
(a) 1,000 or more persons, must limit the number of members of the public that may
attend the location where the business or entity is operating to a maximum of fifty
percent capacity;
(b) 500 to 999 persons, must limit the number of members of the public that may attend
the location where the business or entity is operating to a maximum of 500 persons;
and
(a) up to 499 persons, must limit the number of members of the public that may attend the
location to the total operational occupant load.
7.2 Despite this Part of this Order, a business or entity operating exclusively outdoors,
excepting washrooms, is not subject to any capacity limits.
73 Despite this Part of this Order, a post-secondary institution's physical location or place is
not subject to any capacity limits when the location or place is being used for educational
purposes.
7.4 Despite this Part of this Order, a place of worship is not subject to any capacity limits.
Page 11
Part 8 - Food and Beverage Service, Operating Hours and Interactive Activities
8.1 An operator of a food-serving business or entity must:

(a) limit the number of persons seated at the same table to a maximum of ten persons;
and
(b) require persons to remain seated at their assigned table while consuming food or drink
or, if standing, at their assigned standing table while consuming food or drink, and
must prohibit persons mingling with persons at a different seated or standing table.
8.2 An operator of a business or entity or an event with a Special Event Licence is prohibited
from allowing persons to participate in interactive activities at the business or entity or
event.
8.3 For greater certainty, section 8.2 does not apply to a business or entity that provides
interactive activities provided:
(a) the primary purpose of the business or entity is to provide interactive activities;
(b) any food and beverage service is physically separated from where interactive
activities are offered;
(c) the interactive activities do not include dancing;
(d) where the business or entity has a Class A, B, or C liquor licence or a Special
Event Licence, the business or entity does not serve liquor after 11 p.m.;
(e) where the business or entity has a Class A or C liquor licence or a Special
Event Licence, the business or entity must close the premises by 12:30 a.m.;
and
(f) where the business or entity has a Class B liquor licence, the business or
entity must end liquor consumption by 12:30 a.m..
8.4 Despite sections 8.2 and 8.3, an event that is specifically for the purposes of a wedding
reception may permit dancing but must restrict any other interactive activities at the event.
8.5 An operator of a food-serving business or entity with a Class A or C liquor licence,

including but not limited to a food-serving business or entity, legion or private club, is
prohibited from serving liquor after 11 p.m. and must close the business or entity by 12:30
a.m.,
8.6 An operator of a food-serving business or entity with a Gaming Licence or Facility Licence
or a Class B liquor licence, including but not limited to a bowling alley, casino, bingo hall,
pool hall or indoor recreation entertainment center, is prohibited from serving liquor after
11 p.m. and must end liquor consumption by 12:30 a.m..
8.7 An operator of a food-serving business or entity who holds a Special Event Licence is
prohibited from serving liquor after 11 p.m. and must close the premises by 12:30 a.m..
Page 12
8.8 For greater certainty, an operator of a food-serving business or entity may, subject to
applicable laws, provide food or beverages, including liquor, by take-out, delivery or drive-
thru at any time.
Part 9 — Youth activities
9.1 A parent or guardian of a youth must screen a youth for symptoms of COVID-19 prior to
the youth participating in indoor youth activities in accordance with the COVID-19, Alberta
Health Daily Checklist (for children under the age of eighteen).
Part 10 - Schools
A. Physical distancing in schools
10.1 An operator of a school must assign each youth enrolled in kindergarten to grade six to a
cohort as in accordance with the guidance on the Government of Alberta website.
10.2 Students, staff and visitors at a school building must maintain a physical distance of two
metres from any other person who is not a member of their cohort as referenced in section
2.1(e) in accordance with the guidance on the Government of Alberta website.
10.3 Despite this Part and in accordance with the guidance on the Government of Alberta
website, students and staff at a school building are not required to maintain two metres
physical distance if doing so inhibits the guidance or instruction being provided or where it
is not possible to maintain two metres physical distance.
B. Masking requirements in schools
10.4 An adult who is not a student attending kindergarten through grade 12 must wear a face
mask while attending at a school building.
10.5 An operator of a school must ensure that an adult referred to in section 10.4 wears a face
mask while attending at a school building.
C. Exceptions to masking in schools
10.6 Section 10.7 expires February 13, 2022 at 11:59 p.m.
10.7 Despite Part 3 and this Part of this Order, students, staff or visitors are not required to
wear a face mask at all times while attending at a school building if the student, staff or
visitor:
(a) is unable to place, use or remove a face mask without assistance;
(b) is unable to wear a face mask due to a health condition;
(c) is consuming food or drink in a designated area;
(d) is engaging in a physical activity;
(e) is seated at a desk or table
Page 13
i. within a classroom or place where the instruction, course or program of study is

taking place, and
ii. where the desks, tables and chairs are arranged in a manner
(A) to prevent persons who are seated from facing each other, and
(B) to allow the greatest possible distance between seated persons;
(f) is providing or receiving care or assistance where a non-medical face mask would
hinder that caregiving or assistance; or
(9) is separated from every other person by a physical barrier.
10.8 Section 10.9 is effective February 14, 2022 at 12:01 a.m..
10.9 Despite Part 3, an adult who is not a student attending kindergarten through grade 12 is
not required to wear a face mask at all times while attending at a school building if the
aduit:
(b) is unable to wear a face mask due to a health condition;
(c) is consuming food or drink in a designated area;
(d) is providing or receiving care or assistance where a non-medical face mask would
hinder that caregiving or assistance; or
(e) is separated from every other person by a physical barrier.
10.10 An operator of a school must use its best efforts to ensure that any adult referred to in
section 10.9 who is not required to wear a face mask:
(a) as permitted by section 10.9(a) or (b) of this Order maintains a minimum of two metres
distance from every other person;
(b) as permitted by section 10.9(c) of this Order maintains a minimum of two metres
distance from every other person, if the designated area is not within a classroom or
place where the instruction, course or program of study is taking place.
. School buses
Part D expires February 13, 2022 at 11:59 p.m.
Subject to Part 3 of this Order, an operator of a school must ensure that the following
persons wear a face mask while being transported on a school bus:
(a) all students attending kindergarten through grade 12;
(b) all staff members;
(c) all visitors.
10.13 For greater certainty, section 10.12(b) applies in respect of any person who transports
students attending kindergarten through grade 12 on a school bus to a school, regardless
of whether that person is a staff member.
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10.14 All students attending kindergarten through grade 12, staff members and visitors must
wear a face mask that covers their mouth and nose while being transported on a school
bus, unless the student, staff member or visitor:
(b) is unable to wear a face mask due to a mental or physical concern or limitation;
(c) is providing or receiving care or assistance where a face mask would hinder that
caregiving or assistance; or
(d) is separated from every other person by a physical barrier.
School buses (effective February 14, 2022)
Part E is effective February 14, 2022.
Subject to Part 3 of this Order, an operator of a school must ensure that all adults who are
not students attending kindergarten through grade 12 wear a face mask while on a school
bus.
10.17 All adults referred to in section 10.16 must wear a face mask that covers their mouth and
nose while being transported on a school bus, unless the adult:
(b) is unable to wear a face mask due to a mental or physical concern or limitation;
(c) is providing or receiving care or assistance where a face mask would hinder that
caregiving or assistance; or
(d) is separated from every other person by a physical barrier.
Exception to masking where physical distancing can be maintained
Subject to section 10.19 of this Order, sections 10.4 to 10.17 of this of Order do not apply
in respect of an operator of a school who is able to ensure that all students, staff members
and visitors maintain a minimum of two metres distance from every other person while
attending an indoor location within a school or while being transported on a school bus.
10.19 An operator of a school must:

(a) create a written plan that sets out how physical distancing will be maintained;
(b) provide the plan upon request from the Chief Medical Officer of Health, Medical Officer
of Health or Alberta Education; and
(c) receive an exemption from the Chief Medical Officer of Health.
10.20 Despite section 10.18 of this Order, an operator of a school does not need to ensure that
students, staff members and visitors are able to maintain a minimum of two metres
distance from every other person when a student, staff member or visitor is seated at desk
or table:
(a) within a classroom or place where the instruction, course or program of study is taking
place, and
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(b) where the desks, tables and chairs are arranged in a manner
i. to prevent persons who are seated from facing each other, and
ii. to allow the greatest possible distance between seated persons.
Part 11 — General
11.1 Notwithstanding anything in this Order, the Chief Medical Officer of Health may exempt a
person or a class of persons from the application of this Order.
11.2 This Order provides the minimum standards for public health measures in Alberta for
those matters addressed by this Order.
11.3 For greater certainty, nothing in this Order relieves a person from complying with any
provision of any federal, provincial or municipal law or regulation or any requirement of any
lawful permit, order or licence covering those matters which are addressed in this Order.
11.4 This Order remains in effect until rescinded by the Chief Medical Officer of Health.
Signed on this 10" day of February, 2022.
Deena Hinshaw, M
Chief Medical Officer of Health
Aberbon
TAB 1
Jurisdictional Scan — School Masking Requirements as of January 31
Jurisdiction School masking requirements

World Health Organization Did not recommend masks for children under age 6
European Centre for Disease | The use of masks was not recommended for children in primary
Prevention and Control school
United Kingdom January 20: secondary and college students are no longer required to
wear a mask in classrooms
January 27: mask mandate for events and venues lifted
United Kingdom, Denmark, Did not require children under the age of 12 to wear masks at any
Sweden, Finland, Norway, time
Netherlands
British Columbia, Manitoba Masking is required in public spaces for everyone over 5
Saskatchewan, Ontario Masking is required in public spaces for everyone over 2
Masking is required in all indoor public spaces for everyone over 10.
QC recommends people from 2 to 9 wear masks.
Classification: Protected A
TAB 2
COVID-19 INFORMATION
GUIDANCE FOR SCHOOLS (K-12) AND SCHOOL

View the current version of this publication at hitps://open.alberta.ca/publications/covid-18-information-guidance-for-schools-k12-school-buses
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Overview
Routine public health practices can minimize transmission of respiratory infections, including COVID-
19, influenza and common colds. These practices include: getting vaccinated, staying home when sick,
proper hand hygiene and respiratory etiquette, enhanced cleaning and disinfecting, and maintaining
ventilation systems.
The guidance provided in this document is intended to support school and school authority leaders in
reducing opportunities for transmission of COVID-19, including the more transmissible Omicron variant,
in schools under the 2021-22 School Year Plan. This includes:
a) practices to minimize the risk of transmission of infection among attendees;

b) procedures for rapid response if an attendee develops symptoms of illness, and
¢) maintenance of high levels of sanitation and personal hygiene.
All schools are required to follow this guidance to the extent possible. Schools/school authorities should
establish their own COVID-19 plans based on this guidance. Where any part of this guidance is
inconsistent or in conflict with enhanced or stronger public health restrictions set out in a CMOH Order,
the enhanced or stronger public health measures would prevail.
Schools refers to public, separate, francophone, charter schools, independent (private) school
authorities, independent (private) Early Childhood Services (ECS), online/distance education programs,
home education programs and First Nations education authorities, from kindergarten through grade
twelve. School-based and curriculum-based activities that may be impacted by this guidance include
sports, music and field trips into the community or to other schools, and professional
development/activity days.
This information is relevant to all schools in Alberta including those on reserve, recognizing that First
Nation schools on reserve are a federal responsibility. For public health information, COVID-19
questions or for reporting purposes, First Nation schools should contact their local Health Centre or
Indigenous Services Canada-First Nations and Inuit Health Branch Environmental Public Health
Services (ISC-FNIHB) office (see Appendix A), in accordance with normal practice.
It is important that measures be implemented in all settings to reduce the risk of transmission of
COVID-19. This includes, but is not limited to ensuring: physical distancing, barrier use (where
appropriate), proper hand hygiene and respiratory etiquette, enhanced cleaning and disinfecting,
records management and building maintenance. Schools and school authorities must also follow the
requirements set out in the General Operational Guidance and CMOH orders in effect.
Zone Medical Officers of Health (MOHs) and their designates are available to provide guidance on
communicable disease risk and risk management. If you have concerns, need specific guidance, or
have questions about how to apply the measures in this document, please contact Environmental
Public Health in your Zone for assistance (see Appendix A).
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Classification: Public

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COVID-19 Risk Mitigation
Vaccination o All Albertans aged 5 and older are eligible for a COVID-19 vaccine.
e Vaccines provide a significant level of protection against severe
outcomes from COVID-19. Two doses of the COVID-19 vaccine plus a
booster, when appropriate, have been shown to be highly protective
against infection, and most importantly against severe disease.
o While vaccine uptake in children aged 5 to 11 years old continues to
grow, the subsequent protective effects of the vaccine may take time
for this age group. It is important that those around them, including
parents/guardians, older students and school staff, receive the vaccine
in order to reduce community transmission and protect this age group.
o For more information, please visit alberta.ca/covid19-vaccine.
General Building o HVAC systems should be maintained in accordance with manufacturer
Safety operational guidelines. For more information on building ventilation,
please refer to the General Operational Guidance and School indoor
Air Quality (IAQ) - Mechanical Ventilation in Schools
(albertahealthservices.ca).
o If the use of portable air purifiers with HEPA filters is being
considered, they should be used in combination with established
public health measures, considering the impact they may have on
overall indoor air quality and ventilation, and only in situations
where enhancing natural or mechanical ventilation is not possible.
If used, air purifiers should be large enough for the size of the room
or area where they are being used.
e Schools should have procedures that outline hand hygiene
requirements:
o Hand hygiene frequency should be based on activity (e.g.,
entering/leaving school or classroom, boarding/exiting the bus,
changing activities, before and after using shared equipment,
before and after eating, putting on/removing a mask, after using
washrooms, etc.)
o Handwashing with soap and water where possible is very effective.
Hand sanitizer containing at least 60% alcohol should be placed in
convenient locations throughout the school where soap and water
may not be available, such as in entrances, exits and near high
touch surfaces. If parents have questions about their child using
alcohol-based hand sanitizer they should contact their school
administration to discuss potential alternatives.
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o Hand sanitizer can cause serious harm if ingested. Keep out of

reach of younger children/students, supervise them during use and
place hand sanitizer in monitored areas.
Schools should have procedures that outline cleaning requirements:
o Increase frequency of cleaning (removing visible dirt) and
disinfection (killing germs) of high-touch areas and equipment
(e.g., desks, doorknobs, handrails, microwave ovens, vending
machines, etc.) inside and outside classrooms.
o Common area surfaces should be cleaned and disinfected
frequently throughout the day.
o Student contact surfaces (e.g., desks and equipment) should be
cleaned and disinfected between each student/user. Restrict
sharing of supplies as much as possible.
o Students should be provided with separated areas to store
personal items. Individual assigned lockers may be used.
Scheduling or planning times for locker use to minimize
congregating at lockers may also be considered. Follow general
guidance for cleaning-and minimize crowding around lockers.
o Disinfectants used must have a Drug Information Number (DIN)
and a broad-spectrum virucidal claim OR a virucidal claim against
non-enveloped viruses or coronaviruses. Alternatively, 1000 ppm
bleach solution can be used.
o Follow the instructions on the product label to disinfect effectively.
o More information on cleaning and disinfection can be accessed in
the General Operational Guidance. Further recommendations are
available in the AHS COVID-19 public health recommendations for
environmental cleaning of public facilities.
Water fountains can remain open. Mouthpieces of drinking fountains
are not a major source of virus transmission and require regular
cleaning according to manufacturer recommendations.
Use hand hygiene before and after handling items, including paper
tests and assignments.
Items that cannot be cleaned or disinfected between routine use (e.g.,
paper books, shared electronics, blocks, crayons, etc.) should be
stored for 24 hours between uses.
Additional Alberta Health Services resources:
o AHS Infection Prevention & Control posters
o Hand Washing Posters (AHS)
» Poster 1
= Poster 2
alberta.ca/ReturnToSchool
©2022 Government of Alberta | Updated: February 2022 Merton

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o How to Hand Wash (AHS) poster

o How to use alcohol-based hand rub/sanitizer (AHS) poster
Screening « Before leaving home, staff (including substitute teachers),
children/students, visitors, and volunteers who will access the school
for work or education, are expected to self-screen for symptoms each
day that they enter the school using the applicable checklist for their
age group (Child Alberta Health Daily Checklist or Adult Alberta Health
Daily Checklist).
e Parents and children/students should be provided a copy of the
screening checklist. This can be a hard copy or a link to the digital
copy of the screening checklist.
e Schools should have copies of the daily checklists available for visitors
to the school.
e Although health screening of staff, students and visitors is required,
there is no requirement for verification or the collection and retention of
formal records.
e Schools should keep records of children’s known pre-existing medical
conditions. If a child develops symptoms that could be caused by
either COVID-19 or by a known pre-existing condition (e.g., allergies),
the child should be tested at least once for COVID-19 to confirm that it
is not the source of their symptoms before entering or returning to
school.
« Written confirmation by a physician that a student or staff member's
symptoms are due to a chronic illness is not necessary.
e Anyone who reports symptoms should be directed to stay home and
use an at-home rapid antigen test if available. For more information
refer to the rapid testing at home website.
« If anyone requires urgent medical attention, they should call 911 for
emergency response.
e Signs must be posted reminding persons not to enter if they have
COVID-19 symptoms, even if symptoms resemble a mild cold.
Cohorting in e A cohort is defined as a group of students and/or staff who remain
Kindergarten together.
Th rough Grade
6 Students in kindergarten through grade 6 are to remainini in cohorts
wherever possible. Typically a cohort in a schoo! will be a class.
¢ Limit the number of cohorts that students in kindergarten through
grade 6 are involved in.

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The size of the cohort will depend on the physical space of the
classroom or learning setting. In very small schools (e.g., equivalent to
a single class size), the school may be considered one cohort.
For the purposes of minimizing exposure, consider limiting the number
of individuals in a room that allows for physical distancing (i.e., fewer
students in a smaller room and more students in a larger room).
Cohorting should be maintained during activities outside the
classroom, such as recess and lunch breaks. If students from two
different cohorts wish to socialize, they should remain 2 metres apart.
If two or more people from different cohorts are required to come
within 2 metres of one another for the purposes of instruction, practice
or undertaking examinations, additional protections should be
instituted. Consider using engineering controls such as plexiglass
barriers or partitions that extend across breathing zones and are made
of materials that can be cleaned and disinfected between users, or
administrative controls such as adapting the activity to minimize or
eliminate close contacts.
Teachers who regularly interact within 2 metres of students in their
class are considered part of the cohort. If teachers interact with more
than one group of students without distancing, they are part of multiple
cohorts.
As much as operationally possible, limit the number of classroom
cohorts that teachers belong to.
If a teacher or staff member does not interact within 2 metres of
students in their classes, they would not be considered part of the
cohort.
Teachers/staff should not be in a cohort with each other, unless it is
required for operational purposes. (i.e., a teacher and a teacher's
assistant who work with the same classroom cohort).
Physical Distancing Schools should institute controls to promote physical distancing as
much as possible between all students/staff in areas inside and
outside of the classroom, including hallways, washrooms and common
areas. This may include:
o Staggering start and end times for classes to avoid crowded
entrances or exits and hallways.
o Posting signs and marking floors with arrows to control the flow of
traffic.
o Removing and restaging seating in public areas to prevent
gathering.
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o Considering limiting bathroom occupancy to support physical

distancing.
It is still recommended to maintain physical distancing within a cohort
whenever possible to minimize the risk for disease transmission (i.e.,
spacing between desks). Students are not expected to sit at their
desks for the duration of the day.
o If 2 metres spacing cannot be arranged between desks/tables, the
greatest possible spacing is recommended. Students should be
arranged so they are not facing each other (e.g., arranged in rows
rather than in small groups of 4 or a semi-circle). This way, if a
student coughs or sneezes, they are not likely to cough or sneeze
directly on the face of another student.
o Consider removing additional items or pieces of equipment that are
not in use from classrooms to allow more space to spread out.
In situations where physical distancing is not possible (e.g., on the
bus, in classrooms and while participating in some sporting activities),
or for younger grades with play-based curricula, there should be extra
emphasis on hand hygiene, respiratory etiquette, not attending school
when ill and cleaning and disinfecting on a regular basis before and
after activities.
Schools should develop procedures for drop-off that support physical
distancing where possible between all persons (except household
members). Consider strategies to support physical distancing or utilize
other protocols to limit contact between
staff/parents/guardians/children/students as much as possible:
o Designate entrances for classes/groups of students.
o Physical distancing markers in crowded areas.
o Stagger drop off/bus arrival times, coordinated with entry/exit.
o Encourage parents/guardians to remain outside during drop-off
and pick-up.
Where possible, avoid large gatherings of students and staff (e.g.,
assemblies, in-person group professional development day activities).
o Virtual options are recommended instead of in person gatherings
whenever possible.
o If virtual assemblies are not possible, minimize the number of
people in attendance as much as possible and keep cohorts (K-6)
2 metres apart.
Masks ° Masking is no longer required for students in K-12 during curriculum-
related activities or when participating in extracurricular school
activities. Masking during the school day remains a personal health
choice for students and their parents/guardians.
©2022 Government of Alberta
| Updated: February 2022 Alberton

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o Masking is required for anyone 13 years and older while

attending spectator events.
Students at higher risk of severe outcomes from COVID-19 are
recommended to continue wearing a well-fitting three layer cloth mask
or medical mask to reduce their risk of infection.
Students who become ill while at school should be provided with a
medical mask that can be worn while waiting to go home (See Section
on Responding to lliness).
Fully vaccinated students or staff recovering from COVID-19 who are
completing their day 6-10 mandatory masking period at school must
wear a mask at all times and must not share breaks where masks
must be removed to consume food or beverages with non-COVID-19
infected individuals. If more than one individual is isolating, it is
possible to cohort people with COVID-19 for breaks and lunch.
Teachers, staff and adult visitors must follow provincial requirements

for masks.
o Masks should be well-constructed, well-fitted and properly
worn.
o If non-medical masks are worn, they should be constructed of
at least three layers: two of breathable tightly woven fabric,
such as cotton, and an additional effective middle filter layer,
such as non-woven polypropylene.
o Medical masks can also be worn to provide additional
protection.
All staff members, volunteers, and adult visitors are required to wear a
mask while in indoor shared areas of school, outside the classroom,
and on a school bus. Please see current CMOH orders for additional
information.
o Ateacher/staff may remove a mask when alone at a
workstation and separated by at least two metres from all other
persons.
Face shields are not equivalent to non-medical face masks and offer
insufficient protection on their own. Other alternatives (e.g., neck
gaiters, buffs or bandanas) offer less protection than masks and are
therefore not recommended.
Face shields may be worn in addition to a mask, at the discretion of
the individual. Staff may elect to wear a face shield or eye protection in
addition to a mask when completing personal care of students or when
staff are in close contact with students (i.e., symptomatic students
awaiting pick up by parents/guardians).
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Schools should consult their designated Occupational Health and

Safety department for mask-wearing policies and other personal
protective equipment policies for their staff.
Very few individuals may not be able to wear masks due to sensory or
health issues. It is important to comply with other personal
preventative practices such as frequent hand hygiene, physical
distancing and strict cohorting as much as possible.
Persons seeking a mask exception at a school should discuss their
request with the school administration.
Exceptions to the mask requirement for staff, volunteers and all adult
visitors include:
o Persons who are unable to place, use or remove a non-medical
face mask without assistance;
o Persons unable to wear a non-medical face mask due to a
mental or physical concern or limitation;
Persons consuming food or drink in designated areas;
Persons engaged in physical exercise;
o Persons seated at a desk or table within a classroom or place
where instruction is taking place and where the desks, tables
and chairs are arranged in a manner to prevent persons who
are seated from facing each other, and to allow the greatest
possible distance between seated persons;
o Persons providing or receiving care or assistance where a non-
medical face mask would hinder that caregiving or assistance,
and
o Persons separated from every other person by a physical
barrier.
School administrators/authorities should develop a plan to ensure that
students who are hearing impaired or who rely on facial cues are able
to communicate with others in areas where masks are being worn, or
have their educational needs met when teachers are wearing masks in
the classroom. This may include the use of transparent masks. As with
other masks, it is important that transparent masks cover the nose and
mouth, as well as fit securely against the face.
School staff should monitor for and address any discrimination or
bullying associated with a student either wearing or not wearing a
mask.
Students who prefer to wear a mask while attending school should be
supported to do so.

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e Masks should not be worn by anyone who is unable to remove the

mask without assistance (e.g., due to age, ability or developmental
status).
Field Trips e If schools wish to continue with off-site activities including field trips,
they should follow the school guidance, as well as any sector-specific
restrictions or recommendations relevant to the location of the field
trip. This includes physical distancing, cohorting for students in
kindergarten through grade 6, hand hygiene, respiratory etiquette and
enhanced cleaning and disinfection. Considerations would include:
o Avoiding off-site activities or locations with higher risks including
those that might involve crowded public venues, hands-on
activities with shared items, shared transport or situations where
vulnerable populations are involved (e.g. congregate care,
hospital).
o Individual classroom cohorts for students in kindergarten through
grade 6 should be maintained during transportation to and from
any external field trip site, as well as at the location of the field trip
site. If two cohorts share a bus, separate the cohorts by 2 metres.
o Organizations providing off-site activities should comply with
sector-specific restrictions and recommendations.
o An organization or facility should only host one classroom cohort at
a time, or should take clear steps to separate multiple groups to
ensure they do not use shared areas (e.g., lunch rooms).
o Organization or facility staff at the off-site activity should maintain
physical distancing of at least 2 metres from the visiting students
and staff.
Hold activities outdoors as much as possible.
Schools should develop procedures to address students or staff
developing symptoms during the field trip; plans should include a
designated area to isolate the ill individual, what extra supplies
may be needed (e.g., mask for the child, mask/face shield for the
individual attending to the child, etc.), how to notify a
parent/guardian and how the ill child will be transported home from
the off-site activity.
¢ Schools must follow the CMOH orders as they relate to curriculum-
based educational activities and extra-curricular activities. For more
information about current restrictions, see the webpage for public
health actions.
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View the current version of this publication at https://open.alberta.caspublications/covid-19-information-guidance-for-schools-k
e In-school field trips may also occur. All visitors to the school are
expected to follow the public health measures that are in place for the
school.
Performance e Students are able to participate in a group performance activity (i.e.,

Activity singing, dancing, playing instruments, theatre) as part of their
education program curriculum.
o Maintain 2 metres physical distancing between participating
students, where possible.
o Singers and wind instrument musicians should keep 2 metres
away from other performers and individuals at all times.
o Wind instruments should be equipped with a cover intended to
prevent droplet transmission.
o Inindoor settings, groups should not sing or play wind instruments
for more than 30 minutes at a time, with a 10-minute break
afterwards to allow for air exchange in the room.
e Students are able to participate in an extracurricular performance
activity following the CMOH orders for general youth performance
activities. For more information about current restrictions, see the
webpage for public health actions.
e All spectators and attendees 13 years or older must be masked.
e Itis recommended that at this time, school authorities limit
opportunities for spectating at school performance and sporting events
to reduce potential exposures to COVID-19.
o If spectating opportunities are offered, spectators at school-related
indoor performance activities held at the school (e.g.,
Christmas/Holiday concerts, recitals, etc.) are subject to the following
restrictions:
e Spectator attendance limits at indoor performance activities are
removed except for:
o Facilities with capacity of 500 to 999, which will be limited to 500.
o Facilities with capacity of 1,000-plus, which will be limited to 50 per
cent.
e tis recommended that spectators maintain 2 metres physical distance
between households. Individuals who live alone may sit with their two
designated close contacts.
Physical Activity e Students are permitted to participate in group physical activity as part
of an education program curriculum (i.e., physical education class and
10

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sports academy classes may occur). Participants must continue to

follow the school guidance regarding cohorting (kindergarten through
grade 6), physical distancing, hand hygiene and respiratory etiquette.
o When possible, physical education should be done outside instead
of inside as the risk of transmission is higher in indoor settings.
o For physical education classes, administrators and teachers
should, where possible, choose activities or sports that support
physical distancing and limit face-to-face activities (e.g., badminton
over wrestling).
e Students are able to participate in an extracurricular physical activity
following the current CMOH orders for youth physical activity. For
more information about current restrictions, see the webpage for public
health actions.
o |tis recommended that school authorities limit extracurricular sport
tournaments and inter-school games at this time, to reduce potential
exposures to COVID-19.
e Spectators and attendees 13 years or older must be masked (unless
participating in the physical activity).
e [tis recommended that at this time, school authorities limit
opportunities for spectating at school performance and sporting events
to reduce potential exposures to COVID-19.
e |f spectating opportunities are offered, spectators at school-related
group physical activities held at the school (e.g., sports games,
tournaments) are subject to the following restrictions.
e Spectator attendance limits at indoor performance activities are
removed except for:
o Facilities with capacity of 500 to 999, which will be limited to 500.
o Facilities with capacity of 1,000-plus, which will be limited to 50 per
cent
e tis recommended that spectators maintain 2 metres physical distance
between households. Individuals who live alone may sit with their two
designated close contacts.
Expectations for e Adult visitors and volunteers are required to follow the school policies
Visitors and Other such as physical distancing, hand hygiene, staying home when ill and
Service Providers wearing a mask.
Entering the School Parents/guardians can attend the school if they are required (e.g.,
parents/guardians may drop off student lunches or other necessary
items as required).
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e When a visitor, volunteer or service provider (including delivery drivers

and independent contractors) enters the school they should be asked
to use the applicable checklist for their age group (Child Alberta Health
Daily Checklist or Adult Alberta Health Daily Checklist) before they
enter the school.
o If a visitor, volunteer or service provider answers YES to any of the
questions, the individual must not be admitted into the school.
o In the case of a delivery driver answering YES, the driver/school
will make alternate delivery arrangements.
Food Services e Classes that teach food preparation may occur as long as students
follow general precautions, such as ensuring hand hygiene, respiratory
etiquette, maintaining 2 metres physical distancing (where possible)
and avoiding handling common or shared serving utensils or
cookware.
o Any food prepared during a class that teaches food preparation
should be served by a designated person. Students should follow
physical distancing measures while eating and during food
preparation where possible.
e Activities that involve the sharing of food items between students or
staff should not occur (e.g., pot luck, buffet-style service).
e Parents/teachers can provide food/treats for a classroom if there is a
designated person serving the food and appropriate hand hygiene is
followed before and after eating. Please follow the school’s policy for
parent-provided food.
e For classroom meals and snacks:
o Pre-packaged meals or meals served by designated staff should
be the norm. No self-serve or family-style meal service should
occur.
o There should be no common food items (e.g., salt and pepper
shakers, ketchup bottle).
o Designated staff should serve food items using utensils (not
fingers).
e For food service program (e.g., cafeteria) establishments:
o Group students in kindergarten through grade 6 in their cohorts for
meal breaks. Use alternate processes to reduce the numbers of
people dining together at one time.
o If a school is using a common lunchroom and staggering lunch
times, ensure that all surfaces of the tables and chairs (including
the underneath edge of the chair seat) are cleaned and disinfected
after each use.
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o Adapt other areas to serve as additional dining space to increase

spacing among persons in the same room.
o Do not use buffet-style self-serve. Instead, switch to pre-packaged
meals or meals served by staff.
o Dispense cutlery, napkins and other items to students/children,
rather than allowing them to pick up their own items.
Responding to Schools should have detailed plans for a rapid response if a student,
lliness teacher, staff member or visitor becomes symptomatic while at school.
This includes:
o Sending home students or staff who are sick, where possible.
o Having a separate area for students and staff who are sick and
waiting to go home.
o Ensuring that students and staff with respiratory illness symptoms
wear a medical mask continuously while in school setting.
o Disinfecting areas and items touched by the sick student or staff
member.
o Staff members caring for an ill student should wear a medical mask
and may use a face shield or other eye protections, if available.
Anyone with symptoms should isolate immediately, following AH
isolation guidance and orders, use an at-home rapid antigen test if
available. Refer to rapid testing at home for more information.
Fully vaccinated students experiencing fever, cough, shortness of
breath or loss of sense of taste/smell must continue to isolate for 5
days from when their symptoms started or until they resolve,
whichever is longer. For more information on isolation please visit
alberta.calisolation.
For up to five days following their isolation, all fully vaccinated
individuals must wear masks at all times when around others outside
of home for up to 5 more days (10 days total). This means they must
eat or drink alone, away from others.
o Ifit's not possible to give each student in their day 6-10 mandatory
masking period a private space to eat in, they can cohort together
for meals in the same well-ventilated room. Distancing is
recommended and individuals should remain masked at all times
when not actively consuming food and drink.
If schools find this operationally challenging to accommodate, the
consistent use of a 10 day absence prior to return, for both immunized
and non-immunized cases, is an acceptable approach.
Students who are not fully vaccinated who are a case of COVID 19 or
who have a fever, cough, shortness of breath or loss of sense of
| Updated: February 2022 Mberton

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taste/smell must continue to isolate for 10 days from when their

symptoms started or until they are fever free for 24 hours without the
use of fever reducing medication and other symptoms are improving,
whichever is longer. If they receive a negative test result, they must
continue to isolate until their symptoms resolve. For more information
on isolation please visit alberta.calisolation.
e Please see Appendix B for management of adults and children who
are symptomatic and/or tested for COVID-19.
e Proof of a negative COVID-19 test result is not necessary for a
student, teacher or staff member to return to school.
e tis strongly recommended that household contacts who are NOT fully
vaccinated, stay home for 10 days from the date of last household
exposure to the COVID-19 case
o In addition, they should monitor for symptoms for 10 days from the
last day of household exposure, and if they develop any
symptoms, they should isolate and complete the AHS Self-
Assessment tool.
o If rapid antigen testing kits are available, they can be used on
individuals to test for COVID-19. Refer to rapid testing at home for
more information.
o For more information on isolation requirements for people with
symptoms, please visit alberta.calisolation.
Student « Parents and children/students should not be in the pick-up area or
Transportation enter the bus if they have symptoms of COVID-19.
{Including School , . ; : :
Buses) Bus drivers should be provided with a protective zone, which may
include:
o 2 metre physical distance;
o Physical barrier; or
o Mask.
¢ Students should be assigned seats. Students who live in the same
household should be seated together.
¢ Masks remain mandatory for all teachers, staff members and adult
visitors on school buses and publicly accessible transit, such as
municipal buses, taxis and ride-shares. School
administrators/authorities must comply with current CMOH orders
regarding masking requirements on school buses.
e Schools/bus companies should develop procedures for student
loading, unloading and transfers that support physical distancing of 2
metres between all persons (except household members), when
possible and may include:
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o Children/students start loading from the back seats to the front of

bus.
o Where feasible, limit the number of students per bench unless from
the same household.
o Students from the same household may share seats.
Students start unloading from the front seats to the back of bus.
If there are students from two schools on the same bus, it is
recommended to keep students from each school separated by 2
metres (3 rows) if possible.
A child who becomes symptomatic during the bus trip should be
provided a mask if they are not already wearing one. The driver should
contact the school to make the appropriate arrangements to pick up
the child/student (see Responding to lilness above).
School bus cleaning and records:
o Choose a disinfectant that has a Drug Identification Number (DIN)
and a broad-spectrum virucidal claim OR a virucidal claim against
non-enveloped viruses or coronaviruses and use it according to the
manufacturer's instructions. More information is available in the
AHS COVID-19 public health recommendations for environmental
cleaning of public facilities.
o Increase frequency of cleaning and disinfection of high-touch
surfaces, such as door handles, window areas, rails, steering
wheel, mobile devices and GPS prior to each run.
o Itis recommended that vehicle cleaning logs be kept.
Students and staff should be discouraged from carpooling unless they
are from the same household. If carpooling is necessary, limit the
number of people in the vehicle to maintain as much physical distance
as possible and ensure all adult occupants wear masks and practice
hand hygiene.
Work Experience o Work experience is permitted as long as the risk of infection is
mitigated for all participants.
If the work experience placement is in a workplace, the child/student is
expected to follow health rules set out by the workplace which should
comply with the General Operational Guidance and any applicable
sector-specific guidance.
International International travel programs and international education programs in
Students/Programs Alberta must follow current public health orders and local restrictions.
Individuals who have traveled from outside of Canada are provided
with specific instructions and requirements at the border. They are to
follow the Government of Canada Travel, Testing, Quarantine and
mperamsted
| Updated: oo
February 2022 _betan

