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Man shot near Warden and Danforth

BT Toronto | posted Friday, Mar 27th, 2020

A man has been rushed to hospital after a shooting in Scarborough.

Police were called to the area of Warden Avenue and Cataraqui Crescent, near Danforth Road just after 11 p.m. for reports of gunshots.

The victim was found at the scene suffering from multiple gunshot wounds. He was taken to hospital with serious injuries.

There has been no suspect information released at this time.

U.S. cases now most in world, capital sees more infections

YANAN WANG, THE ASSOCIATED PRESS | posted Friday, Mar 27th, 2020

The United States’ caseload of coronavirus infections surged to the most in the world and its capital reported more infections, as Italy shut most of its industry and masses of Indian day labourers received food rations after a lockdown put them out of work.

Increases in the number of cases have been expected as testing becomes more available. The U.S. passed China with more than 85,000 cases, and Italy also exceeded 80,000, the three countries together accounting for almost half of the world’s infections from the new virus.

Most of China’s patients have recovered, while places where the virus arrived later are now dealing with overwhelmed hospitals and supply shortages and are rushing to convert public spaces for treating the sick.

Washington, D.C., confirmed 36 new cases Thursday, raising its total to 267. The district is under a state of emergency, its major attractions like the Smithsonian museums and National Zoo closed and White House and Capitol tours cancelled. Police have blocked off streets, bridges and traffic circles to prevent crowds coming to see Washington’s blooming cherry blossom trees.

The stay-home order for India’s 1.3 billion people threw out of work the backbone of the nation’s economy — rickshaw drivers, fruit peddlers, cleaners and others who buy food from whatever they can earn in a day. The government announced a $22 billion stimulus to deliver monthly rations to 800 million people.

In some parts of India, people got rice rations or bank deposits from local authorities, and aid groups were working to expand their reach. The nation’s vital and massive train system was also halted, and jobless workers are now attempting to walk hundreds of miles to their home villages from India’s major cities.

Deaths from COVID-19 have surpassed 24,000, more than a third of them in Italy, according to a Johns Hopkins University tally. The U.S. had about 1,300 deaths, almost a quarter of them in New York City, where hospitals are overwhelmed.

In China, where the virus was first believed to have jumped from wild animals to humans, the National Health Commission on Friday reported 55 new cases, including 54 it said were imported infections in recent arrivals from overseas. Once again, there were no new cases reported in Wuhan, the provincial capital where the coronavirus emerged in December. China is barring most foreigners from entering as it tries to curb imported cases.

The economic damage of the pandemic was growing. Italy shut down most of its industry, and a record-shattering 3.3 million Americans applied for unemployment benefits in a single week.

Companies in Europe are laying off workers at the fastest pace since 2009, according to surveys of business managers. And the U.S. is bleeding jobs as well: The number of Americans applying for unemployment benefits last week was nearly five times the old record, set in 1982.

Dann Dykas, 37, of Portland, Oregon, was laid off from his job helping design and set up displays for trade shows.

“Everything is so surreal,” he said. “I can’t even get an interview for another job, and we now have to worry more about being careful and taking care of ourselves.”

Wall Street rallied for the third straight day after an unprecedented $2.2 trillion economic rescue package to help businesses, hospitals and ordinary Americans pull through the crisis won passage in the Senate. The rescue plan, which is expected to be voted on in the House on Friday, would dispense checks of $1,200 per adult and $500 per child.

Elsewhere around the world, South Africa, with the most industrialized economy in Africa, began a three-week lockdown Friday. The country is already in recession, with an unemployment rate of 29%.

And Britain unveiled another relief effort, this time aimed at the gig economy, many of whose workers are facing financial ruin. The government will give the self-employed grants equal to 80% of their average profits, up to 2,500 pounds ($2,975) per month.

The outbreak has put huge pressure on foreign students, especially those at universities in North America and Europe.

Zoey Wang recently returned home to the southwestern Chinese city of Chengdu after her in-person classes and exams at the University of Toronto in Canada were cancelled. Her parents’ desire to have her home and the possibility of high medical costs if she became sick persuaded her to make the arduous return trip, she said.

Some on Chinese social media have attacked returning students for bringing “poison” into the country after its months-long fight to contain the virus, but Wang said that was unfair.

