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Quebec will bring back an 8 p.m. curfew in the Montreal area and extend a lockdown order in three cities and one region as it tightened COVID-19 restrictions Thursday for the second time in three days.

Beginning Sunday, people in Montreal and its northern suburb of Laval will have to remain at home from 8 p.m. to 5 a.m. or face fines of more than $1,000, Premier François Legault said in Montreal. The curfew in that region currently starts at 9:30 p.m.

Mr. Legault said he is imposing the health order on Montreal and Laval as a preventive measure despite the fact new, daily COVID-19 cases in the region have been stable. He said health officials are near-unanimous that the heavy presence of virus variants will soon cause cases to rise rapidly in the densely populated area.

“Like many places in the world, we have to bring back restrictions,” Mr. Legault said, adding that the curfew will help the government control people’s movements and reduce transmission. The government has only offered circumstantial evidence indicating a curfew is successful at slowing the spread of COVID-19.

“Our challenge is to find a balance between mental and physical health, and there is no magical recipe to succeed against the pandemic,” he said. Asked how long the curfew will remain at 8 p.m., Mr. Legault said: “until further notice.”

Moderna, Pfizer, AstraZeneca or Johnson & Johnson: Which COVID-19 vaccine will I get in Canada?

Canada pre-purchased millions of doses of seven different vaccine types, and Health Canada has approved four so far for the various provincial and territorial rollouts. All the drugs are fully effective in preventing serious illness and death, though some may do more than others to stop any symptomatic illness at all (which is where the efficacy rates cited below come in).

PFIZER-BIONTECH

  • Also known as: Comirnaty
  • Approved on: Dec. 9, 2020
  • Efficacy rate: 95 per cent with both doses in patients 16 and older, and 100 per cent in 12- to 15-year-olds
  • Traits: Must be stored at -70 C, requiring specialized ultracold freezers. It is a new type of mRNA-based vaccine that gives the body a sample of the virus’s DNA to teach immune systems how to fight it. Health Canada has authorized it for use in people as young as 12.

MODERNA

  • Also known as: SpikeVax
  • Approved on: Dec. 23, 2020
  • Efficacy rate: 94 per cent with both doses in patients 18 and older, and 100 per cent in 12- to 17-year-olds
  • Traits: Like Pfizer’s vaccine, this one is mRNA-based, but it can be stored at -20 C. It’s approved for use in Canada for ages 12 and up.

OXFORD-ASTRAZENECA

  • Also known as: Vaxzevria
  • Approved on: Feb. 26, 2021
  • Efficacy rate: 62 per cent two weeks after the second dose
  • Traits: This comes in two versions approved for Canadian use, the kind made in Europe and the same drug made by a different process in India (where it is called Covishield). The National Advisory Committee on Immunization’s latest guidance is that its okay for people 30 and older to get it if they can’t or don’t want to wait for an mRNA vaccine, but to guard against the risk of a rare blood-clotting disorder, all provinces have stopped giving first doses of AstraZeneca.

JOHNSON & JOHNSON

  • Also known as: Janssen
  • Approved on: March 5, 2021
  • Efficacy rate: 66 per cent two weeks after the single dose
  • Traits: Unlike the other vaccines, this one comes in a single injection. NACI says it should be offered to Canadians 30 and older, but Health Canada paused distribution of the drug for now as it investigates inspection concerns at a Maryland facility where the active ingredient was made.

How many vaccine doses do I get?

All vaccines except Johnson & Johnson’s require two doses, though even for double-dose drugs, research suggests the first shots may give fairly strong protection. This has led health agencies to focus on getting first shots to as many people as possible, then delaying boosters by up to four months. To see how many doses your province or territory has administered so far, check our vaccine tracker for the latest numbers.

Canada vaccine tracker: How many COVID-19 doses have been administered so far?

Is my area going back into COVID-19 lockdown? A guide to restrictions across Canada

Last week, Mr. Legault placed Quebec City, Levis and Gatineau under the earlier curfew. He did the same on Monday for several municipalities in Quebec’s Beauce region. The government also closed schools and non-essential businesses in those areas, and Mr. Legault announced Thursday that the measures would be prolonged until at least April 18.

On Tuesday, Mr. Legault announced that gyms in COVID-19 red zones, including Montreal, had to close effective Thursday and places of worship had to limit attendance to 25 people.

Quebec reported 1,609 new infections Thursday, the highest daily tally since Jan. 21. The Quebec City region had the most new cases, with 436 – a 74-per-cent increase from the previous day.

“People must be prudent because the virus is circulating enormously with the variants,” Annie Ouellet, a spokeswoman for the Quebec City health authority, said Thursday.

She said Quebec City had conducted 5,044 tests in the past 24 hours – a record. The positivity rate is 7.9 per cent, up from around five per cent in the past week.

The province now has 11,452 active reported cases. Montreal had 370 new cases Thursday, Chaudiere-Appalaches reported 179 while the Outaouais reported 165. Authorities also reported a 23-patient jump in hospitalizations, for a total of 566, including 132 people in intensive care – nine more than a day earlier.

Mr. Legault said there are no plans to close schools outside of the four hot spot regions, but didn’t rule it out. The situation would have to be “severe” to shutter schools in Montreal and Laval, he said.

“We hope that we don’t need to close the schools until the end of June, but it can happen,” Mr. Legault said. “At this point, we don’t know, nobody knows.”

The grim numbers came as the province pushed ahead with expanded vaccinations, leading to long lineups outside some vaccine sites early Thursday as walk-in clinics opened offering the Oxford-AstraZeneca vaccine to those 55 and older.

In Quebec City, officials said all doses available at two AstraZeneca vaccination clinics were accounted for within the first hour.

“The response was exceptional, some people were there very early, at 4:15 a.m.,” Ms. Ouellet said.

Jean Nicolas Aube, a spokesman for the health authority running the mass vaccine site at Montreal’s Palais des congres, said demand appeared to be strong, with lines beginning to form 90 minutes before the facility opened.

Early Thursday afternoon, there was a steady flow of people waiting in the atrium of the convention centre to be ushered into the vast vaccination site upstairs.

Richard Cormier, 56, said he felt great after rolling up his sleeve for a shot of AstraZeneca.

“I feel it’s my obligation to get vaccinated for society, my family and myself as quickly as possible,” he said.

Bertrand Cesvet, also 56, said he wanted to get the shot not only to protect himself and others, but to set an example for people who might be hesitant. He said he hadn’t been swayed by reports of rare side-effects associated with AstraZeneca in younger people.

“I believe in science, and I think the data is in favour of this vaccine,” he said.

Currently, the AstraZeneca vaccine is only available to those between the ages of 55 and 79, after the government suspended its use in younger people over concerns about rare but serious blood clots.

Health officials also reported nine more deaths attributed to the novel coronavirus Thursday. They said the province administered 47,769 doses of vaccine Wednesday, for a total of 1,685,046, just shy of 20 per cent of the population.

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