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Borders instructions, including any requirements for exempt travelers

related to attending high-risk environments.
e School administrators/authorities are not expected to be assessing
students for following requirements set out by the Federal Quarantine
Act.
» Students/families are not required to provide proof of vaccination
status for school administrators/authorities.
o Providing school administrators with proof of a negative test result
after arrival in Canada is not required to attend school.
Compliance e Concerns with individuals not complying with school protocols should
be directed to the school principal, the school authority central office or
Alberta Education.
e School administrators and school authorities who have concerns, need
specific guidance or have questions about how to apply the measures
outlined in the guidance document may contact AHS Environmental
Public Health in their zone for assistance.
e Concerns identified by AHS should be discussed with the school
administration. Concerns that cannot be resolved through this process
should be directed to Alberta Health, who may bring forward to Alberta
Education as appropriate.
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Appendix A: Environmental Public Health

Contacts
Alberta Health Services
Portal link: https.//fephisahs.albertahealthservices.ca/create-case/
CONTACT EMAIL ADDRESS PHONE NUMBERS FOR

MAIN OFFICE
calgaryzone.environmentalhealth@ahs.ca
403-943-2288
centralzone.environmentalhealth@ahs.ca
403-356-6366
edmontonzone.environmentalhealth@ahs.ca
780-735-1800
780-513-7517
A A 403-388-6689
Indigenous Services Canada - First Nations and Inuit Health Branch
OFFICE REGULAR BUSINESS HOURS
8:00 AM —- 4:00 PM
Environmental Public Health 780-495-4409

Environmental Public Health 403-299-3939
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Symptoms COVID-19 Management of Individual:

Test Result:
Symptomatic | Positive Fully vaccinated staff (i.e. staff who have received the
molecular complete vaccine series for COVID-19 and it has been 14
(eg. PCR) days after the second dose in a two dose series or one dose
test or rapid in a one dose series [i.e. Janssen vaccine]) or student (2
antigen take- doses of mRNA vaccine): Isolate for 5 days from the start of
home test symptoms or until they are fever free for 24 hours without the use
of fever reducing medication and other symptoms are improving,
whichever is longer, if symptoms are not related to a pre-existing
condition
Following their home isolation period, all fully vaccinated
individuals must wear masks at all times when in a public place
or otherwise in the company of other persons for up to 5 more
days (10 days total). This means they must eat or drink alone,
away from others.
If it's not possible to give each student on day 6-10 isolation a
private space to eat in, they can cohort together with other
COVID-19-infected individuals for meals in the same well-
ventilated room. Distancing is recommended and individuals
should remain masked at all times when not actively consuming
food and drink.
e |f schools find this operationally challenging to accommodate,
the consistent use of a 10 day absence prior to return, for
both immunized and non-immunized cases, is an acceptable
approach.
Not fully vaccinated: Isolate at home for 10 days from the start of
symptoms or until they are fever free for 24 hours without the use of
fever reducing medication and other symptoms are improving,
whichever is longer, if symptoms are not related to a pre-existing
condition.
Negative Fully vaccinated staff (i.e. staff who have received the complete
molecular vaccine series for COVID-19 and it has been 14 days after the
(e.g. PCR) second dose in a two dose series or one dose in a one dose
test series [i.e. Janssen vaccine]) or student (2 doses mRNA
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Test Result:
vaccine): Stay home until they are fever free for 24 hours without the
use of fever reducing medication and other symptoms are improving,
before cautiously resuming normal activities.
Not fully vaccinated: Stay home until they are fever free for 24
hours without the use of fever reducing medication and other
symptoms are improving if symptoms are not related to a pre-
existing condition, before cautiously resuming normal activities.
Negative NOTE: A negative test result does not rule out infection. Rapid tests
rapid antigen | can be falsely negative, early in COVID infections. Continue
take-home monitoring your symptoms and following public health guidelines.
test
Isolate immediately for 24 hours.
Take second rapid antigen test not less than 24 hours from initial
test:
o If negative, continue isolating until they are fever free for 24
hours without the use of fever reducing medication and other
symptoms are improving before cautiously resuming normal
activities.
o If positive, continue isolation:
Fully vaccinated: Isolate at home for 5 days or until they are fever
free for 24 hours without the use of fever reducing medication and
other symptoms are improving, whichever is longer. For up to five
days following their home-isolation period, they must wear masks at
all times when in a public place or otherwise in the company of other
persons for up to 5 more days (10 days total). This means they must
eat or drink alone, away from others.
¢ [fit's not possible to give each student on day 6-10 isolation a
food and drink.
¢ If schools find this operationally challenging to accommodate,
approach.
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Test Result:
Not fully vaccinated: 10 days or until symptoms resolve, whichever

is longer
Not tested Student: If symptoms include fever, cough, shortness of breath or
loss of sense of taste/smell, follow instructions for symptomatic
positive above.
Adult: If symptoms include fever, cough, shortness of breath, sore
throat, loss of taste/smell or runny nose, follow instructions for
symptomatic positive above.
Student: If other symptoms (chills, sore throat/painful swallowing,
runny nose/congestion, feeling unwell/fatigued,
nauseal/vomiting/diarrhea, unexplained loss of appetite, muscle/joint
aches, headache or conjunctivitis):
eo ONE symptom: stay home, monitor for 24hours. If improves,
return when well enough fo go (testing not necessary).
eo TWO symptoms OR ONE symptom that persists or worsens:
Stay home until they are fever free for 24 hours without the
use of fever reducing medication, and other symptoms are
improving.
Adult: If other symptoms, stay home until they are fever free for 24
hours without the use of fever reducing medication, and other
symptoms are improving.
Asymptomatic | Positive Fully vaccinated staff (i.e. staff who have received the complete
molecular vaccine series for COVID-19 and it has been 14 days after the
(e.g. PCR) second dose in a two dose series or one dose in a one dose
test series [i.e. Janssen vaccine]) or student (2 doses of mRNA
vaccine): Isolate for 5 days from the collection date of the swab or
from the date when the molecular test was completed.
e Following their home isolation period, ali fully vaccinated
away from others.
If it's not possible to give each staff on day 6-10 isolation a
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Symptoms COovVvID-19 Management of Individual:

Test Result:

food and drink.
» If schools find this operationally challenging to accommodate,
approach.
Not fully vaccinated: Isolate at home for 10 days from the collection
date of the swab or from the date when the molecular test was
completed.
Positive Fully vaccinated staff (i.e. staff who have received the complete
Rapid vaccine series for COVID-19 and it has been 14 days after the
antigen take- | second dose in a two dose series or one dose in a one dose
home test series [i.e. Janssen vaccine]) or student (2 doses of nRNA
vaccine): Isolate at home for 5 days from the collection date of the
swab or from the date when the rapid take-home test was
completed.
o Following their home isolation period, all fully vaccinated
away from others.
If it's not possible to give each staff on day 6-10 isolation a
COVID-infected individuals for meals in the same well-ventilated
room. Distancing is recommended and individuals should remain
masked at all times when not actively consuming food and drink.
¢ If schools find this operationally challenging to accommodate,
approach.
Not fully vaccinated: Isolate at home for 10 days from the collection
date of the swab or from the date when the rapid take-home test was
completed.
Individuals can conduct a second test not less than 24 hours after
the initial test, and if negative, and still no symptoms, they do not
alberta.ca/ReturnToSchool Merton

BUSES

Test Result:
need to continue to isolate. If the result is positive on the repeat test,

they should continue to isolate. If at any time, symptoms develop,
they must follow isolation instructions for symptomatic individuals.
No isolation required.
22
alberta.ca/ReturnToSchool Moerton
TAB 3
Office of the Chief Medical
besten Officer of Health
M J Health 10025 Jasper Avenue NW
Edmonton, Alberta T5J 2N3
Re: 2022 COVID-19 Response
Whereas under section 29(2.1) of the Public Health Act, | have the authority to take whatever
steps that are, in my opinion, necessary in order to lessen the impact of the public health
emergency.
Whereas having determined that it is possible to modify certain restrictions while still protecting
Albertans from exposure to COVID-19 and preventing the spread of COVID-19, | hereby make
the following order {the Order):
Table of Contents
Part 2 — Definitions
Part 3 —- Isolation requirements
Part 4 — Critical worker exception
Part 5 — General
1.1 This Order applies throughout the Province of Alberta and is effective January 10, 2022.
1.2 This Order rescinds Record of Decision CMOH Order 01-2022 and CMOH Order 48-
2021.
Part 2 — Definitions
2.1 In this Order and the Schedule to this Order, the following terms have the following
meanings:
(a) “asymptomatic” means a person who is not exhibiting COVID-19 symptoms.
(b) “confirmed case of COVID-19" means a COVID-19 infection where a person is:
Page 2
i. asymptomatic and has taken two rapid tests, not less than 24 hours of each
other, and both rapid tests indicate the person is positive for COVID-19;
i. symptomatic and has taken one or more rapid tests indicating the person is
positive for COVID-19; OR
iii. asymptomatic or symptomatic and has taken a PCR test which indicates the
person is positive for COVID-19.
(c) "COVID-19 symptoms” means the following symptoms of COVID-19 that are not
related to a pre-existing illness or health condition:
i. cough;
ii. fever;
iii. sore throat;
iv. shortness of breath;
Vv. runny nose; or
Vi. loss of taste or smell.
(d) “COVID-19 test” means a Health Canada approved rapid test or a lab based PCR
test approved by Health Canada or the lab accreditation body of the jurisdiction in
which the test is performed.
(e) “critical worker” means a person identified by the owner or operator of a business or
entity who is essential to continued safe operations and who provides or is
responsible for services that are essential to the safe operation of the business or
entity.
(f) “fully vaccinated” means a person eligible for vaccination who has:
i. proof of receiving no less than two doses of a World Health Organization

approved COVID-19 vaccine in a two dose vaccine series and has had
fourteen or more days elapse since the date on which the person received
the last dose of vaccine; or
ii. proof of receiving at least one dose in a World Health Organization approved
COVID-19 vaccine in a one dose series and has had fourteen days or more
elapse since the date on which the person received the last dose of vaccine.
(9) “health care facility” means
i. an auxiliary hospital under the Hospitals Act,

ii. a nursing home under the Nursing Homes Act,
ii. a designated supportive living accommodation under the Supportive Living
Accommodation Licensing Act;
iv. any facility in which residential hospice services are offered or provided by
Alberta Health Services or by a service provider under contract with Alberta
Health Services.
(h) “isolation” means the separation of a person from any other person for the purpose
of preventing the spread of COVID-19.
Page 3
(i) “isolation period” means the period of time that a person is required to be in isolation
pursuant to this Order.
(i) “PCR test” means the polymerase chain reaction test for COVID-19.
“rapid test” means a COVID-19 testing device that is listed in authorized medical
~—
—=
devices for uses related to COVID-19: List of authorized testing devices by Health
Canada published on the Government of Canada website and is approved for point-
of-care molecular or antigen COVID-19 testing, including but not limited to,
symptomatic, asymptomatic, tests performed by a health care professional, tests
performed by a lay-person, or self-testing.
(I) “symptomatic” means a person who is exhibiting COVID-19 symptoms which are not
related to a pre-existing illness or health condition.
(m)“symptoms resolve” means the state when a person’s COVID-19 symptoms improve
and the person remains afebrile for a period of twenty four hours without using fever
reducing medications.
Part 3 — Isolation requirements
General Requirement
3.1 A person is required to be in isolation if the person is:
(a) symptomatic; or
(b) asymptomatic and has taken one rapid test with a positive result; or
(c) a confirmed case of COVID-19.
For symptomatic persons
3.2 A symptomatic person who is fully vaccinated is required to isolate in accordance with
Part 3 and must:
(a) immediately start isolation and isolate for a minimum period of five days from the first
day on which the person is symptomatic, or until the person's COVID-19 symptoms
resolve, whichever is longer;
(b) remain at home, and two metres distant from any other person at all times;
(c) not attend work, school, social events or any other public gatherings; and
(d) not take public transportation.
3.3 A symptomatic person who is not fully vaccinated is required to isolate in accordance
with Part 3 and must:
Page 4
(a) immediately start isolation and isolate for a minimum period of ten days from the first
day on which the person is symptomatic, or until the person’s COVID-19 symptoms
resolve, whichever is longer;
3.4 Despite section 3.2 and section 3.3, a symptomatic person is not required to isolate in
accordance with Part 3 if:
(a) a PCR test indicates the person is negative for COVID-19 and the COVID-19
symptoms have resolved; or
(b) two rapid tests, taken not less than 24 hours of each other, both indicate the person
is negative for COVID-19 and the COVID-19 symptoms have resolved.
For asymptomatic persons
3.5 An asymptomatic person who is fully vaccinated and has taken one rapid test indicating
the person is positive for COVID-19 or is a confirmed case of COVID-19, is required to
isolate in accordance with Part 3 and must:
(a) immediately start isolation and isolate for a minimum period of five days from the day
on which the asymptomatic person takes a COVID-19 test that indicates the person is
positive for COVID-19;
3.6 An asymptomatic person who is not fully vaccinated and has taken one rapid test
indicating the person is positive for COVID-19 or is a confirmed case of COVID-19, is
required to isolate in accordance with Part 3 and must:
(a) immediately start isolation and isolate for a minimum period of ten days from the day
on which the asymptomatic person takes a COVID-19 test that indicates the person
is positive for COVID-19;
3.7 Despite section 3.5, if an asymptomatic person who is fully vaccinated develops COVID-
19 symptoms during the isolation period, the person must continue to isolate for five
Page 5
days from the first day on which the person is symptomatic or until the COVID-19
symptoms resolve, whichever is later.
3.8 Despite section 3.6, if an asymptomatic person who is not fully vaccinated develops
COVID-19 symptoms during the isolation period, the person must continue to isolate for
10 days from the first day on which the person is symptomatic or until the COVID-19
symptoms resolve, whichever is later.
3.9 Despite section 3.5 and section 3.6, an asymptomatic person is not required to isolate in
accordance with Part 3 if:
(a) a PCR test indicates the person is negative for COVID-19; or
(a) the result of a second rapid test, taken not less than 24 hours from the initial rapid
test, is negative for COVID-19.
Residents of Designated Supportive Living, Auxiliary Hospital, Nursing Home and

Hospice facilities
3.10 A person who is a resident of a health care facility, whether fully vaccinated or not, is
required to isolate in accordance with Part 3 if the resident is:
(a) symptomatic, and is not a confirmed case of COVID-19, then the resident must
immediately start isolation and isolate from the first day on which the resident is
symptomatic, for a minimum period of ten days, or until the resident's COVID-19
symptoms resolve, whichever is longer;
(b) asymptomatic and has taken one rapid test with a positive result, then the resident
must immediately start isolation and isolate for a minimum period of ten days from the
day on which the asymptomatic resident takes a COVID-19 test that indicates the
resident is positive for COVID-19;
(c) confirmed case of COVID-19, then the resident must immediately start isolation and
isolate for a minimum period of ten days from the day on which the resident takes a
COVID-19 test that indicates the resident is positive for COVID-19.
3.11 A person who is a resident of a health care facility who is required to isolate in
accordance with section 3.10 must:
(a) remain at the health care facility, and two metres distant from any other person at all
times;
(b) not attend social events or any other public gatherings; and
(c) not take public transportation.
3.12 Despite sections 3.10 and 3.11, a resident of a health care facility is not required to
isolate in accordance with Part 3 if the:
Page 6
(a) symptomatic resident has taken a PCR test which indicates the resident is negative
for COVID-19 and COVID-19 symptoms resolve;
(b) symptomatic resident has taken two rapid tests, not less than 24 hours of each other,
both indicating the resident is negative for COVID-19 and COVID-19 symptoms
resolve; or
(c) asymptomatic resident has taken a second rapid test, not less than 24 hours from the
initial rapid test, and the results indicate the resident is negative for COVID-19.
Requirement to wear a mask
3.13 Despite any other CMOH Order in effect that pertains to masking, every person
required to isolate for the isolation periods set out in Part 3 must wear a mask at all
times when in a public place or otherwise in the company of other persons for a period
of up to five days following the expiry of the applicable isolation period. The period
during which a person is required to mask expires ten days from the first day on which
the person is:
(a) symptomatic; or
(b) asymptomatic and has taken one rapid test with a positive result; or
(c) a confirmed case of COVID-19.
For greater certainty, none of the masking exceptions set out in any CMOH Order in
effect applies to a person required to mask in accordance with this section.
Part 4 — Critical worker exception
4.1 Despite Part 3 of this Order, and in accordance with Schedule A, a person or class of
persons is excepted from the application of this Order where the owner or operator of a
business, sector or service determines that a certain person or class of persons:
(a) is a critical worker; and
(b) the critical worker's absence would cause a substantive disruption of services that
would be harmful to the public.
4.2 The owner or operator seeking an exception must have a plan to accommodate the
presence of the critical worker, identified in section 4.1 that, at minimum, meets the
criteria in Schedule A to mitigate the risk of the spread of infection by the critical worker
who would otherwise be required to isolate pursuant to this Order.
4.3 To mitigate the risk of the spread of infection by the critical worker, the owner or operator
must ensure that a critical worker identified in section 4.1 follows the:
(a) plan developed by the owner or operator pursuant to section 4.2, and
Page 7
(b) criteria in Schedule A.
4.4 To mitigate the risk of the spread of infection by a critical worker, a critical worker who is
excepted from isolation must follow the:
(a) plan developed by the owner or operator pursuant to section 4.2; and
(b) criteria in Schedule A.
For greater certainty, a critical worker is subject to the requirements in Part 3, when not
under this exception to complete critical work duties.
Part 5 - General
56.1 Notwithstanding anything in this Order, the Chief Medical Officer of Health may exempt a
person or classes of persons from the application of this Order.
5.2 This Order remains in effect until rescinded by the Chief Medical Officer of Health.
Signed on this [0 day of January, 2022.
i Hinshaw,/MD
Page 8
Schedule A: Critical Worker Isolation Exceptions
1. This exception is only permitted when:
(a) services provided by the business or entity are critical for the ongoing operation of
services that impact the public interest;
(b) any substantive service disruption will be detrimental to the public interest;
(c) the person otherwise required to be in isolation are asymptomatic or mildly symptomatic;
and
(d) all other means of staffing critical worker positions have been exhausted.
Critical Worker Eligibility:
2. The only workers eligible for the isolation exception are those critical workers who are
required to be on-site, in-person for critical work duties.
Risk Hierarchy for Isolation Exception:
3. Wherever possible, the owner or operator should implement the isolation exception for
critical workers following a least risk to most manner. This prioritizes that the persons who
temporarily leave isolation for critical, in-person work duties are the least likely to transmit
infection, in conjunction with the public health criteria and controls below. It is strongly
recommended that the hierarchy of risk follows:
(a) A critical worker under this Order will be in one of the following categories, with
preference in each category to be given first to a person who has received a booster
dose; then a person who is fully immunized; then a person who is partially immunized;
and finally a person who is unimmunized:
i. asymptomatic person who tests negative for COVID-19 but exhibits mild
COVID-19 symptoms;
i. an asymptomatic person who has taken one rapid test with a positive result;
iii. an asymptomatic person who is a confirmed case of COVID-19;
iv. asymptomatic person who is a confirmed case of COVID-19 but exhibits mild
COVID-19 symptoms.
Public health criteria and controls:
4. Attending the business or entity location:

(a) Access to the work location is limited to only critical workers whose presence is critical to
the provision of service, to the extent possible.
(b) Critical workers are only permitted to attend the work location for the purposes of
completing their job duties that require them to be on-site, in-person, to ensure the
ongoing functioning of the service.
(c) All critical workers must travel directly to the work location, and immediately return to
their place of residence until the applicable isolation period is complete.
Masking Requirements:
(a) Medical masks are worn to enter and exit the building.
(b) If there is any possibility of a critical worker under this exception being in the same room
as another person, even temporarily, the critical worker under this exception must wear a
medical mask at all times during this period of time.
Page 9
i. The other persons that may be in the same area as the critical worker should also
wear medical face masks, whenever possible
(c) Critical workers must have access to medical masks in the event that they need to
replace their mask on shift.
. Work spaces:
(a) Whenever possible, critical workers will be alone in their workspace for the duration of
their shift.
(b) Work spaces for critical workers should include, whenever possible:
i. a single office that have been established with doors that can close;
ii. located on a separate floor from the general areas and other work spaces in the
location;
ii. have their own washroom and kitchen facilities which can only be accessed by
the critical worker,
iv. if work spaces are shared by critical workers on different shifts, the critical worker
from the first shift must leave the work space before the critical worker from the
second shift arrive;
in between shifts, rooms are thoroughly sanitized with 70% alcohol.
(c) The HVAC system must be functioning properly.
. Additional Requirements:
(a) The business or entity must develop and implement protocols for COVID-19 that align
with this exception and address appropriate hygiene to protect critical workers and other
persons from further transmission of COVID-19.
(b) The business or entity must train staff on the protocols implemented pursuant to section
7(a) above.
(c) The business or entity, critical workers and any other staff must follow any further public
health conditions or requirements that relate to public health and safety that may be
provided by Alberta Health or Alberta Health Services.
TAB 4
Office of the Chief Medical Officer of
Health
) H ea Ith 10025 Jasper Avenue NW
Edmonton, Alberta TSJ 2N3
Canada
Re: 2022 COVID-19 Response — Modification of Record of Decision CMOH Order 02-2022,
Record of Decision CMOH Order 54-2021, and Record of Decision CMOH Order 57-2021
Whereas the investigation has confirmed that COVID-19 is present in Alberta and constitutes
a public health emergency as a novel or highly infectious agent that poses a significant risk to
public health.
Whereas under section 29(2.1) of the Public Health Act (the Act), | have the authority by order
to prohibit a person from attending a location for any period and subject to any conditions that |
consider appropriate, where | have determined that the person engaging in that activity could
transmit an infectious agent. | also have the authority to take whatever other steps that are, in
my opinion, necessary in order to lessen the impact of the public health emergency.
Whereas | have determined that it is necessary to revise Record of Decision - CMOH Order 02-
2022 to recognize the change of use of Health Canada approved rapid antigen tests and
molecular tests.
Whereas | have also determined that is necessary to revise Record of Decision — CMOH Order
02-2022, Record of Decision — CMOH Order 54-2021, and Record of Decision — CMOH Order
57-2021 to amend the definitions of COVID-19 test and PCR test, and to make consequential
amendments.
| hereby make the following Order modifying Record of Decision - CMOH Order 02-2022,
Record of Decision - CMOH Order 54-2021, and Record of Decision - CMOH Order 57-2021:
1. Record of Decision - CMOH Order 02-2022 is amended as follows:
(a) Section 2.1(b) is deleted and substituted with the following:
“confirmed case of COVID-19" means a COVID-19 infection where a person is:

i. asymptomatic and has taken two rapid antigen tests, not less than 24 hours
of each other, and both rapid antigen tests indicate the person is positive for
COVID-19;
ii. symptomatic and has taken one or more rapid antigen tests indicating the
person is positive for COVID-19; OR
Page 2
iii. asymptomatic or symptomatic and has taken a molecular test which indicates
the person is positive for COVID-19.
(b) Section 2.1(d) is deleted and substituted with the following:
“COVID-19 test” means a Health Canada approved rapid antigen test or a molecular
test approved by Health Canada or the lab accreditation body of the jurisdiction in
which the test is performed.
(c) Section 2.1(j) is deleted and substituted with the following:
“molecular test” means a nucleic acid amplification test to detect RNA of SARS-CoV-
2 [e.g. Polymerase Chain Reaction (PCR), loop-mediated isothermal amplification
(LAMP), rapid molecular test, etc.]. The test may be performed within an approved
laboratory or at the point of care using a Health Canada approved test/instrument.
(d) Section 2.1(k) is deleted and substituted with the following:
“rapid antigen test” means a COVID-19 testing device that is listed in authorized
medical devices for uses related to COVID-19: List of authorized testing devices by
Health Canada published on the Government of Canada website and is approved for
COVID-19 antigen testing, including but not limited to, symptomatic, asymptomatic,
tests performed by a health care professional, tests performed by a lay-person, or
self-testing.
(e) In Part 3, all references to “rapid test” or “rapid tests” are deleted and substituted with
“rapid antigen test” or “rapid antigen tests” as the context requires.
(f) In Part 3, all references to “PCR test” or “PCR tests” are deleted and substituted with
“molecular test” or “molecular tests” as the context requires.
(g) The numbering in section 3.9 is amended by deleting the second reference to
subsection (a) and substituting it with subsection (b).
2. Record of Decision - CMOH Order 54-2021 is amended as follows;
(a) Section 2.1(c) is deleted and substituted with the following:
“COVID-19 test” means a Health Canada approved rapid screening test or a molecular
test approved by Health Canada or the lab accreditation body of the jurisdiction in which
the test is performed which:
i. a person has taken within the last 72 hours;
ii. clearly outlines the laboratory that completed the test, if applicable, the type of
test, time of sample collection, and clear indication of negative result; and
iil. is not sourced from Alberta Health Services public COVID-19 testing system.
Page 3
(b) Section 2.1(r) is deleted and substituted with the following:
“molecular test” means a nucleic acid amplification test to detect RNA of SARS-CoV-2
[e.g. Polymerase Chain Reaction (PCR), loop-mediated isothermal amplification (LAMP),
etc.]. The test may be performed within an approved laboratory or at the point of care
using a Health Canada approved test/instrument.
(c) By deleting all instances of “Record of Decision — CMOH Order 06-2021" and replacing
them with “Record of Decision —- CMOH Order 02-2022".
4. Record of Decision — CMOH Order §7-2021 is amended as follows:
(a) Section 2.1(c) is deleted and substituted with the following:
“confirmed case of COVID-19” means a COVID-19 infection where a person is:
i. asymptomatic and has taken two rapid antigen tests, not less than 24 hours of
each other, and both rapid antigen tests indicate the person is positive for
COVID-19;
ii. symptomatic and has taken one or more rapid antigen tests indicating the person
is positive for COVID-19; OR
iii. asymptomatic or symptomatic and has taken a molecular test which indicates the
person is positive for COVID-19.
(b) Section 2.1(j) is deleted and substituted with the following:
“molecular test” means a nucleic acid amplification test to detect RNA of SARS-CoV-2
(e.g. Polymerase Chain Reaction (PCR), loop-mediated isothermal amplification (LAMP),
rapid molecular test, etc.). The test may be performed within an approved laboratory or
at point-of-care using a Health Canada approved test/instrument.
(c) Section 2.1(j) is deleted and substituted with the following:
“rapid antigen test” means a COVID-19 testing device that is listed in authorized medical
devices for uses related to COVID-19: List of authorized testing devices by Health
Canada published on the Government of Canada website and is approved for COVID-19
antigen testing, including but not limited to, symptomatic, asymptomatic, tests performed
by a health care professional, tests performed by a lay-person, or self-testing.
(d) In Part 3, all references to “rapid screening test” or “rapid screening tests” are deleted
and substituted with “rapid antigen test’ or “rapid antigen tests” as the context requires.
(e) By deleting all instances of “Record of Decision = CMOH Order 06-2021" and replacing
them with “Record of Decision — CMOH Order 02-2022".
Page 4
This Order remains in effect until rescinded by the Chief Medical Officer of Health.
Signed on this 2nd day of February 2022.
mA
~~
Deena Hinshaw, MD
TAB 5
February 8, 2022
(Information as of February 7, 2022)

Executive Summary
8,384,070 doses have been administered to Albertans as of February 7 with 3,562,573 first doses, 3,308,279 second doses, 1,503,982 third doses, and
9,236 fourth doses.
There were 6,474 doses administered yesterday. However, reporting has been adjusted to be 38,627 over the past 4 days due to retrospective changes.
85.80% of Albertans 5 years of age and up have received one dose, 79.83% have received two doses, 36.22% have received three doses, and 0.22% have
received four doses.
89.92% of Albertans 12 years of age and up have received one dose, 86.26% have received two doses, 39.99% have received three doses, and 0.25%
have received four doses.
90.25% of Albertans 18 years of age and up have received one dose, 86.65% have received two doses, 43.52% have received three doses, and 0.27%
have received four doses.
80.60% of all Albertans have received one dose, 75.00% have received two doses, 34.03% have received three doses, and 0.21% have received four
doses.
There are 640,929 doses of Pfizer and 404,514 doses of Moderna in current inventory and we have an estimated 15,004 mRNA doses for ages 12+
booked to be administered in the next 7 days.
There are 3,065 doses of Janssen in current inventory and we have an estimated 133 Janssen doses booked to be administered in the next 7 days.
There are 1,096 doses of AstraZeneca in current inventory and we have an estimated 37 AstraZeneca doses booked to be administered in the next 7
days.
There are 164,740 doses of Pfizer Pediatric 5 to 11 years in current inventory and we have an estimated 11,037 doses booked to be administered in the
next 7 days.
Alberta Health Services has the capacity to administer 70,000 doses a week and has the ability to scale up to 140,000 doses per week if demand dictates.
There are 1,413 pharmacies offering vaccines.
Alberta is expecting to receive 0 doses of vaccine the week starting February 7%.
78.71% of doses Alberta has received have been administered compared to 93.03% for Ontario, 92.21% for Quebec, and 90.69% for BC as of February 8
at 12:45 pm according to the COVID-19 Tracker Canada Data by Province.
Ciassification: Protected A
February 8, 2022
Summary
° 8,384,070 doses of COVID-19 vaccine have been administered in Alberta (189,683 doses per 100,000 population).
Remaining
Doses Administered Administered Current Dosestobe a 5
Received in the Past Expired Received the
to Date*** Inventory* have been
to Date Day 4 Week of 5
Administered
February 7"
El 319,700 310,197 21,413 : 1,096 ; 97.03%
Janssen. | 10,000 10 6,607 651 - 3,065 : 66.07%
Eo 2,814,240 875 1,706,861 647,985 5,641 404,514 : 60.65%
Pfizer Pediatric 5 to 11 394,000 1,305 219,905 20,299 : 164,740 : 55.81%
Pfizer/BioNTech 7,056,075 4,283 6,095,009 440,778 2,299 640,929 : = 86.38%
Total 10,594,015 6,474 8,338,579 1,131,126 31,386 1,214,344 z 78.71%
Federal /0OP | | 45,491
Total Administered ; 8,384,070
*126,866 Moderna doses have been returned to Federal inventory.
*Inventory, wastage and expired data sourced from AVI.
**Doses Received to Date is reflective of doses per vial as described in the product monograph. A higher number of doses per vial are regularly able to be administered.
***As of January 189, 2022, all doses administered in First Nations are submitted directly into Imm/ARI and the data reconciliation resulted in the removal of approximately 20,000 doses.
Dose Breakdown
Administered to
[DF] {he
AstraZeneca 310,197 267,208 42,505 484
ra 6,607 e561 IT 31 15 BE -
[Moderna | 1,706,861 633,418 681,374 390,465 ST H04
Pfizer Pediatric 5 to 11 219,905 162,179 57,710 15 1
Pfizer/BioNTech : 6,095,009 2,461,493 2,512,891 1,112,994 7,631
EE 8,338,579 3,530,859 : 3,294,511 1,503,973 9,236
| Federal/ooP ~~ B 45491 31,714 13,768 9 :
Total Administered 8,384,070 3,562,573 3,308,279 1,503,982 9,236
*As of January 19, 2022, all doses administered in First Nations are submitted directly into Imm/ARI and the data reconciliation resulted in the removal of approximately 20,000 doses.
**As of January 20, 2022, immunocompromised Albertans are eligible to receive a 4th dose at least 5 months following their 3rd dose.
February 8, 2022
Upcoming Bookings by Dose

Total Bookings Next 28
All Doses Te ES [SA a A EYES Bookings 8 to 14 Days Tele EE ER GIP LAV ENS
(BEV
1% Dose Bookings CURE aT) 632 2,578
2" Dose Bookings Ta 10,706 5,330 18,422
34 & 4th Dose Bookings iE 113,813 5673 == 24,746
Total Bookings SET 11,635 45,746
Projected Total Immunizations fei : ; 8,410,281 8,421,916 8,429,816
Upcoming Bookings by Vaccine Type

Total Bookings Next 28
All Doses Bookings in Next 7 Days Bookings 8 to 14 Days Days
AstraZeneca Bookings
Janssen Bookings
(oe
[I EN Teel
Ah F-05
Pfizer Pediatric 5 to 11
Pfizer/BioNTech
Total Bookings
February 8, 2022
Reason for Additional Doses Administered
Age Group % with 3 Doses Population
NA 69,289 30.93% 0.99% 224,000

Congregate Living Settings NA NA 45,158 77.86% 46 0.08% 58,000
CAR (oH BEST EN 4)
Health Care Workers NA NA 52,382 NA 45 NA NA
(excluding LTC/DSL)
NA NA 1,337,160 NA 6,934 NA NA
Albertans (18+) 18+ Alberta 1,499,063 43.52% 3,444,862
Albertans (18+) 18+ South Zone 95,702 40.07% 238,814
Albertans (18+) 18+ Calgary Zone 628,074 46.80% 1,342,134
Albertans (18+) 18+ Central Zone 134,132 36.11% 371,429
Albertans (18+) 18+ Edmonton Zone 530,296 46.88% 1,131,071
Albertans (18+) 18+ North Zone 109,835 30.40% 361,331
Albertans (18+) 18+ Unknown 1,024 NA
First Nations (18+)** 18+ ~ Alberta 25,859 22.60% 114,408
The population of 224,000 is the approximate number of Albertans that received a mixed vaccine series. It is unknown how many will want a third dose for travel purposes.
* Includes Albertans who are immunocompromised and those who received a third dose but their eligibility cannot be determined therefore there is no known population. The population of immunocompromised is
approximately 80,000.
**Lirst Nations population in this chart does not include Métis or Inuit people.
**¥ As of January 20, 2022, immunocompromised Albertans are eligible to receive a 4th dose at least 5 months following their 3rd dose.
February 8, 2022
% of % of Four Doses % of
% of
Two Population Population Population Total
Age Group Population One Dose Population
Doses*** with 2 with 3 with 4 Administered**
with 1 dose
Doses Doses Doses
267,791 0 0.00% 0 0.00% 0.00% 0.00% 0
391,430 180,764 46.18% 70,718 18.07% 25 0.01% 0.00% 251,508
[= RuBE
162,518 141,094 86.82% 133,257 82.00% 1,580 0.97% 0.00% 275,935
256,700 222,721 86.76% 211,744 82.49% 26,976 10.51% 14 0.01% 461,284
276,916 238,383 86.08% 223,598 80.75% 59,170 21.37% 44 0.02% 520,754
314,340 260,375 82.83% 245,002 77.94% 70,717 22.50% 63 0.02% 575,566
356,224 299,032 83.94% 284,402 79.84% 94,305 26.47% 107 0.03% 676,977
359,135 312,102 86.90% 299,862 83.50% 110,982 30.90% 121 0.03% 722,126
319,735 283,634 88.71% 275,677 86.22% 115,808 36.22% 637 0.20% 674,887
288,613 257,042 89.06% 249,777 86.54% 116,488 40.36% 735 0.25% 623,307
266,607 242,367 90.91% 235,867 88.47% 125,248 46.98% 716 0.27% 603,594
284,313 254,861 89.64% 246,476 86.69% 145,027 51.01% 1,259 0.44% 647,122
264,324 248,877 94.16% 242,026 91.56% 162,721 61.56% 4,477 1.69% 657,733
209,995 204,175 97.23% 200,536 95.50% 152,158 72.46% 424 0.20% 557,063
157,696 154,397 97.91% 154,010 97.66% 122,351 77.59% 283 0.18% 430,910
103,045 98,597 95.68% 97,507 94.63% 86,282 83.73% 189 0.18% 282,495
68,661 64,771 94.33% 64,045 93.28% 55,849 81.34% 0.13% 184,745
44,188 41,183 93.20% 40,660 92.02% 35,351 80.00% 0.10% 117,225
27,809 26,051 93.68% 25,695 92.40% 22,949 82.52% 0.09% 74,717
Unknown* 0 32,147 NA 13,974 NA 2 NA NA 46,122
FE 3,444,862 3,108,843 90.25% 2,985,017 86.65% 1,499,063 43.52% 9,229 0.27% 7,595,592
12+ 3,760,818 3,381,809 89.92% 3,244,115 86.26% 1,503,964 39.99% 9,235 0.25% 8,132,562
os 4,152,248 3,562,573 85.80% 3,314,833 79.83% 1,503,989 36.22% 9,236 0.22% 8,384,070
IE 4,420,039 3,562,573 80.60% 3,314,833 75.00% 1,503,989 34.03% 9,236 0.21% 8,384,070
Note: Due to retrospective changes in the live database, total administered may not reconcile with breakdown of first, second, third and fourth doses.
*Includes doses notified as administered by FNIHB, but not yet entered onto Imm/ARI system.
**Total Administered = At Least 1 Dose + Second Doses + Third Doses + Fourth Doses. A small number of records exist in ImmARI where only a second dose has been recorded (with no corresponding first dose record). For
the purpose of this report, first doses for these records are assumed.
**As of January 19, 2022, all doses administered in First Nations are submitted directly into Imm/ARI and the data reconciliation resulted in the removal of approximately 20,000 doses.
*** Individuals who received a first dose in one age category may cross into another age category for a second or additional dose.
Albertans who have received one dose of Janssen are also included in the number of Albertans with two doses.
Third dose coverage (this table} differs from third doses administered (table 2) because some individuals received Janssen and then Moderna.
February 8, 2022
centage of Albertans by Vaccination Status
dnolb aby
percent
% of population with only 1 dose
% of population with only 2 doses
% of population with only 3 doses
% of population with 4 doses
Figure 1: Percent of Albertans who received one, two, three or four doses of COVID-19 vaccine by age group.
TAB 6
Premier's Office Staff
February 7, 2022
TO: Premier Kenney
SUBJECT: Student Masking in Schools
CONTENTS & HIGHLIGHTS:
1. Background on COVID-19 & School-Aged Children