“It’s not like everyone is deliberately returning because they were infected,” Wang said. “People should remember that when the outbreak happened in China, international students were sending masks and other items.”

Wang flew from Toronto to Taipei, Taiwan, then from Taipei to Chengdu. The Chengdu leg was packed; everyone wore masks, most people donned goggles and gloves, and a few were garbed in full-body protective suits.

When she arrived in Chengdu, she was required to take a COVID-19 test and stay in a hotel for two nights until her results came back negative. Only then was she allowed to return to her own home for quarantine. Every day, a government neighbourhood committee worker comes to take her temperature.

In other developments:

–New York state’s death toll jumped by 100 in one day, pushing the number to 385. Gov. Andrew Cuomo added that the number will increase as critically ill patients who have been on ventilators for several days succumb. “That is a situation where people just deteriorate over time,” Cuomo said.

–Saudi Arabia is locking down the capital, Riyadh, and Islam’s two holiest cities, Mecca and Medina, in addition to a nationwide curfew. In the United Arab Emirates, authorities announced an overnight weekend lockdown and used drones to tell people to stay home.

–The leaders of the Group of 20 major industrialized nations met in a video summit and vowed to work together to confront the crisis but made no specific commitments.

–In Brazil, the country’s governors are defying President Jair Bolsonaro over his call to reopen schools and businesses, dismissing his argument that the “cure” of widespread shutdowns is worse than the disease. As of Thursday, the country had more than 2,500 cases and 59 deaths.

–A U.S. soldier stationed at a camp near Seoul is the second case among U.S. service members in South Korea.

–Singapore has begun penalizing people who refuse to adhere to social distancing in the latest bid to curb the virus. Anyone not maintaining a distance of 1 metre (3.3 feet) from another person in a public place such as a shopping centre or shopping mall can be jailed up to six months or fined up to Singapore dollars 10,000 ($7,000) or both.

For most people, the coronavirus causes mild or moderate symptoms, such as fever and cough that clear up in two to three weeks. For some, especially older adults and people with existing health problems, it can cause more severe illness, including pneumonia and death.

Of the world’s 532,000 confirmed cases, more than 122,000 people have recovered, according to the Johns Hopkins tally.

Associated Press journalists around the world contributed to this report.

Conservatives suspend party’s leadership race in face of COVID-19 crisis

THE CANADIAN PRESS | posted Friday, Mar 27th, 2020

The Conservative party is suspending its leadership race in the face of the ongoing crisis caused by COVID-19.

The June 27 election date has been shelved, with the leadership organizing committee citing the disruption caused by the pandemic.

The committee, known as LEOC, made the decision during a lengthy meeting Thursday night that came after days of pressure for them to act.

“With all non-essential businesses now closed in Ontario and Quebec including our HQ, LEOC now finds that it is no longer possible to meet the deadlines necessary to process memberships and donations, or print, process and count ballots in time for a June 27 announcement,” the party said in a statement on Twitter.

No new date was selected. The party said they will re-evaluate the situation on May 1.

In the meantime, debates scheduled for April have been cancelled, and the April 17 deadline to sign-up new members has been pushed back to May 15.

The statement did not address whether candidates will still be allowed to officially campaign or hold events between now and the May 1 decision date.

The decision comes one day after the final deadline for candidates to qualify. They had to raise $300,000, submit 3,000 signatures, as well as a lengthy application.

Four candidates had met that threshold and are on the ballot: Toronto lawyer Leslyn Lewis, former cabinet minister Peter MacKay, former cabinet minister and current MP Erin O’Toole, and current MP Derek Sloan.

But three others failed to qualify, all citing in recent weeks major challenges fundraising and getting supporters when traditional meet-and-greets were rendered impossible by social distancing protocols.

Marilyn Gladu, Rudy Husny and Rick Peterson had all also said it was simply inappropriate to be asking people for money, or trying to talk politics, in the midst of a major national crisis.

That the party only made the decision after the March 25 deadline prompted immediate blowback.

“You have completely disgraced our party. Shame on you all,” said Georganne Burke, who had been running Gladu’s bid.

“Any leader elected via this process will have the stench of your rotten process on him or her.”

O’Toole and Sloan had also demanded the race be postponed, as had several high-profile Consevatives both publicly, and in backchannels with the party.

