Constitutionally, the provinces and federal government share health powers. Accordingly, the results of the outbreak have been uneven across the country. Kudos go to Alberta as the only jurisdiction which was proactive in identifying and preparing for the outbreak.
When they heard of the new strain of “pneumonia” in China, they sent a team of health experts to check it. When they returned to Alberta with information of the virus, the government immediately began purchasing large amount of protective medical equipment. At that time, an N95 mask could be purchased on the open market for approximately fifty cents each. Today, that same mask, if you can get it, will cost about ten dollars. Last week, the Alberta government made a donation of excess protective equipment to other provinces.
B.C. deserves great credit for their reaction to initial outbreaks in nursing homes. Strict guidelines have greatly curtailed the overall spread of the virus. Dr. Bonnie Henry, the health minister, has been so influencial that a clothing design company in Vancouver has named a new line of apparel after her
Quebec was besieged by a large number of people returning from winter break and also long turn vacationers from Florida. Recent events have illustrated a lack of proper oversight of nursing homes. Medical supplies have been very short.
It’s hard to imagine that just prior to the March break, Premier Doug Ford, in Ontario, was expressing best wishes as families departed on their various trips. In the next week or ten days, the reality of an imminent threat became more obvious. In first gatherings with media, the health minister assured Ontarians that everything was under control. The minister in charge of long term care, was rather vague as to how many nursing and retirement homes had already been touched by Covid-19. However in the next media scrum, the premier sombrely relayed that the situation was serious and from then on, the answers from his government would be clear and transparent. He admitted a serious shortage of all protective, medical equipment. He called on donations from many sources and encouraged domestic production of such items as shields respirators, medical gowns and masks. After much fanfare about these domestic creations, there have been few updates.
In Ottawa, health officials were quick to urge people to distance from each other, to self- quarantine, and to wash hands frequently with soap and water. Trudeau quickly opened up funds to lesson the financial pain in the nation. But the issue of the benefits of wearing a mask has a sorry legacy. Dr. Tam originally dismissed the general usage of the mask in public as a kind of placebo. Shortly thereafter, Mr. Trudeau suggested it might possibly be of some usage. The merits of the N95 mask were discussed in an earlier blog.
Much news has broken recently. On Wednesday, dozens of frontline TTC employees refused to go out on shift after seventeen of their members had test positive for the virus. The TTC management had initially recommended that their drivers not wear masks. This job action was primarily about allowing drivers to wear masks on the job.
In Ontario, the lack of supply of N95 masks has been devastating. Almost inevitably, where firestorms have broken out, workers have complained that they did not have appropriate masks. Even essential workers, such as TTC employees, taxi drivers, truck drivers, and grocery workers, should be properly equipped. As of Monday, TTC management was sitting on a stock pile of three hundred and forty three thousand surgical masks and thirty one thousand N95 masks. After checking with hospitals about their supply, management relented and distributed masks to their employees.
As of last night, Transport Canada has mandated that all flights originating in Canada will require passengers to wear masks
In a major story in the Toronto Star today, it is reported that the Ontario Nurses’s Association, has asked a superior court judge to order certain nursing homes to stop breaching safety directives from Ontario’s chief medical officer. The ONA sites a number of shocking instances of negligence and misdirection. At Hawthorne Pl., in North York, it is alleged that nurses and other staff were initially directed by a manager not to wear even a surgical mask as it would scare the residents. N95 masks were kept under lock and key and staff working late shifts could not access even basic masks, the ONA alleges.
Keep well and wear your mask,
Joe