virus

Thursday May 27, 2021

Editorial Cartoon by Graeme MacKay, The Hamilton Spectator – Thursday May 27, 2021

Ford solicits advice on reopening Ontario schools

Premier Doug Ford took the unusual step of publicly soliciting advice from medical experts, children’s hospitals and health organizations on how Ontario could go about reopening schools before the end of the academic year next month.

April 8, 2021

In a letter addressed to 55 different groups and people, Ford reiterated that his government has struggled to find consensus on school reopenings, and that it needs input before moving forward with a decision.

Why Ford waited until May 27, and gave the recipients until 5 p.m. Friday to answer, is unclear.

“In recent weeks, there has been a wide range of advice and commentary around the reopening of schools in Ontario,” Ford said in the letter.

“There is consensus in some quarters on how, when and whether schools should reopen, and diverse and conflicting views in others.”

November 12, 2020

He added that new modelling expected in the coming days will show that, if schools were to reopen, there could be between 2,000 and 4,000 more cases of COVID-19 by the end of July compared to if they remain closed.

Ford went on to once again express his concerns about virus variants of concern, particularly the variant first identified in India, and its impact on children. He also pointed to emerging evidence that suggests COVID-19 vaccines are potentially less effective against the variant found in India.

According to Ford, only 41 per cent of teachers and education workers have received a first dose of vaccine, compared to about 62 per cent of Ontario adults in the general population.

August 6, 2020

“Ultimately, this is our government’s decision, but in light of the foregoing, and the diversity of perspectives on the safety of reopening schools, I am asking for your views on a number of issues,” Ford said.

Sketch

Earlier this week, Ontario’s chief medical officer of health — who is also listed as a recipient of Ford’s letter — said he would like to see students back in class before the province begins its formal reopening process in mid-June.

Dr. David Williams said most public health units in the province support the reopening of schools, which have been shut to in-person learning since early April.

“My position has been always like our public health measures table and our medical officers of health, that feel that schools should be the last to close and the first to open,” Williams told a news conference on Tuesday. It was the same day that a group of researchers studying how the pandemic has affected children warned of a “generational catastrophe.” (CBC) 

 

Tuesday May 4, 2021

Editorial Cartoon by Graeme MacKay, The Hamilton Spectator – Tuesday May 4, 2021

Ontario government needs to wake up and make nursing homes a top priority

May 16, 2020

The people of Ontario didn’t need two new reports to tell them Doug Ford’s government was missing in action when COVID-19 hit the province’s nursing homes last year.

The deaths of nearly 4,000 long-term-care residents and 11 employees during the pandemic had already spoken for themselves. And that grim message amounted to a scathing indictment of governmental ineptitude at the highest levels. 

Yet for all this, Ontarians really did need Friday’s report from the Long-Term Care COVID-19 Commission along with the one from Auditor-General Bonnie Lysyk two days earlier. They’re essential for telling us what we should — make that must — do for the sake of the 115,000 of the province’s most vulnerable citizens who live in nursing homes today.

According to the commission, the Ford government was completely without a comprehensive plan to protect nursing homes when the pandemic hit. Then, not only was its response “slow, unco-ordinated and lacking in urgency,” it failed to heed the lessons of the first wave. As a result, more residents died in the second wave than the initial one.

November 19, 2020

For its part, the auditor-general’s report denounced not only the current provincial government but governments stretching back over a decade. Not one of them followed up on the recommendations made by an expert panel after the 2003 SARS outbreak to prepare long-term-care facilities for a future health-care crisis. 

Not one of them addressed the concerns about the litany of long-standing weaknesses that had been identified in the nursing-home system. And so the province’s nursing homes, which consume seven per cent of the health-care budget, became pandemic disaster zones.

For some Ontarians, this may all sound painfully familiar, something they’d just as soon forget after they condemn the current government. 

But these two reports are important for more than putting on the record a precise diagnosis of what went so badly wrong in the province’s nursing homes over the past year. Their greatest, and hopefully most lasting, value will be in the prescription they offer for what should be done now.

