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‘Ontario is at a breaking point:’ COVID-19 impacts being felt beyond the lockdown areas of Toronto and Peel

The impacts of are radiating out further from the lockdown zones of Toronto and Peel as the province marked a sixth straight day with new cases above 1,700 and 35 deaths, the highest in a week.

Hospitals in Kitchener, Cambridge and Windsor are among those feeling the pinch of a growing pandemic that has already curbed non-emergency surgeries in parts of the GTA.

Health Minister Christine Elliott said parts of the province could see more restrictions imposed on them Friday after the latest statistics are re-evaluated by Ontario’s chief medical officer Dr. David Williams.

“Dr. Williams is speaking with the medical officers of health in several other areas to obtain their views about whether…they think they should be moved up from orange to red or into lockdown,” she told reporters Wednesday in a reference to the province’s five-tier, colour-coded framework.

Criteria include the weekly rate of cases per 100,000 people, the number of outbreaks, strain on hospital intensive care unit capacity and the percentage of people testing positive, along with a health unit’s ability to keep up with contact tracing.

York Region, Durham, Halton, Hamilton, Waterloo and Windsor-Essex are now in the red zone, one step short of lockdown.

In Kitchener, Grand River Hospital said it has temporarily paused non-urgent elective surgeries and has cut down to two cardiac surgeries a week.

“We are currently at full capacity in ICU (intensive care unit) and are experiencing a surge in COVID and non-COVID critical-care patients,” the hospital said in a statement as the surrounding Waterloo public health unit reported 103 new infections.

Waterloo MPP Catherine Fife called on Premier government to provide “immediate and urgent investments” for hospitals.

“Ontario is at a breaking point…things are only going to get worse,” the New Democrat said in the legislature’s daily question period.

Elliott maintained “Ontario is not in a crisis right now” and said it is doing better than Alberta and Manitoba which have case rates four and six times higher, with Alberta “doubling up” patients in intensive care rooms.

“We are flattening this curve,” Elliott said.

Figures from her own ministry show active cases are at an all-time high of 14,526 people testing positive in the last 14 days and the seven-day average of cases hitting a record of 1,720, up 50 people from Tuesday.

There were 1,723 new cases reported Wednesday, up slightly from 1,707 the previous day.

Elliott later acknowledged Ontario has “plateaued at a very high level but what we want to do is keep it there, but move it down.”

She came under fire from opposition parties for comparing Ontario to worse-off provinces out west instead of better-off Atlantic Provinces where cases are low because of a restrictive bubble formed there earlier this year.

“Stop playing defence,” said Liberal House Leader John Fraser. “It’s not a valid argument. We need to be better able to manage this.”

The health unit in Windsor-Essex, which had another 60 cases and entered the red or “control” zone on Monday, said it is having trouble keeping up and is battling 18 outbreaks, including two of Ontario’s six current school closures. Hospitals have put strict limits on visitors.

“Every outbreak that we report, every case, is a further stretch of our resources,” said chief executive Theresa Marentette, noting that tracing and managing cases is becoming increasingly difficult.

“We need help and we need it now,” added New Democrat MPP Percy Hatfield (Windsor-Tecumseh), warning of a “looming collapse.”

Elliott said she is aware of the “considerable concern regarding public health resources” in Windsor-Essex and has provided 24 more contact tracing staff to help get case growth “more under control.”

“If more resources are needed for that, we will certainly provide them,” she pledged.

Green Leader Mike Schreiner said areas outside Toronto clearly need more help from the province to stem the tide of the pandemic until a vaccine arrives and is widely distributed.

“The virus can get out of control. The government needs to deploy resources immediately to those areas that need them.”

Most cases remain in the GTA, with Toronto at 410 new infections, Peel with 500, York 196, Durham at 124 and Halton with 45. Hamilton had 74.

Ontario has had 3,698 deaths from COVID-19 since the first fatality in March. Almost 120,000 people have tested positive for the virus, which first arrived in the province in January.