2. Evidence Summary
o There is insufficient direct evidence of the effectiveness of face masks in
reducing COVID-19 transmission in education settings.
¢ Existing research supporting mask use in schools has limitations that make the
pool of evidence weak and the benefits of masking children unclear.
3. Harmful Effects of Mask Wearing on Children
e Masks can disrupt learning and interfere with children’s social, emotional, and
speech development by impairing verbal and non-verbal communication,
emotional signaling, and facial recognition.
4. Jurisdictional Scan
¢ The United Kingdom, Denmark, Sweden, Finland, Norway, and the Netherlands
do not require children under the age of 12 to wear masks.
o Florida, Oklahoma, Texas, and Utah in the United States have banned mask
mandates in schools.
February 7, 2022
BACKGROUND ON COVID-19 & SCHOOL-AGED CHILDREN:

o Children and young people are at very low risk of severe outcomes from COVID
infection.
o In Alberta, case hospitalization, ICU, and death rates per 100 cases for school-
aged children (ages 5 to 19") are 0.47, 0.07, and 0.004, respectively.
o An Albertan aged 5 to 19 infected with COVID is about 223 times less likely to
die from COVID than an Albertan aged 20+.
e There is a lower risk of hospitalization among Omicron cases in school-aged children
compared to Delta, according to preliminary analysis by the UK Health Security Agency.
e In Alberta:
o 46.1% of 5- to 11-year-olds received one dose of COVID vaccine.
o 86.8% of 12- to 19-year-olds received one dose, 82.2% received two doses.
EVIDENCE SUMMARY:
o A 2022 evidence summary by the UK Department for Education (DfE) found that the
evidence for masking students in schools to reduce the spread of COVID is “not
conclusive”.
» Existing studies are largely observational therefore prone to bias, and results
from studies are “mixed”.
The DfE also reported results from its own study on masks in schools showing no
statistically significant impact on student absences.
The DfE ultimately concluded that the evidence taken together is in favour of
masking in schools, though it should be noted that this summary was published
to support the UK government's mask mandate in secondary schools, a policy
that has since been reversed.
eo A 2022 article by the Brownstone Institute (a US think tank opposed to COVID
measures) found that the daily new cases and hospitalization rates among children in
states with and without school mask mandates are nearly identical.
o A 2021 study from Spain showed that the use of masks in schools for students was not
associated with a large effect in slowing COVID transmission.
o Transmission rate did not drop sharply among children subject to the masking
requirement (ages 6+).
o A 2021 CDC study of elementary schools in Georgia found that masking teachers was
associated with a statistically significant decrease in COVID transmission, but masking
students was not.
o Non-peer-reviewed/non-academic evidence:
o A 2021 study from Brown University found no correlation between student cases
and mask mandates in schools in New York, Massachusetts, and Florida.
Davidson and Williamson, two neighbouring counties in Tennessee with similar
vaccination rates, had similar fall 2021 case-rate trends in their school-age
! Including 19-year-olds as data for ages 5 to 18 is not yet available.
February 7, 2022
populations despite one county having a mask mandate and the other a mask
opt-out option.
Mask-optional school districts in Cass County, North Dakota had lower
prevalence of COVID-19 cases among students last fall than districts with mask
mandates.
Research supporting the use of masks in schools has limitations that make the pool of
evidence weak and the benefits of masking children unclear.
» Lack of study controls — A 2021 Arizona study oft-cited by the CDC to support its
recommendation of masking all kids aged 2 and older has been disputed by experts.
The study failed to control for exposure times across schools and most importantly the
vaccination status of staff or students.
+ Failure to isolate the impact of masks — Studies in North Carolina, Utah, Wisconsin,
and Missouri cited by the CDC failed to isolate the impact of masks and did not make
comparisons with schools that did not require masks.
Schools often “layer” masking with other measures to reduce the spread of
COVID, making it challenging to measure the independent impact of mask-
wearing.
» Not statistically significant — Studies that do show a reduction in COVID transmission
with masks in school produced results that were not statistically significant.
« Lack of randomized controlled trials (‘RCTs") — Studies have been largely
observational and “provide less direct evidence of the effectiveness of face coverings
than RCTs.”
+ Not specific to students or schools — A 2021 randomized controlled trial conducted in
Bangladesh reported that surgical masks were effective at reducing rates of
symptomatic COVID infection, but it did not include children in the study, leading to
some experts questioning the applicability of this research in education settings.
The same criticism applies for studies that showed universal masking (not
masking in schools) reduces COVID transmission.
HARMFUL EFFECTS OF MASK WEARING ON CHILDREN:

+ Masks impair verbal and non-verbal communication between teachers and students.
It can be harder to hear and understand speech with masks.
In a survey conducted by the UK DfE, 80% of students reported that wearing a
mask made it difficult to communicate, and 55% felt it made learning more
difficult. 94% of school leaders and teachers reported that masking made
communication more difficult.
o Young children need to see full faces to learn language and identify emotions.
o Masks impair face recognition and identification.
o Masks can be especially detrimental to students with hearing impairments.
« Masks block emotional signaling between teachers and students.
o Emotions are a major driver of group cohesion.
February 7, 2022
Masks hinder social perception and interfere with social interaction, emotional
bonding, and emotional development.
« Physical side effects of mask use include headaches, dermatitis with rashes and
redness, and discomfort.
N95 or KN95 masks can be uncomfortable for children to wear (N95s are not
sized for children) and “hinder communication more than other types of masks.”
JURISDICTIONAL SCAN:
o World Health Organization
o Advises against masks for kids under the age of 6
Advises only selectively for kids between the ages of 6 and 11
e United Kingdom & Europe
o The European Centre for Disease Prevention and Control
« Advises against masks for any children in primary school
United Kingdom:
= No face coverings needed in classrooms and school communal areas
= Masks have never been advised for children under the age of 11
Denmark:
= Masking rules generally do not apply to children under the age of 12
Sweden:
= The use of face masks is not required for students while at school
Finland
= Masking rules do not apply to children under the age of 12
o Norway:
* The use of face masks is not required for students while at school
o Netherlands:
e United States:
o The American Federation of Teachers “supports a path away from school mask
mandates.”
o Four states banned mask mandates in schools: Florida, Oklahoma, Texas and
Utah.
= Six additional states have bans that are either blocked, suspended, or not
being enforced: Arizona, Arkansas, lowa, South Carolina, Tennessee,
and Virginia.
14 states plus the District of Columbia require masks in schools.
TAB 7
COVID-19 — COVID and Schools
Questions
e Outbreaks in schools with and without mask mandates
e Provide Alberta school data comparing last year and this year
Overall Themes
e School boards without mask mandates have 3 times more outbreaks in their schools, on average
o Case and hospitalization rates per 100,000 population lower in areas where mask mandates are required in both children (5-11
year old) and aduits (30-59 years old)
o Hospitalization rates per 100,000 population are lower in adults {30-59 years old) in areas with mask mandates
e The outbreak in Westglen school in Edmonton (Fall 2021) is an example that illustrate that a school outbreak can lead to increased
spread within the local community
e Hospitalization rate per 100,000 population are higher {<10 years old) and comparable {10-19 years old) in the fifth wave compared to
other waves
Analysis: Masks Mandates

School boards without mask mandates had 3 times more outbreaks in their schools, on average
Table 1. Top 10 school Boards with the highest proportion of outbreaks in their schools as of Sept 27, 2021
Mask
Percent of mandate at
schools with start of
School Board Municipality N Schools = N Outbreaks = outbreaks (%)* school?
The Lakeland Roman Catholic Separate School Bonnyville 8 6 75% N
Division
The Wild Rose School Division Rocky Mountain 17 11 65% N
House
The Grande Prairie School Division Grande Prairie 20 11 55% N
Alberta.ca/covid19
© 2021 Government of Alberta | DRAFT: February 7, 2022 berton
The Grande Prairie Roman Catholic Separate School Grande Prairie 13 7 54% N
Division
z2
The High Prairie School Division High Prairie 13 6 46%
2
The Parkland School Division Stony Plain 25 11 44%
2
The Holy Family Catholic Separate School Division Peace River 9 4 44%
2
The Black Gold School Division Nisku 31 11 35%
Z2
The Sturgeon School Division Morinville 17 6 35%
2
The St. Thomas Aquinas Roman Catholic Separate Leduc 12 4 33%
School Division
* This is the same as the rate of outbreaks per 100 schools
Table 2. Schools with the 10 lowest proportions of outbreaks in their schools as of Sept 27, 2021
Mask
School Board Municipality & Area N Schools = N Outbreaks outbreaks (%)* school?
The Greater St. Albert Roman Catholic Separate
School Division St. Albert 18 1 6% Yes
The Northland School Division Peace River 21 1 5% Yes
The Edmonton School Division Edmonton 232 12 5% Yes
The Calgary School Division Calgary 256 11 4% Yes
The Edmonton Catholic Separate School Division Edmonton 103 3 3% Yes
The Rocky View School Division Airdrie 52 1 2% N

The Calgary Roman Catholic Separate School
-
Division Calgary 120
22
OO
The Wetaskiwin School Division Wetaskiwin

O
=z
oO
The Aspen View School Division Athabasca 18

oO
The Canadian Rockies School Division Canmore 8 0 Yes

Alberta.ca/covid19
© 2021 Government of Alberta | DRAFT: February 7, 2022
COVID-19 —- COVID and Schools
Table 3. Average percent of outbreaks per school board, by mask mandate status
Average percent of
Mask mandate at outbreaks per school
start of school? board
Implemented after 19.7
1st week
N 234
y 7.3
A comparison of geographies with and without mask mandates
Method:
e “Masks Required” is defined as communities where 75% of schools required masks from the start of the school year (excludes fancophone
and private schools).
e “Other” is defined as communities that did not meet the 75% cut-off and/or do not require mask mandates. Note: small towns that had 1 of
each public school, separate school, and private school would not meet the 75% cut-off
e Limitations
o Did not account for community vaccine coverage. This may impact hospitalization rate by communities in schools that have and do
not have mask mandates.
o Mask mandates were not available for all boards.
Results:
e Case and hospitalization rates per 100,000 population lower in areas where mask mandates are required in both children (5-11 year old)
and adults (30-59 years old) (See Figure 1)
e Hospitalization rates per 100,000 population are lower in adults (30-59 years old) in areas with mask mandates (See Figure 1)
Alberta.ca/covid19
© 2021 Government of Alberta | DRAFT: February 7, 2022 Merton
Figure 1. Rate of COVID-19 cases (Left) and hospitalization rates (right) per 100,000 population in children, 5-11 years old (top) and adults, 30-59
years old (bottom) by mask mandates in school.
NOTE: this work was done October 2021, prior to vaccine availability for 5-11 year olds. The 30-59 year olds were selected based on potential
impacts on households.
Alberta.ca/covid19
Analysis: Westglen School

September 28, 2021
e 71 cases
o 1 staff member, 70 students
» Staff member (music teacher) was not immunized
Students spread roughly evenly across grades 1-6
o The outbreak opened Sept 23 ~ they had reported 10% absenteeism and a positive case on Mon Sept 20*
= Symptomatic children continued to attend school until they moved to online learning Sept 24%.
o Even young children likely transmitted to their families
As of Sept 26%, 14 families had additional cases in their families, the index case (ie earliest onset date) was an adult only
once (7%).
eo 7 (50%) - index case was a child age 5-9
e 6 (43%) — index was a child age 10-12
o This outbreak has had a significant effect on case counts in the neighbourhood; while cases in Edmonton were stabilizing and
decreasing, cases in the TSM postal code reversed trend, increasing significantly after the Westglen outbreak (See Figure 2)
" 66/94 (70%) of all cases with the T5M postal code reported between Sept 17-26 are linked to the outbreak or are family
members of outbreak cases.
Alberta.ca/covid19
Figure 2. Number of cases in the neighbourhood surrounding the school and the City of Edmonton
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Analysis: Hospitalizations
Definition of waves:
Third Wave: Feb 6, 2021 to july 9, 2021

Fourth Wave: July 10, 2021 to December 15, 2021
Fifth Wave: December 16, 2021 - Current
Summary:
e Hospitalization rate per 100,000 population are higher (<10 years old) and comparable (10-19 years old) in the fifth wave compared to
other waves
Alberta.ca/covid19
Figure 3. Hospitalization Rate per 100,000 population comparison across wave three to five among people under 20 years old
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© 2021 Government of Alberta | DRAFT: February 7, 2022 besten
TAB 8
EEE aa aaa ee
From: Scott Fullmer <Scott.Fullmer@gov.ab.ca>

Sent: Monday, February 07, 2022 2:13 PM
To: Mark Hicks; Kait Wolfert; Mugove Manjengwa; Deena Hinshaw; Fiona Cavanagh; Elena
Kubatka-Willms; Alex Alexander
Subject: FW: School Masking Evidence Summary
Hello everyone, we went back through the evidence on school transmission and found the new material on how
effective in schools some of the mitigation measures have been in the literature. Let me know if this is what your looking
for.
Summary
1. According to the research literature, wearing masks can be effective in contributing to reducing transmission of
COVID-19 in public and community settings. This is informed by a range of research, including randomised
control trials, contact tracing studies, and observational studies.
The evidence for protection from masks, in schools is less direct—and it might be small but taken together
support the conclusion that face coverings in schools can contribute as part of a host of measures to reduce
transmission. What data do exist have been interpreted into guidance in many different ways. The World
Health Organization, for example, does not recommend masks for children under age 6. The European Centre
for Disease Prevention and Control recommends against the use of masks for any children in primary school. In
North America masking in schools was part of public health guidelines as schools returned after the first and
second waves.
Studies find that transmission in schools has remained limited and comparable to the wider community
under a wide range of prevention measures such as masking, cohorting, cancelling higher-risk activities,
distancing, hygiene protocols, reduced class size and enhanced ventilation.
The studies available were performed prior to the emergence of the Omicron VOC.
Systematic Reviews of Multiple Measures

1. The evergreen MacMaster University literature review (49 studies) (August 2021) reports wide variability in policies
in place across different jurisdictions limiting the ability to evaluate the impact of specific measures or make best
practice recommendations for daycare or school settings due to variability in the combination of measures
implemented. However, implementation of infection control measures is critically important to reducing
transmission, especially when community transmission rates are high.
o There is evidence that wearing masks, maintaining at least 3ft of distance (especially amongst staff),
restricting entry to the school to others, cancelling extracurriculars, introducing outdoor instruction, and
daily symptom screening reduce the number of cases within schools;
o There are inconsistent findings for associations between ventilation, and class size.
© Hybrid or part-time in-person learning appears to be associated with higher incidence compared to full-time
in-person.
2. InJuly 2021, European Centre for Disease Control and Prevention published its second update to its review of
COVID-18 in children and the role of school settings in transmission. The review examined case-based
epidemiological surveillance analysis from The European Surveillance System, grey, pre-print and peer reviewed
scientific literature, focusing on studies published in 2021; and modelling of the effects of closing schools on
community transmission based on data from the ECDC-Joint Research Centre (JRC) Response Measures Database.
o Similar to the literature review produced by Macmaster University, this report that implementing multiple
physical distancing and hygiene measures can significantly reduce the possibility of transmission within
schools (high confidence), including
* De-densification {classroom distancing, staggered arrival times, cancellation of certain indoor
activities, especially among other students)
* Hygiene measures (handwashing, respiratory etiquette, cleaning, ventilation, and face masks for
certain age groups).
* Timely testing and isolation or quarantine of symptomatic cases is important. Rapid antigen tests
should be considered
3. The latest Cochrane literature review examined evidence is up to December 2020 on which measures implemented
in the school setting allow schools to safely reopen, stay open, or both, during the COVID-19 pandemic. The review
suggests that many measures implemented in the school setting can have positive impacts on the transmission of
SARS-CoV-2, and on healthcare utilisation outcomes related to COVID-19.
© Measures reducing the opportunity for contacts: by reducing the number of students in a class or a school,
opening certain school types only (for example primary schools) or by creating a schedule by which students
attend school on different days or in different weeks, the face-to-face contact between students can be
reduced.
» All 23 studies showed reductions in the spread of the virus that causes COVID-19 and the use of the
healthcare system. Some studies also showed a reduction in the number of days spent in school due
to the intervention.
© Measures making contacts safer: by putting measures in place such as face masks, improving ventilation by
opening windows or using air purifiers, cleaning, handwashing, or modifying activities like sports or music,
contacts can be made safer.
* Five (of 11) of these studies combined multiple measures, which means we cannot see which
specific measures worked and which did not. Most studies showed reductions in the spread of the
virus that causes COVID-19; some studies, however, showed mixed or no effects.
o Surveillance and response measures: screening for symptoms or testing sick or potentially sick students, or
teachers, or both, and putting them into isolation (for sick people) or quarantine (for potentially sick
people).
* Twelve (of 13) studies focused on mass testing and isolation measures, while two looked specifically
at symptom-based screening and isolation. Most studies showed results in favour of the
intervention, however some showed mixed or no effects.
o Multicomponent measures: measures from categories 1, 2 and 3 are combined.
= Three studies assessed physical distancing, modification of activities, cancellation of sports or music
classes, testing, exemption of high-risk students, handwashing, and face masks. Most studies
showed reduced transmission of the virus that causes COVID-19, however some showed mixed or
no effects.
Transmission Compared to the Community

o These 4 studies in Vancouver, Georgia, and Italy were some of the earlier studies in the first/second wave
that found that students were less of a risk for secondary infections compared to teachers however,
teachers rates of infection were no higher than other members of the community in occupations outside the
home.
* Vancouver (Oct 2020-May 2021) Goldfarb et al. seroprevelance study showed no detectable
increase in SARS-CoV-2 infections in school staff working in Vancouver public schools following a
period of widespread community transmission compared to the community. These findings
corroborate claims that, with appropriate mitigation strategies in place, in-person schooling is not
associated with significantly higher risk for school staff.
e Of the 1,556 school staff who had their blood sample tested, 2.3% tested positive for
antibodies. This percentage was similar to the number of infections in a reference group of
blood donors matched by age, sex and area of residence.
* NPIs: (Physical distancing, Enhanced cleaning, Enhanced ventilation, Cohorts, Screening
(staff and students), Regular surface cleaning, Unidirectional flow of students, Masks (not
mandatory until Feb 2021 for grades 6-12 and for grades 4-12 in Apr 2021), Hand hygiene
(hand sanitizer in classrooms and common areas), Quarantine policies, Staggered recess and
lunch breaks)
* Georgia CDC Study —USA (Dec 2020-jan 2021) Gettings, J.R., et al. found that masking teachers was
associated with a statistically significant decrease in COVID transmission, but masking students was
not.
* NPI's: (enhanced cleaning, enhanced ventilation, hand hygiene, masks — except during
sports, and physical distancing)
e Highest Secondary Attack Rates were:
o Indoor High-contact sports settings - 23.8%
o staff meetings/lunches - 18.2%
o Elementary school classrooms 9.5%
e Lowest Secondary Attack Rates:
o Asymptomatic Students — 2.3%
o Elementary Students — 2.7%
* The SAR was higher for staff 13.1% vs student index cases 5.8% and for symptomatic 10.9%
vs asymptomatic index cases 3.0
* Inschool settings, J. Gettings et al. paint out that in addition to masking, schools that
improved ventilation through dilution methods alone, COVID-19 incidence was 35% lower,
whereas in schools that combined dilution methods with filtration, incidence was 48%
lower.
* Italy (Sept 302020-Feb 2021) Gandini et al. performed a cross-sectional and prospective cohort
study in Italy during the second COVID-19 wave (from September 30, 2020 until at least February 28
+
2021. Incidence and positivity were lower amongst elementary and middle school students
compared to general population; incidence was higher in high school students in 3 of 19 regions.
Incidence in teachers was no different from other occupations after adjusting for age.
* NPI's: (Ban on sports and music, Frequent ventilation, Hand hygiene, Masks (staff, high
school students), Negative test following exposure (some schools), Physical distancing (1m
between seats), Reduced school hours, Temperature check, Unidirectional flow of students)
* Georgia - USA (Dec 2020-Jan 2021) J. A. W. Gold et al. examined incidence in a Georgia school
district during December 1, 2020-January 22, 2021 identified nine clusters of COVID-19 cases
involving 13 educators and 32 students at six elementary schools. Two clusters involved probable
educator-to-educator transmission that was followed by educator-to-student transmission in
classrooms and resulted in approximately one half (15 of 31) of school-associated cases. Preventing
SARS-CoV-2 infections through multifaceted school mitigation measures and COVID-19 vaccination
of educators is a critical component of preventing in-school transmission.
* NPI's: (Masks - except while eating, Plastic dividers on desks but students sat less than 3
feet apart)
Impact of Multiple Mitigation Measures

4. These observational studies that assess the use of multiple interventions in schools and are a good example of the
kinds of studies that show mixed results (as was noted in the systematic reviews)
o Utah — USA (Dec 2020-Jan 2021) R. B. Hershow et al. reviewed K-6 schools opening in Salt Lake County,
Utah, from Dec 3 — Jan 21, 2021. Despite high community incidence and an inability to space students’
classroom seats 26 ft apart, this investigation found low SARS-CoV-2 transmission and no school-related
outbreaks in 20 Salt Lake County elementary schools with high student mask use and implementation of
multiple strategies to limit transmission.
* NPIs: (6ft distance, High mask use (86%), 81% in-person learning, Plexiglass barriers for teachers,
Staggered mealtimes)
®* Other studies, similar to the Utah in North Carolina, Wisconsin, and Missouri, isolated the impact of
masks specifically, but showed that taken together mitigation strategies reduced transmission.
o Florida, New York, Mass — USA (2020-21) E. Oster et al reported on the correlation of mitigation practices
with staff and student COVID-19 case rates in Florida, New York, and Massachusetts during the 2020-2021
3
school year focusing on student density, ventilation upgrades, and masking. Ventilation upgrades are
correlated with lower rates in Florida but not in New York. Did not find any correlations with mask
mandates. All rates are lower in the spring, after teacher vaccination is underway.
* NPI's Varied by state: (Cohorts, Enhanced ventilation, Masks, Reduced student density, Physical
distancing (6 ft.), Symptom screening, Temperature checks)
USA All States (Dec 2020-Feb 2021) J. Lessler et al. For every additional measure implemented there was a
decrease in odds of a positive test (adjusted OR: 0.93, 95% C1=0.92,0.94); symptoms screening was
associated with the greatest risk reduction. When 7 or more IPAC measures were implemented, risk largely
disappeared (with a complete absence of risk with 10 or more IPAC measures). Among those reporting 7 or
more mitigation measures, 80% reported student/teacher mask mandates, restricted entry, desk spacing and
no supply sharing. Outdoor instruction, restricted entry, no extracurriculars, and daily symptom screening
were associated with significant risk reductions.
= NPI's: (Cancelled extracurriculars, Closed common spaces (playgrounds, cafeterias), Cohorting,
Masks, Physical distancing (extra space, separators between desks), Reduced class size,
Restricted entry, Symptom screening)
eo} A Science Magazine Summary on in-person schooling concludes that in-person schooling carries with it
increased COVID-19 risk to household members; but also evidence that common, low cost, mitigation
measures can reduce this risk
= School-based mitigation measures are associated with significant reductions in risk, particularly
daily symptoms screens, teacher masking, and closure of extra-curricular activities.
= Apositive association between in-person schooling and COVID-19 outcomes persists at low
levels of mitigation, but when seven or more mitigation measures are reported, a significant
relationship is no longer observed.
o Regression treating each individual mitigation measure as having an independent effect
shows that daily symptom screening is clearly associated with greater risk reductions
than the average measure with some evidence that teacher mask mandates and
cancelling extra-curricular activities are also associated with larger reductions than
average.
o In contrast, closing cafeterias, playgrounds and use of desk shields are associated with
lower risk reductions (or even risk increases); however this may reflect saturation
effects as these are typically reported along with a high number of other measures.
Notably, part-time in-person schooling is not associated with a decrease in the risk of
COVID-19-related outcomes compared to full-time in-person schooling after accounting
for other mitigation measures.
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Evidence on Masking Alone

° In community settings the conclusion on the effectiveness of face coverings to reduce transmission of COVID-19
in community settings is informed by a range of research, including transferable insight from other contagious
diseases, modelling studies, laboratory experiments, contact tracing studies, and observational studies. The
addition of randomised control trials and substantially more individual-level observational studies has increased
the strength of the conclusions and strengthens the evidence for the effectiveness of face coverings in reducing
the spread of COVID-19 in the community, through source control, wearer protection, and universal masking.
* There are only 2 RCTs that have been done during the pandemic on masking (1 non-peer-reviewed report, both
rated as medium quality) provided evidence on the effectiveness of face coverings to reduce transmission of
COVID-18, for universal masking (Bangladesh) and 1 for wearer protection (Denmark)!
= Denmark RCT in Spring 2020 (H. Bundgaard et al.) The first was conducted in Denmark in the
spring of 2020 and found no significant effect of masks on reducing COVID-19 transmission
* Adults who spent 3 hours or more a day outside the home and did not wear a face
covering while at work were randomised either to wearing study-provided surgical
masks outside the home or no intervention.
There was a small, non-significant reduction in COVID-19 infections reported in the
group that wore surgical masks: 42 of 2,392 participants (1.8%) developed COVID-19 in
the intervention group compared with 53 of 2,470 participants (2.1%) in the control
group.
The study was inconclusive, reporting a non-significant reduction in COVID-19 infections
from wearer protection using surgical masks, but the results lacked precision due to an
insufficiently large sample size and low prevalence in the study population, so few
participants developed COVID-19.
Bangladesh RCT in 2021 (J. Abaluck et al.) - reported that surgical masks {but not cloth) were
modestly effective at reducing rates of symptomatic infection. However, neither of these studies
included children, let alone vaccinated children.
Randomized trial involving nearly 350,000 people across rural Bangladesh. The study's
authors found that surgical masks — but not cloth masks — reduced transmission of
SARS-CoV-2 in villages where the research team distributed face masks and promoted
their use.
The study linked surgical masks with an 11% drop in risk, compared with a 5% drop for
cloth. That finding was reinforced by laboratory experiments whose results are
summarized in the same preprint. The data show that even after 10 washes, surgical
masks filter out 76% of small particles capable of airborne transmission of SARS-CoV-2,
says Mushfiq Mobarak, an economist at Yale University in New Haven, Connecticut, and
a co-author of the study. By contrast, the team found that 3-layered cloth masks had a
filtration efficiency of only 37% before washing or use.
e The UK PHE has produced two literature reviews on masking
© In community they assembled a committee to evaluate this evidence from their most recent literature
review on face coverings in community included 25 studies (including 9 preprints and 2 non-peer
reviewed reports): 2 randomised controlled trials (RCTs) and 23 observational studies. The evidence
predominantly suggests that face coverings reduce the spread of COVID-19 in the community.
Respiratory Evidence Panel: evidence suggests that all types of face coverings are, to some
extent, effective in reducing transmission of SARS-CoV-2 in both healthcare and public,
community settings — this is through a combination of source control and protection to the
wearer (high confidence).
8 contact tracing studies suggested that contacts of primary cases were less likely to
develop COVID-19 if either the primary case or the close contact, or both, wore a face
covering.
11 observational association studies had mixed results, with 6 studies suggesting face
coverings were associated with reduced COVID-19 transmission and 5 suggesting no
statistically significant association.
o Inthe school setting (Jan 2022) they conducted a literature review as well as publishing the results of
their own study that looked at schools with mask mandates in secondary schools. The literature review
on the Evidence of associations between COVID-19 and the use of masks in educational settings was
inconclusive, but some studies showed higher rates of COVID-19 in schools without mask requirements
for students.
“The new study presented in this report is a comparison of covid absence rates 2-3 weeks later
in 123 schools which introduced masks on the 1st October 2020 with covid absence rates in
1192 schools which did not have a policy of mask wearing in school.
There were several differences between the two sets of schools included in this study including
the covid absence rates at the start of the study (the schools which introduced masks had much
higher rates). The researchers tried to adjust for these factors in their analysis.
No Reduction in the UK with Masks in Schools: Schools where face coverings were
used in October 2021 saw a reduction two to three weeks later in Covid absences from
5.3% to 3% - a drop of 2.3 percentage points.
* In schools which did not use face coverings absences fell from 5.3% to 3.6% - a fall of
1.7 percentage points (not statistically significant)
e Public Health Ontario has also assessed most of this evidence as well and summarized that several studies found
that mask mandates in schools have been associated with lower incidence of SARS-CoV-2 infection. Many of the
studies examining COVID-19 incidence in schools had layered Infection prevention and control measures in
place, so it was challenging to measure the independent Impact of mask-wearing.
* There are 3 commonly cited studies (all rated as low quality) assessing whether wearing a face covering was
effective in schools in the UK, US and Germany in autumn and winter 2020, and in a summer camp in the US in
summer 2020. These results provide less direct evidence of the effectiveness of face coverings than either the
RCTs or contact tracing, but still provide evidence on the difference in COVID-19 transmission between people
who did and did not wear face coverings in school and summer camp settings.
o California Study: D. Cooper et al. in a prospective cohort study in the US assessed whether face
coverings were effective as universal masking in four schools in Autumn to Winter 2020 found SARS-
CoV-2 infections in 17 learners (N=320) only during the surge. School A {97% remote learners) had the
highest infection (10/70, 14.3%, p<0.01) and 1gG positivity rates (13/66, 19.7%). School D (93% on-site
learners) had the lowest infection and IgG positivity rates (1/63, 1.6%). Mitigation compliance [physical
distancing (mean 87.4%) and face covering (91.3%])] was remarkably high at all schools.
o Germany Study: Theuring et al. in a cross-sectional study in Germany (n=177 primary school students,
n=175 secondary school students and n=142 staff members) assessed whether face coverings were
effective as wearer protection in 12 primary and 12 secondary schools in Germany in November 2020. It
concluded that prevalence increased with inconsistent facemask-use in school, walking to school, and
case-contacts outside school.
o US Summer Camp Study: S. Suh et al. conducted a cross-sectional study (n=486 US summer camps
comprising 89,635 campers) assessed whether face coverings were effective as universal masking in 486
summer camps in the US in summer 2020. It found in both single and multi-NP1 analyses, the risk of
COVID-19 cases was lowest when campers always wore facial coverings.
More recent evidence from Delta Wave and CDC Commissioned Studies
To demonstrate any independent effect of masks on COVID-19 transmission requires comparing communities with
similar vaccination rates or statistically controlling for differences in vaccination rates or other covariates. Without
making these adjustments, it is difficult to attribute differences in case rates, or differences in in-school
transmission, to mask wearing in school.
When CDC examined the evidence on school transmission, it concluded that the preponderance of the available
evidence from United States schools indicates that even when students were placed less than 6 feet apart in
classrooms, there was limited SARS-CoV-2 transmission when other layered prevention strategies were
consistently maintained; notably, masking and student cohorts.
O The Oct 2021 Arizona CDC Study (M. Jehn et al.) in the Maricopa and Pima Counties concluded that schools
without mask mandates were more 3.5 times likely to have COVID-19 outbreaks than schools with mask
mandates. The study noted that given the high transmissibility of the SARS-CoV-2 B.1.617.2 (Delta) variant,
universal masking, in addition to vaccination of all eligible students, staff members, and faculty and
implementation of other prevention measures, remains essential to COVID-19 prevention in K-12 settings.
» However, the study has been found to have numerous flaws as pointed out in this Atlantic Article —
including a failure to quantify the size of outbreaks and failure to report testing protocols for the
students. They also do not control for different vaccination rates in the counties, meaning that
vaccination could have played a bigger role than masking.
0} Another Oct 2021 CDC study by S. E. Budzyn et al. found that U.S. counties without mask mandates saw
larger increases in pediatric COVID-19 cases after schools opened, but again did not control for important
differences in vaccination rates, stating it will be done at a later date.
o The study examined 520 counties from July to September, 62% of which didn't have a school mask
requirement.
= Over the two-week period before and after school started, counties with school mask
requirements saw their COVID-19 rates rise by 16 daily cases per 100,000 children, on
average.
= Meanwhile, counties without school mask requirements saw their COVID-19 rates rise by
35 daily cases per 100,000 children, as shown in the chart below.
70
[3 Counties with hoo! mask requliemant
I Countles without school mask requirement
of COVID- 19 ¢a505/100,000 children and adolescents

8
Mean change in daily number
3
8
8
-
o
Weeks Weeks Weeks Weaks Weeks Weeks Weeks Week

-3100 ~2t00 ~1t00 ~3t01 -3101 10) -3t02 ~210.
No. of weeks before start of school year No. of weeks after stan of school year
° These smaller studies are often shared online to show that there isn’t a difference between schools that mask during
the Delta variant’s spread in the US:
o InTennessee, two neighboring counties with similar vaccination rates, Davidson and Williamson, have
virtually overlapping case-rate trends in their school-age populations, despite one having a mask mandate
and one having a mask opt-out rate of about 23 percent.
o Another recent analysis of data from Cass County, North Dakota by Tracy Hoeg, comparing school districts
with and without mask mandates, concluded that mask-optional districts had lower prevalence of COVID-19
cases among students this fall.
maelrel=Tp
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Date
o Analyses of COVID-19 cases in Alachua County, Florida, also suggest no differences in mask-required versus
mask-optional schools.
COVID-19 Cases in Alachua County Schools

120
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Oo
o
# Cases/1,000 students & faculty
®
o
6.0
omen ACPS
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20
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8/13 8/20 8/27 9/3 9/10 9/17 9/24 10/1 10/8 10/15 10/22
Week
Scott Fullmer, MPA

