{"id":84401,"date":"2022-05-20T10:12:41","date_gmt":"2022-05-20T14:12:41","guid":{"rendered":"https:\/\/www.cachc.ca\/?p=84401"},"modified":"2023-05-08T21:49:04","modified_gmt":"2023-05-09T01:49:04","slug":"covid-19-the-new-square-dance-covid-is-here-its-about-to-start","status":"publish","type":"post","link":"https:\/\/www.cachc.ca\/fr\/covid-19-the-new-square-dance-covid-is-here-its-about-to-start\/","title":{"rendered":"COVID-19 the new square dance. \u201cCOVID IS HERE, IT\u2019S ABOUT TO START\u201d"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row padding_top=\u00a0\u00bb0&Prime; padding_bottom=\u00a0\u00bb0&Prime;][vc_column][vc_custom_heading text=\u00a0\u00bbCovid-19 la nouvelle dance carr\u00e9e. \u00ab LA COVID EST L\u00c0, \u00c7A VA COMMENCER \u00bb\u00a0\u00bb font_container=\u00a0\u00bbtag:h3|text_align:left\u00a0\u00bb use_theme_fonts=\u00a0\u00bbyes\u00a0\u00bb][vc_column_text]<\/p>\n<ul class=\"wp-block-list\">\n<li style=\"text-align: right;\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-84408 size-medium\" src=\"https:\/\/www.cachc.ca\/wp-content\/uploads\/2022\/05\/logo-couleur-FullRez-300x150.jpg\" alt=\"\" width=\"300\" height=\"150\" \/><span style=\"color: #333399;\"><em>English version follows below<\/em><\/span><\/li>\n<\/ul>\n<p>Comment nous r\u00e9pondons \u00e0 cette nouvelle pand\u00e9mie? La r\u00e9ponse cacophonique est\u00a0\u00ab\u00a0du mieux qu\u2019on peut\u00a0\u00bb, \u00e0 intensit\u00e9 variable. Plusieurs autorit\u00e9s ont impos\u00e9 un tempo et plusieurs ont essay\u00e9 de le suivre. Cette soudaine pand\u00e9mie a forc\u00e9 les autorit\u00e9s sanitaires \u00e0 bouger et \u00e0 s\u2019ajuster \u00e0 une vitesse \u00e0 laquelle elles ne sont pas habitu\u00e9es.\u00a0\u00a0Avec un pas par en avant, deux pas de c\u00f4t\u00e9 et un pas en arri\u00e8re, la confusion s\u2019est rapidement install\u00e9e et sans coh\u00e9rence entre les experts mondiaux, f\u00e9d\u00e9raux, provinciaux et r\u00e9gionaux. Il s\u2019en est suivi une s\u00e9rie de d\u00e9clarations publiques et de directives souvent d\u00e9synchronis\u00e9es, non coordonn\u00e9es entre les diff\u00e9rents paliers de gestion et s\u2019ajoutant aux directives minist\u00e9rielles qui semblaient appliqu\u00e9es de mani\u00e8re arbitraire.<\/p>\n<p>Pourtant cette capacit\u00e9 d\u2019action et de r\u00e9action est intrins\u00e8que dans les milieux communautaires et les CSC, qui sont contraints constamment d\u2019assurer leur propre survie financi\u00e8re tout en r\u00e9pondant aux besoins \u00e9mergeants de leur communaut\u00e9. M\u00eame si l\u2019ampleur des situations n\u2019a pas les m\u00eames proportions, les r\u00e9flexes devraient \u00eatre les m\u00eames : anticiper, agir, concerter, analyser, s\u2019ajuster et r\u00e9p\u00e9ter ces \u00e9tapes.<\/p>\n\n<p>Pour <a href=\"https:\/\/www.dispensaire.org\" target=\"_blank\" rel=\"noopener\">Le DISPENSAIRE<\/a>, un centre de sant\u00e9 communautaire implant\u00e9 dans la r\u00e9gion des Laurentides au Qu\u00e9bec, et ses 21 employ\u00e9s, la pand\u00e9mie de COVID-19 a \u00e9t\u00e9 dure, mais nous avons su nous adapter. Notre CSC est sp\u00e9cialis\u00e9 en sant\u00e9 sexuelle (VIH, h\u00e9patite, IST), en \u00e9galit\u00e9 des genres et en r\u00e9duction des m\u00e9faits. Les virus et les crises sanitaires sans les outils ad\u00e9quats pour y r\u00e9pondre, on connait \u00e7a. Apr\u00e8s 31 ans d\u2019engagement dans la communaut\u00e9, notre d\u00e9fi principal repose encore sur le fait de devoir justifier notre utilit\u00e9 aux autorit\u00e9s de sant\u00e9 publique.