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Indigenous Services Minister Marc Miller responds to a question during a news conference, Oct. 8, 2020 in Ottawa.Adrian Wyld/The Canadian Press

Canada’s top doctor says the second wave of COVID-19 has surfaced as a series of regional epidemics and the federal government is warning about rising case numbers on First Nations.

“Given what we have seen in the last two weeks, there is little doubt the second wave of COVID-19 will hit Indigenous communities harder,” Minister of Indigenous Services Marc Miller said Thursday in Ottawa.

Miller explained that during the first months of the pandemic, infection rates on reserves were relatively low compared to the general public. But in the last six weeks, there have been outbreaks in Indigenous communities across the country.

There are currently 123 active cases of COVID-19 on reserves – the majority in Alberta, Saskatchewan and Manitoba.

A First Nation in northern Saskatchewan went into lockdown and closed its schools Thursday over concerns of COVID-19 transmission following a series of religious services where participants were unmasked.

And earlier this week, a First Nation in Manitoba took similar action after 19 people in the small, remote community tested positive.

Regional epidemics across the country will require a tailored response, said Dr. Theresa Tam, Canada’s chief public health officer.

It will also require every person stay vigilant and ready to adapt to changes, she said.

There has been an average of 2,052 new cases daily over the last week. On Thursday, Ontario reported 797 new cases – the most it has had in a single day since the beginning of the pandemic.

Ontario Health Minister Christine Elliott said 57 per cent of those new infections were people under the age of 40.

Quebec’s surging numbers also continued Thursday with 1,078 new cases. There were nine more deaths and hospitalizations increased by 16.

Premier Francois Legault said his government was right to recently impose strict measures in the hot spots of Montreal and Quebec City. New restrictions on gyms and sports teams and mandatory masks in classrooms for high school students also came into effect Thursday.

Health officials said earlier this week that positive cases among seniors in Quebec were increasing again. Quebec and Ontario have also seen more people needing hospitalization.

Tam said in a statement that if the rate of hospitalizations continues to climb it could put strains on health system capacity.

Regions of the country that saw a low rate of infections in the spring and summer have also seen a swell of positive cases in recent weeks. British Columbia and Manitoba are seeing new daily infections higher than in the spring.

Leaders and health officials across the country have urged people to stay home over the Thanksgiving long weekend.

“Make careful choices,” Dr. Brent Roussin, Manitoba’s chief provincial public health officer, said after announcing 67 new cases.

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