Acting Director, Health Evidence & Policy
Research and Innovation Branch
Health Standards, Quality and Performance
10
Alberta Health
Phone: 780-415-2811
Mobile: 587-784-4624
19th Floor, ATB Place North| 10025 Jasper Avenue NW | Edmonton, AB TS) 156 |
AlbertonGovernment
[1 Both studies were used to guide previous advice on masking in Alberta, both excluded children
11
TAB 9
COVID-19 Situation Update
Epidemiology and Surveillance
08 February, 2022
Note: This report was generated on 08 February, 2022 for data reported up to end-of-day 07 February, 2022.
Summary
° 28,265 active cases in Alberta

° There has been a weekly average of 1.7% of COVID cases screened for variants (excluding the last two days
due to reporting delays).
° On 07 February, 2022, there was:
- an increase of 1,733 cases (+1,537 confirmed cases and +196 probable cases)
- a net change of 1,667 cases (net change includes adjustments such as removing out of province
cases and confirming or removing probable cases)
- an additional 253 variant of concern cases (142,420 total)
- an increase of 4,269 tests (6,793,485 total) and 819 people tested for the first time (2,717,900 total)
. 14 new deaths reported in the last 24 hours. One (1) previously reported death was determined to be non-
COVID; as a result, the total death count will increase by 13.
° The testing positivity rate is 36.4%
° There are 1,911 active and 19,418 recovered cases at long term care facilities and supportive/home living
sites. 1,599 residents at these facilities have died. To date, 1,599/3,686 (43%) of deaths have been in long
term care facilities or supportive/home living sites.
° 477,767 people recovered from COVID-19 (an additional 3483 people)
ALBERTA CASES
Table 1: Case information by Zone
Case Active cases in Current Current ICU

Zone* numbers community hospitalizations admissions** Deaths Recovered
Calgary 206,337 10,549 597 44 998 194,193
Central 50,671 3,084 168 6 456 46,963
Edmonton 163,289 7,657 641 61 1,468 153,523
North 56,246 2,670 127 6 438 53,011
South 32,119 2,403 90 12 326 29,300
Unknown 1,056 279 0 0 0 777
Total 509,718 26,642 1,623 129 3,686 477,767
*Zone of current hospitalization and current ICU admission based on location of hospitalization not zone of patient
residence.
**|CU cases are a subset of those in hospital.
Table 2: Case difference by Zone
Difference
(February
Cases on 06-
February February
Zone 07, 2022 07)
Calgary 206,337 801
Zone
Central 50,671 139
Zone
Edmonton 163,289 471
Zone
North 56,246 160
Zone
South 32,119 137
Zone
Unknown 1,056 25
Total 509,718 1733
Table 3: Variants of Concern by Zone
Zone Alpha Beta Delta Gamma Kappa Omicron Total

Calgary Zone 20045 79 16381 804 6 12528 49843
Central Zone 5458 8565 192 0 1604 15821
Edmonton Zone 11429 22948 1063 i3 8692 44210

North Zone 6253 14173 768 0 1387 22615
South Zone 2686 6137 97 0 971 9891
Unknown 0 4 0 0 36 40
Alberta 45871 68208 2924 19 25218 142420
Table 4: Variants of Concern (active cases only) by Zone
Zone Delta Omicron Total

Calgary Zone 10 432 442
Central Zone 158 162
Edmonton Zone 517
WoO
North Zone 129

South Zone 101
ON
Unknown 0
Alberta 19 1351
Figure 1: COVID-19 cases in Alberta by day and case status
Total Active Recovered Died
500,000 -
400,000-
COVID-19 cases (n)
300,000 -
200,000-
PN
oo
oo
1
o
o
o
Date
Figure 2 Current COVID-19 hospitalizations in Alberta per day
Ei Non ICU B ICU
1500 -
Hospitalized cases (n)
'
o
o
o
[4]
Oo
1
o
Figure 3: Total tests for COVID-19 in Alberta per day

~~
oo
x
(n)
for COVID-19
wv
x
volume
oo
oo
x
Test
[5]
x
10
10
10
Jdv 10
10
10
1dv 10
10
INC
uel
inc
wer
PO
20
Date Reported to Alberta Health
CANADIAN CASES (UPDATED TUESDAYS AND FRIDAYS)
Table 3: Cases and testing within past seven days, current hospitalization and ICU, and deaths within past 7 days
for Canada’s 6 largest provinces as of February 07, 2022
Cases in past 7 days PCR tests in past 7 days Current hospitalizations Current ICU Deaths in past 7 days
Province # Cases Per 10,000 # Tests Per 10,000 # Cases Per 10,000 # Cases Per 10,000 # Cases Per 10,000
Alberta 14,073 31.89 40,362 @® 9146 1,623 3.68 129 @ 0.2923 107 © 0.242
©®O®
000000
British Columbia 9,310 18.22 43,167 @ 384.46 987 1.93 141 @ 0.2759 © 0178
Saskatchewan 4,652 39.37 14,901 © 12610 332 2.81 31 0.2623 © 0.169
Manitoba 3,095
0000 22.47 12,010 ® 87.19 529 3.84 35 @ 0.2541 @ 0.276
Ontario 22,855 15.54 150,620 © 102.38 2,155 1.46 486 @ 0.3303 ® 0.265
Quebec 21,075 24.68 150,463 © 176.23 2,380 2.79 178 ( 0.2085 @ 0.310
23.576 96.919 2.799 0.2691 0.254
Notes: Green circles indicate rates that sit under the median of the six provinces (for testing, green indicates over the median). For consistency,
numbers are extracted at the same time; as a result, data for Alberta may not reflect the current numbers reported elsewhere in this document.
Hospitalization and ICU counts reflect current numbers {not cumulative). Hospitalization counts includes ICU.
Figure 4: Confirmed COVID-19 cases (per 10,000) over time in Alberta vs. Canada and select provinces as of
February 07, 2022
1400
1200
1000
cases per 10,000
800
600
400
Confirmed
200
—Alberta ——BC —— Saskatchewan Manitoba Ontario — Quebec ====Canada
Figure 5: Active COVID-19 cases (per 10,000) over time in Alberta vs. Canada and select provinces as of February
07, 2022
500.00
50.00
Active cases per 10,000 {log scale)
5.00
0.50
0.05
0.01
Alberta e===—BC = Saskatchewan — Manitoba Ontario
Note: March 30, 2020 is the most historic date data are available for all provinces. As of July 17, 2020, Quebec implemented a new definition for
estimating the number of people recovered. This results in a significant increase in the number of recovered individuals in Quebec and Canada
and, therefore, a significant decrease in the number of active cases in both Quebec and across Canada. This definition has been applied to historic
data. August 10, 2020 Quebec changed their methods and applied them retrospectively so number may vary from previous reports.
OUTBREAK TRACKING
Table 5: Open outbreaks by municipality and location type
Location
Municipality Type Outbreak Facility Cases Active Recovered Deaths
Edmonton Acute Care University of Alberta - Division of 43 15 28 0
Infectious Diseases
Edmonton Acute Care Royal Alexandra Hospital 32 16
Red Deer Acute Care Red Deer Regional Hospital Centre 30 14
Edmonton Acute Care Misericordia Community Hospital 29 22
[EDM]
Westlock Acute Care Westlock Healthcare Centre [NOR] 27 23
High River Acute Care High River General Hospital 26 22
Calgary Acute Care Rockyview General Hospital [CAL] 23 17
Calgary Acute Care Foothills Medical Centre 22
Fort Mcmurray Acute Care Northern Lights Regional Health 19
Centre
Calgary Acute Care Peter Lougheed Centre [CAL] 18
Oo
Edmonton Acute Care Grey Nuns Community Hospital - 17
oOo
In-Patient
=
Lethbridge Acute Care Chinook Regional Hospital [SOU] 15
k=
Calgary Acute Care Rockyview General Hospital [CAL] 15
OQ
Red Deer Acute Care Red Deer Regional Hospital Centre 14
OO
Edmonton Acute Care Royal Alexandra Hospital 14
OO
Ponoka Acute Care Ponoka Hospital And Care Centre 14
Edmonton Acute Care University of Alberta Hospital 14
PR
OR
OR
Leduc Acute Care Leduc Community Hospital 11
Calgary Acute Care Foothills Medical Centre - Inpatient 11
OO
Edmonton Acute Care Royal Alexandra Hospital - Unit 11
=
G21
Innisfail Acute Care Innisfail Health Centre
NO
Lacombe Hospital and Care Centre

R=
Lacombe Acute Care

Edmonton Acute Care Royal Alexandra Hospital
OO
Lac La Biche Acute Care William J. Cadzow - Lac La Biche

N
Healthcare Centre, Acute Care

[NOR]
Edmonton Acute Care Misericordia Community Hospital
[EDM]
Edmonton Acute Care Grey Nuns Community Hospital -
In-Patient
Calgary Acute Care Peter Lougheed Centre [CAL]
[EDM])
Redwater Acute Care Redwater Health Centre
Calgary Acute Care Southern Alberta Forensic
Psychiatry Services
In-Patient
Edmonton Acute Care Royal Alexandra Hospital
[EDM]
Red Deer Acute Care Red Deer Regional Hospital Centre
Medicine Hat Acute Care Medicine Hat Regional Hospital
[SOU]
Acute Care University of Alberta - Unit 5E3
OO
Edmonton
0)
O
HHO
[2 JN e2 Bi «3 I
NNN
High River Acute Care High River General Hospital
OO
Edmonton Acute Care University of Alberta - Inpatient
OO
Ww
=
In-Patient
[SOU]
Edmonton Acute Care University of Alberta - Unit 4A7
[SOU]
Edmonton Acute Care West Edmonton Kidney Care
Dialysis Unit
Edmonton Acute Care Royal Alexandra Hospital - Unit
G24
Lethbridge Acute Care Chinook Regional Hospital [SOU]
Calgary Acute Care Peter Lougheed Centre [CAL]
Edmonton Acute Care Glenrose Rehabilitation Hospital
Rocky Mountain Acute Care Rocky Mountain House Health
House Centre - Emergency
Red Deer Acute Care Red Deer Regional Hospital Centre
Drumheller Acute Care Drumheller Health Centre
Edmonton Acute Care University of Alberta Hospital
Calgary Acute Care Foothills Medical Centre
Calgary Acute Care South Health Campus [CAL]
Stettler Acute Care Stettler Hospital and Care Centre
[CEN]
Calgary Acute Care Rockyview General Hospital -
Inpatient
Ponoka Acute Care Centennial Centre - Mental Health
and Brain Injury
Barrhead Acute Care Barrhead Healthcare Centre
In-Patient
Leduc Acute Care Leduc Community Hospital
Edmonton Acute Care Royal Alexandra Hospital - Unit
G34
Edmonton Acute Care Alberta Hospital [EDM]
Edmonton Acute Care University of Alberta - Inpatient
Edmonton Acute Care Glenrose Rehabilitation Hospital
Blairmore Acute Care Crowsnest Pass Health Centre
Ponoka Acute Care Centennial Centre - Mental Health
and Brain Injury
St Paul Acute Care St. Therese - St. Paul Healthcare
Centre
St. Albert Acute Care Sturgeon Community Hospital
OO
NNN
NNN
Lethbridge Acute Care Chinook Regional Hospital
oO
OO
OO
NN
NNN
Grande Prairie Acute Care Grande Prairie Regional Hospital
OO
NN
©
[EDM]
St. Albert Acute Care Sturgeon Community Hospital
Acute Care Royal Alexandra Hospital
[GY
Edmonton
[ENS SE
Edmonton Acute Care Alberta Hospital Edmonton
Elk Point Acute Care Elk Point Healthcare Centre, Acute
Care
Edmonton Acute Care University of Alberta Hospital
Calgary Continuing AgeCare Seton
Care
Calgary Continuing AgeCare Glenmore
Care
Calgary Continuing Agecare Skypointe
Care
Calgary Continuing Mayfair Care Centre, Travois
Care Holdings [CAL]
Calgary Continuing Dr. Vernon Fanning Centre,
Care Carewest [CAL]
Calgary Continuing Bethany, Calgary [CAL] 102
Care
Edmonton Continuing Chartwell - Griesbach
Care
Calgary Continuing Mckenzie Towne Continuing Care 106
Care
Calgary Continuing CareWest George Boyak
Care
Calgary Continuing Bow View Manor
Care
Calgary Continuing Cedars Villa, Extendicare [CAL]
Care
Calgary Continuing Carewest Sarcee 14
Care
Calgary Continuing Carewest, Glenmore Park 17
Care
Brooks Continuing AgeCare Sunrise Gardens
Care
Calgary Continuing Trinity Lodge
Care
Edmonton Continuing Allen Gray Continuing Care Centre 10
Care [EDM]
Calgary Continuing Garrison Green, Carewest [CAL] 77 20 57
Care
Calgary Continuing Cambridge Manor 77 73
Care
Edmonton Continuing Lewis Estates Retirement 76 72
Care Residence [EDM]
Calgary Continuing Sage Hill Retirement Residence 75 61
Care
Calgary Continuing Intercare Chinook Care Centre 74 59
Care
Sherwood Park Continuing Capital Care Strathcona Campus 74 60
Care
Edmonton Continuing Lynnwood - Capital Care [EDM] 73 59
Care
Calgary Continuing Colonel Belcher LTC, Carewest 72 67
Care [CAL]
High River Continuing Seasons Retirement Home High 71 52
Care River
St. Albert Continuing Youville Home [EDM] 70 12 54
Care
Calgary Continuing Covenant Care St. Teresa 65 18 46
Care
Calgary Continuing The Manor Village Fish Creek Park 65 64
Care
Calgary Continuing Bethany Riverview 62 56
Care
St. Albert Continuing Chartwell St Albert Retirement 61 10 50
Care Residence
Calgary Continuing Beverly, Lake Midnapore (Agecare) 60 12 47
Care [CAL]
Edmonton Continuing Miller Crossing Care Centre [EDM] 59 51
Care
Edmonton Continuing Shepherd's Care Kensington Village 56 51
Care LTC
Westlock Continuing Smithfield Lodge [NOR] 55 49
Care
Lethbridge Continuing Edith Cavell Care Centre [SOU] 54 42
Care
Edmonton Continuing Jasper Place Continuing Care 54 45
Care Centre [EDM]
Wainwright Continuing Wainwright Health Centre 51 47
Care
Edmonton Continuing Capital Care Grandview 51 43
Care
Viking Continuing Extendicare Viking 50 40
Care
Edmonton Continuing Hardisty Care Centre [EDM] 50 42
Care
Strathmore Continuing AgeCare Sagewood 50 45
Care
Edmonton Continuing Edmonton People In Need Society 49 44
Care
Edmonton Continuing Chartwell Heritage Valley 49 19 30
Care Retirement Residence
Leduc Continuing Lifestyle Options - Leduc [EDM] 48 41
Care
Edmonton Continuing Shepherd Care Kensington 48
Care
Edmonton Continuing Norwood - Capital Care [EDM] 48
Care
Medicine Hat Continuing Masterpiece River Ridge {SOU} 47
Care
Red Deer Continuing Extendicare Michener Hill [CEN] 47
Care
Parkland County Continuing Everglades Special Care Lodge 46
Care
Camrose Continuing Seasons Camrose 46
Care
St. Albert Continuing Chateau Mission Court [EDM] 46
Care
Spruce Grove Continuing Copper Sky Lodge 46 15
Care
Innisfail Continuing Autumn Grove Lodge 45
Care
Edmonton Continuing Grand Manor [EDM] 45 13
Care
Edmonton Continuing Good Samaritan Society Southgate 44
Care Care Centre
Brooks Continuing Orchard Manor [SOU] 43
Care
Red Deer Continuing Bethany Collegeside Care Centre 43
Care [CEN]
Grande Prairie Continuing Grande Prairie Care Centre, 42
Care Supportive Living [NOR]
Calgary Continuing Holy Cross Manor 42
Care
Edmonton Continuing Riverbend Retirement Residence 42
Care [EDM]
Pincher Creek Continuing GSS - Vista Village [SOU] 42
Care
Edmonton Continuing Greater Edmonton Foundation 41
Care (GEF) Seniors Housing Sakaw
Terrace
Edmonton Continuing Rutherford Heights [EDM] 41
Care
Edmonton Continuing Millwoods Shepherds Care Centre 40
Care [EDM]
Calgary Continuing Rocky Ridge Retirement 40
Care Community by Signature
Calgary Continuing Evanston Grand Village 40
Care
Calgary Continuing United Active Living-Garrison 40
Care Green
Grande Prairie Continuing Prairie Lake Seniors Community 39 12
Care
Calgary Continuing Monterey Seniors Village 39 10 29
Care
Medicine Hat Continuing South Country Village - LTC [SOU] 39 34
Care
Red Deer County Continuing The Hamlets at Red Deer 39 16 23
Care
Edmonton Continuing Villa Marguerite [EDM] 39 33
Care
Edmonton Continuing Villa Caritas Hospital 38 35
Care
Calgary Continuing Prince Of Peace Manor [CAL] 38 37
Care
Red Deer Continuing Timberstone Mews 37 23
Care
Calgary Continuing Auburn Heights Retirement 37 31
Care Residence
Care
Calgary Continuing McKenzie Towne, Revera 37 29
Care Retirement Residence
Elk Point Continuing Elk Point Heritage Lodge [NOR] 36 30
Care
Edmonton Continuing Balwin Villas 36 32
Care
Cochrane Continuing Points West Living Cochrane 36 25
Care
Linden Continuing Westview Care Community 35 10
Care
Cold Lake Continuing Cold Lake Healthcare Centre, 35 26
Care Auxiliary [NOR]
Panoka Continuing Northcortt Care Centre 35 20
Care
Edmonton Continuing Wedman Facilities - Good 35 33
Care Samaritan [EDM]
Calgary Continuing The Manor Village Varsity 35 25
Care
Sherwood Park Continuing Silver Birch Place 35 21
Care
Red Deer Continuing Points West Living Red Deer Phase 34 25
Care 2
Care
Care
Calgary Continuing Grand Seton Village 33 33
Care
Care
Medicine Hat Continuing Masterpiece Southland Meadows 32 21 11
Care
Innisfail Continuing Rosefield Care Centre 32 30
Care
Edmonton Continuing Greater Edmonton Foundation 32 29
Care (GEF) Seniors Housing Rosslyn
Place Lodge
Ponoka Continuing Centennial Centre - Mental Health 32
Care and Brain Injury
Calgary Continuing Beaver Dam Lodge, MCF Housing 32
Care [CAL)
Medicine Hat Continuing The Wellington [SOU] 32
Care
Calgary Continuing St. Marguerite Manor & Dulcina 31
Care Hospice Covenant Care
Ponoka Continuing Ponoka Hospital And Care Centre - 30
Care Facility Living
Calgary Continuing Brenda Strafford Foundation 30 10
Care Wentworth Manor Court
Calgary Continuing Eau Claire Retirement Residence, 30
Care Chartwell [CAL]
Drayton Valley Continuing Drayton Valley Hospital & Care 29 18
Care Centre [CEN]
Sherwood Park Continuing Sherwood Care 29
Care
Westlock Continuing Westlock Continuing Care Centre 29
Care [NOR]
Edmonton Continuing St Thomas Supportive Living 28
Care
Edmonton Continuing McConachie Gardens 28
Care
Edmonton Continuing MacTaggart Place Retirement 28
Care Residence
Edmonton Continuing Churchill Manor [EDM] 28
Care
Edmonton Continuing Shepherd's Care Kensington Village 27
Care
Medicine Hat Continuing Meadowlands [SOU] 27
Care
Fort Saskatchewan Continuing Dr. Turner Lodge [EDM] 27
Care
Edmonton Continuing Rosedale Estates [EDM] 27
Care
Calgary Continuing Clifton Manor 26
Care
Athabasca Continuing Athabasca Extendicare [NOR] 26
Care
Calgary Continuing Bethany, Harvest Hills [CAL] 26
Care
Edmonton Continuing St. Michael's Long Term Care 26
Care Centre [EDM]
Calgary Continuing Father Lacombe Nursing Home 26
Care [CAL]
Calgary Continuing Aspen Lodge, MCF Housing [CAL] 26 20
Care
Calgary Continuing Age care walden heights 25 25
Care
Wetaskiwin Continuing Good Samaritan Society Good 25
Care Shepherd Home.
Edmonton Continuing McQueen lodge 25
Care
Edmonton Continuing Benevolence Care Centre 25
Care
Calgary Continuing Southwood, Intercare [CAL] 25
Care
Clairmont Continuing Lakeview Seniors Housing 25
Care
Fort Mcmurray Continuing Willow Square Continuing Care 25
Care Centre
Lacombe Continuing Royal Oak Dev. Lacombe LTD [CEN] 24
Care
Edmonton Continuing Shepherd’S Care Greenfield [EDM] 23
Care
Sherwood Park Continuing Robin Hood Association Aspen 23
Care Village
Calgary Continuing Wing Kei Greenview 23
Care
Edmonton Continuing Devonshire Care Centre [EDM] 23
Care
Stony Plain Continuing Stony Plain Care Centre - Good 23
Edmonton Continuing Shepherd's Care Eden House 23
Care
Medicine Hat Continuing South Ridge Village [SOU] 22
Care
Edmonton Continuing Devonshire Village [EDM] 22 16
Care
Edmonton Continuing Covenant Health St. Joseph's 22 18
Care Edmonton [EDM]
Falher Continuing Villa Beausejour Seniors Lodge, 21
Care Fahler
Stettler Continuing Paragon Place [CEN] 21 18
Care
Edmonton Continuing Holyrood - Extendicare [EDM] 21 19
Care
Okotoks Continuing Strafford Foundation Tudor Manor 21
Care
Olds Continuing Seasons Encore Retirement 21
Care Community
Edmonton Continuing CapitalCare McConnell Place North 21 20
Care
Edmonton Continuing Touchmark at Wedgewood 21 20
Care
Lamont Continuing Lamont Health Care Centre 20 15
Care
Wetaskiwin Continuing Madyson Manor [CEN] 20 17
Care
Red Deer Continuing Points West Living Red Deer Phase 20 14
Care !
Barrhead Continuing Shepherd’s Care Barrhead [NOR] 20 14
Care
Myrnam Continuing Eagle View Lodge 20
Care
Wabasca Continuing Keekenow Senior Facility 20
Care
Sylvan Lake Continuing Bethany Sylvan Lake [CEN] 20
Care
Calgary Continuing Scenic Acres, Revera Retirement 20
Care Residence [CAL]
Edson Continuing Edson Continuing Care Center 19
Care
Edmonton Continuing Extendicare Eaux Claires [EDM] 19
Care
Edmonton Continuing Grace Manor Salvation Army 19
Care [EDM]
Edmonton Continuing Kipnes Centre For Veterans [EDM] 19
Care
Calgary Continuing Mount Royal, Revera [CAL] 19
Care
Medicine Hat Continuing Meadow Ridge Seniors Village 18
Care
Edmonton Continuing Venta Care Centre [EDM] 18
Care
Hinton Continuing Hinton Continuing Care Center 18
Care
Edmonton Continuing Village at Westmount 18
Care
Slave Lake Continuing Vanderwell Heritage Place [NOR] 18
Care
Lethbridge Continuing Adaptacare (9 Ave S) [SOU) 18
Care
Edmonton Continuing CapitalCare Laurier House 18
Care Lynnwood
Calgary Continuing Inclusio 18
Care
Legal Continuing Chateau Sturgeon Lodge [EDM] 17
Care
Lethbridge Continuing St. Therese Villa [SOU] 17
Care
Edmonton Continuing Capital Care Dickensfield 17
Care
Edmonton Continuing LifeStyle Options Schonsee 17
Care Retirement Community
Villeneuve Continuing West Country Hearth [EDM] 17 16
Care
Grande Prairie Continuing Mackenzie Place Continuing Care 17 10
Care Centre [NOR]
Edmonton Continuing South Terrace Continuing Care 16 14
Care [EDM]
Red Deer Continuing Covenant Care Villa Marie 16 12
Care
Sherwood Park Continuing Bedford Village 15 15
Care
Brooks Continuing Newbrook Lodge [SOU] 15 10
Care
Edmonton Continuing Whitemud - Lifestyle Options 15
Care [EDM]
Calgary Continuing Agape Hospice [CAL] 15
Care
Edmonton Continuing Park Place Seniors Living 15
Care Sprucewood Place
Whitecourt Continuing Spruce View Lodge [NOR] 14
Care
Cardston Continuing GSS Lee Crest 14
Care
Medicine Hat Continuing AgeCare Valleyview 14
Care
Edmonton Continuing Our Parents’ Home 14
Care
Edmonton Continuing Stepping Stone Salvation Army 14
Care [EDM]
Sherwood Park Continuing Summerwood Village Retirement 14
Care Residence [EDM]
Red Deer Continuing Revera Inglewood 14
Care
Wainwright Continuing Points West Living [CEN] 14
Care
Barrhead Continuing Dr.W.R.Keir Barrhead Continuing 14
Care Care Centre
Edmonton Continuing Urban Manor Housing Society 13
Care
Edmonton Continuing Edmonton People In Need Society 13 12
Care
Innisfail Continuing Sunset Manor [CEN] 13 11
Care
St. Paul Continuing Sunnyside Manor [NOR] 13
Care
Camrose Continuing Louise Jensen Care Centre 12 11
Care
Fort Macleod Continuing Extendicare Fort Macleod [SOU] 12 10
Care
Edmonton Continuing Canterbury Foundation 12
Care
Central Continuing Red Deer Hospice Society 12 11
Care
St Albert Continuing Ironwood Estates 12 11
Care
Spruce Grove Continuing St. Michael's Grove Manor {EDM] 12
Care
Slave Lake Continuing Slave Lake Health Care Centre 12
Care Continuing Care
Edmonton Continuing LifeStyle Options Terra Losa 12 11
Care Retirement Community
Leduc Continuing Planeview Place [EDM] 12
Care
Edmonton Continuing Wild Rose Cottage [EDM] 12
Care
Edmonton Continuing Kiwanis Place Lodge [EDM] 12
Care
Central Continuing The West Park Lodge 11
Care
Drumheller Continuing Drumheller Health Centre - Acute 11
Care Care [CEN]
Mundare Continuing Father Filas Manor [CEN] 11
Care
Oyen Continuing Big Country Hospital - LTC [SOU] 11
Care
Edmonton Continuing Golden Age Manor [EDM] 11
Care
Drayton Valley Continuing Points West Living - Drayton Valley 11
Care
Drumheller Continuing Drumheller Health Centre 11
Care
Lloydminster Continuing Lloydminter Continuing Care 11
Care Centre
Fort Saskatchewan Continuing Rivercrest Care Centre [EDM] 11
Care
Edmonton Continuing Revera River Ridge 11
Care
Airdrie Continuing Luxstone Manor 11
Care
Edson Continuing Parkland Lodge [NOR] 11
Care
Calgary Continuing Prince Of Peace, The Harbour [CAL] 11
Care
Edmonton Continuing Emmanuel Home [EDM] 10
Care
Athabasca Continuing Athabasca Healthcare Centre (Long 10
Care Term Care Auxiliary)
St. Albert Continuing Foyer Lacombe [EDM] 10
Care
High Prairie Continuing J.B. Wood Continuing Care [NOR] 10
Care
Edmonton Continuing Bissell Centre - Hope Terrace 10
Care
Lethbridge Continuing St. Michael's Health Centre [SOU] 10
Care
Grande Prairie Continuing Signature Support Services 83 Ave 10 10
Care
Lethbridge Continuing St. Michael’s Health Centre [SOU] 10 10
Care
Westlock Continuing Pembina Lodge [NOR] 10
Care
Blairmore Continuing Crowsnest Pass Health Centre - LTC 10
Care [sou]
Edmonton Continuing Edmonton Chinatown Care Centre -
Care Ccc [EDM]
Stettler Continuing Points West Living [CEN]
Care
Edmonton Continuing Churchill Retirement Community
Care [EDM]
Calgary Continuing St. Marguerite Manor & Dulcina
Care Hospice Covenant Care
Stony Plain Continuing Westview Continuing Care Centre
Care [EDM]
Airdrie Continuing Bethany, Airdrie [CAL]
Care
Bonnyville Continuing Bonnylodge
Care
Edmonton Continuing Operation Friendship Senior
Care Society - Sparling Lodge
Canmore Continuing Origin at Spring Creek
Care
Wetaskiwin Continuing Wetaskiwin Hospital and Care
Care Centre
Taber Continuing GSS Linden View
Care
Lethbridge Continuing Pemmican Lodge [SOU]
Care
Fort Mcmurray Continuing Rotary House Seniors Lodge [NOR]
Care
Edmonton Continuing Ambrose Place
Care
Edmonton Continuing Laurel Heights Retirement Living
Care
Redwater Continuing Diamond Spring Lodge [NOR]
Care
Edmonton Continuing Mill Woods Centre - Good
Edmonton Continuing Chartwell Wescott Retirment
Care Residence
Grande Prairie Continuing Emerald Gardens Retirement
Care Residence
Edmonton Continuing Rose Crest Home
Care
Calgary Continuing Discovery House
Care
Black Diamond Continuing Rising Sun Long Term Care
Care
Edmonton Continuing Touchmark At Wedgewood - Ccc
Care [EDM]
Edmonton Continuing Queen Alexandra Lodge [EDM]
Care
Ponoka Continuing Centennial Centre - Mental Health
Bonnyville Continuing Bonnyville Extendicare [NOR}
Care
Sherwood Park ~~ Continuing Clover Bar Lodge
Care
Calgary Continuing Evanston Summit Covenant Living
Care
Bassano Continuing Playfair Lodge [SOU]
Care
Edmonton Continuing Vanguard Shepherd's Care
Care
Calgary Continuing Silvera for Seniors Shouldice
Care
Stony Plain ~~ Continuing Unlimited Potential Community
Care Services Bright Bank
Sturgeon County ~~ Continuing St. Albert Retirement Residence
Care
Barrhead Continuing Hillcrest Lodge
Care
Olds Continuing Olds Hospital & Olds Continuing
Care Care Centre [CEN]
Didsury ~~ Continuing Bethany Aspen Ridge Lodge
Care
Gibbons Continuing Spruce View Manor [EDM]
Care
Evansburg Continuing Sunshine Place [EDM]
Care
Edmonton Continuing The Ashbourne Assisted Living
Care
st. Albert Continuing Citadel Care Centre [EDM]
Care
Sherwood Park Continuing Chartwell Emerald Hills Retirement
Care Residence Unit 1
Lethbridge Continuing Black Rock Terrace [SOU]
Care
Peace River Continuing Heritage Towers
Care
Edmonton Continuing Whispering Waters Manor
Care
Calgary Continuing High Country Lodge
Care
Lethbridge Continuing Garden View Lodge [SOU]
Care
Grande Prairie Continuing Prairie Lake Seniors Community
Care
Grande Cache Continuing Whispering Pines Lodge [NOR]
Care
Sherwood Park Continuing Robin Hood Association Residence
Care 24
Edmonton Continuing Winnifred Stewart Group Home
Care Residence 13
Lethbridge Continuing St. Therese Villa [SOU]
Care
Calgary Continuing High Banks Independent Living for
Care Parenting Youth Society
Manning Continuing Del-Air Lodge [NOR]
Care
Olds Continuing Seasons Olds
Care
Edmonton Continuing Edmonton General Care Centre
Care [EDM]
Valleyview Continuing Red Willow Lodge [NOR]
Care
Lethbridge Continuing Seasons Lethbridge Gardens
Care
Medicine Hat Continuing Leisure Way Community Group
Care Home [SOU]
Morinville Continuing Aspen House [EDM]
Care
Lethbridge Continuing St. Therese Villa [SOU]
Care
Edmonton Continuing Kids Kottage Foundation
Care
Coronation Continuing Coronation Long Term Care [CEN]
Care
Edmonton Continuing Optima Living Aster Gardens
Care
Mayerthorpe Continuing Mayerthorpe Extendicare [NOR]
Care
Devon Continuing Discovery Place Senior
Care Independent Living Facility-Devon
Radway Continuing Radway Continuing Care Centre
Care [NOR]
Camrose Continuing Rosehaven LTC Centre
Care
Sundre Continuing Sundre Senior Supporting Living
Care
Bow Island Continuing Bow Island Health Centre - LTC
Care [SOU]
Fort Macleod Continuing Extendicare Fort Macleod [SOU]
Care
Calgary Continuing Millrise Place
Care
Edmonton Continuing Chinese Seniors Lodge [EDM]
Care
Calgary Continuing Revera Scenic Grande
Care
Three Hills Continuing Three Hills Health Centre
Care
Mayerthorpe Continuing Pleasant View Lodge -
Care Mayerthorpe
Gibbons Continuing Renaissance Homes- Riverside
Care
Fairview Continuing Harvest Lodge [NOR]
Care
Edmonton Continuing Virginia Park - Lodge [EDM]
Care
Edmonton Continuing Glastonbury Village
Care
Devon Continuing Devon General Hospital
Care
Edmonton Continuing Chimo Youth Retreat Centre Home
Care 10
Edmonton Continuing Millenium Pavillion Seniors Lodge
Care
Care [EDM]
Calgary Continuing Brentwood Care Centre
Care
Central Continuing Chateau Three Hills
Care
Vermilion Continuing Vermilion Valley Lodge
Care
Red Deer Continuing Aspen Ridge by Revera
Care
Calgary Continuing Manor Village at Rocky Ridge
Care
St. Paul Continuing Aspen House Care Residence
Care
Blairmore Continuing York Creek Lodge [SOU]
Care
Lloydminster Continuing Dr.Cooke Extended Continuing
Care Care
Rimbey Continuing Rimbey Hospital & Care Centre -
Care Facility Living [CEN]
Edmonton Continuing In & Out Home Rehabilitation
Care Ltd. House 5
Care [EDM]
Leduc Continuing Salem Manor [EDM]
Care
Trochu Continuing St. Mary’s Health Care Centre -
Care Supportive Living [CEN]
Red Deer Continuing Catholic Social St. Neri
Care
Calgary Other The Drop In Centre
OO OO OO
Calgary Other Calgary Remand Centre

Other Drumbheller Institution [CEN]
OO
Drumheller
Edmonton Other City of Edmonton Fire Department
Innisfail Other Bowden Institution
Edmonton Other Herb Jamieson Centre- Hope
Mission
Grande Cache Other Grande Cache Institute
Edmonton Other Edmonton Remand Centre
Edmonton Other Edmonton Remand Centre 43
©
Edmonton Other Hope Mission Downtown 42
oO
oO
Medicine Hat Other Medicine Hat Remand [SOU] 37
OO
Calgary Other Mustard Seed - Foothills 37
Edmonton Other Edmonton Institution for Women 36
OO
Lethbridge Other Alpha House Shelter and 33
oO
Stabilization Centre
Fort Saskatchewan Other Fort Saskatchewan Correctional 32
[=
Centre
OO
OO
Calgary Other Calgary Alpha House 29
Red Deer Other Safe Harbour Society - Shelter 28
oO
(Cannery Row) &
Diversion/Outreach Program
Centre
Centre
Edmonton Other Bissell Centre 26
Edmonton Other The Mustard Seed - 26
Commonwealth Site
Bon Accord Other Oak Hill Ranch 26
OW
OO
OC
HN
Edmonton Other Hope Mission Spectrum 25

Lethbridge Other Lethbridge Correctional Services 24
CO
[SOU]
Edmonton Other Travel Lodge West ~ Bridge 24
Housing
Edmonton Other Mustard Seed - Knox Evangelical 23
Church
Red Deer Other Red Deer Remand Centre [CEN] 21
Edmonton Other Stan Daniels Healing Centre 20
Edmonton Other Mustard Seed Strathcona Baptist 20
Church Shelter
Mclennan Other Manoir du Lac 19 15
Oo
Edmonton Other Edmonton Institution 18 18