<\/p>\n<p>Comme plusieurs, la COVID nous a affect\u00e9s, mais surtout elle a eu un impact sur les personnes avec qui nous travaillons. \u00c9tant ouverts, car nos services sont essentiels, simultan\u00e9ment nous avons vu le nombre de surdoses doubler, nous avons re\u00e7u 60\u00a0% plus de demandes de d\u00e9pistage ITS r\u00e9f\u00e9r\u00e9es par le r\u00e9seau public de sant\u00e9, et la consommation de drogues (alcool, m\u00e9dicaments, drogues de rue) a augment\u00e9 radicalement sous la pression de la sant\u00e9 mentale qui d\u00e9cline. Les personnes qui fr\u00e9quentent nos milieux et pour qui nous \u00e9tions le seul filet social fonctionnel ont v\u00e9cu un isolement d\u00e9vastateur. L\u2019acc\u00e8s aux soins de base s\u2019est amenuis\u00e9. Le syst\u00e8me de soins a flanch\u00e9. \u00ab\u2009Nous devons aider notre r\u00e9seau de la sant\u00e9\u2009\u00bb, comme le martelait \u00e0 maintes reprises le premier ministre du Qu\u00e9bec en conf\u00e9rence de presse. C\u2019est donc le monde \u00e0 l\u2019envers, soignons le syst\u00e8me.<\/p>\n\n<p>D\u00e8s le d\u00e9but, <a href=\"https:\/\/www.dispensaire.org\" target=\"_blank\" rel=\"noopener\">le DISPENSAIRE<\/a> a su anticiper la crise internationale qui pointait \u00e0 l\u2019horizon. Ainsi nous avons planifi\u00e9 l\u2019acquisition de mat\u00e9riel de protection individuelle avant le d\u00e9clenchement des mesures d\u2019urgence\u00a0: masques, d\u00e9sinfectant, visi\u00e8res, blouses, etc.<\/p>\n<p>Depuis les premi\u00e8res semaines et les premiers mois, nous sommes devenus le \u00ab\u00a0pusher\u00a0\u00bb de mat\u00e9riel de pr\u00e9vention pour des organismes \u00e0 but non lucratif qui ont \u00e9t\u00e9 oubli\u00e9s ou n\u2019ont pas \u00e9t\u00e9 prioris\u00e9s comme plusieurs groupes communautaires pendant cette crise, des groupes qui n\u2019osaient pas le d\u00e9noncer de peur de ne pas profiter du financement annonc\u00e9. Les lacunes de la priorisation des groupes communautaires en sant\u00e9 et en services sociaux, nous les vivons encore pour avoir acc\u00e8s au d\u00e9pistage, aux tests rapides et aux vaccins. Deux fois pendant la pand\u00e9mie, nous avons connu une p\u00e9nurie nationale de mat\u00e9riel d&rsquo;injection s\u00e9curitaire pour les personnes qui consomment des drogues.<\/p>\n<p>Le Projet national de promotion de la vaccination communautaire (PVC-national) nous permet de mettre en chiffres r\u00e9els les personnes invisibles, celles qui sont hors r\u00e9seau, les personnes peu ou pas alphab\u00e9tis\u00e9es, fragiles, \u00e9loign\u00e9es du syst\u00e8me de sant\u00e9 et pauvres \u00e0 tant de niveaux. Les autorit\u00e9s ont suppos\u00e9 que ces personnes auraient des t\u00e9l\u00e9phones, seraient en mesure de prendre des rendez-vous en ligne, qu&rsquo;elles pourraient se rendre aux cliniques COVID en voiture, et qu&rsquo;elles comprenaient et pouvaient d\u00e9chiffrer la quantit\u00e9 monstrueuse d&rsquo;informations sur cette crise.<\/p>\n<p>Au Qu\u00e9bec, en tant que centre de sant\u00e9 communautaire, nous sommes autant marginalis\u00e9s et stigmatis\u00e9s que les personnes avec qui nous travaillons. En tant qu&rsquo;organisation, nous nous sentions comme des citoyens de seconde classe en termes d&rsquo;acc\u00e8s aux \u00e9quipements de pr\u00e9vention, aux tests et aux vaccins.