City, Hospitals make recommendations in response to Rosslyn Retirement Home crisis – The Bay Observer – Providing a Fresh Perspective for Hamilton and Burlington
In the wake of the forced evacuation of the Rosslyn Retirement residence on King Street East, the City of Hamilton department of Public Health and the local hospital network have drafted a series of recommendations to the Province to help better deal with similar outbreaks in future. The full text of the communique follows:
The City of Hamilton, along with local health partners, have put forward a set of recommendations to the Ontario Health – West region of the Province regarding the prevention and management of COVID-19 outbreaks in congregate care settings, following a serious outbreak at the Rosslyn Retirement Home in Hamilton last week.
The recommendations aim to provide clarity around the accountabilities and critical actions required in the effective management of an outbreak situation in settings including retirement and long-term care homes, which have been heavily affected by the COVID-19 pandemic.
The recommendations are the result of a debrief between key partners involved in the Rosslyn crisis response, including the City of Hamilton, Hamilton Public Health, St. Joseph’s Healthcare Hamilton, LHIN Home and Community Care, and Hamilton Health Sciences (HHS).
“The severity of the situation at the Rosslyn Retirement Residence can not be understated,” says Rob MacIsaac, chair of the Hamilton-Niagara-Haldimand-Brant regional pandemic command table and chief executive officer at HHS.
“We have carefully reviewed the series of events and feel it is our collective duty to share our findings and recommendations with the Province so that we can do better by those living in congregate care settings across Ontario.”
The recommendations call for:
• Immediate testing of residents and healthcare workers in retirement homes with a plan to spread to other high-risk congregate settings
• Proactive identification of an alternate healthcare facility that a home can access in a crisis situation
• Clearer accountability, roles, and responsibilities of those who operate and work in congregate settings
• Basic standards and requirements of physicians who provide care to residents in congregate settings
• Formal structure at municipal level to oversee these kinds of required decants/actions
• Completion of functional assessments in congregate settings to review things such as administrative structures, medication systems, medical model, etc.
• Hospitals to back each other up as needed to be able to respond to non-crisis requests from congregate settings outside of their municipality.
See Also
• A line of sight to role and accountability of regulatory bodies for retirement homes
• Development of a more formal infrastructure to support congregate settings to ensure a coordinated health system response to the pandemic
“We’re grateful to all the partners that came together to respond and provide support during this emergency situation,” said Paul Johnson, the City of Hamilton’s EOC Director who also supports the broader health sector work of the Ontario Health West Command structure. “We look forward to implementing the recommendations within a local context and working with the province to address the broader concerns in congregate living settings.”
Some Ontario doctors have started offering a free shot that can protect babies from respiratory syncytial virus while Quebec will begin its immunization program next month.
The new shot called Nirsevimab gives babies antibodies that provide passive immunity to RSV, a major cause of serious lower respiratory tract infections for infants and seniors, which can cause bronchiolitis or pneumonia.
Ontario’s ministry of health says the shot is already available at some doctor’s offices in Ontario with the province’s remaining supply set to arrive by the end of the month.
Quebec will begin administering the shots on Nov. 4 to babies born in hospitals and delivery centers.
Parents in Quebec with babies under six months or those who are older but more vulnerable to infection can also book immunization appointments online.
The injection will be available in Nunavut and Yukon this fall and winter, though administration start dates have not yet been announced.
This report by The Canadian Press was first published Oct. 21, 2024.
-With files from Nicole Ireland
Canadian Press health coverage receives support through a partnership with the Canadian Medical Association. CP is solely responsible for this content.
ISLAMABAD (AP) — Polio cases are rising ahead of a new vaccination campaign in Pakistan, where violence targeting health workers and the police protecting them has hampered years of efforts toward making the country polio-free.
Since January, health officials have confirmed 39 new polio cases in Pakistan, compared to only six last year, said Anwarul Haq of the National Emergency Operation Center for Polio Eradication.
The new nationwide drive starts Oct. 28 with the aim to vaccinate at least 32 million children. “The whole purpose of these campaigns is to achieve the target of making Pakistan a polio-free state,” he said.
Pakistan regularly launches campaigns against polio despite attacks on the workers and police assigned to the inoculation drives. Militants falsely claim the vaccination campaigns are a Western conspiracy to sterilize children.
Most of the new polio cases were reported in the southwestern Balochistan and southern Sindh province, following by Khyber Pakhtunkhwa province and eastern Punjab province.
The locations are worrying authorities since previous cases were from the restive northwest bordering Afghanistan, where the Taliban government in September suddenly stopped a door-to-door vaccination campaign.
Afghanistan and Pakistan are the two countries in which the spread of the potentially fatal, paralyzing disease has never been stopped. Authorities in Pakistan have said that the Taliban’s decision will have major repercussions beyond the Afghan border, as people from both sides frequently travel to each other’s country.
The World Health Organization has confirmed 18 polio cases in Afghanistan this year, all but two in the south of the country. That’s up from six cases in 2023. Afghanistan used a house-to-house vaccination strategy this June for the first time in five years, a tactic that helped to reach the majority of children targeted, according to WHO.
Health officials in Pakistan say they want the both sides to conduct anti-polio drives simultaneously.
WASHINGTON (AP) — Millions of people with private health insurance would be able to pick up over-the-counter methods like condoms, the “morning after” pill and birth control pills for free under a new rule the White House proposed on Monday.
Right now, health insurers must cover the cost of prescribed contraception, including prescription birth control or even condoms that doctors have issued a prescription for. But the new rule would expand that coverage, allowing millions of people on private health insurance to pick up free condoms, birth control pills, or “morning after” pills from local storefronts without a prescription.
The proposal comes days before Election Day, as Vice President Kamala Harris affixes her presidential campaign to a promise of expanding women’s health care access in the wake of the U.S. Supreme Court’s decision to undo nationwide abortion rights two years ago. Harris has sought to craft a distinct contrast from her Republican challenger, Donald Trump, who appointed some of the judges who issued that ruling.
“The proposed rule we announce today would expand access to birth control at no additional cost for millions of consumers,” Health and Human Services Secretary Xavier Becerra said in a statement. “Bottom line: women should have control over their personal health care decisions. And issuers and providers have an obligation to comply with the law.”
The emergency contraceptives that people on private insurance would be able to access without costs include levonorgestrel, a pill that needs to be taken immediately after sex to prevent pregnancy and is more commonly known by the brand name “Plan B.”
Without a doctor’s prescription, women may pay as much as $50 for a pack of the pills. And women who delay buying the medication in order to get a doctor’s prescription could jeopardize the pill’s effectiveness, since it is most likely to prevent a pregnancy within 72 hours after sex.
If implemented, the new rule would also require insurers to fully bear the cost of the once-a-day Opill, a new over-the-counter birth control pill that the U.S. Food and Drug Administration approved last year. A one-month supply of the pills costs $20.
Federal mandates for private health insurance to cover contraceptive care were first introduced with the Affordable Care Act, which required plans to pick up the cost of FDA-approved birth control that had been prescribed by a doctor as a preventative service.
The proposed rule would not impact those on Medicaid, the insurance program for the poorest Americans. States are largely left to design their own rules around Medicaid coverage for contraception, and few cover over-the-counter methods like Plan B or condoms.