©
Grande Prairie Other Odyssey House Women’s Shelter 18

OO
Calgary Other Calgary Young Offender Centre - 14

oO
Female Annex
Edmonton Other Transitional Housing Program - 13 11
Edmonton Center for Hope
Salvation Army
Wetaskiwin Other Catholic Social Services St. Gabriel 13 13
Red Deer Other Turning Point Supervised
o
Consumption Site
Calgary Other 142 Scenic Bow Place
©
Calgary Other Avenue 15 Youth Distress Shelter
OO
Calgary Other Children’s Cottage Brenda's House
©
Peace River Other Peace Rlver Regional Women’s
oO
Shelter
Calgary Other Calgary Correctional Centre
Ww
Ponoka Other The Centennial Centre [CEN]
oe
O
Grande Prairie Other Wapiti House
U1
Red Deer Other Michener Services- 119 Michener
Qo
Crescent [CEN]
Wetaskiwin Other Catholic Social Services St Raphael
Red Deer Other Michener Services - 11 A4
Michener Way [CEN]
Edmonton Other WIN House #2
Calgary Other Salvation Army - Centre of Hope
Red Deer Other Michener Services - 11 A2
Michener Way [CEN]
Red Deer Other CENTRAL ALBERTA WOMEN’S
EMERGENCY SHELTER
Edmonton Other Wings of Providence Society
OO
Edmonton Other La Salle Second Stage Shelter
Edmonton Other Catholic Social Services St. Cecilia
©
Oo
St. Paul Other St. Paul Abilities Network Home 10
OO
Fort Saskatchewan Other Fort Saskatchewan Correctional
oO
Centre
Calgary Other Enviros Wilderness Schools
Association Connects
Centre
Strathmore Other Woods Homes Willow House
oO
NN
Other Excel Society - Group Home 18

UN
Edmonton Oo

oO
NN
Calgary Other Close to Home Achievement Place

oOo
oO
1
Edmonton Other Residential and Support Services
King Edward Park
Calgary Other Trellis Banff Trail Group Home
Calgary Other Mustard Seed - First Alliance
Church
Edmonton Other McMan Youth Family Community
Services- Belmont
Wetaskiwin Other Mustard Seed Wetaskiwin
Warming Shelter
Calgary Other Edmonton Isolation Facility (STAFF)
- Travelodge South, operated by
Boyle Street Community Services
Edmonton Other Catholic Social Services - St. Rita
OO
©
NN
Calgary Other Inn From The Cold - Main Site
oO
OOOO
WN =
Medicine Hat Other Core Licensed Group Home
oO
OOO
OO
Other Michener Services
OO
Central
Lac La Biche Other Hope Haven Women's Shelter
bh
OO
Edmonton Other Coliseum Inn
Ww
Red Deer Other Michener Services - 87 Michener
aA
Oo
Oo
a
Green [CEN]
Olds Other Accredited Supports to the
Community Residence 2
Red Deer Other Central Alberta’s Safe Harbour
Society [CEN]
Calgary Other Children’s Cottage - Crisis Nursery
Calgary Other Inn From the Cold Satellite
Location
Edmonton Other Excel Society Group Home 19
Grande Prairie Other Signature Support Services 62nd
East
[=]
o
Centre
Calgary Other Golden Key Supportive Living
©
Kk
VGN
OS
Grande Prairie Other Signature Support Services 62 West
DOV
Un
©
OO
Fk
Other Pine Valley Lodge [NOR]
OO
Hinton
WU
AHO
Edmonton Other Glenwood Group Home
OO
OO
Calgary Other Sister's Care Group Home
OO
BD
Peace River Other Peace River Correctional Centre

bh
PO
Innisfail Other Advance Society Innisfail: Support
Ww
5
©
for Developmentally Disabled
[CEN]
Slave Lake Other Community Friendship Temporary
Mat Program
Calgary Other Alberta Home Care-Site 1-
Tarawood
Edmonton Other Family Connections Comfort House
NW
Lethbridge Other Bridges Day Program

Edmonton Other Lacreche Home
BNO
Calgary Other Waverley House Personal Care

Home #259
Calgary Other Excel Discovery
Ra
Calgary Other YWCA Mary Dover House

PU BE
Ab Other Action Group Enhanced Housing

Other Excel Society Group Home 35
OS TS —S
Edmonton
Calgary Other CSPD 72 St
Other Women's Shelter Society
oT
Medicine Hat
Other Signature Support Services 107
[ad
Grande Prairie
Sturgeon County Other Kihew House
Edmonton Other Residential and Support Services
Milthurst Community Home
Calgary Other Calgary Women's Emergency
Shelter
High Prairie Other High Prairie Youth Assessment
Centre
Edmonton Other Chimo 2
Edmonton Other Unlimited Potential Community
Services Alder House
Centre
Edmonton Other Winnifred Stewart Adult Group
Home Residence 7
Calgary Other Atria Canyon Meadows Retirement
Red Deer Other St. Neri Timberlands - Banff Unit
Calgary Other L’Arche Calgary Group Home-
Annapurna
Edmonton Other Hope Cottage Inc- Residence #1
Calgary Other Proverbium Homes 5
Wetaskiwin Other Wetaskiwin and District
Association for Community
Services Residence 1
Wetaskiwin Other Wetaskiwin and District
Association for Community
Services Residence 2
Calgary Other Vecova Bell Street
Edmonton Other John Howard Society - Journey
Home
Edmonton Other Medihome House #7
Sherwood Park Other Robinhood Association Residence
#18
Calgary Other Brenda Strafford Centre Shelter
14315 Evergreen Other A Omega 6
Street Sw, Calgary
Ab
Morinville Other Jessie's House
Edmonton Other HF Resources Kilkenny House
Edmonton Other Mustard Seed Trinity Lutheran
Church Shelter
Central Other up community services doreen
johnson
Wainwright Other Catholic Social Services- St. Louise
House
Wainwright Other Catholic Social Services- St. Patrick
House
Red Deer Other Michener Services - 91 Michener
Green [CEN]
Alberta All All 11316 2678 8490 148
Table 6: Summary of the closed outbreaks
Location Type Alberta Calgary Central Edmonton North South Unknown

Acute Care 406 103 62 180 38 23 0
Continuing Care 1291 531 184 324 111 140
RE
Other 2795 1116 227 943 350 158
School (K-12) 2458 860 306 731 383 178
NO
Total 6950 2610 779 2178 882 499
COMMUNICATIONS UPDATE
TAB 10
6/31/22, 6:12 PM Internal AH COVID-19 Dashboard
Analytics and Performance Reporting Branch

Epidemiology and Surveillance Unit
2022-February-08 12:01
COVID-19 in Alberta
Highlights New Cases Total Cases Characteristics Vaccine Outcomes
Severe outcomes Comorbidities Healthcare capacity Geospatial Travel history
Laboratory testing Variants of Concern Data export Data notes
1623 [Fil 129 3,686 1

qd 1
current hospitalizations current ICU total deaths
28,265 | | 34.11% || 78 years

}
active cases percent positivity, 7-day average average age at death
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5/31/22, 6:21 PM tnternal AH COVID-19 Dashboard

Epidemiology and Surveillance Unit bertom
2022-February-08 12:01
COVID-19 in Alberta
Highlights New Cases Total Cases Characteristics Vaccine Outcomes Severe outcomes
Comorbidities Healthcare capacity Geospatial Travel history Laboratory testing Variants of Concern
Data export Data notes
Cases reported from

February 01-February 07, 2022 Active cases
12k
6000
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Figure 1: COVID-19 cases in Alberta by zone. First and second panels display new (from February 01-February 07, 2022) and
active cases, respectively. Cases without a postal code or incorrect postal codes are labelled as unknown. Cases are under
investigation and numbers may fluctuate as cases are resolved.
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5/31/22, 6:21 PM internal AH COVID-19 Dashboard
Cases reported from

3500 7000
3000 6000
2500 5000
2000 4000
1500 3000
1000 2000
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Figure 2: COVID-19 cases in Alberta by age group. First and second panels display new (from February 01-February 07, 2022)
and aclive cases, respectively. Cases are under investigation and numbers may fluctuate as cases are resolved.
Cases reported from

14k
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10k 20k
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ase e
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Figure 3: COVID-19 cases in Alberta by route of suspected acquisition. First and second panels display new (from February 01-
February 07, 2022) and active cases, respectively. Cases are under investigation and numbers may fluctuate as cases are
resolved.
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Epidemiology and Surveillance Unit berm
2022-February-08 12:01
COVID-19 in Alberta
Comorbidities Healthcare capacity Geospatial Travel history Laboratory testing Variants of Concern
Data export Data notes
Summary
« There are 503790 laboratory-confirmed, and 5928 probable cases in Alberta.
+ There have been 465850/509718 cases report forms received.
Total — Active Recovered Died
500k
400k
COVID-19 cases (n)
300k
200k
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Figure 4: COVID-19 cases in Alberta by day and case status. Recovered is based on the assumption that a person is recovered
14 days after a particular date (see data notes tab), if they did not experience severe outcomes (hospitalized or deceased).
Cases are under investigation and numbers may fluctuate as cases are resolved. Data included up to end of day February 07,
2022.
Known exposure = Travel Unknown exposure
250k
200k
Cumulative COVID-19 cases (n)
150k
100k
50k
1.0
inf 10
inf Lo
uel Lo
ef
Figure 5: Cumulative COVID-19 cases in Alberta by route of suspected acquisition. Only includes COVID-19 cases where case
report forms have been received. Suspected community refers to cases where there is no known epi-link, setting or travel
where the person may have acquired infection. This includes cases where the investigation is still ongoing. Data included up to
end of day February 07, 2022.
7000 HB Probable MM Confirmed
6000
5000
-19 cases (n)
F-3
[=]
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= 300
cov
2000
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Figure 6: COVID-19 cases in Alberta by day and case status. Probable cases include cases where the lab confirmation is
pending. Data included up to end of day February 07, 2022.
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Morton
2022-February-08 12:01
COVID-19 in Alberta
Highlights New Cases Total Cases Characteristics Vaccine Outcomes Severe outcomes Comorbidities
Healthcare capacity Geospatial Travel! history Laboratory testing Variants of Concern Data export
Data notes
Summary
= The median age range is 34 years (0-121)
100703 15425
100000 15000 .
9119 1407713564
2817 PR 12244
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Age Group
Figure 7: Number and rate of COVID-19 cases in Alberta by age group
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Oullook/B4 1CNU3I/Dashboard_2022-02-08
Cache/Content. 12-01.htmi
Female
80+ years
70-79 years
60-69 years
50-59 years
40-49 years
Age group
30-39 years
20-29 years
10-19 years
5-9 years
1-4 years
Under 1 year
40000 40000
Count
Figure 8: COVID-19 cases in Alberta by age group and gender
Table 1. COVID-19 cases in Alberta by age group and gender
Gender
Female Male All
Age Count Percent Count Percent Percent Count Percent
Under 1 year 1,510 1,807 3,322
1-4 years 8,964 9,744 18,719
5-9 years 14,163 15,823 29,996
10-19 years 32,328 32,873 65,262
20-29 years 47,778 43,304 91,199
30-39 years 53,024 47,606 100,703
40-49 years 43,128 39,349 82,517
50-59 years 28,694 28,175 56,897
60-69 years 15,823 16,701 32,545
70-79 years 7.129 7,247 14,384
80+ years 8,375 5475 13,860
Unknown 160 142 314
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Gender
Female Male Unknown All
Age Count Percent Count Percent Count Percent Count Percent
All 261,076 51 248,246 49 396 0 509,718 100
— 0-4 years 12-19 years —— 20-29years 250 == 0-4 years 12-19 years = 20-29 years
3500 30-59 years 5-11 years 60-79years 30-59 years 5-11 years 60-79 years
80+ years a 80+ years
200
COVID-19 cases (n)
150
100
50
uel 10
inf Lo
uef 10
nfo
Date reported to Alberta Health Date reported to Alberta Health
Figure 9: COVID-19 cases in Alberta by age group. First and second panels display counts (7-day rolling average) and rate per
100,000 (7-day rolling average), respectively.
Healthcare Workers
Table 2. Healthcare workers among COVID-19 cases
Calgary Zone 13981 1471 12506 4
Central Zone 3676 467 3209 0
Edmonton Zone 12174 1131 11040 3
North Zone 2599 2267 1
South Zone 2520 2098 2
Unknown 2 2 0
Note:
Status of Healthcare workers Is self-reported and might be different from other sources. Please note these are not necessarily
healthcare workers who were infected at work.
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Alberta 34952 3820 31122 10
Note:
Status of Healthcare workers is self-reported and might be different from other sources. Please note these are not necessarily
healthcare workers who were infected at work.
Symptoms
Table 3. Symptoms reported among COVID-19 cases
Symptom Count Percent
Cough oo mse 282

Headache : 87913 i 18.9 |
Sore Throat | 78306 ) 16.8
Nasal Congestion | 70351 15.1
oo Malaise | oo | oo 58022 oo 125
i Chills | 57320 ) 123
Runny Nose oo 55468 oo 11.9
Fever oo } 51590 ) 1
Asymptomatic | 46821 ) 101
oo oo Pain oo 42062 oo 9
Loss of Taste/Smell oo 37842 ) 8.1
Other | 31662 68
) Myalgla oo 26741 | 57
) Difficulty Breathing - 22908 ) 4.9
oo Decreased Appetite oo | 21661 ) 4.6
oo Diarrhea | | 17511 oo 28
oo Nausea oo 15803 34
Smee neo 28
oo a oo Dizziness oo | oo 9836 24
oo © ChestPain oo as 18
CC Vemwe m2 1s
Note:
Symptom prevalence based on enhanced case report forms.
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5131/22, 6:22 PM Internal AH COVID-19 Dashboard
Symptom Count Percent

DR
Arthralgla 4617
Prostration 3735
Irritability/Confusion/Altered Mental State 3441

Pharyngeal Exudate 3058
Conjunctivitis 2195
Anorexia 1561
Tachypnea 797
Abnormal Lung Asculation 703
Nose Bleed | 518
Hypotension 324
Selzures 92
Encephalitis 24
Total Cases With Symptom Data Available 465850

Note:
Symptom prevalence based on enhanced case report forms.
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5/31/22, 6:26 PM intemal AH COVID-19 Dashboard

Epidemiology and Surveillance Unit bedom
2022-February-08 12:01
COVID-19 in Alberta
Heatthcare capacity Geospatial Travel history Laboratory testing Variants of Concem Data export Data notes
« Since Jan 1, 2021, 0.6% of people with one dose (20,733/3,546,680) were diagnosed with COVID-19 14 days after the first immunization
date
+ Since Jan 1, 2021, 4.1% of people with two doses (136,426/3,306,246) were diagnosed with COVID-19 14 days after the second
immunization date
+ Since Jan 1, 2021, 1.8% of people with three doses (27,153/1,499,676) were diagnosed with COVID-19 14 days after the third immunization
date
+ 54.7% of cases (222,147/406,459) since Jan 1, 2021 were unvaccinated or diagnosed within two weeks from the first dose immunization
dale
» 67.8% of hospitalized cases (11,379/16,781) since Jan 1, 2021 were unvaccinated or diagnosed within two weeks from the first dose
immunization date
« 67.3% of COVID-19 deaths (1,451/2,155) since Jan 1, 2021 were unvaccinated or diagnosed within two weeks from the first dose
immunization date
Table 4. COVID-19 vaccine effectiveness in Alberta by vaccine manufacturer
Vaccine Vaccine Effectiveness: Partial (95% Cl) Vaccine Effectiveness: Complete (95% Cl)
AstraZeneca 61% (58 to 63%) 89% (89 to 90%)
Moderna 81% (80 to 82%) 91% (90 to 91%)
Pfizer 75% (74 to 76%) 90% (90 to 80%)
Table 5. COVID-19 vaccine effectiveness against variants of concemn in Alberta
Variant of Concern Vaccine Effectiveness: Partial (95% Cl) Vaccine Effectiveness: Complete (95% CI)
B.1.1.7 UK Variant 76% (75 to 77%) 80% (88 to 91%)
B.1.617 Variant §7% (51 to 63%) 89% (89 to 90%)
P1 Brazilian Variant 72% (67 to 76%) 88% (80 to 93%)
Note:
(a) Vaccine effectiveness estimates include 95% confidence intervals (Cl) and describes the protection against symptomatic infection. Vaccine
effectiveness for hospitalization and death could have different estimates.
(b) Vaccine effectiveness estimates for some variants are not provided due to limited sample sizes, which make estimates unstable and difficult to
interpret. Information on other variants will be provided when estimates become stable.
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(c) Partial vaccination: people are considered partially vaccinated 14 days after their first dose of a two dose series (for vaccines that require two
doses)
(d) Effectiveness: how well a vaccine prevents the outcome of interest in the real world
Non ICU (n)
ICU {n)
=== Third dose after 14 days === Third dose within 14 days === Second dose after 14 days ====2 Second dose within 14 days
First dose after 14 days Hrst dose within 14 days === Unvaccinated
Figure 10: Current non-ICU (top) and ICU(bottom) by vaccine status.

Note:
Time from immunization date to COVID diagnosis date (or Date reported to Alberta Health). COVID-19 hospitalizations reportad are not due to
immunization events.
Total Cases (n)
Total Cases {n)
i) RAL SP SR EE 0
0 20 40 60 80 100120140160180200220240260280300320340360380 0 20 40 60 80 100120140160180200220240260280300320340360380
Number of days between first immunization Number of days between second immunization
date and COVID-19 diagnosis date and COVID-19 diagnosis
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5/31/22, 6:26 PM Intemal AH COVID-19 Dashboard
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Number of days between first immunization Number of days tietween second immunization
BM under 12ycars W129 years 2039 years BB 40-59 years B{ c0-74years WR 75+ yews
Figure 11: Time from first dose (lef) and second dose immunization (right) to COVID-19 diagnosis by age group:
TOP: cases
MIDDLE: of those who became hospitalized
BOTTOM: of those who died from COVID-19
Note: First dose immunization also includes people who became a case prior to their second dose immunization date. COVID-19 hospitalizations
reported are not due lo immunization events
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Epidemiology and Surveillance Unit Morton
2022-February-08 12:01
COVID-19 in Alberta
Summary
«+ Average age for COVID cases that died is 78 years (range: 1-107)
« Average age for COVID cases hospitalized with an ICU stay is 56 years (range: 0-99)
+ Average age for COVID cases hospitalized is 59 years (range: 0-104)
» Average age for COVID cases not hospitalized is 34 years (range: 0-121)
file://IC:/Users/Strueman/AppData/Local/MicrosofiWindows/iNetCac
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he/Content. 02-08 12-01.html
Hospitalization
ICU Admissions
Case falality
Rate (per 100 cases)

Figure 12: Rate of total hospitalizations, ICU admissions, and deaths among COVID-19 cases in Alberta
fite:///C:/Users/Strueman/AppData/Local/Microsoft/Windows/INetCache/Content.
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Unknown 4
80+ years
50-59 years
Age group
40-49 years{® @
30-39 years
20-29 years
10-19 years
5-9 years
1-4 years
Under 1 year._))
0 500 1000 1500 0 50 100 150 200 250 0 200 400 600 800
Cases (n)
@ Calgary Zone Edmonton Zone South Zone

@ Central Zone NorthZone @ Unknown
Figure 13: Total hospitalizations, ICU admissions and déaths among COVID-19 cases in Alberta by age group and
zone. Each ICU admission is also included in the total number of hospitalizations.
Table 6. Total hospitalizations, ICU admissions and deaths (ever) among COVID-19 cases in Alberta by Zone
Zone Cases Hospitalized ICU Deaths
Count Count Case rate Count Caserate Count Case rate
Alberta 509718 19640 3.9 3383 0.7 3686 0.7
Calgary Zone 206337 6083 29 1054 0.5 998 0.5
Central Zone 50671 2692 5.3 424 0.8 456 0.9
Edmonton Zone 163289 6681 4.1 1021 0.6 1468 0.9
North Zone 56246 2697 4.8 570 1.0 438 0.8
Note:
Based on total hospitalizations and ICU admissions ever.
Each ICU admission is also included in the total number of hospitalization
Zone is based on patient postal code of residence.
Case rate (per 100 cases)
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5/31/22, 6:26 PM Internal AH COViID-19 Dashboard
Zone Cases Hospitalized ICU Deaths
Count Count Case rate Count Caserate Count Caserate
South Zone 32119 1481 4.6 312 1.0 326 1.0
Unknown 1056 6 0.6 2 0.2 0 0.0
Note:
Zone is based on patient postal code of residence.
Hospitalizations ICU Admissions
80+ years
70-79 years
60-69 years
50-59 years
40-49 years
Age Group
30-38 years
20-29 years
10-19 years
5-9 years
1-4 years
Under 1 year
Unknown
0 1000 2000 3000 0 500 1000 1500 200¢
Number of COVID-19 cases
@ Hospitalizations @ ICU Admissions Deaths
Figure 14: Total hospitalizations, ICU admissions and deaths (ever) among COVID-19 cases in Alberta by age
group. Each ICU admission is also included in the total number of hospitalizations.
This is based on totals rather
than current hospitalizations and ICU admissions.
Table 7. Total Hospitalizations, ICU admissions and deaths (ever) among COVID-19 cases in Alberta by age group
Age Group Cases Hospitalized ICU Deaths
file:/l/C:/Users/Strueman/AppData/L ocal/Microsoft/Windows/INetCache/Content.Outlook/B4 1CNU3I/Dashboard_2022-02-08 12-01.htm} 417

Age Group Cases HospitatizedPop. se Pop. Daths Pop.

Count Count rate rate Count rate rate Count rate rate
Case Pop. Case Pop. Case Pop.
Total WE A AS AS oR AL 16D CORR Ok Gd
Under 1 year 3322 223 6.7 441.7 44 1.3 87.2 0 0.0 0.0
1-4 years 18719 165 0.9 75.9 18 0.1 8.3 1 0.0 0.5
5-9 years 29996 103 0.3 37.1 20 0.1 7.2 2 0.0 0.7
10-19 years 65262 350 0.5 65.7 44 0.1 8.3 2 0.0 04
20-29 years 91199 1146 1.3 193.8 138 0.2 23.3 18 0.0 3.0
30-39 years 100703 1981 20 276.9 275 0.3 38.4 40 0.0 5.6
40-49 years 82517 2207 2.7 362.8 459 0.6 75.5 93 0.1 16.3
50-59 years 56897 3040 53 551.8 768 1.3 1394 234 04 42.5
60-69 years 32545 3459 10.6 729.3 867 27 1828 496 1.5 104.6
70-79 years 14384 3338 23.2 1280.2 602 4.2 2309 861 6.0 330.2
80+ years 13860 3621 26.1 2574.3 146 1.1 103.8 1937 14.0 13771
Unknown 314 7 2.2 NA 2 0.6 NA 2 0.6 NA

Note:
Row percent is out of the number of cases in each age group.
Population rate (per 100,000 population)
Non ICU === |CU

1600
1400
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italized cases (n)
o
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5/31/22, 6:26 PM Intemal AH COVID-18 Dashboard
Hosp
600
400
200
Figure 15: Number of current COVID-19 patients in hospital, ICU and non-ICU
wm Calgary Zone mmm Central Zone Edmonton Zone === North Zone
South Zone Alberta
50
Hospitalization Rate (per 1,000,000)
30 ' { \ A A
20 f |
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Figure 16: Rate of new hospitalizations (7-day rolling average, average of current day and previous six days) by
admission date in Alberta and by zone
30 |
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Figure 17: Daily COVID-19 attributed deaths. Data are subject to change; when death date is unavailable the date
reported to Alberta Health is used until a death date is known.
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5131122, 6:27 PM Internal AH COVID-19 Dashboard

2022-February-08 12:01
COVID-19 in Alberta
Table 8. Number and percent of health conditions among COVID-19 deaths. Data updated on 2022-02-07.
Condition Count Percent
Hypertension 3024 82.0%
Cardio-Vascular Diseases 1951 52.9%
Renal Diseases 1924 52.2%
Diabetes 1663 45.1%
Respiratory Diseases 1459 39.6%
Dementia 1383 37.5%
Cancer 862 23.4%
Stroke 676 18.3%
Liver Diseases 164 4.4%
Immuno-Deficiency Diseases 142 3.9%

Note:
One individual can have multiple conditions.
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Figure 18: Percent of COVID-19 cases with no comorbidities, one comorbidity, two comorbidities, or three or more
comorbidities by case severity (non-severe, hospitalized but non-ICU, ICU but not deceased, and deceased), all
age groups and both sexes combined, all Alberta. Comorbitities included are: Diabetes, Hypertension, COPD,
Cancer, Dementia, Stroke, Liver cirrhosis, Cardiovascular diseases (including IHD and Congestive heart failure),
Chronic kidney disease, and Immuno-deficiency. Data updated on 2022-02-07.
Table 9. Number and percent of COVID-19 cases with no comorbidities, one comorbidity, two comorbidities, or
three or more comorbidities by case severity (non-severe, hospitalized but non-ICU, ICU but not deceased, and
deceased), all age groups and both sexes combined, Alberta. Comorbitities included are: Diabetes, Hypertension,
COPD, Cancer, Dementia, Stroke, Liver cirrhosis, Cardiovascular diseases (including IHD and Congestive heart
failure), Chronic kidney disease, and Immuno-deficiency. Data updated on 2022-02-07.
Non-Severe Non-ICU iCU Deaths
Number Percent Number Percent Number Percent Number Percent
No condition 336545 68.8% 3687 25.2% 523 20.7% 148 4.0%
With 1 condition 100184 20.5% 2791 19.1% 579 22.9% 304 8.2%
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/INetCache/Content 12-01.html 213
Non-Severe Non-ICU ICU Deaths
Number Percent Number Percent Number Percent Number Percent
With 2 conditions 30015 6.1% 2410 16.5% 520 20.6% 503 13.6%
With 3 or more 22150 4.5% 5722 39.2% 906 35.8% 2731 74.1%
conditions
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Epidemiology and Surveillance Unit bertom
2022-February-08 12:01
COVID-19 in Alberta
Healthcare capacity Geospatial Travel history Laboratory testing Variants of Concern Data export Data notes
Unocuupied ICU bed === non-COVID occupied ICU bed 7 COVID occupied ICU bed
ICU capacity used (%)
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Figure 19: Intensive Care Unit (ICU) bed capacity. Data included may only be available at a lagged interval. As a result, the number of COVID
occupied ICU beds on a particular day may not match the number reported elsewhere on the dashboard.
— Baseline ICU beds —— Current total ICU beds
£00
350
300
S city {n)
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Figure 20: Total ICU bed capacity over time. Data included may only be available at a lagged interval. As a result, the number of COVID
occupied ICU beds on a particular day may not match the number reported elsewhere on the dashboard.
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2022-February-08 12:01
COVID-19 in Alberta
Summary
» The percent of cases from the Calgary Zone is 40%
~~ Calgary Zone =~ Central Zone Edmonton Zone North Zone

South Zone Unknown
200k
COVID-19 cases {n)
150k
100k
50k
0
[e] (w o oO
—a - — -—
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sg I==
uef
inf
Date reported to Alberta Health
Figure 21: Cumulative COVID-19 cases in Alberta by zone and date reported to Alberta Health. Cases without a
postal code or incorrect postal codes are labelled as unknown.
14k
12k
Rate (per 100,000 population)
10k
8k
6k
4k
2k
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a
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Figure 22: Rate of COVID-19 cases (per 100,000 population) in Alberta and by zone
— Calgary Central — Edmonton North South
160
140
000 population)
120
100
{Nn
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Figure 23: Seven day rolling-average for rates of COVID-19 (per 100,000 population) in Alberta by zone
Table 10. COVID-19 cases in Alberta by zone
Zone Count Percent
Calgary Zone 206,337 40
Central Zone 50,671 10
Edmonton Zone 163,289 32
North Zone 56,246 1"
South Zone 32,119
Unknown 1,056
All 509,718 100
8000
HB Unknown South Zone North Zone Edmonton Zone
Bl Central Zone @ Calgary Zone
7000
6000
D-19 cases (n)
oO
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adv 10 b
Figure 24: COVID-19 cases in Alberta by zone date reported to Alberta Health
Saskatcl
» Saskato
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— Map data © OpenStreetMap (hitps: iopenstre jlcopyright) contribulars
Only active cases are included. Postal codes are not exact locations of cases and are
based on patient residence; random noise is applied for privacy. Cases without a
postal code or incorrect postal codes are not included. Postal code information
missing/invalid for: 379 case(s).
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Active caseBfte per 100k (munici SK
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Geographies can be displayed by municipality oro local geographic area (LGA). WhenV
viewing by municipality, regions are defined by metropolitan areas, cities, urban
service areas, rural areas, and towns with approximately 10,000 or more people;
smaller regions (i.e. villages, and reserves) are incorporated into the corresponding
rural area. Cases without a postal code or incorrect postal codes are not included.
Location information missing/invalid for: 2443 case(s).
rn erm th mettre 514 Aree ree Ae eee e012 AR me AAPA en ee i mr et
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BC SK
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Comparison restricted to active cases. Unknown exposure defined as cases that are
not linked to travel or a known contact/setting of exposure to COVID-19.
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5131/22, 6:28 PM internal AH COVID-19 Dashboard

Epidemiology and Surveillance Unit hertom
2022-February-08 12:01
COVID-19 in Alberta
Summary
+ 1.1356107{4} (2%) were acquired through travel outside of Alberta
+ United States was reported the most frequently (n = 2048; 18%).
Table 11. Country of travel among travel-acquired cases
Country Number (n) Percent (%)
Domestic only 6,113 54
International 2,900 26
International - USA only 1,926 17
Missing 417
Note:
Cases may have travelled to multiple countries
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Epidemiology and Surveillance Unit bertoom
2022-February-08 12:01
COVID-19 in Alberta
Comorbidities Healthcare capacity Geospatial Travel history Laboratory testing
Variants of Concern Data export Data notes
20k
Test volume for COVID-19 (n)
10k
5k
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Figure 25: Tests performed for COVID-19 in Alberta by day. Tests can be performed for the same person multiple
times.
Table 12. COVID-19 testing in Alberta

Number (n)
| Test volume a oo 6,793,485 oo
People tested. oo 2,717,900
Table 13. People tested for COVID-19 in Alberta by zone
Zone Count Percent
Calgary Zone 4,075,920 40 )
Central Zone 245,643 9
Edmonton Zone "859,300 32
North Zone 260,01 6 10
South Zone | 172,089 6 oo
Unknown 104.932 |4 oo
Al | 2.717.900 100 oo
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Male Female
80+ years
70-79 years
60-69 years
50-59 years
40-49 years
Age group
30-39 years
20-29 years
10-19 years
5-9 years
1-4 years
Under 1 year
250000 200000 150000 100000 50000 50000 100000 150000 200000 250000
o
Number of COVID-19 tests

Figure 26: People tested for COVID-19 in Alberta by age group and gender
Table 14. People tested for COVID-19 in Alberta by age group and gender
Gender
Under 1 year 12,447 14,436 1 35 0 26,918
1-4 years 60,549 66,687 2 89 0 127,325
5-9 years 89,757 96,849 4 135 0 186,741
10-19 years 174,373 177,583 7 484 0 352,440
20-29 years 215,316 195,348 7 778 0 411,442
30-39 years 251,049 229,657 8 768 0 481,474
Note:
Count represents the number of people tested
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Gender
40-49 years 197,584 7 180,697 7 567 0 378,848 14
50-59 years 166,889 6 145,901 5 474 0 313,265 12
60-69 years 125,151 5 112,963 4 285 0 238,399
70-79 years 60,779 2 56,040 2 100 0 116,919
80+ years 49,753 2 32,606 1 142 0 82,501
Unknown 574 0 617 0 436 0 1,628
All 1,404,221 52 1,309,384 48 4293 0 2,717,900 100

Note:
Count represents.the number of people tested
Daily
=== Rolling average (7 days)

40%
w
o
x
Percent positive
SS
S
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NS NR
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Figure 27: Cumulative and daily test positivity rate for COVID-19 in Alberta.
- Daily
=== Rolling average (7 days)
40%
auoz Aiedjed
20%
0%
40%
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0%
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Figure 28: Positivity rate for COVID-19 in Alberta by zone.
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2022-February-08 12:01
COVID-19 in Alberta
Summary
NOTE: People are identified as COVID-19 cases prior to variant of concern identification. As such, variant of
concern reporting is delayed compared to date the case was reported to Alberta Health.
Due to the large number of positive COVID-19 cases, the lab screened a sample of positive cases between
May 1, 2021 and May 31, 2021, September 9, 2021 and November 23, 2021, and after December 23rd, 2021.
+ 142,420 variants of concern identified

o 1351 active cases
o 1,470 died
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Figure 29: Variant of concern COVID-19 cases in Alberta by day. Note: cases are identified as COVID-19 positive
prior to being identified as a variant of concern. Data included up to end of day February 07, 2022.
mene [O13] Active Recovered = Died
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Variant of Concern COVID-19 Cases (n)
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Figure 30: Variant of concern COVID-19 cases in Alberta by day and case status. Recovered is based on the
assumption that a person is recovered 14 days after a particular date (see data notes tab), if they did not
experience severe outcomes (hospitalized or deceased). Cases are under investigation and numbers may fluctuate
as cases are resolved. Data included up to end of day February 07, 2022.
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Figure 31: Variant of concern COVID-19 cases in Alberta by day. The bars represent new variant of concern (VOC)
cases by day, while the line indicates the proportion of variant of concern cases identified compared to other cases
of COVID-19. Note: cases are identified as COVID-19 pasitive prior to being identified as a variant of concern strain.
Data included up to end of day February 07, 2022.
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20k
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a 0
01-Jan-21 01-Mar-21 01-May-21 01-Jul-21 01-Sep-21 01-Nov-21 01-Jan-22
Travel Community Bl Close Contact (Travel) Close Contact (non-Travel)
Figure 32: Variant of concern COVID-19 cases in Alberta by day, by exposure type. Data included up to end of day
February 07, 2022.
Geospatial
60k
= Calgary Zone Central Zone - Edmonton Zone == North Zone
South Zone Unknown
—~ 50k
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Figure 33: Cumulative variant of concern COVID-19 cases in Alberta by zone and date reported to Alberta Health.
Cases without a postal code or incorrect postal codes are labelled as unknown. Data included up to end of day
February 07, 2022.
800 100%
Fann A PR a he fi i
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O7janzi 01-Mar-21 01-May-21 01Juk21 01-Sep-21 01-Nov-21 01-Jan-22
Figure 34: Variant of concern COVID-19 cases in Alberta by day and by zone. The bars represent new variant of
concern (VOC) cases by day, while the line indicates the proportion of variant of concern cases identified compared
to other cases of COVID-19. Note: cases are identified as COVID-19 positive prior to being identified as a variant of
concern strain. Data included up to end of day February 07, 2022.
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Table 15. Variants of concern COVID-19 cases identified in Alberta and by Zone
Zone Alpha Beta Delta Gamma Kappa Omicron Total
Calgary Zone 20,045 . 79 16.381 804 | 6 12,528 B 19843
Central Zone 5.458 2 | 8,565 192 0 - 1,604 15,821
Edmonton Zone 11,429 65 | 22,948 1.063 13 ) 8.692 | 44.210
North Zone 6,253 2 14,473 768 | 0 . 1.387 22615
South Zone N 2,686 0 6.137 or . 0 oo ort : 0,801
Unknown oo 0 0 : P 0 | 0 N a N 40
Alberta ) 45.871 180 68,208 2,924 oo 19 | ) 25.218 | 142.420
Table 16. Variants of concern COVID-19 cases identified among active cases in Alberta and by Zone
Zone Delta Omicron Total
Calgary Zone 10 432 442
Central Zone oo oo 4 oo | 158 162
Edmonton Zone oo | ) 0 oo 517 | 517
| North Zone ) 3 oo oo 3 126 ) 129
South Zone oo 2 oo | 9 ) 101
Unknown 0 oo | 0 0
Alberta oo oo oo 19 oo | 1.33 1351
Note: Active cases are now based on information on a sample of positive cases only and should be
interpreted with caution.
Table 17. Variants of concern COVID-19 cases identified who are active, recovered, or died in Alberta and by Zone
Zone Active Died Recovered Total
Calgary Zone 442 317 49,084 49,843
Central Zone 162 280 15,379 15,821
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Zone Active Died Recovered Total
Edmonton Zone 517 425 43,268 44,210
North Zone 129 255 22,231 22,615
South Zone 101 193 9,597 9,891
Unknown 0 0 40 40
Alberta 1,351 1,470 139,599 142,420
Where Disease Was Likely Acquired
BW won-variant of Concern COVID-19 Cases [ll of Concern COVID-19 Cases

