seniors

Tuesday December 15, 2020

Editorial Cartoon by Graeme MacKay, The Hamilton Spectator – Tuesday December 15, 2020

Seniors, long-term care workers should be first in line for COVID-19 vaccine, committee says

The independent committee charged with deciding who should be the first Canadians to be vaccinated against COVID-19 today released its final directive recommending that long-term care home residents and seniors over the age of 80 get priority access to shots.

May 27, 2020

The National Advisory Committee on Immunization (NACI) said the initial, limited quantity of vaccine doses should be reserved for people who are most at risk of contracting the virus and developing severe symptoms.

While the federal government is procuring the vaccines and consulting with bodies like NACI to help coordinate distribution based on need, it will be up to the individual provinces and territories to decide who gets vaccinated when.

Canada’s long-term care homes have been hit hard by the novel coronavirus, with thousands of deaths reported since the onset of this pandemic.

NACI said that since the elderly residents of long-term care and assisted living facilities, retirement homes and chronic care hospitals face “severe outcomes” and a much greater chance of dying from the disease, they should be at the top of the list for the initial batch of roughly six million doses that will be made available in Canada in the first three months of 2021.

April 1, 2020

Pfizer’s vaccine, which is expected to be the first product approved by regulators for use in Canada, requires two doses — so roughly three million people should be inoculated in this first stage of the rollout.

NACI said it’s not just the residents who should go first — it’s also recommending that provinces and territories prioritize the staff who work at these sites for early vaccination.

After long-term care home residents and staff are immunized, NACI said the next priority group should be all Canadians over the age of 80.

“All adults of advanced age should be prioritized for initial doses of authorized COVID-19 vaccines, beginning with adults 80 years of age and older, then decreasing the age limit in 5-year increments to age 70 years as supply becomes available,” the final directive reads.

June 9, 2020

After the 80-plus cohort is vaccinated, front line health care workers should be next in the queue, said NACI.

The committee said that doctors, nurses and other staff at hospitals should get their shots early to maintain staffing levels in the health care system.

“Immunizing health care workers and other workers functioning in a health care capacity (e.g. personal support workers) minimizes the disproportionate burden of those taking on additional risks to protect the public, thereby upholding the ethical principle of reciprocity,” the directive reads.

June 3, 2015

NACI also expressed concern about Indigenous adults living in communities “where infection can have disproportionate consequences, such as those living in remote or isolated areas.”

Because health care options are limited at the best of times in these remote areas,

Pandemic Times

Indigenous individuals can face an elevated risk of death and “societal disruption,” NACI said. For that reason, the committee said that some First Nations, Métis and Inuit communities should be in the first cohort to get vaccinated.

These four groups — long-term care residents and staff, the elderly, front line health care workers and some Indigenous adults — are expected to consume all of the six million doses to be delivered in the first three months of 2021.

“As a ballpark, these four groups of people, as things are rolled out, should be covered by the initial doses,” said Dr. Theresa Tam, Canada’s chief public health officer. (CBC News) 

 

Wednesday September 30, 2020

Editorial Cartoon by Graeme MacKay, The Hamilton Spectator – Wednesday September 30, 2020

It’s time to consider shutting down casinos, theatres and malls, leading health expert says

As COVID-19 cases continue to pile up, a leading health expert says the Ontario government should consider shutting down casinos, movie theatres and shopping malls. Industry defenders, meanwhile, say closures would be unnecessary and unfair.

July 17, 2020

“Closing them completely should be a last resort. But I think we need to consider everything right now. How surgical can we afford to be?” said Dr. Abdu Sharkawy, an infectious disease specialist with the University Health Network.

Tuesday, Ontario had 554 new COVID-19 cases, down from a record-setting 700 the day before. But Sharkawy warns we haven’t come close to the peak of the second wave.

“I have no doubt that we’ll be seeing a thousand cases per day within the next two to three weeks,” said Sharkawy, who was surprised to see some Ontario casinos reopen on Monday for the first time since March. Casinos had been allowed to open since the province hit Stage 3 in mid-July, but casino operators had been negotiating unsuccessfully with the province to boost a 50-customer cap.

June 17, 2020

Those casinos are all managed by Great Canadian Gaming Co., which runs 11 casinos in Ontario, including at Woodbine and Mohawk.

Shutting casinos down wouldn’t be fair to the industry’s 17,000 workers in Ontario, said Paul Burns, president and CEO of the Canadian Gaming Association, the casino industry’s national trade association.

A spokesperson for the provincial ministry of health said the government is still monitoring the COVID situation across Ontario, and could implement further restrictions.

