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B.C. care home allowed group activities to continue after positive test: family – Medicine Hat News

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By Laura Dhillon Kane, The Canadian Press on January 13, 2021.

A worker is seen cleaning surfaces inside Little Mountain Place, a long term care home in Vancouver, on January 7, 2021. THE CANADIAN PRESS/Darryl Dyck

VANCOUVER – Parbs Bains had a “sinking feeling” when she heard a single staff member tested positive for COVID-19 at her grandmother’s care home.

On Nov. 20, Little Mountain Place sent an email to families that said an employee had contracted the virus and was in isolation. A Vancouver Coastal Health medical health officer determined there was “minimal exposure risk” and was not declaring an outbreak, it said.

Instead, the health authority placed the home on “enhanced surveillance,” including heightened monitoring of residents, hypervigilance in screening visitors and stronger infection control practices. Visitors were still welcome and group activities were continuing, the email said.

Bains felt certain that this was the beginning of the end for her 89-year-old grandmother.

“I was like, ‘This is it.’ I was bawling because I just knew this was going to be it,” Bains recalled.

The facility declared an outbreak two days later.

It has become the deadliest care home outbreak in British Columbia. Ninety-nine out of 114 residents have been infected and 41 of those have died, including Bains’s grandmother. Seventy staff members also tested positive, but most have recovered.

Two families are questioning whether some deaths could have been avoided if the home had taken stronger measures immediately after the first case was identified. They also say that a hard-working but understaffed nursing team struggled to keep residents isolated and care for those who were sick as the virus spread through the facility.

During a Zoom call with her grandmother after she contracted COVID-19, Bains said another female resident entered the room and began hugging and kissing the elderly woman on the forehead. After several minutes, a nurse rushed in and ushered the other resident out, she recalled.

Bains said that while she didn’t know if the other woman had the virus, it alarmed her that residents were able to wander between rooms without staff immediately noticing.

On other occasions, Bains said her grandmother’s oxygen tubes were out of her nose and she would desperately yell for help over the Zoom call. Nurses told her that her grandmother was actually one of the fortunate ones because her room was close to their station, Bains said.

Bains said she is “so angry” at the way the outbreak was handled.

“Something had to have gone wrong at Little Mountain Place … for this to be so lethal,” she said.

Little Mountain Place referred questions to Vancouver Coastal Health, where Chief Medical Health Officer Dr. Patricia Daly said the provincewide standard is that outbreaks are not automatically declared when one staff member tests positive.

The health authority determines whether the employee was in the care home during their infectious period and whether they potentially exposed other staff or residents, for example by not properly using personal protective equipment, she said.

If there is no evidence of exposures, the authority places the home on “enhanced surveillance” and monitors for other cases, she said. Some testing may be done, and group activities continue but must always follow a COVID-19 safety plan, she said.

Declaring an outbreak every time a single staff member tests positive would be too hard on residents who suffer when they are isolated and their visitors are restricted, Daly said.

“We’re trying to find that right balance.”

Vancouver Coastal Health said there was no mass testing of all residents and staff after the first case was identified. It was only on Nov. 22, after a resident tested positive and the outbreak was declared, that full-facility testing was done, it said.

Daly said broad testing is not always necessary because it depends on the risk and timing of potential exposures.

At Little Mountain Place, it became clear transmission occurred before the initial case was identified, she said.

She said during an outbreak, residents are supposed to stay in their rooms, but it is very challenging for patients with dementia to follow those rules. Staff are advised to monitor residents who wander but not to lock anyone in or restrain them,

she said.

“Keeping residents with cognitive impairment in their rooms, that has been a common challenge across all facilities in all of our outbreaks,” Daly said.

Bains and another relative, Bernadette Cheung, have demanded an investigation of the care home’s response to the virus.

Daly said she received a letter from a family member last week and has ordered Vancouver Coastal Health’s licensing team to conduct a review once the outbreak is over.

The team will examine whether the home is following regulations under the Community Care and Assisted Living Act and, if not, will require it to develop a plan to address those gaps. In very rare cases, reviews by the team have led to a change in management, Daly said.

B.C. Seniors Advocate Isobel Mackenzie said she wants to see routine testing of all staff members at care homes. At Little Mountain Place, all staff and residents should have been tested immediately after the first employee tested positive, she said.

Screening for symptoms is inadequate because people can be asymptomatic and contagious, she noted.

“The fact that more people were infected two days later, if you had tested everybody before then, you’d have caught some people,” she said. “You would have been able to isolate them if they were residents or you would have been able to pull them from the roster if they were staff.”

Dr. Bonnie Henry, the provincial public health officer, said Monday the province is “looking at” regular rapid testing of staff in care homes. Ontario started doing rapid testing at long-term care facilities in November.

Cheung, whose grandmother died of COVID-19 at Little Mountain Place and has been outspoken about her concerns, said Health Minister Adrian Dix called her on Monday. She said he promised an “intense review” of the outbreak and to follow up again with her about his conversations with the care home and the health authority.