May 27, 2020

The best way forward will demand more funding, more and better-paid staff, an end to overcrowded wards, better coordination with the rest of the health-care system and — for goodness sake — a pandemic plan. Ontario also needs a new model for building and managing new nursing homes, and the Long-Term Care COVID-19 Commission came up with a promising proposal for one. 

It recommends constructing new homes that are paid for upfront by private investors who receive a return on their capital with profit over time. However the homes will be operated and the residents cared for by a mission-driven organization. It could be public, not-for-profit or for-profit. But the sole focus of those running the homes must be the care of the residents and certainly not returns for investors.

January 27, 2021

What matters now is what the Ford government and the people of this province commit to doing with this and all the other ideas in these reports. Ontario Long-Term Care Minister Merrilee Fullerton promised Monday to adopt many of the recommendations from the commission’s 332-page report. But what else could she say?

Governments and the public have notoriously short memories. Premier Ford will face many expensive demands for all kinds of changes coming out of this pandemic.

The only way to ensure Ontario’s nursing homes never experience another catastrophe like COVID-19 is to make the homes an absolute, non-negotiable priority. The government will say they are. But only the people of Ontario, the people who vote and pay taxes, can guarantee the government acts. (Hamilton Spectator Editorial) 

 

Tuesday March 30, 2021

Editorial Cartoon by Graeme MacKay, The Hamilton Spectator – Tuesday March 30, 2021

Canada falls behind on barcode technology for COVID-19 vaccine tracking

Millions of COVID-19 vaccines set to pour into Canada will carry a tiny barcode that would allow the package to be tracked all along the supply chain, and could even help to connect a patient’s digital vaccination record to a specific dose. That level of tracking is taking place in other countries such as the United States – but won’t happen in Canada because the country lacks the technology to scan those barcodes.

February 25, 2021

It’s a frustrating gap for those who have been pushing for such an ability since the 1990s. As a recent Deloitte report on the COVID-19 vaccination campaign pointed out, these barcodes can go a long way to “reduce errors and improve efficiency and safety.”

The technology is available – cellphones and tablets can scan these barcodes with the right software. But the barcode issue reveals larger problems with Canada’s fragmented and outdated health infrastructure – it involves 14 jurisdictions doing 14 different things, sacrificing efficiency for independence.

December 21, 2016

Currently, some provinces are tracking supplies by manually updating spreadsheets and logging by hand the lot number of administered vaccines. Ontario and Quebec have devised a more advanced database of their available vaccines, but it still relies on someone manually entering the serial numbers of vaccine shipments.

Other countries have figured this out: Vaccinators in the U.S. are scanning COVID-19 vaccine shipments and individual doses, allowing states to build accurate and timely databases of who has been vaccinated. Ireland and Turkey are also relying on these barcodes. The World Health Organization is encouraging every country to use them to promote efficiency and fight counterfeiting.

June 13, 2019

n Canada “should have been written in the pandemic plan.”

There was a plan to make these barcodes central to Canada’s public-health system, and there was a time when Canada was ahead in digitizing its health system “by a decade,” Dr. Van Exan said. Canada’s 1998 vaccine strategy first proposed barcoding vaccines to promote efficiency and accuracy. The 2003 SARS epidemic, and the creation of the Public Health Agency of Canada, hastened that work.

In normal times, Canada administers millions of vaccines a year for diseases such as mumps and influenza. Provinces slowly adopted digitized immunization records in the early 2000s, but continued entering all the data manually: Audits of some provincial systems found fully 15 per cent of immunization records were incomplete, nearly a quarter had inaccurate information, and crucial data was missing from one in five adverse-reaction reports. (Continued: Globe & Mail) 

 

Wednesday March 17, 2021

Editorial Cartoon by Graeme MacKay, The Hamilton Spectator – Wednesday March 17, 2021

For a second St. Patrick’s Day without parades, some places find other ways to celebrate

The pandemic in the United States, now more than a year old, is starting to hit some calendar milestones for a second time, including St. Patrick’s Day parades across the country. The sudden cancellation of the parades last year was one of the first big signs of how disruptive the pandemic would be to normal life in the U.S.