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Figure 35: Percent of variants of concern (VOCs) and non-VOCs who were followed up and have an unknown place
of disease acquisition. February 07, 2022.
Bl Non-variant of Concern COVID-19 Cases [Variant of Concern COVID-19 Cases

en
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Figure 36: Where disease was likely acquired among active cases who have been followed-up with a known place
of acquisition among variants of concern (VOCs) and non-VOCs. February 07, 2022.
Laboratory Testing
8000 ~—— Percent of Confirmed Cases Screened for VOC [1] Confirmed Cases 120
7000
Total Confirmed COVID-19 Cases (n)

Percent of Cases Screened for Variants of Concern (%)
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Figure 37: Total confirmed COVID-19 cases and percent of cases screend for variants of concern by day. Note:
cases are identified as COVID-19 positive prior to being identified as a variant of concern. Data included up to end
of day February 07, 2022.
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Epidemiology and Surveillance Unit bertoom
2022-February-08 12:01
COVID-19 in Alberta
Visit this link (https://www.alberta.ca/stats/covid-19-alberta-s

htm#data-export)
tatistics. to access various data-sets in
csv format.
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2022-February-08 12:01
COVID-19 in Alberta
Data sources
The Provincial Surveillance Information system (PSI) is a laboratory surveillance system which receives positive
results for all Notifiable Diseases and diseases under laboratory surveillance from Alberta Precision Labs (APL).
The system also receives negative results for a subset of organisms such as COVID-19. The system contains basic
information on characteristics and demographics such as age, zone and gender. The Communicable Disease
Reporting System (CDRS) at Alberta Health and the Communicable Disease Outbreak Management (CDOM)
system at Alberta Health Services contains information on COVID-19 cases. Data Integration and Measurement
Reporting (DIMR) database at Alberta Health Services contains up to date information on people admitted and
discharged from hospital in Alberta. Information such as hospitalizations and ICU admissions are received through
enhanced case report forms sent by Alberta Health Services (AHS).
Definitions
Recovered
Active and recovered status is a surveillance definition to try to understand the number of active cases in the
population. It is not related to clinical management of cases. It is based on the assumption that a case is recovered
14 days after a particular date. For confirmed cases, specimen collected date is used and for probable cases date
reported to Alberta Health is used. If a case is hospitalized, the recovered date is when their symptoms have
resolved based on case follow-up, or 10 days after being discharged.
COVID-19 Deaths
A death resulting from a clinically compatible iliness, in a probable or confirmed COVID-19 case, unless there is a
clear alternative cause of death identified (e.g., trauma, poisoning, drug overdose).
file:///C:/Users/Strueman/AppData/L ocal/MicrosoftWindows/INetCache/Content.Outiook/B4 1CNU3I/Dashboard_2022-02-08 12-01.htmi

A Medical Officer of Health or relevant public health authority may use their discretion when determining if a death
was due to COVID-19, and their judgement will supersede the above criteria.
A death due to COVID-19 may be attributed when COVID-19 is the cause of death or is a contributing factor.
Lab Positivity
COVID-19 percent positivity in Alberta is calculated using the Test Over Test method, which is the same method
employed by the US Centers for Disease Control and Prevention. The calculation is as follows:
Daily Number of Positive Tests / (Daily Number of Positive Tests + Daily Number of Negative Tests) Q/RT-PCR tests
are the only COVID-19 tests included in this calculation.
https://www.cdc.gov/coronavirus/201 9-ncov/lab/resources/calculating-percent-positivity-faq.htmi
(https:/www.cdc.gov/coronavirus/201 9-ncov/lab/resources/calculating-percent-positivity-fag.htmi)
Comorbidities
The following comorbitities are included in respective analyses: Diabetes, Hypertension, COPD, Cancer, Dementia,
Stroke, Liver cirrhosis, Cardiovascular diseases (including IHD and Congestive heart failure), Chronic kidney
disease, and Immuno-deficiency.
Disclaimer
The content and format of this report are subject to change. Cases are under investigation and numbers may
fluctuate as cases are resolved. Data included in the interactive data application are up-to-date as of end of day
February 07, 2022.
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TAB 11
Aperton Government
Alberta Health
March 2, 2022
AR 199655
ADVICE TO HONOURABLE JASON COPPING

MINISTER OF HEALTH
COVID-19 Measures in Schools
For Information
ISSUE
The use of public health measures to reduce the risk of COVID-19 transmission in schools.
PURPOSE
To provide information and analysis regarding public health measures implemented in schools
and their impact on COVID-19 transmission, with a focus on Alberta cases and data.
ANALYSIS
Public health measures implemented in Alberta have impacted the transmission of
COVID-19 within schools and their surrounding communities, and this is consistent with
similar evidence reported in the literature.
Analysis of research literature indicates wearing masks can be effective in contributing to
reducing the transmission of COVID-19 in public and community settings; however, the
impact of masking in schools is less clear.
The range of policies in place across different jurisdictions limits the ability to evaluate
the impact of specific measures for daycare or school settings due to variability in the
combination of measures implemented.
- Itis difficult to determine the effect of removing or changing one measure (e.g. masking),
as many of the studies examining COVID-19 incidence in schools had layered infection
prevention and control measures in place.
Studies found that transmission in schools has remained limited under a wide range of
prevention measures, such as masking, cohorting, cancelling higher-risk activities,
distancing, hygiene protocols, reduced class size, and enhanced ventilation.
While in-person schooling carries an increased risk of infection for household members,
studies looking at this outcome have shown mitigation measures like teacher masking, daily
symptom screening, and the closure of extra-curricular activities were associated with
significant reduction in risk.
According to observed Alberta data, which could be influenced by factors other than
masking, school boards without mask mandates at the start of the school year
(September 2021) had three times more outbreaks in their schools in the first few months of
the school year.
In addition, case and hospitalization rates per 100,000 population in Alberta for children
(five to 11 years old) and adults (30 to 59 years old) were lower in areas where mask
mandates were required.
One specific outbreak in Westglen School in Edmonton (fall 2021) illustrates that a school
outbreak can lead to increased spread within the local community (71 cases: one staff
member and 70 students, see Figure 1).
- The outbreak was opened September 23 (reported 10 per cent absenteeism and a
positive case on September 20). Some symptomatic children continued to attend school
until they moved to online learning on September 24.
Confidential advice to Executive Council

1/2
Merton Government
Alberta Health
March 2, 2022
i AR 199655
~ This outbreak has had a significant effect on case counts in the neighbourhood; while
cases in Edmonton were stabilizing and decreasing, cases in the T5M postal code
reversed trend, increasing significantly after the Westglen outbreak.
o 66/94 (70 per cent) of all cases with the T5M postal code reported between
September 17 and 26 are linked to the outbreak or are family members of outbreak
cases.
Figure 1: Number of cases in the neighbourhood surrounding the Westglen school and the City of
Edmonton
e Additional information on the impact of COVID-19 measures in schools is attached

(Attachments 1 and 2).
BACKGROUND
e Alberta Health has provided guidance to schools with the intent of reducing the risk of
transmission. Most mandatory school measures were lifted on February 14, 2022, and the
remaining mandatory measures were removed on March 1.
o Alberta Health has prepared guidance documents that include the following recommended
practices:
— Encouraging vaccination for eligible students and staff;
Active daily symptom screening of all staff, students, visitors, and volunteers;
— Cohorting for kindergarten through grade six classes;
~ Increased hand hygiene;
Increased and enhanced cleaning; and
Increased distancing where possible to reduce crowding.
ATTACHMENTS
1. COVID Measures in Schools Alberta Data
2. COVID Measures in Schools Literature Summary
CONTACT:
Drafted by: Susan Novak, Policy and Planning Section Chief, 780-860-2144
Approved by: Ethan Bayne, Incident Commander, Alberta Heath EOC, 780-217-1826
Confidential advice to Executive Council

2/2
Questions
eo Outbreaks in schools with and without mask mandates.
e Provide Alberta school data comparing last year and this year.
Overall Themes
e This data is observational, and therefore able to only identify correlation, not causation. There are multiple factors that influence COVID
transmission that could also be impacting the trends identified below.
e School boards without mask mandates have 3 times more outbreaks in their schools, on average.
o Case and hospitalization rates per 100,000 population lower in areas where mask mandates are required in both children (5-11
year old) and adults (30-59 years old).
co Hospitalization rates per 100,000 population are lower in adults (30-59 years old) in areas with mask mandates.
e The outbreak in Westglen school in Edmonton (Fall 2021) is an example that illustrate that a school outbreak can lead to increased
spread within the local community.
e Hospitalization rate per 100,000 population are higher (<10 years old) and comparable (10-19 years old) in the fifth wave compared to
other waves.
Analysis: Masks Mandates

School boards without mask mandates had 3 times more outbreaks in their schools, on average.
Table 1. Top 10 school Boards with the highest proportion of outbreaks in their schools as of Sept 27, 2021.
Mask
School Board Municipality N Schools = N Outbreaks outbreaks (%)* school?
The Lakeland Roman Catholic Separate School Bonnyville 8 6 75% N
Division
Alberta.ca/covid19
The Wild Rose School Division Rocky Mountain 17 11 65% N
House
Z
The Grande Prairie School Division Grande Prairie 20 11 55%
Zz
The Grande Prairie Roman Catholic Separate School Grande Prairie 13 7 54%
Division
2
The High Prairie School Division High Prairie 13 6 46%
2
The Parkland School Division Stony Plain 25 11 44%
2
The Holy Family Catholic Separate School Division Peace River 9 4 44%
2
The Black Gold School Division Nisku 31 11 35%
2
The Sturgeon School Division Morinville 17 6 35%
2
The St. Thomas Aquinas Roman Catholic Separate Leduc 12 4 33%
School Division
Table 2. Schools with the 10 lowest proportions of outbreaks in their schools as of Sept 27, 2021.
Mask
School Board Municipality & Area N Schools = N Outbreaks outbreaks (%)* school?
The Greater St. Albert Roman Catholic Separate
School Division St. Albert 18 1 6% Yes
The Northland School Division Peace River 21 1 5% Yes
The Edmonton School Division Edmonton 232 12 5% Yes
The Calgary School Division Calgary 256 11 4% Yes
The Edmonton Catholic Separate School Division Edmonton 103 3 3% Yes
The Rocky View School Division Airdrie 52 1 2% N

The Calgary Roman Catholic Separate School
—
Division Calgary 120

O
The Wetaskiwin School Division Wetaskiwin 22

O
o
=z
The Aspen View School Division Athabasca 18

oO
The Canadian Rockies School Division Canmore 8

Alberta.ca/covid19
Table 3. Average percent of outbreaks per school board, by mask mandate status.
Average percent of
Mask mandate at outbreaks per school
start of school? board
Implemented after 19.7
1st week
N 23.4
y 7.3
A comparison of geographies with and without mask mandates
Method:
eo “Masks Required” is defined as communities where 75% of schools required masks from the start of the school year (excludes francophone
and private schools).
e “Other” is defined as communities that did not meet the 75% cut-off and/or do not require mask mandates. Note: small towns that had 1 of
each public school, separate school, and private school would not meet the 75% cut-off.
e Limitations
o Did not account for community vaccine coverage. This may impact hospitalization rate by communities in schools that have and do
not have mask mandates.
o Mask mandates were not available for all boards.
Results:
e Case and hospitalization rates per 100,000 population lower in areas where mask mandates are required in both children (5-11 year old)
and adults (30-59 years old) (See Figure 1).
e Hospitalization rates per 100,000 population are lower in adults (30-59 years old) in areas with mask mandates (See Figure 1).
Alberta.ca/covid19
Rate of COVID-19 Cases in Children age 5-11 years by Rate of COVID-19 Hospitalizations in Children age 5-11
Week and Mask Mandate in Schools years by Mask Mandate in Schools
m
TMU
o~
—
NN~
~N
8
Q
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Aug 22 Aug 729 Sept S Sept 12 Sept 19 Sept 26 Oct 2 2021 Aug 22 Aug 29 Sept 5 Sept12 Sept19 Sept26 Oct22021
2021 2021 2021 2021 2021 2021 2021 2021 2021 2021 2021 2021
000'00T 12d aley a9esany paydiam

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Week
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meme Masks required em QOther ome Masks require esse Other
Rate of COVID-19 Cases in Adults age 30-59 years by Rate of COVID-19 Hospitalization in Adults age 30-59
Mask Mandate in Schools years by Mask Mandate in Schools
Q
Mon
oO vn
No
Wn
=}~~
100 —_— J Ee
vi
O
Aug 22 Aug 29 Sept § Sept 12 Sept 19 Sept 26 Oct 2 2021 Aug 22 Aug 29 Sept52021 Septi2 Sept 19 Sept 26 Oct 22021
2021 2021 2021 2021 2021 2021 2021 2021 2021 2021 2021
Week 000007 13d a1eY afesany pada Week
000/001 19d 31eY 38elany pawdiaps

wes Masks 1@quired ems Qther emmves M3sks required em Other
Figure 1. Rate of COVID-19 cases (Left) and hospitalization rates {right) per 100,000 population in children, 5-11 years old (top) and adults, 30-59
years old (bottom) by mask mandates in school.
NOTE: this work was done October 2021, prior to vaccine availability for 5-11 year olds. The 30-59 year olds were selected based on potential
impacts on households.
Alberta.ca/covid19
Analysis: Westglen School

September 28, 2021
e 71 cases
o 1 staff member, 70 students.
Staff member (music teacher) was not immunized.
Students spread roughly evenly across grades 1-6 .
o The outbreak opened Sept 23 — they had reported 10% absenteeism and a positive case on Mon Sept 20%.
= Symptomatic children continued to attend school until they moved to online learning Sept 24.
o Even young children likely transmitted to their families.
As of Sept 26", 14 families had additional cases in their families, the index case (ie earliest onset date) was an adult only
once (7%).
7 (50%) - index case was a child age 5-9.
e 6 (43%) — index was a child age 10-12.
o This outbreak has had a significant effect on case counts in the neighbourhood; while cases in Edmonton were stabilizing and
decreasing, cases in the TSM postal code reversed trend, increasing significantly after the Westglen outbreak (See Figure 2).
= 66/94 (70%) of all cases with the TSM postal code reported between Sept 17-26 are linked to the outbreak or are family
members of outbreak cases.
Alberta.ca/covid19
Figure 2. Number of cases in the neighbourhood surrounding the school and the City of Edmonton.
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Date of Symptom Onset
£dmonton — School neghbow hood —7 437 10LRNG average of shod neighbourhood
Analysis: Hospitalizations
Definition of waves:
Third Wave: Feb 6, 2021 to July 9, 2021.

Fourth Wave: July 10, 2021 to December 15, 2021.
Fifth Wave: December 16, 2021 — Current.
Summary:
* Hospitalization rate per 100,000 population are higher {<10 years old) and comparable (10-19 years old) in the fifth wave compared to
other waves.
Alberta.ca/covid19
Figure 3. Hospitalization Rate per 100,000 population comparison across wave three to five among people under 20 years old.
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Alberta.ca/covid19
School Masking Evidence Summary
Copied from Scott Fullmer’s email dated February 7, 2022
Summary
1. According to the research literature, wearing masks can be effective in contributing to reducing
transmission of COVID-19 in public and community settings. This is informed by a range of
research, including randomised control trials, contact tracing studies, and observational studies.
2. The evidence for protection from masks, in schools is less direct, but taken together with
available evidence from all settings, there is support for the conclusion that face coverings in
schools can contribute as part of a host of measures to reduce transmission. What data do
exist have been interpreted into guidance in many different ways. The World Health
Organization, for example, does not recommend masks for children under age 6. The European
Centre for Disease Prevention and Control recommends against the use of masks for any
children in primary school. In North America masking in schools was part of public health
guidelines as schools returned after the first and second waves.
3. Studies find that transmission in schools has remained limited and comparable to the wider
community under a wide range of prevention measures such as masking, cohorting, cancelling
higher-risk activities, distancing, hygiene protocols, reduced class size and enhanced
ventilation.
4. The studies available were performed prior to the emergence of the Omicron VOC.
Systematic Reviews of Multiple Measures

The evergreen MacMaster University literature review (49 studies) (August 2021) reports wide
variability in policies in place across different jurisdictions limiting the ability to evaluate the impact of
specific measures or make best practice recommendations for daycare or school settings due to
variability in the combination of measures implemented. However, implementation of infection control
measures is critically important to reducing transmission, especially when community transmission rates
are high.
e There is evidence that wearing masks, maintaining at least 3ft of distance (especially amongst staff),
restricting entry to the school to others, cancelling extracurriculars, introducing outdoor instruction,
and daily symptom screening reduce the number of cases within schools;
e There are inconsistent findings for associations between ventilation, and class size.
o Hybrid or part-time in-person learning appears to be associated with higher incidence compared to
full-time in-person.
In July 2021, European Centre for Disease Control and Prevention published its second update to its
review of COVID-19 in children and the role of school settings in transmission. The review examined
case-based epidemiological surveillance analysis from The European Surveillance System, grey, pre-print
and peer reviewed scientific literature, focusing on studies published in 2021; and modelling of the
effects of closing schools on community transmission based on data from the ECDC-Joint Research
Centre (JRC) Response Measures Database.
e Similar tothe literature review produced by Macmaster University, this report that implementing
multiple physical distancing and hygiene measures can significantly reduce the possibility of
transmission within schools (high confidence}, including
Pagelor1l
o De-densification (classroom distancing, staggered arrival times, cancellation of certain indoor
activities, especially among other students)
o Hygiene measures (handwashing, respiratory etiquette, cleaning, ventilation, and face masks for
certain age groups).
o Timely testing and isolation or quarantine of symptomatic cases is important. Rapid antigen
tests should be considered
The latest Cochrane literature review examined evidence is up to December 2020 on which measures
implemented in the school setting allow schools to safely reopen, stay open, or both, during the COVID-
19 pandemic. The review suggests that many measures implemented in the school setting can have
positive impacts on the transmission of SARS-CoV-2, and on healthcare utilisation outcomes related to
COVID-19.
e Measures reducing the opportunity for contacts: by reducing the number of students in a class or a
school, opening certain school types only (for example primary schools) or by creating a schedule by
which students attend school on different days or in different weeks, the face-to-face contact
between students can be reduced.
o All 23 studies showed reductions in the spread of the virus that causes COVID-19 and the use of
the healthcare system. Some studies also showed a reduction in the number of days spent in
school due to the intervention.
e Measures making contacts safer: by putting measures in place such as face masks, improving
ventilation by opening windows or using air purifiers, cleaning, handwashing, or modifying activities
like sports or music, contacts can be made safer.
o Five (of 11) of these studies combined multiple measures, which means we cannot see which
specific measures worked and which did not. Most studies showed reductions in the spread of
the virus that causes COVID-19; some studies, however, showed mixed or no effects.
e Surveillance and response measures: screening for symptoms or testing sick or potentially sick
students, or teachers, or both, and putting them into isolation (for sick people) or quarantine (for
potentially sick people).
o Twelve (of 13} studies focused on mass testing and isolation measures, while two looked
specifically at symptom-based screening and isolation. Most studies showed results in favour of
the intervention, however some showed mixed or no effects.
e Multicomponent measures. measures from categories 1, 2 and 3 are combined.
o Three studies assessed physical distancing, modification of activities, cancellation of sports or
music classes, testing, exemption of high-risk students, handwashing, and face masks. Most
studies showed reduced transmission of the virus that causes COVID-19, however some
showed mixed or no effects.
Transmission Compared to the Community

These four studies in Vancouver, Georgia, and Italy were some of the earlier studies in the first/second
wave that found that students were less of a risk for secondary infections compared to teachers
however, teachers rates of infection were no higher than other members of the community in
occupations outside the home.
e Vancouver (Oct 2020-May 2021) Goldfarb et al. seroprevelance study showed no detectable
increase in SARS-CoV-2 infections in school staff working in Vancouver public schools following a
period of widespread community transmission compared to the community. These findings
corroborate claims that, with appropriate mitigation strategies in place, in-person schooling is not
associated with significantly higher risk for school staff.
Page 2 or 11
o Of the 1,556 school staff who had their blood sample tested, 2.3% tested positive for antibodies.
This percentage was similar to the number of infections in a reference group of blood donors
matched by age, sex and area of residence.
o NPIs: (Physical distancing, Enhanced cleaning, Enhanced ventilation, Cohorts, Screening (staff
and students), Regular surface cleaning, Unidirectional flow of students, Masks (not mandatory
until Feb 2021 for grades 6-12 and for grades 4-12 in Apr 2021), Hand hygiene (hand sanitizer in
classrooms and common areas), Quarantine policies, Staggered recess and lunch breaks)
e Georgia CDC Study USA (Dec 2020-Jan 2021) Gettings, J.R., et al. found that masking teachers was
associated with a statistically significant decrease in COVID transmission, but masking students was
not.
o NPI's: (enhanced cleaning, enhanced ventilation, hand hygiene, masks — except during sports,
and physical distancing)
o Highest Secondary Attack Rates were:
= Indoor High-contact sports settings - 23.8%
» staff meetings/lunches - 18.2%
= Elementary school classrooms 9.5%
o Lowest Secondary Attack Rates:
» Asymptomatic Students — 2.3%
= Elementary Students — 2.7%
o The SAR was higher for staff 13.1% vs student index cases 5.8% and for symptomatic 10.9% vs
asymptomatic index cases 3.0
o In school settings, J. Gettings et al. point out that in addition to masking, schools that improved
ventilation through dilution methods alone, COVID-19 incidence was 35% lower, whereas in
schools that combined dilution methods with filtration, incidence was 48% lower.
e Georgia — USA (Dec 2020-Jan 2021) J. A. W. Gold et al. examined incidence in a Georgia school
district during December 1, 2020-January 22, 2021 identified nine clusters of COVID-19 cases
involving 13 educators and 32 students at six elementary schools. Two clusters involved probable
educator-to-educator transmission that was followed by educator-to-student transmission in
classrooms and resulted in approximately one half {15 of 31) of school-associated cases. Preventing
SARS-CoV-2 infections through multifaceted school mitigation measures and COVID-19 vaccination
of educators is a critical component of preventing in-school transmission.
o NPI's: (Masks - except while eating, Plastic dividers on desks but students sat less than 3 feet
apart).
o Italy (Sept 30 2020-Feb 2021) Gandini et al. performed a cross-sectional and prospective cohort
study in Italy during the second COVID-19 wave (from September 30, 2020 until at least February 28,
2021. Incidence and positivity were lower amongst elementary and middle school students
compared to general population; incidence was higher in high school students in 3 of 19 regions.
Incidence in teachers was no different from other occupations after adjusting for age.
o NPI's: {Ban on sports and music, Frequent ventilation, Hand hygiene, Masks (staff, high school
students), Negative test following exposure (some schools), Physical distancing (1m between
seats), Reduced school hours, Temperature check, Unidirectional flow of students).
Impact of Multiple Mitigation Measures

These observational studies that assess the use of multiple interventions in schools and are a good
example of the kinds of studies that show mixed results (as was noted in the systematic reviews)
Page 3 orl
e Utah ~ USA (Dec 2020-Jan 2021) R. B. Hershow et al. reviewed K-6 schools opening in Salt Lake
County, Utah, from Dec 3 —Jan 21, 2021. Despite high community incidence and an inability to space
students’ classroom seats 26 ft apart, this investigation found low SARS-CoV-2 transmission and no
school-related outbreaks in 20 Salt Lake County elementary schools with high student mask use and
implementation of multiple strategies to limit transmission.
o NPIs: (6ft distance, High mask use (86%), 81% in-person learning, Plexiglass barriers for teachers,
Staggered mealtimes)
o Other studies, similar to the Utah in North Carolina, Wisconsin, and Missouri, isolated the
impact of masks specifically, but showed that taken together mitigation strategies reduced
transmission.
e Florida, New York, Mass — USA (2020-21) E. Oster et al reported on the correlation of mitigation
practices with staff and student COVID-19 case rates in Florida, New York, and Massachusetts during
the 2020-2021 school year focusing on student density, ventilation upgrades, and masking.
Ventilation upgrades are correlated with lower rates in Florida but not in New York. Did not find any
correlations with mask mandates. All rates are lower in the spring, after teacher vaccination is
underway.
o NPVs Varied by state: (Cohorts, Enhanced ventilation, Masks, Reduced student density, Physical
distancing (6 ft.), Symptom screening, Temperature checks)
e USA All States (Dec 2020-Feb 2021) J. Lessler et al. For every additional measure implemented there
was a decrease in odds of a positive test (adjusted OR: 0.93, 95% CI1=0.92,0.94); symptoms screening
was associated with the greatest risk reduction. When 7 or more IPAC measures were implemented,
risk largely disappeared (with a complete absence of risk with 10 or more IPAC measures). Among
those reporting 7 or more mitigation measures, 80% reported student/teacher mask mandates,
restricted entry, desk spacing and no supply sharing. Outdoor instruction, restricted entry, no
extracurriculars, and daily symptom screening were associated with significant risk reductions.
o NPI’s : (Cancelled extracurriculars, Closed common spaces (playgrounds, cafeterias), Cohorting,
Masks, Physical distancing (extra space, separators between desks), Reduced class size,
Restricted entry, Symptom screening)
e A Science Magazine Summary on in-person schooling concludes that in-person schooling carries
with it increased COVID-19 risk to household members; but also evidence that common, low cost,
mitigation measures can reduce this risk
o School-based mitigation measures are associated with significant reductions in risk, particularly
daily symptoms screens, teacher masking, and closure of extra-curricular activities.
o A positive association between in-person schooling and COVID-19 outcomes persists at low
levels of mitigation, but when seven or more mitigation measures are reported, a significant
relationship is no longer observed.
= Regression treating each individual mitigation measure as having an independent effect
shows that daily symptom screening is clearly associated with greater risk reductions
than the average measure with some evidence that teacher mask mandates and
cancelling extra-curricular activities are also associated with larger reductions than
average.
Page 4 or 11
= In contrast, closing cafeterias, playgrounds and use of desk shields are associated with
lower risk reductions {or even risk increases); however this may reflect saturation effects as
these are typically reported along with a high number of other measures. Notably, part-time
in-person schooling is not associated with a decrease in the risk of COVID-19-related
outcomes compared to full-time in-person schooling after accounting for other mitigation
measures.
>>
proportion with outcome
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num. interventions
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teacher masking |
restricted entry
reduced class size
no extracurricular
same students
closed play
no supply sharing
student masking
closed cafe
extra space
same teacher
desk shields
daily symptom screen
outdoor instruction
Evidence on Masking Alone
In community settings the conclusion on the effectiveness of face coverings to reduce transmission of
COVID-19 in community settings is informed by a range of research, including transferable insight from
other contagious diseases, modelling studies, laboratory experiments, contact tracing studies, and
observational studies. The addition of randomised control trials and substantially more individual-level
observational studies has increased the strength of the conclusions and strengthens the evidence for the
effectiveness of face coverings in reducing the spread of COVID-19 in the community, through source
control, wearer protection, and universal masking.
Page 6 or 11
There are only 2 RCTs that have been done during the pandemic on masking (1 non-peer-reviewed
report, both rated as medium quality) provided evidence on the effectiveness of face coverings to
reduce transmission of COVID-19, for universal masking (Bangladesh) and 1 for wearer protection
(Denmark).
e Denmark RCT in Spring 2020 (H. Bundgaard et al.) The first was conducted in Denmark in the spring
of 2020 and found no significant effect of masks on reducing COVID-19 transmission
o Adults who spent 3 hours or more a day outside the home and did not wear a face covering
while at work were randomised either to wearing study-provided surgical masks outside the
home or no intervention.
o There was a small, non-significant reduction in COVID-19 infections reported in the group that
wore surgical masks: 42 of 2,392 participants (1.8%) developed COVID-19 in the intervention
group compared with 53 of 2,470 participants (2.1%) in the control group.
o The study was inconclusive, reporting a non-significant reduction in COVID-19 infections from
wearer protection using surgical masks, but the results lacked precision due to an insufficiently
large sample size and low prevalence in the study population, so few participants developed
COVID-19.
e Bangladesh RCT in 2021 (J. Abaluck et al.) - reported that surgical masks (but not cloth) were
modestly effective at reducing rates of symptomatic infection. However, neither of these studies
included children, let alone vaccinated children.
o Randomized trial involving nearly 350,000 people across rural Bangladesh. The study’s authors
found that surgical masks — but not cloth masks — reduced transmission of SARS-CoV-2 in
villages where the research team distributed face masks and promoted their use.
o The study linked surgical masks with an 11% drop in risk, compared with a 5% drop for cloth.
That finding was reinforced by laboratory experiments whose results are summarized in the
same preprint. The data show that even after 10 washes, surgical masks filter out 76% of small
particles capable of airborne transmission of SARS-CoV-2, says Mushfiq Mobarak, an economist
at Yale University in New Haven, Connecticut, and a co-author of the study. By contrast, the
team found that 3-layered cloth masks had a filtration efficiency of only 37% before washing or
use.
o The UK PHE has produced two literature reviews on masking
o In community they assembled a committee to evaluate this evidence from their most recent
literature review on face coverings in community included 25 studies (including 9 preprints and
2 non-peer reviewed reports): 2 randomised controlled trials (RCTs) and 23 observational
studies. The evidence predominantly suggests that face coverings reduce the spread of COVID-
19 in the community.
= Respiratory Evidence Panel: evidence suggests that all types of face coverings are, to
some extent, effective in reducing transmission of SARS-CoV-2 in both healthcare and
public, community settings — this is through a combination of source control and
protection to the wearer (high confidence).
[1] Both studies were used to guide previous advice on masking in Alberta, both excluded children
Page 7 or 11
Eight contact tracing studies suggested that contacts of primary cases were less likely to develop COVID-
19 if either the primary case or the close contact, or both, wore a face covering.
11 observational association studies had mixed results, with 6 studies suggesting face coverings were
associated with reduced COVID-19 transmission and 5 suggesting no statistically significant association.
e In the school setting (lan 2022) they conducted a literature review as well as publishing the results
of their own study that looked at schools with mask mandates in secondary schools. The literature
review on the Evidence of associations between COVID-19 and the use of masks in educational
settings was inconclusive, but some studies showed higher rates of COVID-19 in schools without
mask requirements for students.
o “The new study presented in this report is a comparison of covid absence rates 2-3 weeks later
in 123 schools which introduced masks on the 1st October 2020 with covid absence rates in
1192 schools which did not have a policy of mask wearing in school.
o There were several differences between the two sets of schools included in this study including
the covid absence rates at the start of the study (the schools which introduced masks had much
higher rates). The researchers tried to adjust for these factors in their analysis.
= No Reduction in the UK with Masks in Schools: Schools where face coverings were used in
October 2021 saw a reduction two to three weeks later in Covid absences from 5.3% to 3%
- a drop of 2.3 percentage points.
= In schools which did not use face coverings absences fell from 5.3% to 3.6% - a fall of 1.7
percentage points (not statistically significant)
e Public Health Ontario has also assessed most of this evidence as well and summarized that several
studies found that mask mandates in schools have been associated with lower incidence of SARS-
CoV-2 infection. Many of the studies examining COVID-19 incidence in schools had layered Infection
prevention and control measures in place, so it was challenging to measure the independent Impact
of mask-wearing.
There are 3 commonly cited studies (all rated as low quality) assessing whether wearing a face covering
was effective in schools in the UK, US and Germany in autumn and winter 2020, and in a summer camp
in the US in summer 2020. These results provide less direct evidence of the effectiveness of face
coverings than either the RCTs or contact tracing, but still provide evidence on the difference in COVID-
19 transmission between people who did and did not wear face coverings in school and summer camp
settings.
e California Study: D. Cooper et al. in a prospective cohort study in the US assessed whether face
coverings were effective as universal masking in four schools in Autumn to Winter 2020 found SARS-
CoV-2 infections in 17 learners (N=320) only during the surge. School A (97% remote learners) had
the highest infection (10/70, 14.3%, p<0.01) and IgG positivity rates (13/66, 19.7%). School D (93%
on-site learners) had the lowest infection and IgG positivity rates (1/63, 1.6%). Mitigation
compliance [physical distancing (mean 87.4%) and face covering (91.3%)] was remarkably high at all
schools.
e Germany Study: Theuring et al. in a cross-sectional study in Germany (n=177 primary school
students, n=175 secondary school students and n=142 staff members) assessed whether face
coverings were effective as wearer protection in 12 primary and 12 secondary schools in Germany in
November 2020. It concluded that prevalence increased with inconsistent facemask-use in school,
walking to school, and case-contacts outside school.
e US Summer Camp Study: S. Suh et al. conducted a cross-sectional study (n=486 US summer camps
comprising 89,635 campers) assessed whether face coverings were effective as universal masking in
Page 8 or 11
486 summer camps in the US in summer 2020. It found in both single and multi-NPI analyses, the
risk of COVID-19 cases was lowest when campers always wore facial coverings.
More recent evidence from Delta Wave and CDC Commissioned Studies
eo To demonstrate any independent effect of masks on COVID-19 transmission requires comparing
communities with similar vaccination rates or statistically controlling for differences in vaccination
rates or other covariates. Without making these adjustments, it is difficult to attribute differences in
case rates, or differences in in-school transmission, to mask wearing in school.
e When CDC examined the evidence on school transmission, it concluded that the preponderance of
the available evidence from United States schools indicates that even when students were placed
less than 6 feet apart in classrooms, there was limited SARS-CoV-2 transmission when other
layered prevention strategies were consistently maintained; notably, masking and student
cohorts.
o The Oct 2021 Arizona CDC Study (M. Jehn et al.) in the Maricopa and Pima Counties concluded
that schools without mask mandates were more 3.5 times likely to have COVID-19 outbreaks
than schools with mask mandates. The study noted that given the high transmissibility of the
SARS-CoV-2 B.1.617.2 (Delta) variant, universal masking, in addition to vaccination of all eligible
students, staff members, and faculty and implementation of other prevention measures,
remains essential to COVID-19 prevention in K—12 settings.
= However, the study has been found to have numerous flaws as pointed out in this Atlantic
Article — including a failure to quantify the size of outbreaks and failure to report testing
protocols for the students. They also do not control for different vaccination rates in the
counties, meaning that vaccination could have played a bigger role than masking.
o Another Oct 2021 CDC study by S. E. Budzyn et al. found that U.S. counties without mask
mandates saw larger increases in pediatric COVID-19 cases after schools opened, but again did
not control for important differences in vaccination rates, stating it will be done at a later date.
« The study examined 520 counties from July to September, 62% of which didn’t have a school
mask requirement.
= Over the two-week period before and after school started, counties with school mask
requirements saw their COVID-19 rates rise by 16 daily cases per 100,000 children, on
average.
= Meanwhile, counties without school mask requirements saw their COVID-19 rates rise by
35 daily cases per 100,000 children, as shown in the chart below.
Page 9or 11
[J Counties with school mask requiseriant
I Counties without school mask requirement
of COVID-19 cases/ 100,000 children and adolescents
Mean change In daily number
Weeks Weeks Weeks Wedks

bed bovis! -1 0 hr on ~1t01 biyne “2162 ~tto2
No, of weeks before start of school yer No. of weeks after stant of schood year
These smaller studies are often shared online to show that there isn’t a difference between schools that
mask during the Delta variant’s spread in the US:
e In Tennessee, two neighboring counties with similar vaccination rates, Davidson and Williamson,
have virtually overlapping case-rate trends in their school-age populations, despite one having a
mask mandate and one having a mask opt-out rate of about 23 percent.
e Another recent analysis of data from Cass County, North Dakota by Tracy Hoeg, comparing school
districts with and without mask mandates, concluded that mask-optional districts had lower
prevalence of COVID-19 cases among students this fall.
e Analyses of COVID-19 cases in Alachua County, Florida, also suggest no differences in mask-required
versus mask-optional schools.
Page 10 or 11
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School System & Fargo Public Schucls e Wasi Fargo
et 20214 Hae 2021
COVID-19 Cases in Alachua County Schools

fb
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# Casesf1,000 students & faculty
oo
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= PK YOnge
8/13 8/20 8/27 9/3 9/10 9/17 9/24 10/1 10/8 10/15 10/22
Week
Page 11 or 11
TAB 12
Appendix 1
Context of COVID-19 in Alberta at time of decision
it is important to remember that masks were never provincially required in children in school in
kindergarten to grade 3, so the change to the requirements was for those in grades 4 and above.
Immunization (see TAB 5)
e By February 8, 2022, 46% of children 5-11 years old had received one dose of vaccine while 18% had
received two doses. All children in this age group were eligible to receive vaccine, and sufficient time
had elapsed for two doses to have been received for those families who chose this layer of
protection.
e For 12-19 year olds, 87% had received one dose and 82% had received two doses.
Treatment and testing available
* Rapid Antigen test kits had been made available to families of school-aged children and were being
made available to the public for at-home use at participating pharmacies.
e Outpatient treatments were available to prevent the highest risk patients with mild to moderate
COVID-19 symptoms from progressing to severe disease.
Cases and hospitalization (see TAB 10)
e Daily new case counts were declining from the peak of the Omicron wave.
Test positivity rate had begun to decline
Daily
40% == Rolling average (7 days)

