Alberta
Alberta goes back to Step 1 Lockdown Restrictions
From the Province of Alberta
Alberta is returning to Step 1 of the four-step framework to protect the health system and reduce the rising spread of COVID-19 provincewide.
Effective at 11:59 p.m. on April 6, updated mandatory health measures go into effect for retail, fitness and performance activities. Effective at noon on Friday, April 9, restaurants will be restricted to providing only takeout, delivery and patio service.
Alberta will remain in Step 1 with restaurant restrictions until further notice. Health officials will continue to closely monitor the spread of COVID-19 to assess whether additional action is needed to reduce transmission.
“We are taking strong action to stop the third wave from threatening our health system and the health of thousands of Albertans. The rapid rise in cases, especially variants of concern, makes this a critical time to stop the spread. These measures will buy us some time for additional COVID-19 vaccines to arrive and take effect so we can once again start safely easing restrictions as quickly as possible.”
“The rising spread of variants means that we must take stricter measures in order to protect capacity in our health system and save lives. These mandatory new health measures will only be needed for a short while as we vaccinate Albertans as quickly as possible.”
“I am extremely concerned by the recent increase in COVID-19 cases in Alberta. All Albertans must take these additional measures very seriously; this virus is highly contagious. Only by working together can we protect each other, reduce the spread and protect our health system.”
Step 1 restrictions
The following mandatory public health measures come into effect at 11:59 p.m. on April 6:
Retail
- Retail services must reduce customer capacity to 15 per cent of fire code occupancy, with a minimum of five customers permitted.
- Curbside pickup, delivery and online services are encouraged.
- Shopping malls will be limited to 15 per cent of fire code occupancy.
Indoor fitness
- Only one-on-one training with an individual or household is permitted for indoor fitness activities (e.g., fitness in dance studios, training figure skating on ice, one-on-one lessons).
- No drop-in activities or unsupervised individual fitness.
- Group fitness, high or low intensity, is not allowed.
- Outdoor physical activity is allowed with up to 10 people, provided physical distancing is maintained between households.
Adult performance activities
- Adult performance activities are not permitted. Performance activities include dancing, singing, acting, playing a musical instrument and any rehearsal or theatrical performances.
The following mandatory public health measures come into effect at noon on Friday, April 9:
Restaurants, pubs, bars, lounges and cafés
- Indoor in-person service is no longer permitted
- Takeout, curbside pickup and delivery services are permitted.
- Outdoor patio dining is also allowed. Tables and dining parties must be two metres apart or separated by an impermeable barrier that will prevent droplet transmission.
- Household members only, or two close contacts of someone who lives alone.
- Contact information must be collected from one person of the dining party.
The following mandatory public health measures remain in effect unchanged:
Places of worship
- All places of worship will continue to be limited to 15 per cent of fire code occupancy for in-person attendance.
- Virtual or online services are strongly encouraged.
- Drive-in services where individuals do not leave their vehicles and adhere to guidance will be permissible and are not subject to capacity restrictions.
Social gatherings
- Indoor social gatherings continue to be prohibited.
- Outdoor social gatherings are limited to 10 participants, provided physical distancing and other measures continue to be followed.
Personal and wellness services
- Personal and wellness services can be open for appointment only. This includes hair salons, nail salons, massage, tattoos and piercing.
- Health services, including physiotherapy or acupuncture, social or protective services, shelters for vulnerable persons, emergency services, child care, and not-for-profit community kitchens or charitable kitchens can remain open for in-person attendance.
Indoor and outdoor children’s sport and performance
- K-12 schools and post-secondary children’s sport and performance activities, such as physical education classes, can now use off-site facilities to support curriculum-related educational activities.
- Lessons, practices and conditioning activities, but not games, may occur for indoor team-based minor sports/activities and school athletics.
- All participants must be 18 years old or younger, excluding coaches or trainers.
- Maximum of 10 individuals, including all coaches, trainers and participants.
- Participants must stay physically distanced from each other at all times.
Metrics based on cases and growth, including COVID-19 variants, are being monitored and will also be used to guide any decisions around the need to pause further steps or potentially increase restrictions.
Alberta’s government is responding to the COVID-19 pandemic by protecting lives and livelihoods with precise measures to bend the curve, sustain small businesses and protect Alberta’s health-care system.
Alberta’s government is launching a public engagement to gather input about legislation and policies around assisted suicide, also referred to as medical assistance in dying (MAID).
Medical assistance in dying is a process that allows an eligible person to receive assistance from a medical practitioner in ending their life. To be found eligible, a person must be suffering from a serious and permanent medical condition.
Alberta’s government is reviewing how MAID is regulated to ensure there is a consistent process as well as oversight that protects vulnerable Albertans, specifically those living with disabilities or suffering from mental health challenges. An online survey is now open for Albertans to share their views and experiences with MAID until Dec. 20.
“We recognize that medical assistance in dying is a very complex and often personal issue and is an important, sensitive and emotional matter for patients and their families. It is important to ensure this process has the necessary supports to protect the most vulnerable. I encourage Albertans who have experience with and opinions on MAID to take this survey.”
In addition to the online survey, Alberta’s government will also be engaging directly with academics, medical associations, public bodies, religious organizations, regulatory bodies, advocacy groups and others that have an interest in and/or working relationship to the MAID process, health care, disabilities and mental health care.
