(April 2, 2020)<\/p>\n
By: Donald Macdonald,\u00a0Sudbury Star<\/p>\n
Health-care workers are operating in \u201cwar-zone conditions\u201d because of the outbreak of COVID-19 around the world.<\/p>\n
Candace Rennick, secretary-treasurer of the Canadian Union of Public Employees in Ontario, says a shortage of personal protective gear \u2013 PPE \u2013 leaves long-term care employees ill-prepared to deal with the pandemic.<\/p>\n
\u201cIt\u2019s like working in a disaster zone,\u201d Rennick says. \u201cThere is a lot of fear.\u201d<\/p>\n
What makes things worse, she says, is the province \u201cloosened up a whole bunch of rules\u201d to bring in volunteers at many of the facilities, although many are not trained and have no experience dealing with infectious diseases.<\/p>\n
\u201cIt\u2019s a perfect storm that is leading to disaster,\u201d she says.<\/p>\n
\u201cIt\u2019s only going to get worse.\u201d<\/p>\n
One of the first things Rennick would do is have every long-term care facility \u2013 and in fact, any health-care facility \u2013 treat COVID-19 as though it is an airbone-transmissible disease.<\/p>\n
During the SARS crisis in 2003, she says, the initial belief was that it could not be transmitted through the air. It was later determined that it could. In that crisis, 375 Canadians were infected and 44 died.<\/p>\n
As of Wednesday, 9,560 Canadians had contracted COVID-19 and 112 died.<\/p>\n
Workers, Rennick says, should have access to \u201cproper full protective equipment,\u201d including N95 masks, which are used to protect the wearer from airborne particles and from liquid contaminating the face.<\/p>\n
\u201cBut they are not being made available,\u201d Rennick says. \u201cWe don\u2019t have an adequate supply.\u201d<\/p>\n
Long-term care patients, she says, are the most vulnerable to contracting the virus, and if it gets into a facility is \u201cable to spread like wildfire.<\/p>\n
Despite the efforts of long-term care administration, \u201cstaff are fearful,\u201d says Amanda Farrow, president of CUPE Local 1339.<\/p>\n
\u201cI would like to think management is doing the best they can,\u201d she says, but the protocols put in place by the province set only minimum standards.<\/p>\n
\u201cThe homes are doing what they are directed to do by the ministry\u201d of long-term care, she says. \u201cThat doesn\u2019t alleviate the fears of the workers.<\/p>\n
\u201cThe information is changing all the time. We don\u2019t know what tomorrow will bring.<\/p>\n
\u201cPeople are afraid. I don\u2019t think anyone walks in the door and says \u201cI\u2019m immune.\u2019\u201d<\/p>\n
Over the past few days, Farrow says, staff at Eastholme Home for the Aged have been required to wear surgical masks all the time when they are on the unit.<\/p>\n
\u201cIt elevates the fear for sure,\u201d she says.<\/p>\n
\u201cThis is what everyone is talking about.\u201d<\/p>\n
And while the information is constantly changing, Farrow says administration at Eastholme is \u201ctrying to communicate the most up-to-date information\u201d to staff.<\/p>\n
What needs to happen, though, is for the province to do a better job of elevating the minimum standards, as well as providing all employees with PPE.<\/p>\n
Fourteen residents and one volunteer at the Pinecrest Nursing Home in Bobcaygeon have died of the virus, and there have been 19 other COVID-19-related deaths at long-term care and retirement homes in the province.<\/p>\n
Many staff at the Bobcaygeon facility tested positive and were placed in mandatory isolation.<\/p>\n
In a release issued Tuesday, the Ontario Health Coalition said Ontario trails all provinces in testing for coronavirus, with only 334 per 100,000 people being swabbed.<\/p>\n
Alberta is testing three times as many residents, while five times as many are being tested in the Northwest Territories.<\/p>\n
\u201cThe (Doug) Ford government has said that the reason is a lack of reagents needed for testing,\u201d the coalition notes. \u201cBut Ontario not only lags in the number of tests per capita (which one might expect given the size of the population), our province has also done fewer tests in total than our nearest large province and is very close in total numbers to other large provinces that have much smaller populations. Which raises the question \u2014 if other provinces have enough reagents to do more tests, then why does Ontario not?\u201d<\/p>\n
The national labour union CLAC also sounded the alarm on Tuesday, warning nursing homes will become vectors for COVID-19 unless more protective equipment is immediately supplied.<\/p>\n
\u201cRecent outbreaks in two Ontario long-term care homes demonstrate that COVID-19 is clearly spreading in ways that current policies are failing to address, and that includes failing to protect people from airborne droplets arising from regular or heavier breathing,\u201d said Michael Reid, CLAC\u2019s Ontario health-care coordinator.<\/p>\n
The organization is calling on the Ford government to both boost PPE and implement stronger usage protocols in long-term care homes to protect front-line workers and residents.<\/p>\n