Toronto Star

Premier feeling pressure from long-term-care homes

Ford told industry needs help before next wave

- ROB FERGUSON QUEEN'S PARK BUREAU

Devastated by COVID-19, nursing homes are ramping up the pressure on Premier Doug Ford to help the industry prepare for a second wave by training an “army” of infection prevention and control specialist­s.

The plea came Friday as the death toll in long-term-care approached­1,800, one-third of the 5,400 residents who caught the highly contagious virus.

More masks and other personal protective equipment are needed, with a continued emphasis on testing, retrofits of older homes with four-bed rooms that made it difficult to contain the spread of COVID-19 and technology to enable more digital medical assessment­s for residents, said the Ontario Long-Term Care Associatio­n.

The measures are urgently needed to avoid a repeat of the “tragedy” that unfolded in the first wave, added associatio­n president Donna Duncan.

While the number of outbreaks and infections in nursing homes has declined in recent weeks, “we can’t let up the pedal with a potential second wave coming as early as this summer,” she warned.

Duncan has previously raised concerns it was hard for some nursing homes to get doctors in to assess residents during the height of the pandemic in April, making it important to have virtual medical care in place.

Infection prevention and control is also key, with COVID-19 making 2,154 employees ill and killing seven. That left a number of homes desperatel­y short of staff — some losing 80 per cent to illness and absenteeis­m driven by fear.

Dire situations prompted Ford to call in Canadian Armed Forces medical teams at six hard-hit homes where care levels deteriorat­ed to frightenin­g levels, and to issue takeover orders for almost a dozen longterm-care facilities enabling local hospitals to manage their day-to-day operations.

Ford has promised an “independen­t commission” into the impacts of COVID-19 in nursing homes will begin in July, although his government has not named a commission­er or set terms of reference. Ontario Ombudsman Paul Dubé is also investigat­ing.

Ministry of Health statistics released Friday indicate nursing homes are still fighting 66 outbreaks of COVID-19, up three from a week ago following a steady drop from more than 300 at the height of the first wave.

The stall in the decline after weeks of progress shows how difficult the virus can be to eradicate in the close quarters of long-term care, with 320 active cases in residents and 371 remaining sick.

Overall, the number of active cases across the province fell by 79 people to 2,281, with the government reporting a sixth straight day with fewer than 200 new infections.

A separate Star compilatio­n from health units at 5 p.m. Friday showed 206 confirmed and probable cases in the previous 24 hours, pushing the provincial total to 35,008 since January. Nine more deaths increased that tally to 2,613.

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