MacKay, however, had been arguing for the deadline to be pushed up, citing the need for the Opposition Conservatives to have a new leader sooner rather than later.

He’d mounted an aggressive social media campaign Thursday suggesting democracy itself was at stake if the race was delayed.

Lewis had argued the deadlines as set should be respected, saying that the new leader ought to be able to show they could lead in a crisis.

Canadian researchers conducting drug trials for COVID-19

THE CANADIAN PRESS | posted Friday, Mar 27th, 2020

Four groups of Canadian researchers are beginning randomized controlled trials to test possible therapies for people sick with COVID-19.

The trials are described in the Canadian Medical Association Journal and are being conducted with researchers around the world.

At least two of the tests are looking at hydroxychloroquine, an anti-malarial drug that some claim is also effective against the novel coronavirus — although many are dubious.

The authors write that unapproved, experimental medications are already being used outside of clinical trials, but unproven treatments can be harmful or ineffective.

Meanwhile global experts says researchers in the race against time to provide a proven treatment for COVID-19 will have to balance speed with scientific rigour.

Clinical trials for possible treatments and cures have begun around the world, including an unprecedented international study by the World Health Organization.

But the scientific gold standard to test the efficacy of new, unproven treatments isn’t always practical with new cases of COVID-19 spreading around the world.

“Things are faster and so we’re having to cut some corners,” said Dr. Srinivas Murthy, an associate professor with the faculty of medicine at the University of British Columbia.

“Given the speed at which we need to get this up and running, it’s probably a small sacrifice to make in the grand scheme.”

In ideal circumstances, medical studies follow a double-blind process, with neither participants nor researchers knowing which patients were randomly selected to receive the treatment being tested.

“Getting all that set up in the course of a week or two is impossible,” Murthy said.

For example, preparing placebos would take up precious time.

Some studies have relaxed those standards in the midst of COVID-19.

Murthy is participating in the World Health Organization’s massive international study to look into whether existing drugs can be repurposed to treat the viral disease. It’s designed to make sure even overloaded hospitals can take part.

The WHO said the study is remarkable not only because of its size, but because it was put together in only two weeks. However it is not double-blind: that is, physicians know which drug they’re giving to which patient.

The WHO released guidance for researchers doing clinical trials for COVID-19, including the fact that this is no time for “methodological orthodoxy.”

Health care providers in Canada have been warned by health and pharmaceutical authorities not to give unproven treatment to patients because the risks aren’t known.

Health Canada released a statement Monday that described how all kinds of clinical trials underway may have to be adjusted as patients go into isolation and health care workers are called upon to respond to the pandemic.

Combined reports from The Canadian Press’ Laura Osman and Bob Weber

Supporting Local Businesses!

Kyle Mack | posted Thursday, Mar 26th, 2020

With farmer’s markets closed – many vendors have nowhere to sell their goods. Some small shops that carry artisan goods have stepped up to offer the unique, high-quality food products you love. Let the farmers market come to you. **EACH COMPANY HAS THEIR OWN DELIVERY AREA AND MINIMUM PURCHASE**

KENDAL HILLS FARM: they open their online farmers market Thursday at noon so you can shop and have your items delivered the following week. New vendors are regularly added.

  1. Linc Farm – NIAGARA ON THE LAKE

Known for their quality meat – they’ve expanded their delivery area in the past week to include Grimsby, Hamilton, Burlington and Toronto.

You can purchase just the cuts you want or buy one of their sampler boxes – perfect to keep in the fridge or freezer for the family.

  1. The Good Food Box through Food Share Toronto

Super affordable produce boxes. Small or family-size. Conventional or organic options.

As a community agency and charity that tries to give everyone access to healthy food – they are always looking out for those who need help in the community. In addition to ordering fresh produce for yourself, you can help them feed the needy by purchasing a FoodShare Emergency Good Food Box.

  1. The Pie Commission – delivery of frozen savoury pies

Get frozen pies delivered to your door with a minimum order in the GTA so you have always had a meal on hand.

  1. Annex Market – free delivery with min. $75 order

Healthy and organic products – as local as possible

 

  1. Earth And City – healthy plant-based food with a focus on local ingredients – have set up an online shop to help other small farmers market vendors get their products to people.

You can find fresh, plant-based items and other unique artisanal food products.

