Provincial Respiratory Surveillance Report

COVID-19 and Seasonal Influenza

This report provides a current epidemiological update on the intensity and severity of COVID-19 in Manitoba. Surveillance and administrative data include laboratory, public health case and contact tracing investigations, hospitalization and mortality data. Data are presented at the provincial and regional level; and include a focussed review on the disproportional impact of COVID-19 on various populations in the province.

Epidemiology and Surveillance also continues to monitor the activity of seasonal influenza in Manitoba during this pandemic. During the 2020–2021 influenza season, routine reporting of seasonal influenza is included in this weekly report.

In this weekly respiratory surveillance report, we provide regular updates about the current activity of COVID-19 and seasonal influenza in Manitoba with overall objectives:

• To understand COVID-19 within the respiratory context;
• To present a detailed overview about COVID-19 cases and contacts; and
• To continue monitor and report on seasonal influenza during the pandemic.

Data are reported with a one-week delay for increased data accuracy, completeness and reliability. More analyses continue to be conducted and will be added to this report as available. It is published online at approximately 10:00am every Monday.

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Week 22 (May 30 – June 5)

About epidemiological week

Data extracted up to 4:00 am on June 11, 2021
Next reporting date: June 21, 2021

COVID-19: High Activity In Week 22, there were 1,977 laboratory-confirmed COVID-19 cases reported in Manitoba, a decrease from 2,350 in the previous week. The volume of lab tests decreased to on average 2,636 people tested for COVID-19 per day compared to 2,990 in the previous week, and the positivity rate of lab tests was 11.7%, a decrease from 12.3% in the previous week. In the 1,977 cases reported this week, majority (66%) were reported from the Winnipeg Regional Health and 14% were reported from the Southern Health - Santé Sud Regional Health Authority. The remaining cases were reported from Prairie Mountain Health Authority (8%), Interlake-Eastern Regional Health Authority (6%) and Northern Health Region (6%). This week, 1,398 cases of variants of concern (VOCs) have been reported, a decrease from 1,742 in the previous week. Additionally, cases of VOCs accounted for 71% of new cases reported this week. As of June 5, a total of 927,652 doses of COVID19 vaccines have been administered and 68.7% of residents aged 18 years and older in Manitoba have been immunized with at least one dose.		Cases About cases New cases: 1,977 Total cases: 52,767 Total VOC cases: 13,036 Recovered cases: 49,254 More Analyses Epi curve Epi curve of VOCs Daily Case Counts (.csv) Age and sex Health region National update
Testing About testing This week Average daily specimens: 2,636 Weekly positivity rate: 11.7% Total Tested people: 483,957 Population tested: 35.5% Specimens tested: 785,924 Positivity rate: 7.2% More Analyses Provincial testing National testing	Severity About severity Severe outcomes associated with COVID-19: Hospitalizations: 3,651 ICU admissions: 870 Deaths: 1,087 More Analyses Severe Outcomes Age Underlying Illness	Outbreaks About outbreaks COVID-19 outbreaks: 236 Outbreaks in long-term care facilities: 120 Outbreaks in schools: 6 More Analyses Check trend Outbreak list
Exposure About exposure Source of infection in cases (% of total) Travel: 1.3% Close contact to cases: 55.3% Unknown: 24.8% Pending: 18.6% Close contacts Top contact type: Household exposure More Analyses Contacts	Risk Factors About risk factors Pregnant cases: 601 Health care workers**: 2,468 Deceased Health care workers: 4 Recovered health care workers: 2,419 More Analyses Health care workers	Symptoms About symptoms Symptomatic cases: 73.6% Top symptoms (% of reports) Cough: 46.5% Headache: 38.7% Fever: 32.2% Muscle pain (myalgia): 28.9% Sore Throat: 27.8% More Analyses All symptoms
Seasonal Influenza: Low Activity A large number of respiratory specimens continued to be tested for seasonal influenza. There was one laboratory-confirmed influenza A case reported in Manitoba in Week 22. As of June 5, 31.7% of residents in Manitoba have been immunized with seasonal influenza vaccines.		Influenza Cases About cases New cases this week Influenza A: 1 Influenza B: 0 Total cases from September 1, 2020 Influenza A: 4 Influenza B: 2
Syndromic Indicators: Low Activity The respiratory activity levels in the community, primary care and emergency rooms continued to be low for this time of a year. The number of respiratory outbreaks reported that were not due to COVID-19 remains low.		FluWatchers About FluWatchers Participants reporting: 611 Reporting fever and cough: 0% Check Trend
Physician Visits About sentinal physicians Influenza Like Illness (ILI) Visits to sentinel physicians: 0.0% Check Trend	Antiviral About Antiviral Units of antiviral dispensed from pharmacies: 0	ED Visits About emergency room visits Average daily respiratory visits to emergency department (ED): 101 Check Trend
Important Notes Data about COVID-19 cases and contacts aswell as influenza cases are extracted from PHIMS. Numbers are subject to change. Missed events in the current report due to reporting delays will be included in later reports when data become available. *ICU admissions were also included in hospitalizations. **Health care workers include personnels in hospitals, long-term care settings, community health clinics and services (including agency staff), and diagnostic/laboratory services.

