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我村一半以上的确诊病例，和85%以上的死亡，出现在长期护理院。主要集中在我村30家护理院中的4家。
几家相同房主或管理公司的护理院，都出现很不平衡的情况，早期建造的老式护理院条件差，感染人数和死亡人数明显多于新建的护理院。
The cruelly disproportionate spread of the virus in LTC homes
Author of the article:
James Bagnall
Publishing date:
2 hours ago • 4 minute read
OTTAWA - April 24, 2020 - Paramedics preparing to enter Laurier Manor on Montreal Road. TONY CALDWELL / Postmedia
When Dr. Vera Etches reintroduced a map Friday showing the incidence of COVID-19 infections across Ottawa by political ward, she was careful to note the information wasn’t very useful.
“Areas with higher or lower rates are not more or less safe from COVID-19 transmission,” the city’s top health official pointed out. “This map cannot be used to identify COVID-19 hotspots.”
The best Etches could do was advise that rural wards were generally safer than densely populated urban ones and that areas with greater concentrations of older residents would show relatively more frequent positive tests for the virus.
Beyond that, “COVID is everywhere in our community,” she concluded.
At least four months after the SARS-CoV-2 virus began circulating in Ottawa, this is where we are in the battle against a nearly invisible enemy. The one bright spot: because of physical distancing, it’s easier for health officials to track and trace the more limited number of people that patients have been in touch with.
Mostly, though, we are deep in the fog because so many infected people show few or no symptoms and our testing regime is incapable of keeping up. Sadly, one variable that offers clarity about the progression of the virus is the health status of residents in long-term care homes.
Not only are these seniors peculiarly vulnerable in terms of underlying health, many are packed into homes in which physical distancing, the one foolproof defence against this disease, proved difficult.
Yet even here there is much we don’t know about how this virus spreads. Consider the situation in Ottawa, where long-term care homes account for more than half of the nearly 2,000 confirmed cases to date across the city and 85 per cent of Ottawa’s 248 coronavirus-related deaths.
Remarkably, the strong majority of the long-term care cases and deaths have emerged from just four of the city’s nearly 30 facilities — Laurier Manor, Madonna Care Community, Carlingview Manor and Monfort Long-Term Care Centre.
They are all owned by large, well-capitalized firms that operate a wide variety of long-term care facilities in Ontario and elsewhere. Each has seen the virus rip through their operations, tornado like, hitting some homes with disproportionate force and leaving others nearly unscathed.
Extendicare, the Markham-based owner of Laurier Manor, should by rights be in total crisis mode. It operates five long-term care facilities in Ottawa — all built according to older design criteria that permit up to four residents per room. There have been no COVID-19 deaths in four of the homes — Medex, New Orchard Lodge, Starwood and West End Villa — and relatively few infections. But Extendicare’s Laurier Manor has seen 25 residents perish since the beginning of the pandemic, along with more than 100 infections.
Extendicare, which declined comment for this story, operates 21 of these older-style long-term care homes across the province. Just four, including Laurier Manor, have had deadly COVID-19 outbreaks. The company also runs 13 newer Ontario residences, built since 1980, in which the majority of rooms are private. It’s telling that none of these more modern homes have seen residents die from COVID-19-related illness.
The variations have been nearly as big at Sienna — its Granite Ridge Care facility in Stittsville has seen no fatalities related to the coronavirus while Madonna Care Community has lost 44 residents and two staff members. Sienna, which on Thursday announced a wide-ranging review of its operations, owns two of the five long-term care facilities savaged by the Canadian military in its recent report to Ontario Premier Doug Ford.
For its part, Revera runs or owns three Ottawa-area homes that have been devastated by virus-related deaths, including Carlingview, Monfort and Stoneridge Manor of Carleton Place. Oddly, although Revera’s Ottawa-area beds account for just 14 per cent of the firm’s total in Ontario, they are responsible for nearly half the Revera’s nearly 200 COVID-19 related deaths.
What accounts for such disparate experiences? In the absence of widespread testing and tracking of the disease’s spread, we can’t be sure.
Dr. Brent Moloughney, Ottawa’s associate medical officer, notes there are multiple potential factors, including “the number of residents per room, pre-existing (medical) conditions, staff levels and training, access and use of personal protective equipment and the ability to physically distance.”