<\/p>\n\n<p>La gestion hospitalo-centrique du r\u00e9seau de sant\u00e9 qu\u00e9b\u00e9cois a \u00e9cart\u00e9 les principes de l\u2019action communautaire autonome. La crise de la COVID combin\u00e9e avec la crise des surdoses a frapp\u00e9 de plein fouet des communaut\u00e9s d\u00e9j\u00e0 loin des soins et des services. Nous semblons avoir oubli\u00e9 l\u2019expertise durement gagn\u00e9e de la crise du SIDA des ann\u00e9es 1980 \u00e0 1990. Plusieurs strat\u00e9gies de cette \u00e9poque auraient d\u00fb \u00eatre utilis\u00e9es pendant la crise de la COVID, notamment pour assurer le niveau d\u2019engagement des communaut\u00e9s pour l\u2019application des mesures de protection et de vaccination \u00e0 l\u2019\u00e9chelle locale.<\/p>\n<p>Dans les communaut\u00e9s du VIH, cela fait d\u00e9j\u00e0 40 que nous vivons avec la d\u00e9sinformation et la th\u00e9orie du complot du big pharma. L\u2019autod\u00e9pistage du VIH existe depuis plusieurs ann\u00e9es et pourtant, tous les tests rapides COVID ont mis pr\u00e8s d\u2019un an avant d\u2019\u00eatre d\u00e9ploy\u00e9s au Qu\u00e9bec parce que \u00ab\u00a0nous ne pouvions pas utiliser ces tests ad\u00e9quatement\u00a0\u00bb. Maintenant, nous demandons aux citoyens de s&rsquo;autotester et de s&rsquo;autod\u00e9clarer.<\/p>\n\n<p>\u00ab\u00a0La pr\u00e9vention est d\u2019abord et avant tout, et par-dessus, tout une relation humaine\u201d, explique Dr Jean Robert, m\u00e9decin sp\u00e9cialis\u00e9 en maladies infectieuses, microbiologie et sant\u00e9 communautaire.<\/p>\n\n<p>Pour illustrer la situation, <a href=\"https:\/\/www.dispensaire.org\" target=\"_blank\" rel=\"noopener\">Le DISPENSAIRE<\/a> a \u00e9t\u00e9 exempt d\u2019\u00e9closion de COVID jusqu\u2019au mois de janvier 2022, o\u00f9 la vague Omicron a frapp\u00e9 le monde. Heureusement, ce matin-l\u00e0, un employ\u00e9 a su se faire d\u00e9pister au bureau lors de l\u2019apparition de sympt\u00f4mes. Le m\u00eame jour, nous avons test\u00e9 tous les membres de l\u2019\u00e9quipe en plus de leur fournir (\u00e0 eux et leurs proches) des tests pour 5 jours. Nous avons divis\u00e9 les \u00e9quipes en deux, en fonction de leur proximit\u00e9 et de leur niveau d\u2019exposition. Deux autres employ\u00e9s suppl\u00e9mentaires ont test\u00e9 positif la m\u00eame journ\u00e9e. Nous avons augment\u00e9 la protection en passant du port des masques de proc\u00e9dure au port de masques\u00a0N-95 pour tous. Et surtout, nous avons pay\u00e9 sans p\u00e9naliser les employ\u00e9s en cong\u00e9 pr\u00e9ventif ou de maladie.<\/p>\n\n<p>En une semaine, nous freinions l\u2019\u00e9closion dans notre Centre de sant\u00e9 communautaire. Nous avons pu r\u00e9agir, car nous avions les outils n\u00e9cessaires\u2009 : des tests rapides, des masques N95 en grande quantit\u00e9 et des politiques flexibles. Notre acc\u00e8s \u00e0 ces outils et ces fournitures vitales est venu de nos propres relations et du privil\u00e8ge que nous avons d&rsquo;\u00eatre en contact avec la communaut\u00e9. Bien que nous soyons contents d\u2019y avoir acc\u00e8s, je plains mes coll\u00e8gues qui se d\u00e9m\u00e8nent en premi\u00e8re ligne sans les mat\u00e9riels ni le soutien n\u00e9cessaires pour leur s\u00e9curit\u00e9. Il nous a fallu plus d\u2019un an d\u2019acharnement pour avoir acc\u00e8s aux vaccins contre la COVID-19 et ce, m\u00eame si notre programme clinique soigne et vaccine des personnes immunosupprim\u00e9es ou vuln\u00e9rables qui ont besoin d\u2019une dose suppl\u00e9mentaire.<\/p>\n<p>Nous voulons faire notre part et contribuer davantage \u00e0 lutter contre cette crise collective, mais il semble que malgr\u00e9 le manque de personnel soignant, les h\u00f4pitaux bond\u00e9s et des d\u00e9c\u00e8s par milliers, notre soutien n\u2019est pas suffisant\u00a0\u00a0pour obtenir une aide financi\u00e8re.