Cases

Figure 1. Cases of COVID-19 by Week of Public Health Report Date, Manitoba, June 2020 – Present

Note. Deaths due to COVID-19 were aligned by week of death date.
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Figure 2. COVID-19 Cases of Variants of Concern (VOC) by Type and Percentage of VOC Cases in All Cases by Week of Public Health Report Date, Manitoba, June 2020 – Present

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Figure 3. Sex and Age Distribution of COVID-19 Cases, March 2020 – Present

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Figure 4. Cases of COVID-19 by Health Region and Public Health Report Date, Manitoba, June 2020 – Present

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Table 1. Cases of COVID-19 by Health Region, Manitoba, March 2020 – Present

Health Region	Cases	Percentage
Winnipeg RHA	31358	59.4%
Southern Health-Santé Sud	6810	12.9%
Interlake-Eastern RHA	3506	6.6%
Prairie Mountain Health	3673	7.0%
Northern Health Region	7420	14.1%

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Testing

Figure 5. Average Daily Testing Volume and Positivity (%) for COVID-19 by Week of Specimen Receiving Date, Manitoba, June 2020 – Present

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Table 2. Cumulative National Testing Volume and Positivity (%) for COVID-19 by Province/Territory, Canada, March 2020 – Present

Province	Confirmed Cases	Tests Completed	Test Rate in Population (Estimated %)	Positivity Rate (Estimated %)
Alberta	228,668	4,534,795	104.2%	5.0%
British Columbia	145,049	2,746,822	54.4%	5.3%
Manitoba	52,255	810,895	59.4%	6.4%
New Brunswick	2,253	348,972	45.1%	0.6%
Newfoundland and Labrador	1,342	277,297	53.0%	0.5%
Northwest Territories	128	23,658	52.7%	0.5%
Nova Scotia	5,633	833,864	86.3%	0.7%
Nunavut	649	16,001	41.4%	4.1%
Ontario	534,675	15,157,826	104.7%	3.5%
Prince Edward Island	206	164,677	105.8%	0.1%
Quebec	371,361	9,314,904	110.3%	4.0%
Saskatchewan	47,186	865,765	73.9%	5.5%
Yukon	84	9,129	22.5%	0.9%
Canada	1,389,502	35,104,681	93.8%	4.0%

Note. National testing data are collected daily from the national Coronavirus disease (COVID-19) Outbreak update webpage.

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Severity

Figure 6. Severe Outcomes of COVID-19 by Week of Public Health Report Date, Manitoba, June 2020 – Present

Note. ICU admissions are not included in the hospital admissions.

Figure 7. Age Distribution of Severe COVID-19 Cases Compared to All Cases, Manitoba, March 2020 – Present

Figure 8. Percentage of COVID-19 Cases With Underlying Illnesses, Manitoba, March 2020 – Present

Note. Musculoskeletal illnesses include: osteoporosis, osteoarthritis, juvenile idiopathic arthritis, gout and crystal Arthropathies; COPD-chronic obstructive pulmonary disease; CVD-cardiovascular disease; Other CVDs include: ischemic heart disease, heart failure, acute myocardial infarction, and stroke; Other chronic conditions include: parkinson’s disease, multiple sclerosis, alzheimer’s disease and epilepsy. About definitions of chronic conditions

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Risk Factors

Table 3. Source of Infection in Health Care Workers with Non-missing Information, Manitoba, March 2020 – Present

Source of Infection	Cases	Percentage
Close contact of known case	1457	59%
Pending	196	7.9%
Travel	22	0.9%
Unknown	793	32.1%
All Cases	2468

Table 4. Roles of Health Care Workers with Non-missing Information, Manitoba, March 2020 – Present

Role	Cases	Percentage
Allied Health, Health Professionals, and Support Staff	1496	60.6%
Nurse/Licensed Practical Nurse	646	26.2%
Not identified	188	7.6%
Physician/Physician in training	83	3.4%
First Responder	55	2.2%
All Cases	2468

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Outbreaks

Figure 9. Weekly Respiratory and COVID-19 Outbreaks, Manitoba, 2018 – 2021

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Contacts

Table 5. COVID-19 Contact Summary in All Cases, Manitoba, March 2020 – Present

Regional Health Authority	Cases	Median Contacts	Minimum Contacts	Maximum Contacts
Winnipeg Health	31358	3	0	249
Northern Health	7420	1	0	66
Southern Health - Sante Sud	6810	2	0	69
Prairie Mountain Health	3673	3	0	134
Interlake-Eastern Health	3506	1	0	76

Table 6. COVID-19 Contact Summary in New Cases Reported in Week 22, Manitoba, 2021

Regional Health Authority	Cases	Median Contacts	Minimum Contacts	Maximum Contacts
Winnipeg Health	1311	3	0	46
Southern Health - Sante Sud	279	2	0	37
Prairie Mountain Health	146	4	0	36
Interlake-Eastern Health	122	0	0	44
Northern Health	119	1	0	32

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Symptoms

Figure 10. Percentage of Symptoms Reported by COVID-19 Cases, Manitoba, March 2020 – Present

Note: Other symptoms include those less common symptoms such as sweating, runny eyes, itchy throat, etc.

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FluWatchers

Figure 11. Weekly FluWatchers Participants and Percentage Reporting Fever and Cough, Manitoba, 2020 – 2021

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Physician Visits

Figure 12. Weekly Percentage of ILI Related Visits to Sentinel Physicians, Manitoba, 2021

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ED Visits

Figure 13. Weekly Respiratory Visits to Emergency Department, Winnipeg Regional Health Authority, Manitoba, 2018 – 2021

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Epidemiology and Surveillance

epiCOVID@gov.mb.ca

Other Epidemiology and Surveillance reports

http://www.gov.mb.ca/health/publichealth/surveillance/index.html