The ministry did not immediately respond to a request for comment.

Though the conversation was light on details, Cheung said she appreciated his empathy.

“That gives us hope, at least, that it is a priority for him.”

She said she has also received confirmation from Vancouver Coastal Health that her formal complaint against the care home will proceed.

Cheung has criticized the care home for not being transparent with families. She wants to know more about why the health authority determined there was “minimal risk” of exposure from the first infected staff member and declined to declare an outbreak on Nov. 20, she said.

“Essentially, we’re being kept in the dark and it raises concerns and even suspicions,” she said.

This report by The Canadian Press was first published Jan. 13, 2021.

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Here’s how Helene and other storms dumped a whopping 40 trillion gallons of rain on the South

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More than 40 trillion gallons of rain drenched the Southeast United States in the last week from Hurricane Helene and a run-of-the-mill rainstorm that sloshed in ahead of it — an unheard of amount of water that has stunned experts.

That’s enough to fill the Dallas Cowboys’ stadium 51,000 times, or Lake Tahoe just once. If it was concentrated just on the state of North Carolina that much water would be 3.5 feet deep (more than 1 meter). It’s enough to fill more than 60 million Olympic-size swimming pools.

“That’s an astronomical amount of precipitation,” said Ed Clark, head of the National Oceanic and Atmospheric Administration’s National Water Center in Tuscaloosa, Alabama. “I have not seen something in my 25 years of working at the weather service that is this geographically large of an extent and the sheer volume of water that fell from the sky.”

The flood damage from the rain is apocalyptic, meteorologists said. More than 100 people are dead, according to officials.

Private meteorologist Ryan Maue, a former NOAA chief scientist, calculated the amount of rain, using precipitation measurements made in 2.5-mile-by-2.5 mile grids as measured by satellites and ground observations. He came up with 40 trillion gallons through Sunday for the eastern United States, with 20 trillion gallons of that hitting just Georgia, Tennessee, the Carolinas and Florida from Hurricane Helene.

Clark did the calculations independently and said the 40 trillion gallon figure (151 trillion liters) is about right and, if anything, conservative. Maue said maybe 1 to 2 trillion more gallons of rain had fallen, much if it in Virginia, since his calculations.

Clark, who spends much of his work on issues of shrinking western water supplies, said to put the amount of rain in perspective, it’s more than twice the combined amount of water stored by two key Colorado River basin reservoirs: Lake Powell and Lake Mead.

Several meteorologists said this was a combination of two, maybe three storm systems. Before Helene struck, rain had fallen heavily for days because a low pressure system had “cut off” from the jet stream — which moves weather systems along west to east — and stalled over the Southeast. That funneled plenty of warm water from the Gulf of Mexico. And a storm that fell just short of named status parked along North Carolina’s Atlantic coast, dumping as much as 20 inches of rain, said North Carolina state climatologist Kathie Dello.

Then add Helene, one of the largest storms in the last couple decades and one that held plenty of rain because it was young and moved fast before it hit the Appalachians, said University of Albany hurricane expert Kristen Corbosiero.

“It was not just a perfect storm, but it was a combination of multiple storms that that led to the enormous amount of rain,” Maue said. “That collected at high elevation, we’re talking 3,000 to 6000 feet. And when you drop trillions of gallons on a mountain, that has to go down.”

The fact that these storms hit the mountains made everything worse, and not just because of runoff. The interaction between the mountains and the storm systems wrings more moisture out of the air, Clark, Maue and Corbosiero said.

North Carolina weather officials said their top measurement total was 31.33 inches in the tiny town of Busick. Mount Mitchell also got more than 2 feet of rainfall.

Before 2017’s Hurricane Harvey, “I said to our colleagues, you know, I never thought in my career that we would measure rainfall in feet,” Clark said. “And after Harvey, Florence, the more isolated events in eastern Kentucky, portions of South Dakota. We’re seeing events year in and year out where we are measuring rainfall in feet.”

Storms are getting wetter as the climate change s, said Corbosiero and Dello. A basic law of physics says the air holds nearly 4% more moisture for every degree Fahrenheit warmer (7% for every degree Celsius) and the world has warmed more than 2 degrees (1.2 degrees Celsius) since pre-industrial times.

Corbosiero said meteorologists are vigorously debating how much of Helene is due to worsening climate change and how much is random.

For Dello, the “fingerprints of climate change” were clear.

“We’ve seen tropical storm impacts in western North Carolina. But these storms are wetter and these storms are warmer. And there would have been a time when a tropical storm would have been heading toward North Carolina and would have caused some rain and some damage, but not apocalyptic destruction. ”

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Follow AP’s climate coverage at https://apnews.com/hub/climate

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Follow Seth Borenstein on Twitter at @borenbears

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Associated Press climate and environmental coverage receives support from several private foundations. See more about AP’s climate initiative here. The AP is solely responsible for all content.