<\/p>\n\n<p>Pourtant, gr\u00e2ce \u00e0 la subvention de projet PVC-national de l&rsquo;Association canadienne des centres de sant\u00e9 communautaire et \u00e0 notre ent\u00eatement, <a href=\"https:\/\/www.dispensaire.org\" target=\"_blank\" rel=\"noopener\">Le DISPENSAIRE<\/a> parvient \u00e0 rejoindre plus de 1200 personnes pour la pr\u00e9vention de la COVID-19. Ces personnes qui ont acc\u00e9d\u00e9 aux banques alimentaires et aux diff\u00e9rents refuges risquaient d\u2019\u00eatre infect\u00e9es par le virus ou de le transmettre. Nous y sommes parvenus en allant vers les gens et en nous engageant avec eux l\u00e0 o\u00f9 ils se trouvent.<\/p>\n\n<p>En d\u00e9cembre\u00a02021, le taux de vaccination officiel oscillait autour de\u00a088,7\u00a0%\u00a0<sup>[1]<\/sup>\u00a0pour la population g\u00e9n\u00e9rale \u00e2g\u00e9e de plus de 12\u00a0ans dans notre r\u00e9gion. Avec Omicron, nous sommes revenus \u00e0 la case de d\u00e9part. Ainsi, en f\u00e9vrier 2022, le taux de vaccination complet dans la r\u00e9gion est de 48 % pour les 40-49 ans et de 28 % pour les 18-29 ans. Il reste encore beaucoup \u00e0 faire et pour reprendre l&rsquo;analogie de la danse, \u00ab\u00a0la nuit n&rsquo;est pas finie.\u00a0\u00bb<\/p>\n\n<p>On peut critiquer le pourquoi du comment des d\u00e9cideurs publics, mais ultimement aurions-nous fait mieux\u2009? Cette question est insens\u00e9e. Ce qui est pertinent, ce sont les constats sur notre r\u00e9gime de sant\u00e9 publique et les in\u00e9galit\u00e9s sociales en sant\u00e9. Nous avons le devoir d\u2019analyser les failles du syst\u00e8me afin de proposer des am\u00e9liorations, car il y aura un apr\u00e8s-COVID et il y aura un rattrapage \u00e0 faire. Nous devrons rattraper tous les patients abandonn\u00e9s, les tests report\u00e9s, les suivis, les traitements et les chirurgies. M\u00eame apr\u00e8s le projet PVC-national, il va falloir se retrousser les manches et reconnecter les gens aux soins.<\/p>\n\n<p>Pour notre part au Qu\u00e9bec, il n\u2019y a que deux mod\u00e8les subventionn\u00e9s possibles, les cliniques du r\u00e9seau public et les cliniques priv\u00e9es. Il me semble que le statu quo n\u2019est pas une option et je crois que de ressusciter le mod\u00e8le des centres de sant\u00e9 communautaire au Qu\u00e9bec permettrait d\u2019assurer des alternatives compl\u00e9mentaires pour r\u00e9pondre aux besoins des communaut\u00e9s. En terminant, je vous laisse r\u00e9fl\u00e9chir au titre du dernier essai de l\u2019auteur Anne Plourde sur la d\u00e9cr\u00e9pitude du syst\u00e8me de sant\u00e9 communautaire au Qu\u00e9bec\u00a0: Le capitalisme, c\u2019est mauvais pour la sant\u00e9.<\/p>\n\n<p><sup>[1]<\/sup>\u00a0<a href=\"https:\/\/www.journalacces.ca\/actualite\/360-dans-notre-region-edition-du-22-decembre\" target=\"_blank\" rel=\"noopener\">https:\/\/www.journalacces.ca\/actualite\/360-dans-notre-region-edition-du-22-decembre<\/a><\/p>\n<hr \/>\n<h5><strong>COVID-19 is the new square dance. \u201cCOVID IS HERE, IT\u2019S ABOUT TO START\u201d <\/strong><\/h5>\n\n<p>How do we respond to this new pandemic? The cacophonous answer is: as best we can, at varying intensity. Many authorities have been forcing a tempo, and many have been trying to follow it. This sudden pandemic has forced health authorities to move and adjust at a speed they are not used to. With one step forward, two steps sideways and one step back, confusion quickly set in and there is no consistency among global, federal, provincial, and regional experts. This was followed by a series of public releases and