  1. Manning Canning – maker or jam, preserves and shrubs. Min order of $30 for shipping in the GTA

Spicy pickled carrots, pickled garlic, spicy tomato jam, pickled green beans, onion and garlic jam.

They have a lovely offer – when you order, you can give the address of a neighbour and they will share the love by leaving them a small gift from you.

  1. The NeighbourGOOD – brand new online site to help many businesses shut down right now by offering gift cards to those businesses on one central page. Restaurants, cafes, bars.

Coronavirus: Ontario introduces $17B package for health sector, people, businesses

THE CANADIAN PRESS | posted Thursday, Mar 26th, 2020

Ontario introduced a $17-billion package Wednesday to support the province through the COVID-19 outbreak, including an influx of cash for the health sector, direct payments to parents, and tax breaks for businesses.

Finance Minister Rod Phillips said the government is confident that every dollar invested through the plan that saves a life or a job is a dollar well spent.

“COVID-19 is an extraordinary threat to the health and economy of Ontario – the greatest we’ve faced in my lifetime – and it demands an extraordinary response from all levels of government and civil society because we’re all in this together,” he said while tabling an emergency one-year fiscal outlook.

The spending boost includes a $1-billion COVID-19 contingency fund, nearly $1 billion more for hospitals, and more personal protective equipment for front-line workers.

Measures also include a one-time payment for parents of $200 per child 12 years old and under, doubling payments for low-income seniors and suspending student loan payments for six months.

The plan includes both $7 billion in new spending and $10 billion in tax and other deferrals. The moves will contribute to a major hit to Ontario’s bottom line, pushing the deficit from $9 billion to a projected $20.5 billion for 2020-21 – a level not seen since the aftermath of the 2008 recession.

More than $3 billion in funding is directed toward health care. In addition to the COVID-19 fund and the hospital spending boost – which includes money for 1,000 acute care and 500 critical care beds – the plan includes $243 million for surge capacity in the long-term care sector, $160 million for public health and $75 million for more personal protective equipment and medical supplies.

“There are certain moments that define a generation. COVID-19 is one of those moments,” Phillips said while tabling an emergency one-year fiscal outlook Wednesday.

“The closed schools and quiet streets will be remembered. But eventually, their memory will become more distant. But I will never forget…hearing cheers from nearby porches and balconies along the street for the front-line health-care workers at Ajax-Pickering hospital. Long after we defeat COVID-19, the Ontario spirit, at home in Ajax and across Ontario, will remain.”

Parents will be able to get the $200 payments to help offset costs of school and daycare closures at a cost of $337 million to the province. Guaranteed Annual Income System payments for low-income seniors will be doubled for six months. Eligibility will be expanded for the Low-income Energy Assistance Program, with an additional $9 million going to breaks on energy bills.

People with student loans will get a six-month break on making Ontario Student Assistance Program loan repayments, and not accrue extra interest. Indigenous communities will see an additional $26 million for health care and critical supplies.

The province will temporarily increase the Employer Health Tax exemption for 57,000 employers at a cost of $355 million.

As well, businesses will get five months of interest and penalty relief to file and make payments for provincially administered taxes, at an estimated cost of $6 billion, employers will be allowed to defer Workplace Safety and Insurance Board payments, at a cost of $1.9 billion, and about $1.8 billion will be used to defer municipal remittance of education property tax to school boards, allowing municipalities to provide property tax deferrals to residents and businesses.

NDP Leader Andrea Horwath said she had hoped the fiscal update would go further, and provide more financial aide to people who are struggling.

“People have seen their incomes drastically cut or eliminated all together,” she said. “That didn’t just start today. That’s been ongoing for almost two weeks…People need help. People need help now.”

Phillips had originally been planning to introduce a full budget Wednesday, but instead tabled a one-year fiscal outlook in light of the global pandemic’s uncertain future impacts on the economy. A full budget will be tabled by Nov. 15.

It came as the province reported 100 new COVID-19 cases Wednesday, bringing the provincial total to 688. It included five new deaths and at least five people who are hospitalized, including a woman in her 20s.

The economic plan contains unusually high levels of reserves and contingencies in order to weather future shocks, including the $1-billion COVID-19 contingency fund, a $1.3-billion general contingency fund and what Phillips calls an “unprecedented” $2.5-billion reserve.