“The government, in consultation with public health experts, continues to review trends from a range of criteria on an ongoing basis to determine if public health measures need to be adjusted or tightened,” said Anna Miller. 

Allowing just 50 customers into a casino that’s designed for thousands isn’t a money-maker, said Burns. Not that it’s being done for charitable purposes, he admitted.

“They wanted to demonstrate to public health officials that they could open and operate in a safe manner. It’s not economically viable at 50 people,” said Burns. Eventually, Burns said the casino industry would like to see more gamblers coming through the doors. (The Hamilton Spectator) 

 

 

Friday July 17, 2020

Editorial Cartoon by Graeme MacKay, The Hamilton Spectator – Friday July 17, 2020

Heavy lifting for long-term care awaits Doug Ford

In the 100-kilometre journey to deliver a decent long-term-care system for Ontario, Doug Ford took a baby step forward this week.

June 17, 2020

By offering a 10 per cent subsidy hike to private-sector nursing home operators who open new beds, the premier should rid the province of at least some of those disgusting, overcrowded, four-person wards that became death-traps in the COVID-19 pandemic. 

That change alone represents welcome, if overdue, progress. Indeed, the Ontario Long Term Care Association, which represents 70 per cent of the province’s 630 long-term-care facilities, applauded the changes Ford’s making.

But there’s less in the government’s new funding formula than meets the eye. If the goal is rebuilding an entire long-term-care edifice, Ontario’s stuck at the stage of digging the new foundation.

The COVID-19 pandemic laid bare the serious, even shameful, deficiencies in a vital part of Ontario’s public health-care system. The province’s nursing homes have witnessed the deaths of 1,730 elderly residents and eight workers since the outbreak began in March. That’s almost two-thirds of Ontario’s officially reported COVID-19 fatalities.

May 27, 2020

The fact that the Canadian military had to be ordered in to save seven nursing homes that were overrun by the disease proved beyond any doubt that this province had turned a blind eye to grave systemic failings. The abuse, neglect, bug infestations, bleeding infections and the residents crying for help for hours that the army discovered should have no place in this affluent, supposedly caring country. 

Correcting that, along with improving homes that if not as bad are beneath basic, acceptable standards, is a monumental challenge. What Ford did this week was simply provide new details about a previously announced $1.75-billion infusion into long-term-care facilities. 

When that money was first committed, the government promised 15,000 new beds and renovations of 15,000 existing beds over the next decade. It’s unclear if that bold commitment still stands.

April 9, 2020

Ford did say this week that his new funding changes mean 8,000 new beds and 12,000 redeveloped beds are in the works. Air conditioning and improved ventilation is on the way for many nursing homes. Safer, more comfortable facilities will benefit nursing home residents and staff alike.

Left unanswered is how Ford plans to provide the 30,000 beds he originally pledged for the coming years. That’s a nagging question that will not go away. There are 36,000 seniors on the waiting-list for long-term care in Ontario. Ford needs to show us all his road map for moving forward.

COVID-19 Cartoons

He needs to say if his nursing home system overhaul will include providing more hands-on, daily care for residents. It should. And what about the personal support workers who provide such essential services? They receive miserable wages for a demanding job that offers minimal security. Ford needs to increase staffing levels but also the pay and working conditions for that workforce.

In addition, the Ontario government needs a detailed plan for improving the oversight of the province’s nursing homes. If Ford is content with allowing the long-term-care system to rely so heavily on private providers, he must ensure proper transparency and accountability. That could come from the independent commission Ford wants to investigate the system. But he has yet to say when that commission will begin its job.

Not every long-term-care facility does a bad job. Too many do. Ford has signalled that transforming the system is one of his highest priorities. But what he announced this week will raise red flags that suggest he’s content with superficial fixes. We need him to completely re-invent how we care for our elderly. (Hamilton Spectator Editorial) 

 

Wednesday June 17, 2020

Editorial Cartoon by Graeme MacKay, The Hamilton Spectator – Wednesday June 17, 2020

Rosslyn residence was literally a house of horrors

The story of the Rosslyn Retirement Residence, as reported by Spectator journalist Steve Buist, is by turns sickening, heartbreaking and infuriating.

May 27, 2020

It is also, in a way, indicative of what is wrong with Ontario’s long-term-care system. But it is so egregious, so extreme, that it is in a class by itself. Buist’s series was entitled House of Horrors, and that’s not an overstatement, at least not for victims and their families.

Yes, victims is the right word. Rosslyn residents were subjected to chronic bedbug infestations. Photos showing the result of those infestations will make your stomach turn. Medication was often not administered properly. Residents wandered in unsafe conditions. There were mouse droppings and black mould in food storage areas.