Percent positive
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Rate of new hospitalizations was declining

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Rate of now hospitalizations {7-day rolling average. average of current day and pravious 6 days) by admission da |
Evidence of effectiveness of masks in education settings (see TAB 6 and TAB 8)
Analysis of research literature indicated wearing masks can be effective in contributing to reducing
the transmission of COVID-19 in public and community settings; however, the impact of masking in
schools was less clear, with mixed results from different studies.
The range of policies in place across different jurisdictions limited the ability to evaluate the impact
of single specific measures for daycare or school settings due to variability in the combination of
measures implemented.
It was difficult to determine the effect of removing or changing one measure (e.g. masking), as many
of the studies examining COVID-19 incidence in schools had layered infection prevention and control
measures in place.
Studies found that transmission in schools has remained limited under a wide range of prevention
measures, such as masking, cohorting, cancelling higher-risk activities, distancing, hygiene protocols,
reduced class size, and enhanced ventilation.
Alberta data looking at schools that did or didn’t have requirements for masks in the fall of 2021,
before provincial masking requirements were reinstated, showed more outbreaks in schools without
masking requirements than in those with masking requirements. It cannot be definitively concluded
that the lack of masking caused more outbreaks, however, as there could be systematic differences
in communities that influenced school boards’ masking policy decisions that could have also
influenced community transmission risk and impacted these results.
Different groups of clinical experts had come to different conclusions about the importance of
school mask mandates as a single intervention, and the balance of benefits and potential risks. For
example, see:
e https://staticl.squarespace.com/static/61e5afd7a33d334ec9f84595/1/62115f8230548G5c6d54
97a3/1645305731693/Urgency+of+Normal+Toolkit.pdf
://covid19-sciencetable.ca/wp-content/uploads/2022/01/0Ontario-Returns-to-School-An-
Overview-of-the-Science 20220112-1.pdf
Negative effects of mask-wearing for children (see TAB 6)
e Masks can disrupt learning and interfere with children’s social, emotional, and speech
development by impairing verbal and non-verbal communication, emotional signaling, and facial
recognition.
Lower risk of severe outcomes for children
Children are less likely to have a severe outcome if infected with COVID-19. This information can be
seen in Table 7 of the Severe Outcomes tab of TAB 10 showing that the rate of COVID-19
hospitalizations in school-aged children is 0.3 per 100 cases in those age 5-9 and 0.5 per 100 cases in
those age 10-19. Rates of ICU admissions and deaths are even lower. The severe outcome risks for
those in these two age groups is the lowest of all age groups.
Other measures in place to mitigate transmission risk
While the masking requirement was removed for youth under thirteen years of age in all settings
and for students enrolled in kindergarten through grade 12 while attending at a school and
participating in curriculum related or extracurricular activities, other measures remained in effect in
schools, including:
o Mandatory symptom screening prior to school attendance, and mandatory isolation for all those
with COVID-19 symptoms
o Cohorting for kindergarten to grade six
o Physical distancing from those not in their cohort
o Mandatory masking for adults
* Guidance for schoois and school buses supported schools to reduce opportunities for transmission,
including:
o Practices to minimize the risk of transmission of infection among attendees
o Procedures for rapid response if an attendee developed symptoms of illness
o Maintenance of high levels of sanitation and personal hygiene.
* Guidance for Schools (K-12) and School Buses https://open.alberta.ca/dataset/eca63dca-1{d4-4ebd
9e3d-572d6004c0(8/resource/Ib2ca09(-5265-4839-8921-3b03beS9d7a9/download/health-covid-
19-information-guidance-schools-k12-school-buses-2022-03.pdf
e CMOH Order 02-2022 and CMOH Order 04-2022 (see TABS 3 and 4) required isolation for persons
who were symptomatic, asymptomatic but with a positive rapid test result, and confirmed cases of
COVID-19. Therefore, children and others in these cases were not permitted to attend school.
Public Context
* Mask requirements for schools was a divisive issue in some communities as increasing numbers of
parents and students were protesting mask mandates, including protests staged at schools.
Jurisdictional comparison
* The World Health Organization did not recommend masks for children under age 6.
* The European Centre for Disease Prevention and Control recommended against the use of masks for
any children in primary school.
* Some jurisdictions began easing public health measures after reaching their Omicron peak, including
Denmark, England, Scotland, Ireland, Norway, South Africa, Finland and Sweden.
* The United Kingdom, Denmark, Sweden, Finland, Norway, and the Netherlands did not require
children under the age of 12 to wear masks at any time.
e Mask mandates had been lifted in California, Connecticut Delaware, New Jersey just prior to the
change in Alberta.
Decision making process
In the response to the COVID-19 pandemic, the Public Health Act was used in ways and on a scale that
were put in place to ensure that policy of this nature was substantively informed by decisions made by
elected officials in committees of cabinet tasked with directing Alberta’s COVID-19 response.
This process involved the CMOH providing advice and recommendations to elected officials on how to
protect the health of Albertans. Those elected officials took that advice as one part of the considerations
in the difficult decisions that they had to make in response to COVID-19. The final policy decision-making
authority rested with the elected officials, and those policy decisions were then implemented through
the legal instrument of CMOH Orders. In making the CMOH Orders, the CMOH determined how to
operationalize each policy decision.
Given this process described above, in the first submission for this judicial review, the documentation
informing CMOH Order 08-2022 was understood to be the information before the Priorities
Implementation Committee of Cabinet (PICC) when they determined the next steps in managing COVID-
19 in Alberta, and the minutes of the decisions from that committee, which informed the content of
CMOH Order 08-2022. Neither of these documents could be released, due to Cabinet confidence.
TAB 13
DOCUMENT
REFERENCE DATE
Endemic Planning — Easing February 07, 2022
E.C.
dU] =X
o] [Toll g [=X-Vid oY [T= EAU] CONFIDENTIAL
DO NOT COPY
Priorities Implementation Cabinet

Committee
Alberta Health
Minister Jason Copping
=]
o] (VET a YAR VA 020
So) gl Bl-Ye iTe]0]

Outline
« Endemic Planning Considerations
o Current State
« Jurisdictional Comparison
« Easing Public Health Measures

— Alberta Covid Records Consideration
Endemic Planning Considerations
En
Phases of the Response to COVID-19
| Pandemic Phase
Characterized by increased cases with significant levels of severe outcomes, requiring
swift government action to protect safety of citizens, measures for mitigating impact and
spread, and interventionist government policies in areas of health, economics and social
programs.
Transition Phase
1a LMI g W=Telel=1
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(03a Fo1¢=Tol gala a [Tal KTV AVICT = Tg Tol
[1 = 1 ilo] a We) er =i ola To [o] [ple Me [oT
| and a declining reliance on interventionist policies as we approach the endemic
phase.
Endemic Phase
Characterized by stable or predictable case increases with decreasing levels of
severe outcomes, increased public “tolerance” of the disease, enhanced individual
i responsibility for managing risk, and public health management focusing on high risk
settings.
Endemic Phase
+ Pandemics typically move through many waves of transition and heightened
response before reaching an endemic state.
+ An endemic state does not mean COVID stops impacting the population, but rather
that the magnitude of impact is able to be managed within the system.
« Going forward, with no mitigation of community transmission, it is expected that the

acute care system will continue to be under strain for several months to come,
impacting surgical volumes and other care provision.
* We should expect that future respiratory virus seasons will likely have additive
components of seasonal influenza, COVID, and other respiratory illnesses
impacting the acute care and public health systems.
* Preparing for possible future variants of concern that may cause severe outcomes
will be important, but case suppression will not be the default goal.
Classification: Protected A I
Mpertos
COVID-19 Status in Alberta
« COVID-19 in Alberta is coming to the end of the Pandemic Phase, with
hospitalizations still putting pressure on the health system.
« We will soon be moving into the Transition Phase.

+ The positivity rate has remained relatively stable in the past few weeks.
+ Hospitalizations seem to be at a plateau, still high and straining the
system.
Last Updated: Feb. 7
Omicron Jurisdictional Scan Summary

« Afew jurisdictions that have reached their Omicron peak have eased most of their
public health measures.
— Denmark — Denmark eased all of their COVID-19 measures despite rising case rates. Their
hospital system is coping, but new hospital admissions have increased.
— England — England has removed all measures. Cases and hospitalizations have continued to
fall.
— Ireland — Ireland has eased most measures but is maintaining the mask mandate and special
measures in schools until end February. Case numbers have made a slight rebound, but
hospitalizations have continued to fall since the easings took place.
+ Some Canadian provinces have announced phased or partial easing of their public
health measures. However, most provinces have more restrictive measures than
Alberta, and it will take them some time to reduce their measures to Alberta's current
level of restrictions.
Current State
Positivity Rate Trend — As of February 6
mene Daily
== Rolling average {7 days)

40%
30%
Percent positive
20%
10%
0%

9
30 lan
16 Jan
02 Jan
19 Dec
05 Dec
Hospitalizations — As of February 6
21 Noy
07 Nov
mmm [CU
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m=
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15 Aug
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Rate of new COVID hospitalizations — As of February 6
wasn Alberta
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11
Rate of New COVID Hospitalizations — As of February 6
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12
Reasons for Hospitalization Summary
As of February 6
All Admissions Last 7 days
Non-ICU ICU Non-ICU Icu
Reason Type n % n % n % n %
Primary COVID admission 1032 386 112 48.9 234 39.7 33 49.3
COVID-contributing admission 542 203 60 26.2 134 22.8 23 343
Incidental 1062 397 57 249 209 355 11 16.4
Unable to determine 40 1.5 0 0.0 12 20 0 0.0
Total 2676 100.0 229 100.0 589 100.0 67 100.0
Note:
* Only hospitalizations with available reason types are included
* Incidental hospitalizations are those where a COVID-positive person has been hospitalized but their reason for admission was deemed to be
unrelated to their COVID diagnosis.
* For recent hospital admissions, there may be a delay in reason type information. This may lead to some fluctuations in day-to-day information for
“All Admissions” compared to those reported in the “Last 7 days’.
13 Mberton
Hospitalization Comparisons
Alberta Health Public Reporting* AHS Capacity Report (Internal)
Feb 4 Feb 5 Feb 6 Feb 4 Feb 5 Feb 6

(e(0)V]]>) ICU 122 116 (-6) 118 (+2) 121 119 (-2) 122 (+3)
hospitalizations Non-ICU 1,492 1,437 (-55) 1,424 (-13) 1,661 1,630(-31) 1,620 (-10)
(increase/decrease
within report) Total 1,614 1,553 (-61) 1,542 (-11)
Total ICU - -- -- 195 193 (-2) 195 (+2)

Total
hospitalizations Total ICU Occupancy -- - -- 81% 80% (-1) 81% (+1)
(TE CETL [HCE Total non-ICU -- -- - 5,247 5,193 (+54) 5,247 (-54)
within report) Total non-ICU Occupancy 85% 84% (-1) 85% (+1)
*Public health surveillance (population-level impacts reported publicly based on number of

people in hospital with COVID) - numbers based on end of day Feb 6.
Mpertos
Wastewater Surveillance — As of February 7
» The trends reported
Zone. | esting Site Previous week trends [Preliminary Signals
in this table are
Lethbridge Decrease Increase
Medicine Hat Increase Decrease
based on this rolling
South
Taber Increase Decrease average as reported
Brooks Decrease
Decrease
Fluctuating, stable trend
the afternoon of
Airdrie Increase
Banff Decrease Decrease February 4, 2022.
City of Calgary Decrease Decrease Overall wastewater
Calgary Canmore Decrease Increase
High River Decrease Increase
concentrations of
Okotoks Decrease Increase virus have
Strathmore Increase Fluctuating, stable trend
fluctuated greatly
Red Deer Increase Decrease
Central
Lacombe Fluctuating, stable trend Decrease between sampling
Edmonton
City of Edmonton Fluctuating, stable trend Fluctuating, stable trend dates at this time,
Fort Saskatchewan Fluctuating, stable trend Fluctuating, stable trend
Fort McMurray Increase Decrease
and therefore any
Grande Prairie increase Increase trends may be
North
Cold Lake Decrease Fluctuating, stable trend premature
Edson *new* NA Increase
15
Moertos
Vaccines — As of February 6
Doses Administered on February 6: 5,965
Total to date: 8,376,671
Total pediatric doses (first and second doses): 218,580
Total third doses: 1,499,682
Percent of 18+ population with three doses: 43.4%
Percent of 12+ population with one dose: 89.9%
Percent of 12+ population with two doses: 86.2%
Percent of 5+ population with one dose: 85.8%
Percent of 5+ population with two doses: 79.8%
Jurisdictional Comparison
18
Total Hospitalizations Per 100k
oO OOO O11 OO Oh Oo Og O
1-Jul
8-Jul
15-Jul
22-Jul
29-Jul
5-Aug
12-Aug
19-Aug
26-Aug
2-Sep
—AB
9-Sep
16-Sep
23-Sep
—BC
30-Sep |
7-Oct |
—SK
14-Oct |
21-Oct |
28-Oct |
ON
4-Nov )
11-Nov
18-Nov
QC
25-Nov )
2-Dec ;
9-Dec
16-Dec
23-Dec
30-Dec
COVID-19 hospitalization rate per 100k
6-Jan
13-Jan
20-Jan
27-Jan
3-Feb
COVID-19 ICU usage per 100k

ICU Beds in Use per 100k
NN
OO
Or
bd»
WwW
ND
=~
OO
—AB —BC ——=SK =——=ON =—QC Note: SK includes Say!

19
Daily new COVID Cases per million people

Daily New COVID-19 Cases per million people Source: Our World in Data
(7 Day Rolling Average)
Daily new cases per million people
(7 Day Rolling Average)
Denmark
Israel
United Kingdom
South Africa
a= Denmark === {reland e===|srael South Africa meee United Kingdom
20 Mbertos
Weekly new hospital admissions per million people

Source: Our World in Data
Weekly New Hospital Admissions
per million people
Weekly new hospital admissions
per million people
Israel
[93]
No
United Kingdom
Ireland
= South Africa
mmm Denmark es=jreland ~~ e—=|srael = South Africa e===== United Kingdom
21
Mero
1d a WN [F- EX B] {=X
SFTTe xd Ul o] [Tol o [=X=1
Framework for Easing Public Health Measures
« Previous PICC direction on the following principles has informed the proposed
approaches for easing public health measures.
When:
— Alberta has opted for a conditions-based approach, which requires certain metrics to
be achieved before moving to subsequent steps.
— Alberta will be a leader in entering the endemic space, balancing the risks and
benefits to easing before other Canadian jurisdictions.
« How:
— Gradual removal of public health measures, signaling the transition to endemic
stage through a number of steps, which has the following benefits:
+ Enables monitoring and minimizes the impacts of a potential exit wave, with less risk of
quickly losing system resources that may be needed if the exit wave is larger and more
impactful than anticipated.
« More opportunity to monitor and adjust if needed, and less chance of having to
23 easings.
Classification: Protected A ~
Conditions for Easing of Measures
Lifting of restrictions should begin only once pressures on the
healthcare system have sufficiently eased and are likely to continue
easing.
+ Easing should also take into account an assessment of relevant trends
and context, including positivity rates, wastewater surveillance, and the
overall acute care system burden.
« Specifically, easing of measures should be predicated on declining
rates of new COVID-19 hospitalizations over a sustained period of time.
24 Abertos
Easing Measures
+ Previously, Alberta Health recommended that the easing of measures be proportionate to
the risk of transmission.
— Measures should be removed as soon as safe to do so.
— Measures that are least restrictive to Albertans and entities while effective for reducing the risk of
transmission are retained for longer (i.e., allows more freedom for normalcy to resume in as many
aspects of life as possible).
» Per previous PICC direction, 3-step approaches to easing are proposed, with a focus on
removing the Restrictions Exemption Program and easing youth masking requirements.
« Three approaches have been developed for consideration:
— The first approach includes a significant easing in step 1; any potential impacts of the initial easing
can be monitored and adjusted for before moving to the next step (e.g., delayed entry into
subsequent steps).
— The second approach includes a moderate easing between all steps; any potential impacts more
likely to be adjusted for throughout each step (e.g., able to enter subsequent steps without
significant delays).
— The third approach would be defined by the specific measures that PICC chooses.
25
Classification: Protected A I _ re TE
Post-Easing
« As Alberta eases public health measures, Alberta Health will continue to
monitor for any unintended outcomes or scenarios, which could include:
— Larger than anticipated exit wave that leads to increase in hospitalizations and/or
workforce impacts.
— Emergence of a new, higher risk variant (e.g., changes in transmissibility, severity,
effectiveness of vaccine, etc.).
|f the impacts of the above are beyond the ability of the health care system to
cope, re-instatement of public health measures may be recommended.
— Revisiting previous mechanisms to address COVID-19 transmission would need
to be weighed with other policy considerations and Alberta's overall risk tolerance.
Option 1:
a pA RSe
Restrictions Exemption Program removed. » Sustained decline in new COVID-
o Entertainment venue restrictions also removed (e.g., capacity limits, liquor 19 hospitalization admission
sales and operational hours, food/beverage in seating, interactive activities). rate.
» No capacity limits for entities that were out of scope for Restrictions Exemption
Program.
o Physical distancing requirement removed.
» Masking not required for youth (17 and under) in any setting.
* Provincial school requirements removed (masking, K-6 cohorting, etc.).
* Screening prior to youth activities removed.
* No limits on indoor or outdoor gatherings.
2 * Masking no longer required. * Continued decline in new

* Shift to individual and family risk assessment. COVID-19 hospitalization
* Mandatory work from home removed. admission rate after initiation of
Step 1.
3 * COVID-specific Continuing Care measures removed. * Continued decline in new

* Mandatory isolation removed (becomes a recommendation only). COVID-19 hospitalization
27 admission rate after initiation of
Step 2.
C
Ve a a A a ese i ie)
Considerations for Option 1
« Majority of public health measures are lifted in step 1.
« All existing public health measures will be lifted by step 3.
« Timing between steps depend on conditions.
« Pros
— Less social and economic impact from prolonged continuation of public health measures.
Businesses/entities are able to resume regular operations.
— Measures that are least restrictive to participation in society are in place after Step 1. Albertans have
opportunity to start assessing their personal/family risk and make decisions about their context (i.e.,
choice to wear mask, space out, size of social network, etc).
— The measures that remain in place the longest protect the most vulnerable populations.
— Alberta is a leader in reopening; easings will be ahead of most Canadian jurisdictions.
+ Cons
— Leading reopening provides less opportunity to learn from other jurisdictions, assess impacts, manage
risk and avoid potential reversals.
— Provides less time for the health system to regain capacity and resume normal operations.
28 Mpertos
EreSl I rr Sr Ar TsA SO a SN ftre
Option 2:
EE Restrictions Exemption Program removed.
CT
+ Sustained decline in new COVID-
o Entertainment venue restrictions retained (liquor sales and operational hours, no 19 hospitalization admission rate.
food/beverage in seating, no interactive activities).
* Large venues capped at 50 percent capacity (status quo for previous REP venues;
increase for previous out of scope venues).
o Physical distancing recommended, but not required.
» Masking not required for 5 and under.
* Screening prior to youth activities removed.
* No limits on outdoor gatherings; indoor gathering limits remain.
2 * Capacity limits removed for large venues and entertainment venue restrictions * Continued decline in new COVID-
removed. 19 hospitalization admission rate
* No limits on indoor gatherings. after initiation of Step 1.
* Mandatory work from home lifted.
* Provincial school masking requirement removed.
3 e COVID-specific Continuing Care measures removed. * Continued decline in new COVID-

* Remaining school requirements removed (i.e., K-6 cohorting). 19 hospitalization admission rate
* Mandatory isolation removed (becomes a recommendation only). after initiation of Step 2.
* Masking no longer required.
29 + Shift to individual and family risk assessment.
Classitication: rrotectea A
A EE a RY 35 8 ea RE HE =
« Step 1 includes significant lifting of public health measures while keeping some protective elements
in private gatherings (where there is no masking) and large venues.
+ All existing public health measures will be lifted by step 3.
« Timing between steps depends on conditions.
. Pros
— This approach means that some protective measures are still in place while Alberta is experiencing cases and
outcomes from the Omicron wave. The health system has additional time to regain capacity while the majority
of businesses/entities are able to resume regular operations.
— The measures that remain in place the longest protect the most vulnerable populations.
— Provides more time for Albertans to adjust to reopening and to start assessing their personal/family risk and
make decisions about their context (i.e., choice to wear mask, space out, size of social network, etc.).
— Alberta is still a leader in reopening while minimizing any potential exit waves; easings will be ahead of most
Canadian jurisdictions.
Cons
— Some Albertans may not be satisfied with the pace or sequencing of easings.
— May not provide enough time for the health system to regain capacity and resume normal operations.
30
Classification:AEA Protected A
Albertsons
WO ad RE INES
Option 3:
Measures to be removed
Businesses/Entities
» Restrictions Exemption Program (REP). .
* Entertainment venue restrictions (liquor sales and operational hours, no food/beveragein ©
seating, no interactive activities). .
* Capacity limits for entities that were out of scope for REP. .
* Work from home requirement. o
Masking in Public Places
* Masking requirements for youth (17 and under) in public places. .
* Masking for all Albertans in public places. .
Youth Specific Requirements

* Mandatory masking for grades 4+. s
* Other school requirements {K-6 cohorting, physical distancing). .
* Screening prior to youth activities.
Private Social Gatherings

*» Limits for outdoor gatherings. 4
» Limits for indoor gatherings (private dwellings). .
Mandatory isolation. .
31 COVID-specific Continuing Care measures. .

Classincauon: rFroteciea A
« PICC selects individual measures which are in each of the three steps for easing.
+ All existing public health measures will be lifted by step 3.
« Timing between steps depends on conditions.
* Pros
— Steps are based on what is determined to be the most appropriate balance between public
health and other policy considerations.
— Potentially more responsive to public opinion.
+ Cons
— Legal and operational connections between some measures may constrain available options for
sequencing.
— Some Albertans may not be satisfied with the pace or sequencing of easings.
— May not provide enough time for the health system to regain capacity and resume normal
operations.
Decision: Approach for Easing of Measures
Cm A pre Restrictions Exemption Program removed. Specific measures in each
Restrictions Exemption Program removed.
o Entertainment venue restrictions also removed {closing o Entertainment venue restrictions retained (closing times, step are chosen by PICC.
times, food/beverage in seating, interactive activities). no food/beverage in seating, no interactive activities).
No capacity limits for entities that were out of scope for Large venues capped at 50 percent capacity (status quo for
Restrictions Exemption Program. previous REP venues; increase for previous out of scope
o Physical distancing requirement removed. venues).
* Masking not required for youth (17 and under) in any o Physical distancing recommended, but not required.
setting. Masking not required for 5 and under.
* Provincial schoo! requirements removed (masking, K-6 Screening prior to youth activities removed.
cohorting, etc.). No limits on outdoor gatherings; indoor gathering limits
* Screening prior to youth activities removed. remain.
+ No limits on indoor or outdoor gatherings.
2 «Masking no longer required in all public places. Capacity limits removed for large venues and entertainment.
+ Shift to individual and family risk assessment. venue restrictions removed.
* Mandatory work from home removed. No limits on indoor gatherings.
Mandatory work from home lifted.
Provincial school masking requirement removed.
3 * COViD-specific Continuing Care measures removed. COVID-specific Continuing Care measures removed.
* Mandatory isolation removed {becomes a recommendation Remaining school requirements removed (i.e., K-6 cohorting).
only}. Mandatory isolation removed (becomes a recommendation
only).
Masking no longer required.
33 JSLoertnn
Public Communication of Approach
« Announce as a bold but prudent approach, highlighting
the thresholds for each step of re-opening:
— News conference, news release, social media, web update.
— Support with advertising and later announcements.
— Tele town halls with specific sectors (businesses, places of
worship, etc.) to convey details and answer questions.
— Messaging to highlight:
+ The importance of Albertans beginning to return to regular life.
+ The framework being gradual and dependant on reaching specific thresholds.
« Clear details about each step and when they will happen.
Aoerbon
» Protections for the vulnerable and the health system continuing to be in place.
2
Slassification: Protected A
Endemic Planning Decisions
» Alberta Health will return to PICC in the coming weeks for direction on how the GOA should manage
COVID-19 in the long term.
. In the meantime, using public health surveillance and indicators such as wastewater, Alberta Health will
monitor the progress of the transition to endemic given the chosen approach to easing public health
measures. If the situation worsens and the continued transition to endemic is not possible due to the level of
strain on the acute care system, the reinstatement of public health measures may be recommended.
— To stay in an endemic state, there would need to be sufficient health care capacity to respond to cyclical
recurrence of COVID, and mandatory public health measures would not generally be used as long as severity is
moderate to low. However, the health system has not yet returned to a baseline state, and acute care recovery,
including surgical volume increases, will be slowed by the impact of rapid easing of measures.
+ Future endemic planning decisions could include:
~ How will the GOA respond to COVID-19 outbreaks in the future?
— What information will the GOA provide to the public on future COVID-19 case numbers, hospitalizations and
deaths?
— Given that it is extremely likely that new variants of concern will continue to emerge, how much surge capacity
should the GOA maintain to address future waves of COVID-197?
— What is the future approach to rapid test distribution?
35
Classification: Protected A _
Mberbon
Alberta Covid Records Considerations
Alberta Covid Records — current Context
« Alberta Covid Records is currently comprised of two main
components:
— The website to generate proof of vaccination with QR code:
alberta.ca/covidrecords.
— Official verifier apps available on the Apple and Google stores that
enable verification of Albertans’ QR codes in support of REP.
« The availability of proof of vaccination QR code generation
through alberta.ca/covidrecords is required for Albertans to
support federal and international travel requirements.
— When REP is discontinued, Alberta will need to maintain the Covid
Records website to generate proof of vaccination with QR code to
37 support these travel requirements.
Aperbos
Post REP options for Alberta Covid Records
1. Remove the official Alberta Covid Records verifier apps from the Google
and Apple stores — Recommended.
— Previously downloaded verifier apps could still be used. It is not possible to
force removal from personal devices.
2. Provide explicit authority to permit voluntary use of Alberta Verifier App.
— Those who choose to ask to validate vaccine status would need to obtain their
own legal advice to confirm whether the organization has good legal authority to
collect and use the information for its own purposes.
— Employers may still be able to implement their own vaccine mandates and
would benefit from being able to continue to use the validator app.
— Through the QR code, the government makes Albertans’ personal health
information available to them, and it is up to Albertans to decide whether to
provide that information to third parties.
38 I
Mbertos
Tain
Ey EE
a
APN
SVE
Current Restrictions
JRE al]
Current Restrictions — Unchanged by REP
« Mandatory isolation (confirmed case or symptomatic; vaccinated vs unvaccinated).
+ Mandatory masking in public places.
« Work from home.
« Private residences:
— Up to 10 adults; no limit on youth under 18 (if with their parent/guardians); vaccinated or unvaccinated.
— Limits on who can enter a private residence.
« Qutdoor private social gatherings limited to 20 individuals.

+ Measures for protests and similar activities.
« Attendance limited to 1/3 fire code for specific entities out-of-scope for REP:
— Places of worship, retail, libraries.
— Does not apply to health services, child care settings, schools, shelters, workplaces, personal and wellness services.
+ Youth must be screened prior to undertaking an activity.

« School measures in place (e.g., masking, distancing, school buses).
« Operating and Outbreak standards for Continuing Care settings.
42 Mert
Current Restrictions — Without REP
» Physical distancing indoors and outdoors.
— 3m for physical activity; 2m all other settings.
* Private social gatherings not permitted.

Wedding and funerals.
— Weddings and funeral services are permitted up to 50 people or 50% fire code, whatever is less.
— No receptions permitted indoors; outdoor limit is 200.
+ Attendance limited to 1/3 fire code for entities (at least 5 people permitted).
— Can only attend with household/close contacts.
* Drive-ins permitted.
* Restaurants and similar:
— Indoor dining not permitted.
— Outdoor dining: limit 6 to a table; no mixing and mingling; liquor sales stop at 10 pm, consumption stops at 11pm.
* No indoor adult group physical activity/performance activity/recreation.

— 1:1 or solo permitted.
— Does not impact semi-professional/professional.
43 Mbertos
Restrictions — With RE
AJ: :41
Current
« Individuals must be screened for proof of vaccination/negative COVID test/medical
exception.
— Mandatory masking and isolation requirements apply; mandatory physical distancing not required.
« Capacity limits:
— Facilities with occupancy load 1,000+ - limit attendance to 50%.
— Facilities with occupancy load 500 to 999 - limit attendance 500 attendees.
— Facilities with occupancy load 499 or less — no capacity restriction.
+ Food/beverage in audience settings

— Permitted if stadium seating occupancy is 499 or less; concessions open.
— Not permitted if stadium seating occupancy is 500 or more; restaurants/etc permitted in these settings if physically
separate from stadium seating.
+ Restaurants/events/etc:
—~ Liquor sales and operating restrictions.
» Class A, C and Special Events Licences: liquor sale stops at 11pm; close at 12:30am.
+ Facility, Gaming and Class B Licenses: liquor sale stops at 11pm; consumption stops at 12:30am.
— Limit of 10 to a table, no mixing and mingling.
44 — Interactive activities not permitted, exception for dancing at weddings. Mpertos
Classification: Protected A ARE tn CLS0 on SHOP TAD (ar ELE (Sm TI LS TR er EA) CETL ET
SNL TSE 2 7 = Sal SIE SN EEOC FN A
Categories for Easing Measures
8
ee >
n -»-.-\\
Gatherings Outdoor — low risk
>;
e evidence indicates less likely for transmission.
Indoor — high risk
° household transmission still most likely source of COVID.
. in private dwellings, individuals are not required to wear masks.
° tend to be more social/intimate; less likely to maintain physical distancing.
° 0-4 ineligible for vaccination.
. 5-11 eligible - timing for full vaccination variable.
increased exposure potential:
o schools (adults still under Work From Home).
o youth activities not required to be screened for vaccination/negative test.
. may experience increased mental health impacts due to restrictions .
FL
Se ha Medium risk
businesses/entities [UJ REP & Work From Home add a layer of protection to these settings.
. may see breakthrough cases if not boosted.
° may have implications for recommended masking at work stations if full staffing
~ complement returns. : 2 = Aparato a
° capacity restrictions:
o reduce the number of people potentially exposed;
o facilitates physical distancing.
45 ° Ventilation a factor.
Cs
EC —
Categories for Easing Measures
(e110 VT -4 1 Medium to High risk

(e-1(:] ° vulnerable population; susceptible to infection and severe outcomes.
° controlling entry into the space important for reducing transmission.
° need to balance with overall mental health.
High risk
° medical grade masking or greater quality has demonstrated impact on transmission.
° low cost intervention; equitable and accessible.
° physical and visual reminder of risk and potential for transmission.
High risk
° Infective individuals have limited interaction; reduces transmission potential.
46
Jurisdictional Scanning
HH 3600
Last Updated: Feb. 7, 10:30 am
Context — High-Level Approach

Provinces have started to accelerate their easings as Omicron hospitalizations have stabilized.
British Columbia has reopened gyms and fitness centres and is allowing youth tournaments but many other restrictions
remain. British Columbia suggested additional public restrictions may be lifted by Feb. 21. British Columbia plans to
maintain its proof of vaccination requirement until June 30.
Saskatchewan has released its ‘Living with COVID Plan’, which closes its online booking tool for PCR testing. It is
shifting from daily reporting of COVID-19 data, to weekly reporting.
Manitoba is allowing larger private gatherings, and increased capacity in public places starting on Feb. 8. Manitoba is
planning to lift all public health measures by spring.
Quebec eased some public health measures on Jan. 31, and will make further easings on Feb. 7 and Feb. 14. Quebec
has scrapped plans to tax the unvaccinated. Quebec plans to expand its proof of vaccination program to require a
booster shot.
Ontario is easing its measures in three phases starting on Jan. 31, with each phase being 21 days apart. Ontario
originally intended to maintain its proof of vaccination requirements through all three phases, but has since announced
they plan to reassess the value of the program.
48
Classification: Protected A _
AA
Last Update: Feb. 7, 10:30 am
J-Scan — General Strategy and Masking

a
a Ee ll > eer TEE = ee ne
General * On Feb. 3, Premier * OnFeb1, BCsaid it has reached - On Feb. 3,SKannouncedits = + On Feb. 3, MBannounced | * On Feb. 3, ON said = On Feb. 1 QC cancelled the
Strategy indicated the the peak of hospitalization for Living with COVID plan. The that it was planning to lift they need to reassess proposed tax on the
government will the Omicron wave. plan will see SK restricting all public health measures the value of its vaccine unvaccinated and announced
announce a firm date for + BC has started easing some the availability of PCR by spring. passport system. additional easings for gyms to
lifting restrictions the restrictions and intends to testing to people at risk of « On Feb. 8, MB will + Onan. 20,0N take place of Feb. 14.
week of Feb 7- gradually ease further sever outcomes and introduce new public announced a three
restrictions in the weeks ahead. reducing COVID-19 public health measures that are phase plan to ease its
+ BC has decided to extended reporting to once a week less restrictive than Omicron measures,
their Vaccination Card program starting on Feb. 7. current restrictions. starting on Jan. 31.
to June 30. + SK plans to lift the proof of Each step will be
vaccination requirement by separated by 21 days.
end of February.
Masking «Masking is required in * Masking is required in all * Masking is required in all * Masking is required in all «Masking is required in = Masking is required in all
all indoor public spaces indoor public spaces for indoor public spaces for indoor public spaces for all indoor public indoor public spacesfor
for everyone over 2. everyone over 5. everyone over 2. everyone over 5. spaces for everyone everyone over 10. QC
over 2. recommends people from 2 to
9 wear masks.
49
Adeerbrns
J-Scan — Vaccines
0 AB — Moderate Measures BC — Moderate Measures SK Minor Measures MB - Moderate Measures ON -Significant Measures | QC -Significant Measures
Vaccine ° 18+ eligible for a 18+ eligible for a booster after 18+ eligible for a booster 18+ eligible for a booster 18+ eligible for a 18+ eligible for a booster after
Eligibility booster after five six months. after three months. after six months. booster after three three months.
months. Pregnant women can book a Interval can be shorted months. People with chronic health
booster after eight weeks. to five months for 60+, immunocompromised conditions, pregnant women,
immunocompromised or those living in a First individuals and health workers and people in
individuals can get a 4th dose. Nations Community. residents of Long-Term remote areas also eligible.
Care can get a 4" dose QC plans to open pop-up
after 84 days. vaccine clinics.
Proof of . Proof of vaccination, or Proof of vaccination is required Proof of vaccination Proof of vaccination Proof of vaccination Proof of vaccination expanded
Vaccination negative test result, is for everyone over 12 to access required for a list of required for a list of required to access to all large stores except
required for everyone some events, services and establishments, businesses establishments, indoor dinning, grocery stores and
over 12 to enter all businesses. and event venues. businesses and event theatres, gyms and pharmacies.
places participating in SK plans to lift the proof of venues. other businesses. Proof of vaccination required
the Restrictions vaccination requirement ON not planning to for liquor and cannabis stores.
Exemption Program. by the end of February. require a third dose Booster will be required for
for people to be vaccine passport once
considered fully everyone has had an
vaccinated. opportunity to get a booster.
50
Classification: Protected A_
J-Scan — COVID Testing
——— AB - Moderate Measures BC — Moderate Measures SK —-Minor Measures MB - Moderate Measures TH iT Tol 4)ERTIES
[eo] IEA Qc -Significant Measures
Rapid Providing free rapid test BC offers rapid tests for «SK provides free rapid MB replacing most of its ON has a limited supply of rapid * Used for symptomatic
Testing at select locations. organizations seeking a tests to residents; PCR tests with rapid tests that are being prioritized screening.
First come first serve. rapid test screening available at 600 locations tests at all COVID-19 for health care and highest risk * Providing free rapid
Limit one kit per person program for their around the province. testing sites. settings. This includes testing tests at pharmacies.
every 14 days. workforce. Residents no longer asymptomatic staff in these + Rapid screening tests
To be used for need a PCR test to sectors to allow them to return provided for parents,
asymptomatic people. confirm a positive rapid to work. students {pre-school,
BC residents can report a test result. ON provides free rapid tests for K-6).
positive rapid test result to MB has Fast Pass Testing high-risk communities,
a rapid test using an Sites for teachers and organizations and workplaces.
efForm. other staff working with ON provided students with two
students. rapid tests each when they
returned to school.
PCR Testing Prioritizing PCR testing for . BC prioritizing PCR tests » As of Feb. 7, PCR testing MB will provide PCR ON providing PCR tests to + PCR testing only for
individuals in high-risk for healthcare workers, will be reserved for testing to symptomatic symptomatic individuals who certain groups of
settings and individuals at emergency responders priority populations at risk people and who: o Reside in a First Nation; Inuit people, including
risk for severe outcomes. and high risk people. of sever outcomes. SK will © Are experiencing or Metis community. health and social care
BC provides rapid tests for end its online booking homelessness. o Are symptomatic students or workers and a list of
those of low risk of having system for PCR testing; o Are hospitalized. education staff, who receive priority individuals
a severe outcome. appointments will be o Have travelled a PCR kit through school. including frontline and
8C can conduct 20,000 made by appointment outside of Canada in o people who workin a essential workers and
PCR tests per day. only. the past 14 days. hospital or congregate living the vulnerable.
o Have a positive rapid setting.
test are working with o high risk contacts connected
high risk individuals. to a confirmed outbreak.
o Pregnant people.
Unvaccinated people over 70.
[e]
o First responders.
51
, Classification: Protected A
RR RN a es A i i A
UE ISAT
Apes
J-Scan — Isolation uarantine