directives that were often in opposition in time and out of sync between the different levels of management and in addition to the ministerial directives that seem to be applied in arbitrary ways. However, this capacity for action and reaction is intrinsic in community-based organizations and CHCs, that are constantly forced to do so for their own financial survival while responding to the emerging needs of their community. Even if the magnitude of the situations are not the same, the reflexes should be the same: anticipate, act, consult, analyze, adjust, and repeat these steps.<\/p>\n\n<p>For <a href=\"https:\/\/www.dispensaire.org\" target=\"_blank\" rel=\"noopener\">Le DISPENSAIRE<\/a>, a regional Community Health Centre located in the Laurentians region of Quebec, and its 21 employees, the COVID-19 pandemic has been tough, but we\u2019ve been able to adapt. Our CHC specializes in sexual health (HIV, Hepatitis, STI), gender equality and harm reduction. Viruses and health crises without the proper tools to respond, we know much about it. After 31 years of involvement in the community, our main challenge is still to justify our usefulness to public health authorities.<\/p>\n<p>Like many, COVID-19 has affected us, but more importantly it has affected the people we work with. Being open, because our services are essential, simultaneously we saw the number of overdoses double, we received 60% more requests for STI screening referred by the public health network, and the use of drugs (alcohol, medication, street drugs) increased drastically under the pressure of declining mental health. The people who frequent our environments, and for whom we were the only functional social net, have experienced a devastating isolation. Access to basic care has diminished. The health care system has broken down. \u201cWe have to help our health care system\u201d, as the Prime Minister of Quebec has repeatedly said in press conferences. So, it\u2019s the world upside down, let\u2019s care for our system.<\/p>\n\n<p>From the beginning, <a href=\"https:\/\/www.dispensaire.org\" target=\"_blank\" rel=\"noopener\">Le DISPENSAIRE<\/a> has been able to anticipate the international crisis that was on the horizon. Thus, we planned the acquisition of personal protective equipment before the emergency measures were launched: masks, disinfectant, visors, gowns, etc. Since the first weeks, even months, we became the \u201cdealer\u201d of prevention materials for non-profit organizations that were forgotten or not prioritized like many community groups during this crisis, groups that were afraid to speak out for fear of not getting the funding that was announced. The gaps in prioritization of community groups working in health and social services is still there to gain access to screening, rapid tests, and vaccines . Twice during the pandemic, wad had a national shortage of safe injection equipment for people who use drugs. The Community Vaccination Promotion National (CVP-National) Project allows us to put real numbers on the invisible people, those off the grid, people with little or no literacy, fragile, far from the healthcare system and poor on so many levels. The authorities assumed these people would have phones, would be able to book online appointments, that they can drive to the COVID clinics, and that they understand and can decipher the monstrous amount of information about this crisis.<\/p>\n<p>In Quebec, as a Community Health Centre we are as much marginalized and stigmatized as the people we work with. As an organization we felt like a second class citizen in terms of access to prevention gear, tests, and vaccines.