Feedback gathered through this process will help inform the Alberta government’s planning and policy decision making, including potential legislative changes regarding MAID in Alberta.
“Our government has been clear that we do not support the provision of medically assisted suicide for vulnerable Albertans facing mental illness as their primary purpose for seeking their own death. Instead, our goal is to build a continuum of care where vulnerable Albertans can live in long-term health and fulfilment. We look forward to the feedback of Albertans as we proceed with this important issue.”
“As MAID is a federally legislated and regulated program that touches the lives of many Albertans, our priority is to ensure we have robust safeguards to protect vulnerable individuals. Albertans’ insights will be essential in developing thoughtful policies on this complex issue.”
The federal Criminal Code sets out the MAID eligibility criteria, procedural safeguards and reporting obligations. The federal government has paused MAID eligibility for individuals with a mental illness as their sole underlying medical condition until March 2027 to ensure the provincial health care systems have processes and supports in place. Alberta’s government does not support expanding MAID eligibility to include those facing depression or mental illness and continues to call on the federal government to end this policy altogether.
Related information
Despite falling into disrepute in recent years, “follow the science” remains our best shot at getting at the truth of the physical sciences.
But science, if we are to place our trust in it, must be properly defined and understood; it is at its essence an ever-changing process, a relentless pursuit of truth that is never “settled,” and one that is unafraid to discard old hypotheses in the face of new evidence.
And it is in this light—in the unforgiving glare of honest science—that Alberta Premier Danielle Smith’s three new legislative initiatives around gender policy are properly understood, notwithstanding the opprobrium they’ve attracted from critics.
Bill 26, the Health Statutes Amendment Act, proposes to prohibit the prescription of puberty blockers and cross-gender hormones for the treatment of gender dysphoria to youth aged 15 and under. It would allow minors aged 16 and 17 to begin puberty blockers and hormone therapies for gender “reassignment” and “affirmation” purposes only with parental, physician, and psychologist approval. The bill also prohibits health professionals from performing sex reassignment surgeries on minors.
Bill 27, the Education Amendment Act, seeks to enshrine parents’ rights to be notified if their kids change their names/pronouns at school, and it gives parents the right to “opt in” to what sort of gender and sex education their kids are exposed to in school.
And Bill 29, the Fairness and Safety in Sports Act, is designed to protect females in sports by ensuring that women and girls can compete in biological female-only divisions, while supporting the formation of co-ed opportunities to support transgender athletes.
Each of these initiatives is entirely reasonable, given what we know of the science underpinning “gender care,” and of the undeniable advantages that a male physique confers upon biological males competing in sports.
The notion that the trifecta of puberty blockers, cross-gender hormones, and revisionist surgery is a pathway to good health was a hypothesis initially devised by Dutch researchers, who were looking to ease the discomfort of transgender adults struggling with incongruence between their physical appearance and their gender identities. As a hypothesis, it was perhaps reasonable.
But as the UK’s Cass Review exposed in withering detail last spring, its premises were wholly unsupported by evidence, and its implementation has caused grievous harm for youth. As Finnish psychiatrist Riittakerttu Kaltiala, one of the architects of that country’s gender program, put it last year, “Gender affirming care is dangerous. I know, because I helped pioneer it.”
It’s no accident, then, that numerous European jurisdictions have pulled back from the “gender affirming care” pathway for youth, such as Sweden, Finland, Belgium, the Netherlands, and the United Kingdom.
It makes perfect sense that Canadians should be cautious as well, and that parents should be apprised if their children are being exposed to these theories at school and informed if their kids are caught up in their premises.
Yet the Canadian medical establishment has remained curiously intransigent on this issue, continuing to insist that the drug-and-surgery-based gender-affirming care model is rooted in evidence.
Premier Smith was asked by a reporter last month whether decisions on these matters aren’t best left to discussions between doctors and their patients; to which she replied:
“I would say doctors aren’t always right.”
Which is rather an understatement, as anyone familiar with the opioid drug crisis can attest, or as anyone acquainted with the darker corners of medical history knows: the frontal lobotomy saga, the thalidomide catastrophe, and the “recovered memories of sexual abuse” scandal are just a few examples of where doctors didn’t “get it right.”
As physicians, we advocate strongly for self-regulation and for the principle that medical decisions are private matters between physicians and patients. But self-regulation isn’t infallible, and when it fails it can be very much in the interests of the public—and especially of patients—for others to intervene, whether they be journalists, lawyers, or political leaders.
The trans discussion shouldn’t be a partisan issue, although it certainly has become one in Canada. It’s worth noting that Britain’s freshly elected Labour Party chose to carry on with the cautious approach adopted by the preceding administration in light of the Cass Review.
Premier Smith’s new polices are eminently sensible and in line with the stance taken by our European colleagues. None of her initiatives are “anti-trans.” Instead, they are pro-child, pro-women, and pro-athlete, and it’s difficult to see how anyone can quibble with that.
Dr. J. Edward Les, MD, is a pediatrician in Calgary, senior fellow at the Aristotle Foundation for Public Policy, and co-author of Teenagers, Children, and Gender Transition Policy: A Comparison of Transgender Medical Policy for Minors in Canada, the United States, and Europe.
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