Ontario is projecting zero per cent real GDP growth in 2020, a net-debt-to-GDP ratio of 41.7 per cent in 2020-21 – up from 39.9 per cent – and a ballooning net debt from $355 billion to nearly $380 billion.

What you need to know about the Quarantine Act

MICHELLE MCQUIGGE, THE CANADIAN PRESS | posted Thursday, Mar 26th, 2020

Canada is making unprecedented use of the federal Quarantine Act in a bid to curb the spread of the COVID-19 pandemic. All travellers returning to Canada are now legally required to go into self-isolation for 14 days rather than simply urged to do so. Here’s a closer look at the legislation:

Has Canada always had a Quarantine Act?

According to the federal government, a piece of legislation bearing the same name went into effect shortly after confederation in 1872, but was left largely unchanged for more than a century. After the deadly SARS outbreak of 2003, however, the government acted on a recommendation to beef up the legislation.

The act as we know it today received royal ascent in 2005.

What’s allowed under act?

The legislation gives the federal health minister sweeping powers to stop the spread of communicable diseases either in or out of Canada. Those measures include everything from routine screenings conducted by quarantine officers at airports to the sort of mandatory isolation orders issued on Wednesday.

“The Quarantine Act is always active. It’s being used all the time,” says Steven Hoffman, director of the Global Strategy Lab and a global health law professor at York University. “It’s just not always used in a very public way.”

The Act was invoked earlier this year when travellers returning to Canada from Wuhan, China and other global hotspots for the novel coronavirus were detained for two weeks at CFB Trenton. But Hoffman says the latest orders, issued by Health Minister Patty Hajdu, take the government into uncharted territory.

“We’ve never, ever seen a quarantine order this broad or affecting so many people at once in Canada,” he said. ”

Why is the government taking this step?

Hajdu said the measure was necessary to send a message about the importance of limiting the spread of COVID-19, which has sickened more than 3,000 Canadians and killed at least 30. The order comes after women in Quebec and Newfoundland and Labrador were arrested for violating provincial orders requiring to stay at home after travel abroad.

“People are not understanding that this 14 days is absolutely essential to protect the health of their fellow Canadians,” she said. “… So there is perfect clarity around the need to isolate when Canadians come back from abroad whether it’s from the USA or other international destinations we are implementing the Quarantine Act so there is no confusion about the need to do so whether you are symptomatic or not.”

Does the government have any obligations under the act?

The legislation gives the government a fair bit of latitude to do whatever they feel is necessary to stop the spread of a disease that could pose a public health risk, Hoffman says.

“They’re not in prison,” he says of the people under quarantine. “The government, under the act, is supposed to take steps to make it as least intrusive as possible, but what exactly that means, there is some discretion.”

Hajdu says returning travellers will be barred from taking public transit or placing vulnerable people at risk, but says the government will assist with transportation and accommodation arrangements as needed.

How will the new orders be enforced?

That’s the big question for Hoffman, who says the new edict will need to be implemented consistently across the country in order to ensure it does not run afoul of the Constitution. Hoffman says that while quarantine officers at the border have enforcement powers, local public health and law enforcement officials may be enlisted as the order takes effect. Health Canada did not immediately respond to request for comment, but Hajdu has said details about enforcement will be released before the order kicks in.

What happens if someone violates the Quarantine Act?

Hoffman says the legislation contains a wide range of penalties for those flouting the law. Someone violating direct instructions and potentially placing the public at risk of a communicable disease, he says, can face a fine of up to $1 million and as many as three years in prison.

Is the government within its rights to take this step?

Hoffman anticipates the new use of the Act will be challenged in court eventually, but says Ottawa is likely on solid legal ground.

He said the Act requires Hajdu to follow a “reasonableness requirement”  and be able to demonstrate that the affected travellers pose a genuine risk to the public. The overtaxed health-care system and rapidly growing number of cases, he said, may well meet that threshold.

Additionally, Hoffman said the new measures likely fall within the bounds of the Charter of Rights and Freedoms by containing a fixed, relatively short time limit and playing out against the backdrop of an unprecedented global crisis.

“It’s in a context of a constrained public health system that really needs everyone to comply,” he said. “Maybe it would pass that legal test. We’re going to find out.”

Source: Government of Canada, The Canadian Press

Mandatory 14-day quarantines to apply to returning travellers

THE CANADIAN PRESS | posted Thursday, Mar 26th, 2020

The federal government will start enforcing 14-day quarantines on travellers returning to Canada to try to limit the spread of COVID-19.