<\/p>\n\n<p>The hospital-centric management of Quebec\u2019s health care system has pushed aside the principles of autonomous community actions. The COVID crisis combined with the overdose crisis has hit hard communities already far from care and services. We seem to have forgotten the hard-won expertise of the AIDS crisis of the 1980s and 1990s. Many of the strategies from that time should have been applied during the COVID crisis, including ensuring the level of community commitment to implement protection and immunization measures at the local level. In HIV communities, we have been living with misinformation and conspiracy theories from big pharma for 40 years now. HIV self-testing has been around for many years and yet all the COVID rapid tests took almost a year to be rolled out in Quebec because \u2018\u2019we could not use those tests adequately\u201c. Now we ask citizens to self-test and self-report.<\/p>\n\n<p>\u201cPrevention is first and foremost and above all, a human relationship.\u201d Dr\u00a0Jean Robert, MD specialized in infectious diseases, microbiology, and community health.<\/p>\n\n<p>To illustrate, <a href=\"https:\/\/www.dispensaire.org\" target=\"_blank\" rel=\"noopener\">the DISPENSAIRE<\/a> was free of COVID outbreaks until January 2022 when the Omicron wave hit the world. Fortunately, on that morning, an employee was able to screen himself at the office when symptoms appeared. That same day, we tested the entire team and provided them (and their households) with 5 days of testing. We divided the teams in two, according to their proximity and level of exposure. Two additional employees tested positive the same day. We increased protection from procedure masks to with N-95 masks for all. And most importantly, we paid without penalizing employees on preventative or sick leave.<\/p>\n\n<p>Within a week we stopped the outbreak within our Community Health Centre. We were able to respond because we had the right tools to do so: rapid tests, N95 masks in large quantities, and flexible policies.\u00a0Our access to these tools and life saving supplies came from our own connections and the privilege we have of being connected with the community.\u00a0While we are glad to have this access, I feel sorry for my colleagues who are struggling on the front lines without the equipment or support for their safety. It has taken us over a year to get access to the COVID vaccines, even though our clinical program treats and vaccinates immunosuppressed or vulnerable people who would need an extra dose. We want to do our part and contribute more in this collective crisis, but it seems that despite the lack of health care workers, crowded hospitals, and deaths by the thousands that our support is enough to take the handout.<\/p>\n\n<p>Still, thanks to the CVP-National project grant from the Canadian Association of Community Health Centres and our stubbornness, <a href=\"https:\/\/www.dispensaire.org\" target=\"_blank\" rel=\"noopener\">Le DISEPSNAIRE<\/a> manage to reach more than 1200 people for COVID-19 prevention. These individuals who accessed food banks and different shelters were at risk of infection or transmission of the virus. We\u2019ve done this by going to the people and engaging with them where they are.