Patrick McCarthy, the president and chief executive of OMNI Health Care, has deep first-hand knowledge of these variables.
Among OMNI’s long-term care facilities are Kanata’s Garden Terrace, a 17-year-old home with zero COVID-19 deaths, and Almonte’s Country Haven, where more than two dozen have died during the pandemic.
Differences in design were a factor in OMNI’s two very different experiences, McCarthy said. “Our Almonte home meets older design criteria, providing for fewer private and two-person basic rooms than the newer building design of Garden Terrace,” he noted, adding that plans to upgrade the Almonte facility are awaiting government and financing approvals.
Luck, good and bad, may also have been an important influence. McCarthy noted that the province’s early guidelines stressed the importance of identifying and isolating residents who showed flu-like symptoms, and doing limited, focused testing.
As testing at the Almonte care facility expanded through April and May, he pointed out, provincial officials were able to identify “a significant number of positive but asymptomatic residents and staff.”
Trouble was, even though OMNI introduced visiting restrictions at all its homes on March 14, the virus was already widespread. The movements of asymptomatic carriers likely had much to do with the severity of infections experienced by different homes. Yes, the larger spaces in the newest long-term care homes would have helped to reduce the spread. But that helped only so much when no one knew who the carriers were.
ottawacitizen.com
几家相同房主或管理公司的护理院，都出现很不平衡的情况，早期建造的老式护理院条件差，感染人数和死亡人数明显多于新建的护理院。
The cruelly disproportionate spread of the virus in LTC homes
Author of the article:
James Bagnall
Publishing date:
2 hours ago • 4 minute read
OTTAWA - April 24, 2020 - Paramedics preparing to enter Laurier Manor on Montreal Road. TONY CALDWELL / Postmedia
When Dr. Vera Etches reintroduced a map Friday showing the incidence of COVID-19 infections across Ottawa by political ward, she was careful to note the information wasn’t very useful.
“Areas with higher or lower rates are not more or less safe from COVID-19 transmission,” the city’s top health official pointed out. “This map cannot be used to identify COVID-19 hotspots.”
The best Etches could do was advise that rural wards were generally safer than densely populated urban ones and that areas with greater concentrations of older residents would show relatively more frequent positive tests for the virus.
Beyond that, “COVID is everywhere in our community,” she concluded.
At least four months after the SARS-CoV-2 virus began circulating in Ottawa, this is where we are in the battle against a nearly invisible enemy. The one bright spot: because of physical distancing, it’s easier for health officials to track and trace the more limited number of people that patients have been in touch with.
Mostly, though, we are deep in the fog because so many infected people show few or no symptoms and our testing regime is incapable of keeping up. Sadly, one variable that offers clarity about the progression of the virus is the health status of residents in long-term care homes.
Not only are these seniors peculiarly vulnerable in terms of underlying health, many are packed into homes in which physical distancing, the one foolproof defence against this disease, proved difficult.
Yet even here there is much we don’t know about how this virus spreads. Consider the situation in Ottawa, where long-term care homes account for more than half of the nearly 2,000 confirmed cases to date across the city and 85 per cent of Ottawa’s 248 coronavirus-related deaths.
Remarkably, the strong majority of the long-term care cases and deaths have emerged from just four of the city’s nearly 30 facilities — Laurier Manor, Madonna Care Community, Carlingview Manor and Monfort Long-Term Care Centre.
They are all owned by large, well-capitalized firms that operate a wide variety of long-term care facilities in Ontario and elsewhere. Each has seen the virus rip through their operations, tornado like, hitting some homes with disproportionate force and leaving others nearly unscathed.
Extendicare, the Markham-based owner of Laurier Manor, should by rights be in total crisis mode. It operates five long-term care facilities in Ottawa — all built according to older design criteria that permit up to four residents per room. There have been no COVID-19 deaths in four of the homes — Medex, New Orchard Lodge, Starwood and West End Villa — and relatively few infections. But Extendicare’s Laurier Manor has seen 25 residents perish since the beginning of the pandemic, along with more than 100 infections.
Extendicare, which declined comment for this story, operates 21 of these older-style long-term care homes across the province. Just four, including Laurier Manor, have had deadly COVID-19 outbreaks. The company also runs 13 newer Ontario residences, built since 1980, in which the majority of rooms are private. It’s telling that none of these more modern homes have seen residents die from COVID-19-related illness.