A
and
co AB — Moderate Measures BC — Moderate Measures SK -Minor Measures MB - Moderate Measures ON - Significant Measures QC Significant Measures
Isolation If fully vaccinated, self Vaccinated individuals and Residents who receive a Self-isolation period for Self-isolation period for If fully vaccinated must self
requirements isolate five days from those 18 and younger positive PCR or rapid vaccinated people is five vaccinated people is five days isolate five days from first
if diagnosed first date of symptoms; need to self isolate five antigen test will be days from first date of from first date of symptoms; date of symptoms; 10 days
with COVID- 10 days if unvaccinated. days from first date of required to isolate for five symptoms; 10 days if 10 days if unvaccinated or if unvaccinated (5 days if
19 Anyone leaving symptoms; others must days, regardless of unvaccinated. immunocompromised. under 12).
isolation prior to 10 isolate for 10 days. vaccination status. Anyone leaving isolation * Anyone leaving isolation
days must wear a mask Anyone leaving isolation must wear a mask and must wear a mask for an
for an additional five for must wear a mask for an avoid high-risk settings additional five days.
a total of 10 days. additional! five days. for an additional five * Health care workers to
days. isolate for seven days.
Isolation Close contacts are not Close contacts do not have Close contacts do not Close contacts who do Close contacts who are + High-risk contacts must self
requirements required to isolate. to self-isolate. have to self isolate. not have symptoms and vaccinated and isolate five days if
if 3 close If you are a household are fully vaccinated (or asymptomatic do not need to vaccinated.
contact contact of a positive tested positive in the past self-isolate. * High-risk contacts who are
case, and not fully six months) do not need Close contacts who are unvaccinated must self
vaccinated you should to self isolate. unvaccinated must self isolate for 10 days.
stay home for 14 days, Close contacts who are isolate for 10 days (5S days if = Low-risk contacts only
and monitor for unvaccinated must self under 12). need to watch for
symptoms. isolate for 10 days. Individuals who work in high symptoms for 10 days.
risk settings should not
attend work for 10 days.
52
_ Classification: Protected A_ ES GT 1 SR EN CB Sh NINE Sy Ry Si I A Le Se A
Alpertos TE rir" RE,
J-Scan — Private Gatherings

—— AB — Moderate Measures BC — Moderate Measures SK -Minor Measures MB - Moderate Measures ON - Significant Measures QC -Significant Measures
Private Indoor personal gathering * Indoor personal * No limits. As of Feb. 8, indoor On, Jan. 31, social gatherings Up to four people from
Gatherings limited to 10 adults. gathering limited to 10 private gathering limits limits were increased to 10 different addresses, or a
* Outdoor gatherings limited people plus one will be increased to 25 people indoors and 25 maximum of two family
to 20 people, with 2m household. 12+ must be people plus household if people outdoors. bubbles will be allowed to
physical distancing. fully vaccinated. vaccinated. Limited to ten gather indoors.
= + Youth aged 18-donot = No restrictions for people plus household if _ Outdoor gatherings limited
wie count to the limit. - outdoor personal everyone is vaccinated. to 20-people from three
gatherings. Outdoor private gathering households.
limits will be increased to
50 people plus household
if vaccinated. Limited to
20 plus household if
anyone is unvaccinated.
Youth aged 12- do not
count to the limit.
53
J-Scan — Organized
2 ta
al - 1€I'NNJgS
he AB - Moderate Measures BC —~ Moderate Measures SK ~Minor Measures MB - Moderate Measures ON - Significant Measures Qc Significant Measures
Organized Outdoor events that are Indoor organized No limits. As of Feb. 8: On Jan. 31, indoor venues, On Feb, 7, outdoor public
Gatherings fully outdoors have no gatherings of any size are o Capacity limits on including religious events of up to 1,000
capacity restrictions. not allowed (this includes indoor events will be ceremonies/services were people will be allowed with
Places of worship: weddings and funeral increased to 50% with allowed to reopen at 50% vaccination passport (up
o 1/3 capacity. receptions). proof of vaccination. If capacity. from 250).
o 2 m physical distancing. Outdoor organized no proof of vaccination, Outdoor events have no On Feb. 7, places of
Weddings/funerals: seated gatherings can limited to 25% capacity, limits on numbers. worship will be able to
o Indoor wedding have a capacity of 5,000 or 250 people. Youth reopen at 50% capacity,
ceremonies and funeral or, 50%, capacity aged 12- do not count with a maximum of 250
services are capped at whichever is greater. to the limit. people with a vaccination
50 people or 50% of © Outdoor: must not passport. Funerals will be
capacity unless the exceed 50% capacity. allowed with up to 50
facility implements REP. o Capacity limits on people without a
o Indoor receptions are indoor weddings and vaccination passport.
prohibited unless the funerals to stay the On Feb. 7, movies and
facilities implements same: indoor limited to theaters will be able to
REP. 50% capacity, or 250 reopen at 50% capacity,
o Outdoor ceremonies, people, if proof of with a maximum of 500
services and receptions immunization required; people (they are currently
are capped at 200 25% or 25 people if closed).
people unless the proof of immunization
facility implements REP. not required.
54
J-Scan — Indoor Events

[ AB - Moderate Measures BC — Moderate Measures SK -Minor Measures MB - Moderate Measures ON - Significant Measures QC -Significant Measures
Indoor * Indoor facilities must limit * Indoor events at venues No limits. Same as organized On Jan. 31, concert venues, On Feb. 7, movies,
events at capacity to: can only have 50% gatherings. theaters and cinemas were theaters, entertainment
venues o 50% capacity if the capacity, no matter the allowed to reopen at 50% venues and arenas will be
facility has an capacity size {includes concerts, capacity. able to reopen at 50%
over 1,000. sports events, movies, capacity, with a maximum
© 500 attendees if the lectures). of 500 people. Outdoor
facility has a capacity o Everyone must be venues will be allowed to
between 500 and 1,000. fully vaccinated to reopen with up to 1000
o No food or drink attend. people.
allowed in seated o Everyone must wear
audience settings with masks indoors.
more then 500 o Dancing is not
attendees. permitted.
* Qutdoor facilities have no Oo Spectators must be
capacity restrictions. seated.
95
J-Scan — C=XercC Ise and Sport

__ AB ~ Moderate Measures | BC- Moderate Measures SK -Minor Measures MB - Moderate Measures [eB TT) (ToT 4EESTI QC -Significant Measures
Exercise Unless the facilities Gyms allowed to be reopen with No limits. As of Feb. 8, gyms will be As of Jan. 31, gyms and As of Feb. 14, gyms and
and fitness has implemented a space requirement of 7 square allowed to operate at to sports facilities were allowed spas that are currently
REP: meters (7m?) per person. 50% capacity. This removes to reopen at 50% capacity. closed may reopen at 50%
o Indoor group individual and group fitness is the 250 person limit. Outdoor facilities able to capacity.
activities and allowed. operate at 50% capacity.
competitions not Programs for children and youth, Proof of vaccination required
permitted for 18+. activities that take place in pools for facilities with a capacity
+ Qutdoor activities can and training for high over 20,000.
continue with no performance athletes can
restrictions. continue.
Swimming pools can operate at
50% capacity.
Sport = Spectator attendance Adult indoor individual, group No limits. As of Feb.8, indoor sport As of Jan. 31, sporting arenas « Asoflan. 31,
restricted to 1/3 fire fitness and dance classes and recreational capacity at were allowed to open at 50% extracurricular sports
code capacity; permitted — 25 max. per class, 50% capacity. No capacity or 500 people, whichever is allowed to resume for
attendees limited to a capacity limits 7m? per person, limits for outdoor less. people under 18. Indoor
single household or 2 no drop-in. participants. This removes Outdoor facilities open at tournaments not allowed.
close contacts if living Normal sport activities are the 250 person limit. 50% spectator capacity. «Adult sports for groups of
alone. allowed at 50% capacity. Non- Tournaments are allowed. up to 25 people may
* Outdoor activities can employee supervisors, coaches resume on Feb 14.
continue with no and assistants for people 21 * Outdoor sports
restrictions. years or younger must be fully tournaments allowed with
vaccinated. a health protoco! and
Starting on Feb. 1, youth sports limited access to building.
will be allowed for people 21
years or younger.
56
__Classifi cation: Protected A
Alberto
Va ERE ASF A A AR A ENCE,
J-Scan — Schools
CL AB — Moderate Measures | BC —- Moderate Measures SK -Minor Measures MB - Moderate Measures ON - Significant Measures oe [oR I-Ly nile [i 1 4" REVI{13
Schools * School staff are required to Starting on Jan. 29, + Starting Jan.24, schools will + Families will be notified of Classrooms will only be shut
disclose vaccination status. parents and resume offering vaccines school exposures when down if 60% of students are
School districts may apply a caregivers no fonger for children aged 5-17. absenteeism reaches 30%. in isolation.
vaccine mandate. have to tell schools «Families will not be notified * Students will also no longer
+ Families will only be notified of if their child has of close contacts, instead be required to isolate if they
school exposures when COVID-19. Schools will provide staff and are a close contact. Isolation
attendance drops to below will no longer record students with absenteeism only required if they are a
typical rates (i.e. approximately and communicate reports through regular household contact.
10% higher then normal). cases. channels. « Installing CO, readers in
classrooms.
» Asof lan. 31, extracurricular
activities will be allowed to
resume with proof of
vaccination for 13 and up.
Tournaments not allowed.
57 Mero
J-Scan — Restaurants, bars and nightclubs

0 AB ~ Moderate Measures BC — Moderate Measures SK -Minor Measures MB - Moderate Measures ON - Significant Measures (eo [oT HIE TH EER C1
Restaurants, * Facilities that participate Places that do not offer full No limits. On Feb. 8: may operate ® On Jan. 31, restaurants, bars On Jan. 31, restaurants
bars and in REP: meal service must close at 50 percent capacity. without dancing were were allowed to reopen at
nightclubs o Limit of 10 people (this includes bars, o Limit of 10 people per allowed to reopen at 50% half capacity. Up to four
per table. nightclubs and lounges table. capacity . people from different
o No mingling between that do not service meals}. o Individuals must o A maximum of 10 people addresses, or two family
tables. Indoor and outdoor dining provide proof of at a table. bubbles will be allowed to
o Liquor sales must end is allowed when: vaccination. share a table.
at 11pm, and must o A maximum of 6 o Liquor sales must end Complete closure of bars,
close at 12:30am. people at a table. at12pm. taverns and casinos.
* Facilities that do not o Two metres physical On Feb. 8, individuals will
participate in REP: barriers between no longer have to show
o No indoor dining. tables. proof of vaccination to
© Outdoor dining only o Customers must stay pick up takeout.
for a maximum of 6 seated.
people per table. o No dancing.
o Liquor sales must end o Normal liquor service
at 10pm, and must hours.
close at 11pm. o Masks are required
when not seated at a
table.
Restaurants and pubs must
scan proof of vaccination.
58
Classificatio n: Prote cted A
ee TY SALE
J-Scan — Retail, Work From Home, Other

AB — Moderate Measures [= Tol \% [Te (1 1 C3 Y EE EVI£19 SK ~Minor Measures MB - Moderate ON - Significant Measures QC -Significant Measures
Measures
Retail Retail and shopping Retail stores must have a . No limits. . As of Feb. 8, retail Retail settings, including 50% capacity limit and
Establishments malls restricted to 1/3 COVID-19 Safety Plan. establishments are shopping mails are permitted to allow 20m? per person).
capacity. allowed to operate operate at 50% capacity. Vaccination passport
Attendees must be at 100% capacity required to enter stores
household members; throughout with floor space greater
or 2 close contacts if Manitoba. Physical than 1,500 m2.
they live alone. distancing measures
and masks are stilt
required.
Work From Mandatory work from BC suggests businesses » Asof Feb. 8, Businesses and organizations will Mandatory tele-work for
Home home measures unless allow staff to work from workplaces will be need to ensure their employees any activity that can take
the employee has home. able to open without work remotely unless the nature place remotely.
determined a physical restrictions. of their work requires them to be
presence is required. on-site.
Other BC requires businesses to ° As of Feb 3, outbreaks Personal care services are

reactivate their COVID related to public mass required to operate at 50%
Safety Plans. gatherings/events, places capacity.
of worship, workplaces, Public libraries limited to 50%
daycares, and educational capacity.
settings will no longer be
investigated.
COVID-18 surveillance will
be in alignment with
reporting for other
communicable diseases.
The provincial COVID-19
dashboard will be
discontinued and data
updates will be provided
on a weekly basis.
J-Scan — Long- and Surgeries

-—r > —~
Care
Fan © [ 7 VSS
[SS 8 A |
wwriili
ee AB - Moderate Measures BC — Moderate Measures SK -Minor Measures MB - Moderate Measures ON - Significant Measures QC ~Significant Measures
Long-Term All visiting family and Residents allowed to have All family and visitors to a Residents are to wear All general visitors to a long- Only caregivers are allowed
Care friends must wear a mask one soclal visitor, in long term care are masks if they are term care home will need to to these facilities.
while indoors and in addition to a designated required to wear a mask medically able. be fully vaccinated to enter. Residents will have to
resident rooms. essential visitor. Ali visitors at all times. Designated family Ali staff, students, volunteers identify a maximum of four
* Family and friends that must show proof of Long-term care residents caregivers must be fully and caregivers to be tested at caregivers able to visit.
are not fully immunized vaccination. are encouraged to mask vaccinated. least twice a week prior to Caregivers will need to
are asked to reconsider All visitors over 12 must when outside their rooms General visitors can be entry into the home. show proof of vaccination.
their need to visit onsite. complete a rapid test at and in common areas. scheduled by Requires a negative test Masks must be warn and
s Operators have the the entrance. No limits on number of appointment. upon entry. social distancing measures
authority to implement On Feb. 3, BC released an essential family/support Additional tests and isolation respected.
other measures (including updated outbreak persons. for residents returning from
require proof of management protocol for . Outbreaks in long-term an overnight absence.
vaccination, or rapid long-term care and acute care will continue to be As of Feb. 7, residents who
testing). care systems publicly reported. are triple vaccinated will be
* Announced plans to able to take part is social day
rescind a public health trips.
order barring health-care As of Feb. 7, up to four
workers from working at designated indoor caregivers
more than one allowed (up from two).
continuing-care facility by
mid-February.
Surgeries MB implementing steps ON taking phased approach QC has started to

to address surgical, to resuming non-emergent reschedule medical
diagnostic backlog. and non-urgent surgeries and appointments and
procedures {Jan 31). operating room activities.
60
ERE EE RR i rp | REST EF NE NR TN, SH RT)
Easing Plans
EET
British Columbia
BC does not have a formal reopening plan but has announced they will be slowly easing restrictions
over the coming weeks.
BC's latest changes include:

Adult indoor individual, group fitness or exercise activities and adult dance classes and activities
are allowed with:
- Capacity based on 7m? per person.
- Group fitness and exercise classes have a capacity limit of 25 people.
- Pre-bookings for drop-in where operationally possible.
All indoor venues at 50% capacity; nightclubs/bars closed.
Indoor personal gatherings limited to 10 visitors or one other household; no restriction on outdoor
gatherings.
Isolation of under 18 age group and vaccinated adult is reduced to 5 days and until symptoms
improve — if tested positive.
Contact tracing ended on January 21, 2022.
62
Classification: Protected A _ I
Mpertoss
Saskatchewan
« Saskatchewan has released their ‘Living with COVID’ plan.
— As of Feb. 7, PCR testing will be limited to people who are at a high risk of
sever outcomes. Individuals will only be able to book PCR testing over the
telephone.
— Free rapid tests will continue to be available at 600 locations across the
provinces.
— Saskatchewan will no longer report COVID-19 information every day.
Epidemiological information will be reported weekly, on Thursdays.
* Premier Moe has indicated that proof of vaccination requirement will be lifted by the
end of February.
63
Noertos
Manitoba
« Manitoba has announced easings effective February 8.
— These easings will allow for larger private gatherings and higher
capacity in public places for those who are fully vaccinated.
— The 250-person maximum capacity for most venues will be lifted.
+ Manitoba plans to end all public health measures by spring.

Ontario
» Ontario has announced a three-step easing starting on January 31, 2022 and lifting
most measures by mid-March 2022. Ontario will be at roughly Alberta's level of
measures by February 21.
— Proof of vaccination requirement is currently being maintained during all three steps.
However, the province has announced that it needs to reassess the value of its passport
system.
Phase 1: effective January 31

- Increase social gathering limits to 10 indoors and 25 outdoors.
- Increase/maintain capacity limits at 50% in most indoor public settings, including restaurants,
bars, retailers, shopping malls, sports and recreational fithess facilities, gyms, cinemas,
meeting and event spaces, recreational and amusement parks, museums, galleries,
aquariums & zoos, casinos, bingo halls, gaming facilities, and religious services, rites, or
ceremonies.
65
Classification: Protected A '
Ontario (continued) BN
| IR
Phase 2: effective February 21

- Increase social gathering limits to 25 indoors and 100 outdoors.
- Lift capacity limits in indoor public settings where proof of vaccination is required (e.g. indoor
sports and recreational facilities, cinemas).
- Permit spectators at sporting events, concert venues, and theatres at 50% capacity.
_ Allow indoor public settings where proof of vaccination is not required to full capacity with 2 m
physical distancing. Indoor religious services, rites or ceremonies may also operate at fully
capacity with 2 m physical distance or no limit if proof of vaccination is required.
- Increase indoor capacity limits to 25% in the remaining higher-risk settings where proof of
vaccination is required (e.g. nightclubs, wedding receptions with dance, bathhouses and sex
clubs).
Phase 3: effective March 14

- Lift capacity limits in all indoor public settings.
- Increase social gathering limits to 50 indoors, no limits for outdoors. iy :
Classification: Protected AFe
ET A a Lp i LS i SE
Quebec
* Quebec plans to gradually lift public health measures.
— Quebec has already ended its curfew and removed the requirement that non-
essential stores close on Sunday.
— Jan. 31:
» Indoor private gatherings increased to a maximum of four people from
different addresses, or two family bubbles.
» Restaurants and dinning rooms may reopen at half capacity.
» More people allowed to visit long-term care homes.
« Extracurricular sports may resume for people under 18.
Quebec (continued)
— Feb. 7:
+ Movies theatres, entertainment venues and arenas may reopen at half
capacity with a maximum of 500 people.
+ Places of worship may reopen at half capacity, with a maximum of 250
people.
— Feb. 14:
« Gyms and spas may open at half capacity, along with sports and artistic
activities for up to 25 people.
68
United Kingdom
« The UK (England) has announced that the ‘Plan B’ restrictions they implemented to
address Omicron will be lifted by Jan. 27, 2022:
— Jan 17: self-isolation duration reduced to five days; COVID positive individuals
can end self-isolation on day six if tested negative in two lateral flow tests taken
on two consecutive days (day five and six).
— Jan 19: return to workplace.
— Jan 20: secondary and college students are no longer required to wear mask in
classrooms.
— Jan 27: the masking mandate and vaccine pass requirement for events and
venues will be lifted.
— Feb 11: fully vaccinated travelers will no longer need to take a COVID-19 test
either before or after they arrive in the UK. If not fully vaccinated, travelers will
need to take a pre-departure test and a PCR test on or before day 2 after arrival;
and they will need to quarantine if tested positive. Mberbon
Ireland
Ireland lifted most restrictions on January 24, 2022 while maintaining masking mandate
and school measures until Feb 28, 2022.
« Effective January 22, 2022, the following restrictions were removed:

— guidance in relation to household visiting.
— early closing time for hospitality and event venues.
— capacity restrictions for outdoor events, including sporting fixtures.
— capacity restrictions for indoor events, including weddings.
— sectoral protective measures such as physical distancing and sitting cohorts.
— restrictions on nightclubs.
— requirements to have a valid Digital COVID Certificate to enter various premises.
EP Te nt HB A J rl SA EE ET TR RR
Ireland (continued)
+ Effective January 24, 2022, the following restrictions were removed:
— phased return to physical attendance in workplaces.
« Until February 28, 2022, the following measures will be required:

— mask wearing in all settings where they are currently required.
— protective measures in schools, early learning and long term care facilities.
71
Denmark
+ Most restrictions were lifted on January 31, 2022.
« Denmark to no longer treating COVID-19 as a socially critical disease after February

5, 2022.
+ Denmark's epidemic commission recommended the following:

— Requirements for testing and isolation after entry into Denmark will continue for 4
weeks from Jan. 31, 2022.
— Infection prevention measures will continue under the assumption that COVID-19
is a generally dangerous disease instead of a socially critical one.
— Some special measures will be maintained to protect the elderly and vulnerable
— Close monitoring and adaptation of measures will continue.
72 _Mberton
ER EE EO EE aE EEE
e:To]le MEI d]]e)
PERE
Rapid Testing
« 77% of the tests have shipped for the second round of tests to schools as of end of day
February 3, 2022.
— AHS expects that all shipments will be out for delivery by end of day Monday, February 7 and all schools will receive
their shipments by February 14, 2022.
« Alberta Health has shipped 1,775,520 tests to pharmacies in Calgary, Edmonton and Red
Deer and 891,000 tests to AHS locations last week.
— Albertans were able to start picking up tests at some pharmacies last Tuesdays and all shipments
had been shipped by the end of last week.
« Alberta Health is shipping 930,000 tests to First Nations communities; providing two test
kits for every individual living on-reserve.
« The plan remains to transition rapid test distribution from AHS sites to pharmacies outside
of Edmonton, Calgary and Red Deer as supply and pharmaceutical distributor capacity
permits.
— Pharmacies outside of Edmonton, Calgary and Red Deer had the opportunity to order up to 648
kits per pharmacy (2,099,520 total tests) and shipments will begin later this week. M
74
AA i 5 dd A el ER aL a NA ERR
Future Planning Considerations

As we plan for the shift from pandemic to endemic, there will need to be additional
decisions made with respect to the rapid testing program. A plan to address the below
considerations will be provided to PICC in the coming weeks:
« Alberta can expect to continue to receive rapid tests from Health Canada through
March 2022.
A transition of the rapid testing program needs to be considered.
— User pay model?
— Direct shipments from Health Canada to pharmacy distributor?
— Strategic stockpile?
— Community distribution model?
— Future of the Employer and Service Provider program?
75 Mberbos
Endemic Planning Assumptions and
Considerations
Indicators of Endemic Phase
« COVID-19 will be in an endemic state when it can be treated as a persistent yet
manageable threat, similar to the seasonal flu. Some of the signs that COVID-19 is in an
endemic state will include:
— The health system is able to manage the volume of patients needing treatment for
more severe outcomes without disrupting other care provision.
— No known current threat of new variants with both significant immune escape and
high severity characteristics.
— Treatment options exist (i.e. anti-viral pills) to mitigate significant number of severe
outcomes.
~ The public is increasingly tolerant of the disease.
* In an endemic state, there will no longer be the need for the GOA to mitigate the impacts
of COVID-19 on an emergency basis. The GOA will respond to COVID-19 in a similar
way to how it manages other communicable illnesses.
no . Mero
| [ gq ®
!
NNNoCINArAaTINNNe
) | oq I | dl ff 4 I I( )N
0p
\W 3 IACI ALIVE
+ Many of Alberta Health's past COVID-19 management activities were part of a pandemic
approach where case identification and containment was the goal (e.g. widespread testing and
case investigation). Interventions to manage COVID-19 can be divided into two groups: legal
orders which mandate restrictions, and health system infrastructure to identify and respond to
cases.
+ In an endemic approach, where management is focused mainly on high risk settings, legal orders
would no longer be necessary if vaccinations remain effective at preventing severe outcomes, and
health system infrastructure could be recalibrated to support surveillance, individual clinical
management and high risk outbreak response.
+ However, once the transition starts and the operational ‘ramp down’ of health system
infrastructure begins, it will not be possible to re-establish programs quickly. The system is
complex with many co-dependencies. A coordinated de-escalation is required.
« With the removal of most restrictions, a small exit wave may occur. The risk of further burdening
the health care system would be mitigated by waiting to remove restrictions until the acute care
pressure has begun to ease from the fifth wave.
78
I i Oa AR gay i a SE Cet LT np PC 0 0 Re RL A
Endemic Planning Considerations
« In the future, new variants of concern of COVID will likely emerge. Their
impact will be determined by how effectively they escape immunity from
vaccines and previous infection as well as the severity of outcomes.
« Just as we must prepare for a future pandemic of any type, we should be
prepared for a new variant that may be more severe; however, moving to
an endemic state will mean that we would not pre-emptively respond to a
new variant by moving back to a containment approach focused on case
numbers. There will be ongoing acute care impacts as COVID continues to
circulate.
« As Alberta de-escalates its response to COVID-19, it will be important to
provide the public with timely and appropriate messaging. Different groups
of Albertans have different levels of comfort with an endemic approach,
and communication will need to be consistent and clear.
79 Mbertss
PCR Testing
« Through the transition, the GOA will continue to limit PCR testing to high risk
settings and to those at risk of severe outcomes after the Omicron wave
ends.
— With high vaccination rates, case numbers are no longer the most important
factor when considering public health measures.
— It is expensive to offer widespread PCR tests to the public, and is not a strategic
use of limited health system resources at a time when we are no longer striving
for case containment.
— However, Alberta will not be able to report accurate daily new case numbers or
conduct case investigations and contact tracing in non-high risk settings, including
schools.
80 beta |]
EEE SSETEETTTEE TE = = EEE EEE ER SR Ne Ar LH Sy SSS SES
TAB 14
PRIVATE
PRIORITIES IMPLEMENTATION CABINET COMMITTEE Minutes from
February 8, 2022
9:00 a.m. to 12:30 p.m.
Chinook Room, McDougall Centre
MEMBERS PRESENT: Premier, Schweitzer, Copping, Toews, Nixon, Mclver, Savage, Schulz
GUESTS:
Transition from Pandemic to Endemic

Hon. Adriana LaGrange, Minister, Education
Shannon Gill, Chief of Staff, Office of the Minister, Health
Nicole Williams, Chief of Staff, Office of the Minister, Education
Paul Wynnyk, Deputy Minister, Health
Andre Tremblay, Deputy Minister, Education
Bryce Stewart, Associate Deputy Minister, Health
Dr. Deena Hinshaw, Chief Medical Officer of Health, Health
Ethan Bayne, Assistant Deputy Minister, Incident Commander, Emergency Operations Centre,
Health
Cameron Traynor, Assistant Deputy Minister, Strategic Communications, Communications and
Public Engagement
Meeting called to order at 9:05 a.m.

l. STRATEGIC DISCUSSION
1. Transition from Pandemic to Endemic Framework
PICC RECEIVED options to ease public health measures as Alberta transitions from
pandemic to endemic management of COVID-19.
PICC DIRECTED the Minister of Health to implement Option 2 to ease public health
measures using a phased approach, specifically:
+ Step 1 - Effective at 11:59 p.m. on February 8, 2022:
o Entertainment venues:
- Restrictions on food and beverages while seated are removed.
- Restrictions Exemption Program (REP) removed along with all previous

restrictions in these facilities with the exception of the following:
- Restrictions on maximum people per table at restaurants, liquor

service restrictions, closing times and interactive activities remain in
force.
o Capacity limits for all facilities are as follows:
- All facilities with a capacity of 499 or less are not limited;
- All facilities with capacity of 500-1000 are limited to a capacity of 500; and,
- All facilities with capacity of 1000+ are limited to 50% capacity.
o Effective at 11:59 p.m. on February 13, 2022;
- Masking no longer required for children 12 years of age and younger, and
no masking requirements for students in schools (masking requirements will
remain in force for adults).
e Step 2 - If COVID hospitalizations continue to trend downwards, then PICC will

confirm the implementation of the following, effective at 11:59 p.m. on February
28, 2022:
o Remaining school requirements removed (i.e., K-6 cohorting).
o Requirements for screening prior to youth activities removed.
o Limits on gatherings removed.
o Masking requirements removed.
o Mandatory work from home requirements removed.
o Capacity limits removed for large venues and entertainment removed.
o Entertainment venues: Restrictions on closing times and interactive activities

removed.
* Step 3 —- Timing to be determined, contingent on hospitalizations continuing to

trend downward:
o COVID-specific continuing care measures removed.
o Mandatory isolation requirement removed (becomes a recommendation only).
PICC DIRECTED the Minister of Health to expand booster shot availability for Albertans
12-17 years of age who have medical conditions that make them susceptible to COVID-19.
PICC DIRECTED the Minister of Health to work with the Minister of Service Alberta to
remove the official Alberta COVID Records verifier apps from the Google and Apple stores.
PICC DIRECTED the Minister of Health to return to PICC with recommendations for the
long-term management of COVID-19, timing to be determined by Executive Council.
PICC DIRECTED the Minister of Health to return to PICC with proposals for increasing the
booster/third dose uptake among eligible Albertans, timing to be determined by Executive
Council.
PICC DIRECTED the President of Treasury Board and Minister of Finance to work with the
Minister of Education, the Minister of Advanced Education, and any other relevant ministers
on correspondence to broader public sector organizations/agencies/boards/commissions
encouraging alignment of their COVID-related policies with the Government of Alberta.
PICC NOTED that relevant legal instruments will be amended to reflect the above.
PICC DIRECTED the Minister of Health to work with the Premier's Office and
Communications and Public Engagement to finalize this item for announcement.
Il. EXECUTIVE DISCUSSION Premier

(EXC)
Meeting adjourned at 2:02 p.m.
Christopher McPherson Laura Lowe

Deputy Secretary to Cabinet Executive Director,
Cabinet Coordination

Amended Amended Certified Record of Proceedings Filed July 12, 2022

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COURT FILE NO.

COURT COURT OF QUEEN'S BENCH OF ALBERTA

RESPONDENT HER MAJESTY THE QUEEN IN RIGHT OF ALBERTA

DOCUMENT AMENDED AMENDED CERTIFIED RECORD OF PROCEEDINGS

ADDRESS FOR SERVICE MCLENNAN ROSS LLP Lawyer: Gary Zimmermann

i Please find attached:

i. The Record of Decision — CMOH Order 08-2022 (“Decision”).

(b) The reasons given for the decision or act;

i. Unable to provide for reasons given in paragraph 2 below.

(c) The document starting the proceeding;

i. Unable to provide for reasons given in paragraph 2 below.

(d) The evidence and exhibits filed with us; and

i. Unable to provide for reasons given in paragraph 2 below.

i. See attached Schedule “A”.

Paragraph 1(e): Power-Point presentation to

Paragraph 1(e): The Official Record of Decision

3. I certify that I have attached all records as required by Rule 3.19(1).

Name of person who certifies this record: Dr. Deena Hinshaw

Position: Alberta’s Chief Medical Officer of Health

20220908 - 4156-9559-3786 v.2 Page 3 of 4

1 Jurisdictional scan of masking requirements in other Canadian provinces

5 February 7, 2022 Alberta COVID-19 Immunization Program Report (Information as of

Analytics and Performance Reporting Branch, Epidemiology and

20220908 - 4156-9559-3786 v.2 Page 4 of 4

RECORD OF DECISION — CMOH Order 08-2022

Re: 2022 COVID-19 Response — Step 1 Easing Measures

Whereas rapid testing for COVID-19 is widely available.

Part 4 Work from one's private residence

1.1 This Order applies throughout the province of Alberta.

(c) “child care program” means any of the following:

(e) “cohort”, as the context of this Order requires, means:

(f) “commercial vehicle” means a vehicle operated on a highway by or on behalf of a

insertion of money or a token or on payment of any consideration a person may

(r) “health condition” means the following mental or physical limitations:

(u) “interactive activities” means the following activities engaged in by a person:

a directive or guidance document made by a regional health authority, or a

(w) “medical exception letter” means written confirmation provided to a person by an

(aa) “physical activity” means a fitness activity or sport activity.

(bb) “post-secondary institution” means:

A. Indoor masking requirements

. General exceptions to indoor masking

. Exceptions for health conditions

. Exception for child care programs

. Exceptions for farming or ranching operations

Part 4 — Work from one’s private residence

Part 5 — Private Residences

Part 6 — Private social gatherings

A. Private social gatherings for protests

Part 7 — Capacity restrictions

74 An operator of a business or entity with a total operational occupant load, as determined in

8.1 An operator of a food-serving business or entity must:

8.5 An operator of a food-serving business or entity with a Class A or C liquor licence,

Part 9 — Youth activities

A. Physical distancing in schools

B. Masking requirements in schools

C. Exceptions to masking in schools

10.6 Section 10.7 expires February 13, 2022 at 11:59 p.m.

i. within a classroom or place where the instruction, course or program of study is

10.8 Section 10.9 is effective February 14, 2022 at 12:01 a.m..

Part D expires February 13, 2022 at 11:59 p.m.

School buses (effective February 14, 2022)

Part E is effective February 14, 2022.

Exception to masking where physical distancing can be maintained

10.19 An operator of a school must: