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COVID-19 cases have been quietly mounting up and killing in long-term-care homes: These 3 charts explain what many seem to have missed

The number of active cases of among residents of Ontario long-term-care homes is growing at an average rate of about eight per cent per day, prompting seniors advocates to call for measures to prevent a full-blown second wave of infections from sweeping through facilities.

There were 216 active resident infections in the province’s long-term-care homes as of Oct. 20, up from just under five on Sept. 1. That represents an average daily growth rate of 7.99 per cent between those dates. (Since the official provincial numbers for Sept. 5 indicate less than five infections, we have assumed five for ease of calculation.)

At the same time, the number of homes with active outbreaks currently sits at 86, up from 13 on Sept. 1, with a high of 87 homes reached on Oct. 19. Sixty residents have died of COVID-19 since the beginning of September.

“It shouldn’t be about the numbers. It’s the fact that this is happening again and we’re on the trajectory headed towards a déjà vu of what happened in the first wave,” said Vivian Stamatopoulos, an associate professor at Ontario Tech University and a family caregiver advocate. “Not enough was learned and the kinds of policies and supports we needed didn’t happen. This is preventable.”

Stamatopoulos stressed that good training, better working conditions and decent salaries are needed to make personal support work in long-term-care homes more attractive.

Earlier this month, the provincial government announced a $461-million plan to improve recruitment of PSWs and others who do similar work in health care by increasing wages ($2 increases for those working in public hospitals and $3 for home and community-care workers). It’s a measure Stamatopoulos called “a very big Band-aid for the gunshot wound that is long-term care.”

“It doesn’t attract more workers,” she said. “Sure, they get a little bit of a bump, but their working conditions remain the same.”

Those working conditions include long hours, high stress, and a constant fear of making mistakes, in addition to “desperately inadequate” staffing, said Natalie Mehra, executive director of the Ontario Health Coalition, a non-profit network of public-health-care advocates.

“They’re rushed all the time, the stress never stops,” she said, adding that one PSW might be responsible for looking after anywhere between eight and 30 residents, depending on staffing levels. “It’s terrifying. They go home and think, ‘oh my God, did I put up the guardrail on that bed? Did I chart this?’”

There is also the fear that they too could be infected with COVID-19 if there are cases in the home. “They are at risk themselves,” Mehra said of PSWs.

In fact, there are more active cases of COVID-19 among long-term-care staff than among residents. As of Oct. 20, there were 260 active staff cases, up from 23 on Sept. 1.

Vermont Square, a Toronto long-term-care home, has had 44 confirmed cases among residents and 33 among staff, which constitutes the worst outbreak in recent weeks. It is followed by Simcoe Manor Home for the Aged in Beeton, which has had 34 resident cases and 23 staff cases, and Residence Prescott et Russell in Hawkesbury, with 24 cases among residents and 16 cases in staff.

Mehra says while the escalating numbers are disturbing, the homes that have been able to get outbreaks under control are those where management has been taken over by rapid-response teams from hospitals. She says a coherent provincial plan is needed to address all homes experiencing outbreaks so that teams can be sent in immediately as soon as one or two cases are detected.

“If a plane crashes, everything stops and emergency departments take (the victims). This is the same thing. The plane is crashing. Regardless of what hospital capacity is, teams need to be deployed,” she said.

Patricia Spindel, co-founder of Seniors For Social Action Ontario, a group of social activists from across Ontario, said the fact that the Red Cross is going into Ontario nursing homes “should tell us all we need to know about the fact that these institutions are disaster areas.”

A week and a half ago, the federal government gave the go-ahead to the Red Cross to go into seven Ottawa-area long-term-care homes dealing with serious outbreaks.

“It’s time to downsize and ultimately eliminate (long-term-care homes) in favour of small community group homes and in-home attendant care and paid caregiver programs,” Spindel said. “Nursing homes are unsustainable. Period. Taxpayers and the public sector — hospitals, health units, the military, and now even the Red Cross are having to bail them out.”

With files from Ed Tubb and Andrew Bailey

Kenyon Wallace is a Toronto-based investigative reporter for the Star. Follow him on Twitter: @KenyonWallace or reach him via email:

How hackers, fraudsters and other criminals are prospering in the pandemic

While crime rates around the world fell during the beginning of the pandemic, authorities have warned criminals look to take advantage of these uncertain times.

From small cyber attacks like phishing and fraud to large scale hacks and alleged embezzlement, it is evident the underworld has been at work. Interpol warned organized crime would target the vaccine, and just this past Wednesday, it was reported hackers to documents related to the Pfizer and Biontech vaccine in a cyber attack on the European Medicines Agency.

Closer to home, Ontario investigators are looking into allegations $11 million from a pandemic relief fund aim at helping families with children with special needs.

To talk about this investigation and authorities warnings about how organized crime is targeting, “This Matters” features the Star’s , the Queen’s Park Bureau Chief and , a reporter on the Crimes, Court and Justice team.

Listen to this episode and more at “” or subscribe at , , or wherever you listen to your favourite podcasts.