The variations have been nearly as big at Sienna — its Granite Ridge Care facility in Stittsville has seen no fatalities related to the coronavirus while Madonna Care Community has lost 44 residents and two staff members. Sienna, which on Thursday announced a wide-ranging review of its operations, owns two of the five long-term care facilities savaged by the Canadian military in its recent report to Ontario Premier Doug Ford.
For its part, Revera runs or owns three Ottawa-area homes that have been devastated by virus-related deaths, including Carlingview, Monfort and Stoneridge Manor of Carleton Place. Oddly, although Revera’s Ottawa-area beds account for just 14 per cent of the firm’s total in Ontario, they are responsible for nearly half the Revera’s nearly 200 COVID-19 related deaths.
What accounts for such disparate experiences? In the absence of widespread testing and tracking of the disease’s spread, we can’t be sure.
Dr. Brent Moloughney, Ottawa’s associate medical officer, notes there are multiple potential factors, including “the number of residents per room, pre-existing (medical) conditions, staff levels and training, access and use of personal protective equipment and the ability to physically distance.”
Patrick McCarthy, the president and chief executive of OMNI Health Care, has deep first-hand knowledge of these variables.
Among OMNI’s long-term care facilities are Kanata’s Garden Terrace, a 17-year-old home with zero COVID-19 deaths, and Almonte’s Country Haven, where more than two dozen have died during the pandemic.
Differences in design were a factor in OMNI’s two very different experiences, McCarthy said. “Our Almonte home meets older design criteria, providing for fewer private and two-person basic rooms than the newer building design of Garden Terrace,” he noted, adding that plans to upgrade the Almonte facility are awaiting government and financing approvals.
Luck, good and bad, may also have been an important influence. McCarthy noted that the province’s early guidelines stressed the importance of identifying and isolating residents who showed flu-like symptoms, and doing limited, focused testing.
As testing at the Almonte care facility expanded through April and May, he pointed out, provincial officials were able to identify “a significant number of positive but asymptomatic residents and staff.”
Trouble was, even though OMNI introduced visiting restrictions at all its homes on March 14, the virus was already widespread. The movements of asymptomatic carriers likely had much to do with the severity of infections experienced by different homes. Yes, the larger spaces in the newest long-term care homes would have helped to reduce the spread. But that helped only so much when no one knew who the carriers were.
The cruelly disproportionate spread of the virus in LTC homes
One variable that offers clarity about the progression of COVID-19 is the health status of residents in long-term care homes.
以后退休养老是个大问题呀。我村一半以上的确诊病例，和85%以上的死亡，出现在长期护理院。主要集中在我村30家护理院中的4家。
几家相同房主或管理公司的护理院，都出现很不平衡的情况，早期建造的老式护理院条件差，感染人数和死亡人数明显多于新建的护理院。
The cruelly disproportionate spread of the virus in LTC homes
Author of the article:
James Bagnall
Publishing date:
2 hours ago • 4 minute read
OTTAWA - April 24, 2020 - Paramedics preparing to enter Laurier Manor on Montreal Road. TONY CALDWELL / Postmedia
When Dr. Vera Etches reintroduced a map Friday showing the incidence of COVID-19 infections across Ottawa by political ward, she was careful to note the information wasn’t very useful.
“Areas with higher or lower rates are not more or less safe from COVID-19 transmission,” the city’s top health official pointed out. “This map cannot be used to identify COVID-19 hotspots.”
The best Etches could do was advise that rural wards were generally safer than densely populated urban ones and that areas with greater concentrations of older residents would show relatively more frequent positive tests for the virus.
Beyond that, “COVID is everywhere in our community,” she concluded.
At least four months after the SARS-CoV-2 virus began circulating in Ottawa, this is where we are in the battle against a nearly invisible enemy. The one bright spot: because of physical distancing, it’s easier for health officials to track and trace the more limited number of people that patients have been in touch with.
Mostly, though, we are deep in the fog because so many infected people show few or no symptoms and our testing regime is incapable of keeping up. Sadly, one variable that offers clarity about the progression of the virus is the health status of residents in long-term care homes.