<\/p>\n\n<p>In December 2021, the official vaccination rate was hovering around\u00a0<em>88,7 %<a href=\"applewebdata:\/\/415D2DED-F0B8-4D84-8066-5DF43A3358B6#_ftn1\"><sup><strong>[1]<\/strong><\/sup><\/a><\/em>\u00a0for general population older than 12 years old within our region. With omicron, it\u2019s getting to square one. So as of February 2022, the complete vaccination rate in the region is 48% for 40\u201349 years old and 28% for 18\u201329 years old. There is still a lot to do and to use the dance analogy: the night is not over.<\/p>\n\n<p>We can criticize the why and wherefore of public officers, but ultimately, would we have done better? This question is impertinent. What is pertinent is the exposure of the failures in our public health system and social inequalities in health. We have a duty to analyze the flaws in the system in order to propose improvements, because there will be a post-COVID period. We will have to catch up on all the abandoned patients, the postponed tests, follow-ups, treatments, and surgeries. Even after the CVP-National project, we will have to roll up our sleeves and reconnect people to care.<\/p>\n\n<p>For our part in Quebec, there are only two possible subsidized models, public network clinics and private clinics. It seems to me that the status quo is not an option and I believe that resurrecting the community health centre model in Quebec would ensure complementary alternatives to meet the needs of equity-deserving communities. In closing, I leave you to reflect on the title of author Anne Plourde\u2019s latest essay on the decrepitude of the community health system in Quebec: Le capitaliste, c&rsquo;est mauvais pour la sant\u00e9 \/ capitalism is bad for health.<\/p>\n\n<p><sup><sup>[1]<\/sup><\/sup><a href=\"https:\/\/www.journalacces.ca\/actualite\/360-dans-notre-region-edition-du-22-decembre\/\" target=\"_blank\" rel=\"noopener\">https:\/\/www.journalacces.ca\/actualite\/360-dans-notre-region-edition-du-22-decembre\/<\/a><\/p>\n\n<p>&nbsp;<\/p>\n<p>[\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row padding_top=\u00a0\u00bb0&Prime; padding_bottom=\u00a0\u00bb0&Prime;][vc_column][vc_custom_heading text=\u00a0\u00bbCovid-19 la nouvelle dance carr\u00e9e. \u00ab LA COVID EST L\u00c0, \u00c7A VA COMMENCER \u00bb\u00a0\u00bb font_container=\u00a0\u00bbtag:h3|text_align:left\u00a0\u00bb use_theme_fonts=\u00a0\u00bbyes\u00a0\u00bb][vc_column_text] English version follows below Comment nous r\u00e9pondons \u00e0 cette nouvelle pand\u00e9mie? La r\u00e9ponse cacophonique est\u00a0\u00ab\u00a0du mieux qu\u2019on peut\u00a0\u00bb, \u00e0 intensit\u00e9 variable. Plusieurs autorit\u00e9s ont impos\u00e9 un tempo et plusieurs ont essay\u00e9 de le suivre. Cette soudaine pand\u00e9mie a forc\u00e9 les autorit\u00e9s [&hellip;]<\/p>\n","protected":false},"author":4993,"featured_media":85036,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"footnotes":""},"categories":[320,341],"tags":[],"class_list":["post-84401","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-covid19frontlines","category-cvpnational"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>COVID-19 the new square dance. \u201cCOVID IS HERE, IT\u2019S ABOUT TO START\u201d - ACCSC<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.cachc.ca\/covid-19-the-new-square-dance-covid-is-here-its-about-to-start\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"COVID-19 the new square dance. \u201cCOVID IS HERE, IT\u2019S ABOUT TO START\u201d - ACCSC\" \/>\n<meta property=\"og:description\" content=\"[vc_row padding_top=\u00a0\u00bb0&Prime; padding_bottom=\u00a0\u00bb0&Prime;][vc_column][vc_custom_heading text=\u00a0\u00bbCovid-19 la nouvelle dance carr\u00e9e. \u00ab LA COVID EST L\u00c0, \u00c7A VA COMMENCER \u00bb\u00a0\u00bb font_container=\u00a0\u00bbtag:h3|text_align:left\u00a0\u00bb