Martin Regg Cohn: Ontario’s PC government has changed its tune on hiking our debt. Don’t expect the same on raising taxes

It took a Progressive Conservative government and a pandemic to push Ontario’s debt beyond $400 billion.

Now it’s barrelling toward $500 billion, which translates into half a trillion dollars — plus or minus. That adds up to the biggest debt for any “subsovereign” entity on the planet.

Is our province in over its proverbial head?

Finance Minister Rod Phillips shakes his head: “No.”

Not to worry, Phillips says reassuringly in the middle of the cavernous Toronto Star newsroom, now nearly empty in mid-pandemic. He is and the newspaper’s senior leadership, and he is on the spot — even if socially distanced.

In opposition, his Tories pointed accusing fingers over Ontario’s rising repayment burden. Now, in power, their fingerprints are all over that debt.

It can now be said that the Tories are doing the right thing — not the right wing thing. Borrowing big is risky, but doing less would be reckless.

At what point does Ontario’s debt load reach the point of no return?

The rate of return for the province’s infrastructure investments has never been higher, because : 1.6 per cent a year, according to his . Phillips is correct that in the worst of times, there has never been a better time to borrow — and lock in for the long term.

Ontario is not an over-leveraged private firm, nor an overstretched household. The province is deeply diversified, endowed with valuable natural resources, rich human resources and unrivalled competitive advantages — geographic and governmental.

True, the province is not a nation. Hence the old bugaboo about our so-called “subsovereign” status, about which it is often said that we have borrowed more money than any comparable subnational jurisdiction on earth.

But what does that mean in the real world?

Yes, Ontario is uniquely indebted. But it is also uniquely endowed and uniquely positioned — a province unlike any other, by virtue of its population but also its economic heft and industrial base. Other provinces have not been so lucky of late, running out of runway when investors balked at their public debt offerings.

Hence the recurring spectre of the debt wall that haunts every government, not least the NDP government of the early 1990s: What if Wall Street or Bay Street stops buying our bonds because they deem our debt not a good bet?

A provincial treasurer cannot allow himself to discuss such delicate matters in public, so Phillips opts for discretion over speculation. Suffice to say there are countless reasons that the bond markets cannot now resist buying a half-trillion dollars in Ontario debt.

Perhaps the real answer is that no other jurisdiction fits our subsovereign description, both in terms of debt obligations but also governing obligations. American states are restricted in their borrowings, which is why our province is more indebted than any of them, and thus different by definition.

American governments also have less onerous responsibilities, notably in health care — OHIP delivers universal coverage that no U.S. state offers, yielding savings to employers who aren’t saddled with costly private health plans. Comparing us to overseas jurisdictions is equally pointless because we are incomparably well situated, given our proximity to American markets and a stable currency.

There’s another reason bond markets and credit rating agencies like Ontario’s debt, but which the finance minister is also loath to discuss publicly. Just as it’s too risky for Phillips to rattle the bond markets over our debt, it’s also too dangerous for him to discuss dreaded tax increases.

The reason our debt keeps ballooning is that our taxes aren’t keeping pace. Put another way, the better way to get a grip on our spiralling debt isn’t to cut spending on services — already the lowest per capita in Canada — but raise taxes to catch up with other provinces, such as Quebec.

The question is not merely ideological but fiscal. Credit rating agencies can see for themselves that Ontario has a strong tax base to bail itself out — if not now, later; if not mid-pandemic, perhaps post-pandemic.

Ontarians will eventually have to level with themselves about the delusion that we can continue to pay low taxes and low hydro rates while bankrolling rising costs and growing investments that keep us competitive. Perhaps that’s why Phillips has quietly ignored his party’s pledge in the last election to lower hydro rates by a further 12 per cent.

Promise made, promise kept — on hold.

As it is, the treasury is already bleeding billions of dollars to pay for hydro subsidies dreamed up by the last Liberal government to ratchet down costs for ratepayers on the backs of taxpayers (egged on by the Tories in opposition, echoed by the NDP). In this month’s budget, Phillips opted to lower hydro rates further — but only for commercial customers, not for ordinary taxpayers who will be footing the bill.

The finance minister is betting lower electricity costs will attract more industrial investment, which in turn broadens the rate base. But taking on yet more debt to pay endless electricity bills is a gamble.

Phillips has a sleight of hand up his sleeve. He is not only borrowing other people’s money in record quantities, he is also spending other people’s money in vast quantities — courtesy of federal cash flow that has reached record heights.

Ontario still won’t say how much, but it’s a question I put to the finance department on budget day, and again Friday to Phillips in the Toronto Star newsroom. As ever, he pledged full transparency.

Promise made, promise kept — on hold. We’ll keep asking.

Martin Regg Cohn is a Toronto-based columnist covering Ontario politics for the Star. Follow him on Twitter:

Traffic alert: Hwy. 89 closed in both directions at Hwy. 400 in Innisfil

Update: the hydro pole has been cleared and the road is re-opened.

A hydro pole has been knocked down and is sitting along Highway 89 at the Highway 400 bridge.

South Simcoe Police are asking drivers to avoid the area.

Crews are on scene.

The hydro pole was hit by a truck.

There were no injuries, police said.