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Placement Setting Long Term Care Video

Topic: Placement Setting Long Term Care

Nathan Stall, a geriatrician at Mount Sinai Hospital in Toronto, and Doris Grinspun, executive director of the RNAO, said a systemic bias against long-term care residents and lack of effective action after the first wave, have put long-term care residents at risk for a repeat disaster as cases climb in the province.

Bias, lack of action setting stage for a second disaster in long-term care: experts

That is chilling. Stall and Grinspun want the province to institute a day lockdown — excluding essential services and schools — in all red zones across the province to lower rising case counts. Keeping COVID out of communities, they said, is the only effective way of keeping it out of vulnerable long-term care homes.

On Friday afternoon, Premier Doug Ford tightened restrictions in a colour-coded provincial framework that was unveiled just nine days ago, after new projections showed Ontario is on course to have 6, cases a day by mid-December. Ford, who has been criticized for ignoring the advice of experts in the original framework, said he acted now in response Setging new information about the pandemic trajectory in the Placement Setting Long Term Care. The change moved hard-hit areas, including Toronto and Peel, into the red zone with the most stringent restrictions before lockdown. Ottawa remains in the orange zone.

The changes, which still allow indoor dining with restrictions, do not go as far as Stall and Grinspun, among others, are calling for. The high death rates among long-term care residents in Ontario during the first wave of COVID are widely seen as a province-wide shame. After a lull in the summer, long-term care outbreaks have begun to increase. As of Thursday, long-term care residents had died during the second wave of COVID in Ontario and there were active outbreaks.

Some of the deadliest outbreaks this fall have been in Ottawa and Eastern Ontario. Both homes are operated by Extendicare and have been placed under management by The Ottawa Hospital. If forecasts hold true and daily case counts in the province go beyond 6, by December, the results will be catastrophic for long-term care residents, said Twrm.

The majority of cases of COVID since September have been among people under 60, but most deaths have been among the elderly. Between one out of every three and one out of every four long-term care residents who contract COVID in Ontario have died, Stall said. Stall produced research during the summer showing that the most deadly outbreaks in Ontario were in private long-term care homes. Many of them operated out of buildings that were older and more crowded than other homes.]