Deputy Prime Minister Chrystia Freeland says “mandatory isolation” is needed to flatten the curve of the growth of the novel coronavirus in Canada.

The formal quarantines, which take effect at midnight tonight, come with the potential for fines or even arrests for people violating them.

“Canadians are great and people have been making real personal sacrifices,” Freeland told a news conference. “At the same time, all of us are going to be and feel safer with mandatory quarantines for anyone entering Canada.”

International travel – initially from China, then Iran and South Korea, then Europe and now the United States _ has continued to be a significant vector for the spread of the novel coronavirus.

And Canada’s border with the U.S., while closed to non-essential travel, is still open to trade and commerce, as well as travel for cross-border workers or students with visas.

Freeland says those essential workers who are permitted to cross the Canada-U.S. border will not be subject to the mandatory quarantine.

“We need to be really thoughtful about what we do there,” she said, citing the vital flow of goods and medical equipment and supplies that enter the country by truck from the U.S.

“We need to be thoughtful about how the people who provide those essential services, including cross-border trade, are treated.”

The World Health Organization has warned that the U.S. is becoming the new epicentre of the global pandemic as the spread of COVID-19 continues to accelerate, particularly in and around New York, which is urging recent visitors to self-isolate at home.

Ontario health officials reported Tuesday that nearly 20 per cent of its active cases were the result of travel in the U.S.

Asked about the possibility of more stringent screening measures at the border, Freeland called the situation “fluid and evolving” and said federal officials are monitoring the situation around the world “by the hour.”

“We are always reviewing additional measures, including measures at the border.”

However, the head of the Canadian Civil Liberties Association said police are on murky legal ground, even though dealing with a global pandemic can call for extraordinary measures.

“If it’s a measure of last resort and the police exercise their discretion in a way that puts public health first … then there is legal authorization to do this,” said Michael Bryant, the association’s executive director.

But Bryant said there are important constitutional issues to consider, and putting someone in jail is not necessarily the best approach.

“It’s not clear to me that a quarantine order for travel outside of a province is constitutional,” he said in an interview.

“Any travel order than restricts people’s travel from province to province, arguably, could run afoul of our constitutional rights to mobility. This may be an opportunity to test this particular Newfoundland law that clearly restricts mobility rights.”

Meanwhile, a woman was arrested in Newfoundland on Tuesday for violating public health emergency orders enacted by the provincial government in response to the COVID-19 pandemic.

Const. James Cadigan says The Royal Newfoundland Constabulary responded to complaints that a woman in Corner Brook had arrived in the province and was not self-isolating for 14 days.

He says officers spoke with her about the measures and later made an arrest due to non-compliance or orders issued under the province’s Public Health Protection and Promotion Act.

She was held in custody overnight to appear in provincial court this morning.

Individuals breaching the orders could be fined between $500 and $2,500 and could face jail sentences of up to six months.

In Quebec City, police arrested a woman last week who they say was infected with the virus and was walking outside after being ordered to stay indoors.

The arrest marked the first time Quebec City’s public health director issued an order to police under emergency powers granted after Premier Francois Legault declared a public health emergency March 14.

“When it became obvious we had to act, we acted,” Mathieu Boivin, spokesman for Quebec City’s regional health authority, said last week.

Legault has said the health emergency gives the police “all sorts of powers” to enforce his directives. Quebec also announced fines of at least $1,000 against anyone ignoring directives that prohibit gatherings.

Last Sunday, Nova Scotia declared a state of emergency to deal with the pandemic and immediately enacted new restrictions and penalties under the province’s Health Protection Act.

People in Nova Scotia are prohibited from gathering in groups larger than five. Individuals caught violating the limit face a $1,000 fine, and businesses allowing large groups to gather face a $7,500 fine.

On Monday, Prince Edward Island and the City of Vancouver also introduced new penalties for anyone caught violating public health directives.

P.E.I. Justice Minister Bloyce Thompson said there would be a fine of $1,000 for a first offence, $2,000 for a second offence and $10,000 for any subsequent offences.

Vancouver city council voted unanimously to permit fines as high as $50,000 against businesses that don’t adhere to social distancing measures and up to $1,000 for individuals.

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