Not only are these seniors peculiarly vulnerable in terms of underlying health, many are packed into homes in which physical distancing, the one foolproof defence against this disease, proved difficult.
Yet even here there is much we don’t know about how this virus spreads. Consider the situation in Ottawa, where long-term care homes account for more than half of the nearly 2,000 confirmed cases to date across the city and 85 per cent of Ottawa’s 248 coronavirus-related deaths.
Remarkably, the strong majority of the long-term care cases and deaths have emerged from just four of the city’s nearly 30 facilities — Laurier Manor, Madonna Care Community, Carlingview Manor and Monfort Long-Term Care Centre.
They are all owned by large, well-capitalized firms that operate a wide variety of long-term care facilities in Ontario and elsewhere. Each has seen the virus rip through their operations, tornado like, hitting some homes with disproportionate force and leaving others nearly unscathed.
Extendicare, the Markham-based owner of Laurier Manor, should by rights be in total crisis mode. It operates five long-term care facilities in Ottawa — all built according to older design criteria that permit up to four residents per room. There have been no COVID-19 deaths in four of the homes — Medex, New Orchard Lodge, Starwood and West End Villa — and relatively few infections. But Extendicare’s Laurier Manor has seen 25 residents perish since the beginning of the pandemic, along with more than 100 infections.
Extendicare, which declined comment for this story, operates 21 of these older-style long-term care homes across the province. Just four, including Laurier Manor, have had deadly COVID-19 outbreaks. The company also runs 13 newer Ontario residences, built since 1980, in which the majority of rooms are private. It’s telling that none of these more modern homes have seen residents die from COVID-19-related illness.
The variations have been nearly as big at Sienna — its Granite Ridge Care facility in Stittsville has seen no fatalities related to the coronavirus while Madonna Care Community has lost 44 residents and two staff members. Sienna, which on Thursday announced a wide-ranging review of its operations, owns two of the five long-term care facilities savaged by the Canadian military in its recent report to Ontario Premier Doug Ford.
For its part, Revera runs or owns three Ottawa-area homes that have been devastated by virus-related deaths, including Carlingview, Monfort and Stoneridge Manor of Carleton Place. Oddly, although Revera’s Ottawa-area beds account for just 14 per cent of the firm’s total in Ontario, they are responsible for nearly half the Revera’s nearly 200 COVID-19 related deaths.
What accounts for such disparate experiences? In the absence of widespread testing and tracking of the disease’s spread, we can’t be sure.
Dr. Brent Moloughney, Ottawa’s associate medical officer, notes there are multiple potential factors, including “the number of residents per room, pre-existing (medical) conditions, staff levels and training, access and use of personal protective equipment and the ability to physically distance.”
Patrick McCarthy, the president and chief executive of OMNI Health Care, has deep first-hand knowledge of these variables.
Among OMNI’s long-term care facilities are Kanata’s Garden Terrace, a 17-year-old home with zero COVID-19 deaths, and Almonte’s Country Haven, where more than two dozen have died during the pandemic.
Differences in design were a factor in OMNI’s two very different experiences, McCarthy said. “Our Almonte home meets older design criteria, providing for fewer private and two-person basic rooms than the newer building design of Garden Terrace,” he noted, adding that plans to upgrade the Almonte facility are awaiting government and financing approvals.
Luck, good and bad, may also have been an important influence. McCarthy noted that the province’s early guidelines stressed the importance of identifying and isolating residents who showed flu-like symptoms, and doing limited, focused testing.
As testing at the Almonte care facility expanded through April and May, he pointed out, provincial officials were able to identify “a significant number of positive but asymptomatic residents and staff.”
Trouble was, even though OMNI introduced visiting restrictions at all its homes on March 14, the virus was already widespread. The movements of asymptomatic carriers likely had much to do with the severity of infections experienced by different homes. Yes, the larger spaces in the newest long-term care homes would have helped to reduce the spread. But that helped only so much when no one knew who the carriers were.
The cruelly disproportionate spread of the virus in LTC homes
One variable that offers clarity about the progression of COVID-19 is the health status of residents in long-term care homes.
Active case那条线看不懂，不是说有86个吗，那个看曲线超过200了，怎么算的
以后可不可以把渥太华number of recovered and active cases也加上？
最后编辑:
对不起，我看错了。
麻烦以后能不能加上number of recovered case
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