Quicker, more decisive action against COVID-19 in British Columbia is one of the reasons the province has suffered far fewer long-term care deaths than Ontario, a new study says.
The analysis published on Wednesday in the Canadian Medical Association Journal also points to less funding, more privatization and less co-ordination between homes and hospitals as factors that drove the spread of the novel coronavirus among Ontario’s most vulnerable.
One of the paper’s authors, Dr. Irfan Dhalla of St. Michael’s Hospital and the University of Toronto, said there’s already been a worrying rise in infections as parts of Ontario grapple with a second wave.
And despite lessons learned from the first wave of the pandemic, Dhalla said front-line workers say the province is still not adequately prepared for a new influx of long-term care cases.
As of Sept. 10, Ontario reported 1,817 resident deaths from COVID-19, compared to 156 deaths in B.C. The number of cases among LTC residents in Ontario totaled nearly 6,000 compared to 466 in B.C.
This week, Ontario Premier Doug Ford pledged more measures to rein in COVID-19 at long-term care homes, including restrictions to visitors in provincial hot-spots starting Monday.
Ford also announced $540 million to help long-term care homes support staff, pay for renovations and bolster infection control.
But the Ontario Long Term Care Association, which represents home operators, has said homes are reeling from a staffing crisis and need more support.
Dhalla said B.C.’s system entered the pandemic with several advantages, including better co-ordination between long-term care, public health and hospitals, more money for long-term care, fewer shared rooms and more comprehensive inspections.
He also credited B.C. provincial health officer Dr. Bonnie Henry with quicker action to address staffing and infection prevention and control, as well as harness public support with clear, consistent messages.
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“Bonnie Henry has received worldwide acclaim for her leadership, the compassion that she demonstrates from the podium, her willingness to act decisively,” said Dhalla.
In contrast, Ontario’s health system was in a state of flux as regional health networks and several provincial agencies were merged into a single agency called Ontario Health, said the paper.
That saw the departure of several senior leaders who have yet to be replaced, and came amid budget cuts for Public Health Ontario and individual public health units.