Management and ownership of Rosslyn received repeated notices, from public health and the provincial oversight agency, and warnings about health and safety infractions. And these infractions were not all new and related to pandemic staffing. Between 2018 and 2020 public health inspections found bed bugs, mice and cleaning issues. According to former staff members, operators of the home portrayed it to residents’ families as having a “secure memory unit” that didn’t actually exist.

There’s more. You could fill this space three times over just with the disturbing findings and stories uncovered by Spectator reporting. Fourteen residents of the Rosslyn have died from COVID-19, 22 staff members became infected and more than 60 residents were hospitalized by the time the pandemic eventually emptied the facility last month.

Now let’s add insult to injury. The owners of this facility, and seven other retirement homes and residential care facilities in the Hamilton area, are no strangers to the business. The Martino family owned the Royal Crest Lifecare chain, which collapsed in bankruptcy in 2003. They cried poor at the time but were found to have access to four homes, five SUVs, three Mercedes, a Hummer and a 42-foot cabin cruiser. When the dust settled on the commercial and business bankruptcies, nearly $200 million in liabilities were left, and $18 million left owing to taxpayers.

April 1, 2020

And now, the questions. How was it that the Martino family was able to continue in the business of running retirement homes so easily given its terrible track record? Why would they be given a licence by the provincial oversight agency, the Retirement Homes Regulatory Authority (RHRA)?

In the past 18 months, the city’s bylaw enforcement department has registered 28 violations of property standards against the Martinos’ care homes in Hamilton. There is a litany of horror stories from former staff and families of former residents RHRA. Why did it take so long to act? The RHRA revoked the Rosslyn’s licence this week, but what took so long?

Then there’s the oversight agency itself. The RHRA is essentially a self-governing industry body charged with enforcing the provincial Retirement Homes Act. Given everything we now know about LTC in general and Rosslyn specifically, why should we trust an industry body to oversee the sector?

Last but not least is the prospect of criminal charges. Provincial NDP Leader Andrea Horwath has asked Hamilton police to conduct a complete investigation. Good for Horwath, but why didn’t the government do that first?

If an investigation finds the Rosslyn horror story involves criminal behaviour, charges must be laid and those responsible must be prosecuted. The Rosslyn travesty and others like it should be rallying cries in the call for complete reform of long-term care. Rosslyn’s victims deserve nothing less. (Hamilton Spectator Editorial) 

 

 

Thursday May 28, 2020

Editorial Cartoon by Graeme MacKay, The Hamilton Spectator – Thursday May 27, 2020

Military report reveals what sector has long known: Ontario’s nursing homes are in trouble

Jacqueline Mitchell hasn’t been able to hug her 94-old-mother since March, and now, in the face of a shocking Canadian Armed Forces (CAF) report into the state of five Ontario long-term care homes, she is aghast. 

April 1, 2020

Mitchell’s mother has Alzheimer’s disease and has been a resident at Etobicoke, Ont.’s Eatonville Care Centre since 2017. That’s one of the homes listed in the report, which details disturbing observations made by military members who were called in to help after some of the province’s long-term care facilities were overrun by COVID-19 outbreaks.

The CAF report outlines instances in which members spotted equipment used on both infected and non-infected patients without being disinfected, as well as rotten food, cockroach infestations and a startling disregard for basic cleanliness.

“It is scandalous. It is shameful. It is shocking,” Mitchell said. “Our senior generation is living in that, and that is a national atrocity.”

There are many signs the provincial government knew, or should have known, what’s happening inside these homes, but it took military intervention to bring the details to light. 

February 29, 2008

For weeks, Ontario Premier Doug Ford has been saying the province’s long-term care system is “broken.” And on Tuesday he said that he saw firsthand the limitations of the system when his brother, former Toronto mayor Rob Ford, was in palliative care before his death in 2016.

That, to Mitchell, signalled an acknowledgement on the premier’s part that something was very wrong with the system.

“That should have alerted him on a personal basis to what was happening in these homes.… He should not be surprised,” she said.

In a statement issued Tuesday, Opposition NDP Leader Andrea Horwath slammed the government’s response, and called for the resignation of Minister of Long-Term Care Merrillee Fullerton.

“It’s shocking that the Canadian Armed Forces needed to lift the veil when Doug Ford and Merrilee Fullerton ought to have known about these horrific conditions, and did nothing to take the homes over,” Horwath said. “The premier cannot pass the buck, finger-point and express outrage about what his own government is doing on his watch.” (CBC)