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‘Big Sam’: Paleontologists unearth giant skull of Pachyrhinosaurus in Alberta

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It’s a dinosaur that roamed Alberta’s badlands more than 70 million years ago, sporting a big, bumpy, bony head the size of a baby elephant.

On Wednesday, paleontologists near Grande Prairie pulled its 272-kilogram skull from the ground.

They call it “Big Sam.”

The adult Pachyrhinosaurus is the second plant-eating dinosaur to be unearthed from a dense bonebed belonging to a herd that died together on the edge of a valley that now sits 450 kilometres northwest of Edmonton.

It didn’t die alone.

“We have hundreds of juvenile bones in the bonebed, so we know that there are many babies and some adults among all of the big adults,” Emily Bamforth, a paleontologist with the nearby Philip J. Currie Dinosaur Museum, said in an interview on the way to the dig site.

She described the horned Pachyrhinosaurus as “the smaller, older cousin of the triceratops.”

“This species of dinosaur is endemic to the Grand Prairie area, so it’s found here and nowhere else in the world. They are … kind of about the size of an Indian elephant and a rhino,” she added.

The head alone, she said, is about the size of a baby elephant.

The discovery was a long time coming.

The bonebed was first discovered by a high school teacher out for a walk about 50 years ago. It took the teacher a decade to get anyone from southern Alberta to come to take a look.

“At the time, sort of in the ’70s and ’80s, paleontology in northern Alberta was virtually unknown,” said Bamforth.

When paleontogists eventually got to the site, Bamforth said, they learned “it’s actually one of the densest dinosaur bonebeds in North America.”

“It contains about 100 to 300 bones per square metre,” she said.

Paleontologists have been at the site sporadically ever since, combing through bones belonging to turtles, dinosaurs and lizards. Sixteen years ago, they discovered a large skull of an approximately 30-year-old Pachyrhinosaurus, which is now at the museum.

About a year ago, they found the second adult: Big Sam.

Bamforth said both dinosaurs are believed to have been the elders in the herd.

“Their distinguishing feature is that, instead of having a horn on their nose like a triceratops, they had this big, bony bump called a boss. And they have big, bony bumps over their eyes as well,” she said.

“It makes them look a little strange. It’s the one dinosaur that if you find it, it’s the only possible thing it can be.”

The genders of the two adults are unknown.

Bamforth said the extraction was difficult because Big Sam was intertwined in a cluster of about 300 other bones.

The skull was found upside down, “as if the animal was lying on its back,” but was well preserved, she said.

She said the excavation process involved putting plaster on the skull and wooden planks around if for stability. From there, it was lifted out — very carefully — with a crane, and was to be shipped on a trolley to the museum for study.

“I have extracted skulls in the past. This is probably the biggest one I’ve ever done though,” said Bamforth.

“It’s pretty exciting.”

This report by The Canadian Press was first published Sept. 25, 2024.

The Canadian Press. All rights reserved.

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The ancient jar smashed by a 4-year-old is back on display at an Israeli museum after repair

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TEL AVIV, Israel (AP) — A rare Bronze-Era jar accidentally smashed by a 4-year-old visiting a museum was back on display Wednesday after restoration experts were able to carefully piece the artifact back together.

Last month, a family from northern Israel was visiting the museum when their youngest son tipped over the jar, which smashed into pieces.

Alex Geller, the boy’s father, said his son — the youngest of three — is exceptionally curious, and that the moment he heard the crash, “please let that not be my child” was the first thought that raced through his head.

The jar has been on display at the Hecht Museum in Haifa for 35 years. It was one of the only containers of its size and from that period still complete when it was discovered.

The Bronze Age jar is one of many artifacts exhibited out in the open, part of the Hecht Museum’s vision of letting visitors explore history without glass barriers, said Inbal Rivlin, the director of the museum, which is associated with Haifa University in northern Israel.

It was likely used to hold wine or oil, and dates back to between 2200 and 1500 B.C.

Rivlin and the museum decided to turn the moment, which captured international attention, into a teaching moment, inviting the Geller family back for a special visit and hands-on activity to illustrate the restoration process.

Rivlin added that the incident provided a welcome distraction from the ongoing war in Gaza. “Well, he’s just a kid. So I think that somehow it touches the heart of the people in Israel and around the world,“ said Rivlin.

Roee Shafir, a restoration expert at the museum, said the repairs would be fairly simple, as the pieces were from a single, complete jar. Archaeologists often face the more daunting task of sifting through piles of shards from multiple objects and trying to piece them together.

Experts used 3D technology, hi-resolution videos, and special glue to painstakingly reconstruct the large jar.

Less than two weeks after it broke, the jar went back on display at the museum. The gluing process left small hairline cracks, and a few pieces are missing, but the jar’s impressive size remains.

The only noticeable difference in the exhibit was a new sign reading “please don’t touch.”

The Canadian Press. All rights reserved.

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