use_theme_fonts=\u00a0\u00bbyes\u00a0\u00bb][vc_column_text] English version follows below Comment nous r\u00e9pondons \u00e0 cette nouvelle pand\u00e9mie? La r\u00e9ponse cacophonique est\u00a0\u00ab\u00a0du mieux qu\u2019on peut\u00a0\u00bb, \u00e0 intensit\u00e9 variable. Plusieurs autorit\u00e9s ont impos\u00e9 un tempo et plusieurs ont essay\u00e9 de le suivre. Cette soudaine pand\u00e9mie a forc\u00e9 les autorit\u00e9s [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.cachc.ca\/covid-19-the-new-square-dance-covid-is-here-its-about-to-start\/\" \/>\n<meta property=\"og:site_name\" content=\"ACCSC\" \/>\n<meta property=\"article:published_time\" content=\"2022-05-20T14:12:41+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-05-09T01:49:04+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.cachc.ca\/wp-content\/uploads\/2022\/05\/Le-Dispensaire.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"600\" \/>\n\t<meta property=\"og:image:height\" content=\"600\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Hugo Bissonnet\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"\u00c9crit par\" \/>\n\t<meta name=\"twitter:data1\" content=\"Hugo Bissonnet\" \/>\n\t<meta name=\"twitter:label2\" content=\"Dur\u00e9e de lecture estim\u00e9e\" \/>\n\t<meta name=\"twitter:data2\" content=\"14 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/www.cachc.ca\/covid-19-the-new-square-dance-covid-is-here-its-about-to-start\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/www.cachc.ca\/covid-19-the-new-square-dance-covid-is-here-its-about-to-start\/\"},\"author\":{\"name\":\"Hugo Bissonnet\",\"@id\":\"https:\/\/www.cachc.ca\/#\/schema\/person\/bfbc0e7e264feeba13785795a151c27c\"},\"headline\":\"COVID-19 the new square dance. \u201cCOVID IS HERE, IT\u2019S ABOUT TO START\u201d\",\"datePublished\":\"2022-05-20T14:12:41+00:00\",\"dateModified\":\"2023-05-09T01:49:04+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/www.cachc.ca\/covid-19-the-new-square-dance-covid-is-here-its-about-to-start\/\"},\"wordCount\":3207,\"image\":{\"@id\":\"https:\/\/www.cachc.ca\/covid-19-the-new-square-dance-covid-is-here-its-about-to-start\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/www.cachc.ca\/wp-content\/uploads\/2022\/05\/Le-Dispensaire.jpg\",\"articleSection\":[\"CHCs on the Frontlines of COVID-19\",\"CVP National\"],\"inLanguage\":\"fr-FR\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.cachc.ca\/covid-19-the-new-square-dance-covid-is-here-its-about-to-start\/\",\"url\":\"https:\/\/www.cachc.ca\/covid-19-the-new-square-dance-covid-is-here-its-about-to-start\/\",\"name\":\"COVID-19 the new square dance. \u201cCOVID IS HERE, IT\u2019S ABOUT TO START\u201d - 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ACCSC","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.cachc.ca\/covid-19-the-new-square-dance-covid-is-here-its-about-to-start\/","og_locale":"fr_FR","og_type":"article","og_title":"COVID-19 the new square dance. \u201cCOVID IS HERE, IT\u2019S ABOUT TO START\u201d - ACCSC","og_description":"[vc_row padding_top=\u00a0\u00bb0&Prime; padding_bottom=\u00a0\u00bb0&Prime;][vc_column][vc_custom_heading text=\u00a0\u00bbCovid-19 la nouvelle dance carr\u00e9e. \u00ab LA COVID EST L\u00c0, \u00c7A VA COMMENCER \u00bb\u00a0\u00bb font_container=\u00a0\u00bbtag:h3|text_align:left\u00a0\u00bb use_theme_fonts=\u00a0\u00bbyes\u00a0\u00bb][vc_column_text] English version follows below Comment nous r\u00e9pondons \u00e0 cette nouvelle pand\u00e9mie? 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