February 13, 2021

Though many states and cities have been tentatively loosening various Covid restrictions lately, most places have not cleared the way for a resumption of parades, which can be among the most ruthlessly effective kinds of super-spreading events.

So the St. Patrick’s Day parade in Chicago has been canceled, again; the parade in Boston canceled, again; the one in Philadelphia, canceled, again. The parade in New York City, intent on retaining its distinction as the oldest uninterrupted St. Patrick’s Day parade in the world, will once again be largely ceremonial and very low-profile, with a small group walking up Fifth Avenue at an unannounced time very early in the morning — that is, if the city and state approve doing anything at all.

February 9, 2021

Some places are putting a spin on the commemorations. The 37th annual parade in St. James, on Long Island, is now going to be held by car; the one in Hilton Head, S.C., is moving to the water; and the one in Pittsburgh is moving to the fall (maybe). A drive-in Celtic rock concert is planned in Dublin, Calif.; a virtual 5K run in Naperville, Ill.; and a day of green beer in plastic cups being delivered by masked servers between plexiglass screens at McGillin’s Olde Ale House in Philadelphia.

Last year, bars from Chicago to New Orleans were packed on the weekend before St. Patrick’s Day despite the cancellation of local parades, prompting stern admonitions from mayors and governors. This year, officials are pleading with people to stay at home, or at least to be vigilant when they are out.

Still, not everyone is resigned to laying low for another year.

In the town of Erin, Wis., population around 3,800, the short-notice cancellation of last year’s parade, the 40th, was a heartbreaker: Floats had already been prepared, and past parade kings and queens were scheduled to appear. This year, local officials and volunteers are determined to do everything they can to make a parade happen. (NYTimes) 

 

Friday March 12, 2021

Editorial Cartoon by Graeme MacKay, The Hamilton Spectator – Friday March 12, 2021

Summer Dreaming

New variants of the coronavirus are spreading rapidly in Ontario and unless they are better controlled, the province risks facing a third wave of the COVID-19 pandemic, an expert panel advising the province’s government said on Thursday.

February 17, 2021

It warned that the next few weeks are critical as the progress made in bringing the coronavirus under control in the province has stalled.

“Variants of concern continue to spread across Ontario. Our ability to control the rate of spread will determine whether we return to normal or face a third wave of infection,” the panel said in briefing material.

While mutations in viruses are inevitable, strains identified as “variants of concern” have worrisome changes that may give the virus advantages, increasing transmissibility or reducing the effectiveness of vaccines, according to the briefing materials released by the province’s science advisory and modeling consensus tables.

Graphs published online ahead of the briefing showed cases of the new variants in Ontario have jumped from below 5 per 100,000 residents each week in early February to nearly 20 per 100,000 residents each week in early March.

That increase has been balanced to some extent by a decline in cases of earlier variants of the virus. (Reuters) https://www.reuters.com/article/us-health-coronavirus-canada-ontario/coronavirus-variants-could-cause-third-wave-in-ontario-expert-panel-idUSKBN2B32WV

April 18 2020

Meanwhile, as vaccine rollout continues to ramp up in Canada and the United States, some American politicians are calling on the Biden administration to reopen the Canada-U.S. land border by this summer.

In a letter addressed to U.S. President Joe Biden, Rep. Brian Higgins of New York asked that Biden work with Prime Minister Justin Trudeau for “a partial re-opening of the Northern Border by Memorial Day of this year with a full re-opening by July 4.”

Higgins, who also chairs the congressional Northern Border Caucus, wrote that the current border restriction between the two countries “tears at the fabric of our community and is a critical problem for individuals, families, and businesses.” (CTV)