The number of novel coronavirus cases in Alberta doubled to 14 on Tuesday as some 228 Canadian cruise ship passengers began a two-week quarantine at Canadian Forces Base Trenton in Ontario.
Alberta's chief medical officer, Dr. Deena Hinshaw, said the new cases involve four people from the Calgary region and three from the Edmonton area. All cases are travel-related.
She said the patients visited a number of countries, including France, the Netherlands, Germany, the Philippines and the United States. Two patients were also on the MS Braemar of Fred. Olsen Cruise Lines in the Caribbean.
"I want to emphasize that the risk to Albertans who are travelling outside the country is increasing," Hinshaw said.
"Albertans planning travel in the coming weeks should carefully monitor the travel recommendations from the Public Health Agency of Canada."
Canadians from the Grand Princess cruise ship docked off the coast of northern California were taken by government plane to the Trenton base early Tuesday, although not all of the 237 Canadians from the ship were on board.
Foreign Affairs Minister Francois-Philippe Champagne said a "handful" of crew members tested positive for the virus that causes the illness COVID-19, although he declined to give specific numbers.
"We have ... a very limited number of crew members, which tested positive which are Canadian on the ship, and they will remain on the ship," Champagne said in Ottawa outside a cabinet meeting.
Some other Canadians remained in California for health reasons unrelated to the virus, he said.
U.S. President Donald Trump described the effort of returning people home as "very dignified."
"We appreciate all the help we've had in that, and that's working out very well."
Prime Minister Justin Trudeau took to Twitter to thank the Canadian consular staff and American officials who helped the travellers to return to Canada.
There were 3,500 passengers and crew aboard the Grand Princess. It docked Monday at the Port of Oakland after days of forced idleness off the coast amid evidence it was the breeding ground for more than 20 COVID-19 cases.
Canada's top doctor has urged Canadians to avoid all cruise travel, because confined quarters and frequent interactions can foster the spread of the illness.
Airlines and Canadian authorities put new limits on travellers Tuesday to try to minimize the spread of COVID-19, which has afflicted more than 100,000 people in 100 countries around the world.
Air Canada announced it was suspending flights to and from Italy as a result of Italian regulations and "ongoing health and safety concerns" related to the outbreak.
The airline's last flight to Rome was to take off from Toronto on Tuesday, with the final return flight departing Rome for Montreal on Wednesday.
Air Canada said affected customers would be notified and offered full refunds. It hopes to restart service May 1.
In Atlantic Canada, New Brunswick's education minister ordered all preschoolers and students returning from travel abroad to stay out of school for two weeks. School trips are also cancelled for the rest of the year.
Dominic Cardy sent a letter to parents Monday that said the precautionary measure — among the most aggressive taken by any province — also applies to school and early learning centre staff, volunteers and students' family members.
In Montreal, Sainte-Justine hospital asked its staff to avoid all personal travel unless absolutely necessary — a move the Quebec government is considering extending to the entire heath network.
Quebec's Health Minister Danielle McCann said that in addition to limiting the spread of the virus, hospitals need to minimize the number of workers in isolation or off sick during a possible outbreak.
"We have to preserve our workforce because we'll need it more and more," she said.
The hospital also asked staff to stay home from work for two weeks if they've visited certain regions, including China, Hong Kong, South Korea, Iran, India, Egypt, Japan and parts of Italy and France as well as the Seattle area.
Deputy Prime Minister Chrystia Freeland has written the provinces and territories asking them to inform the federal government of their state of readiness and any shortages they're facing.
The first ministers meeting of Trudeau and provincial and territorial leaders on Friday is to include discussions on the potential impact of the spreading virus on the country's health-care system and its economy.
Canada had at least 86 cases of the respiratory illness as of Tuesday afternoon: 32 in British Columbia, 36 in Ontario, 14 in Alberta and four in Quebec.
Canada reported its first death from COVID-19 on Monday. A man in his 80s died at a North Vancouver long-term care centre.
This report by The Canadian Press was first published March 10, 2020
The Canadian Press