Rob Ferguson is a Toronto-based reporter covering Ontario politics for the Star. Follow him on Twitter:

‘Unacceptable’: Union claims management didn’t do enough to prevent second outbreak at Simcoe Manor in Beeton

The union that represents healthcare workers at Simcoe Manor in Beeton is accusing management of not doing enough to prevent the COVID-19 outbreak at the facility that has led to nearly 70 infections and nine deaths since it began on Oct. 2.

Sharlene Stewart, union president for SEIU Healthcare, which represents nearly 160 workers at the home, claims the County of Simcoe didn’t take proper precautions after a resident was hospitalized on Sept. 27.

“If this resident had enough symptoms to be taken to the hospital, I’m sure he was presumed to possibly be infected with the virus,” she said.

But according to Jane Sinclair, the general manager of health and emergency services for the County of Simcoe, which manages the 126-bed facility, the resident who was hospitalized on Sept. 27 was not presenting COVID-19 symptoms, and was released back to the home after he was assessed at the hospital.

While he was given a COVID-19 test that day, she said the hospital determined at the time his condition was not COVID-19 related.

“It was a non-COVID related diagnosis, so we took the appropriate steps based on the medical information we had at the time,” she said.

Sinclair said management was informed about his positive test result after the outbreak had already been declared on Oct. 2, which happened after another resident also tested positive.

The resident died from the virus on Oct. 3.

Stewart also lashed out at management for how the situation was communicated to staff, noting many found out on social media.

Sinclair said the home has “stringent processes” for how it shares the personal health information of its residents.

She said anyone who is in the circle of care, the staff members who are directly involved in caring for the person, were regularly advised about his condition, including the assessment that was done in hospital.

“We followed all of our normal communication processes to ensure that circle was updated and informed,” she said.

Sinclair said there has been even more communication between staff and families since the outbreak began, including weekly virtual town halls and daily huddles with staff.

“We are really focusing on communication with our staff because we know how important it is,” she said.

Stewart said there was also a problem regarding access to personal protective equipment (PPE), noting a staff member had to break into the storage area.

Sinclair confirmed that a nurse encountered a faulty lock, resulting in a member of the maintenance team having to break it open. But she said there have been no other issues with staff being able to access PPE.

Sinclair said the province has directed all homes to keep PPE secured and to keep close tabs on the gear to ensure it being used appropriately and an adequate supply is kept on hand.

The home has been under the management of Royal Victoria Hospital since the province ordered a temporary management order on Oct. 12.

Stewart was also concerned with outside agency workers coming to work in the home.

Sinclair said the county was forced to get help from other companies, especially as more staffers became infected, to ensure they maintain baseline staffing levels and quality of care for residents.

But she said all contractors have to sign a contract to confirm they are not working at other facilities.

Sinclair said county staff who work in other departments have also been redeployed to the home to assist, and all county employees are only allowed to work at a single location.

Stewart said it’s “unacceptable” an outbreak like this was able to happen, but she places much of the blame on the provincial government.

She questions why more wasn’t done to prepare for the second wave in the summer when the number of cases dropped.

“Simcoe Manor is an indication that we haven’t done better,” she said.

This echoes statements that were made in a recent inquiry by doctors from the non-profit Ontario Long-Term Care Clinicians, about how the province ignored long-term care homes as it prepared hospitals for the second wave.

Earlier this month, the Ontario Health Coalition held protests to demand the Ford government take action to address what it calls the “critical shortage” of staffing and care in long-term care homes.

As part of its fall preparedness plan, the province said it would make $540 million in long-term care investments, with portions of the funding going towards enhanced infection prevention and control, and to address the issue of adequate staffing.

“We are working in partnership across government and doing everything we can to protect Ontarians from COVID-19,” said Dr. Merrilee Fullerton, Minister of Long-Term Care, in a statement. “We have made tremendous progress to fortify our long-term care homes, so they have the physical and human resources they need to ensure the safety and well-being of all residents and staff.”

But Natalie Mehra, executive director of the coalition, described these investments as “piecemeal” and “inadequate.”

As of Oct. 26, there were 86 active outbreaks reported in LTC homes throughout Ontario and 1,921 resident deaths.