'A new pandemic': Experts urge province to vaccinate essential workers as hospitals reach capacity

As the third wave of the pandemic worsens, withCOVID-19 cases soaring and critical care admissions reaching record highs, some health experts are calling on the province to quickentheir vaccine distribution to combatunsustainable pressure facing hospitals and health centres.

"We're at over 100 per cent constantly," said Jamie Spiegelman, an internal medicine and critical care specialist at Humber River Hospital in Toronto.

On Sunday, Critical Care Services Ontario released a daily report showing record-high intensive care unit numbers in the province, with 467 people in ICU.

In February, provincial modelling showed that the province was heading for a potential disaster come early March if the government didn't take heed of the science table's advice toaggressively vaccinate and maintainstay-at-home orders.

This would "help avoid a third wave and third lockdown,"Dr. Peter Jni, the scientific director of the Ontario COVID-19 Science Advisory Table, told CBC News at the time.

Now, he saysthat 50 per cent of all cases linked to the virus would be preventable if people just "did the right thing," such as only going out when necessary and interacting only with those in a single household.

Theother 50 per cent of COVID-19 cases, he said,are tied toessential workers and their families. "That's another challenge to tackle," he said onRosemary Barton Live onSunday, calling on the government to do more for these workers who are at greatest risk.

Calls to bring vaccinations into factories and otheressential workplaces have ramped up over the past few days as Ontario went into a provincewide shutdown, shuttering indoor and outdoor dining at restaurants andpersonal care services, but leaving essential businesses open.

On Sunday, Dr. Amit Arya, a palliative care physician at McMaster University and the University of Toronto, called out the government in a tweet for failing to make essential workers eligible for the vaccine whileother people part of an older cohortpotentially facingless day-to-day risk are prioritized.

In a statement to CBC News on Monday, Ontario's health ministry did not directly respond to the criticismconcerning the lack of protection foressential workers, but said: "In alignment with [the National Advisory Committee on Immunization], Ontario's vaccine distribution plan is focused on vaccinating populations based on age and risk."

The ministry said this approach is designed to save lives, protect those at risk of serious illness and to stop the virus from spreading. The statement went on to notethat essential workers will be vaccinated in Phase 2 of the province's vaccination rollout.

Phase 2 of vaccine rollout to begin soon

Phase 2, which includes prioritizing essential workers, is set to begin in the coming weeks.As with the entirety of the vaccination campaign, however, it's all contingent on adequate supply.

According to a statement issued Sunday bythe health ministry, every single vaccine dose received has been allocated to a waiting Ontarian who has booked an appointment.

Thatstatement cameas Arya, along with other health-care professionals, said on Sunday that over 985,000 doses of COVID-19 vaccines are currently sitting in Ontario freezers.

"To be clear, vaccines are not sitting infreezers," Alexandra Hilkene, a spokespersonfor the minister of health, saidin a statement to CBC News on Sunday.

"Ontario received225,600 doses of Moderna yesterday and today.Additionally, the province received583,400 doses of theAstraZenecavaccine on April 1.Pharmacy chains are delivering allocations to individuallocations as quickly as possible and many locations have already started to administer doses."

Last month, Ford said the province's vaccine administration capacity will allow for over 150,000 doses a day, depending on supply. The province has yet to reach 100,000 vaccines per day, with the closest being89,873 doses administered on a single day on March 31.

Shutdown overlooks biggest source of cases, expert says

On Saturday, Unifor National President Jerry Dias said protecting essential workers by providing paid sick leave and prioritizing them for vaccinations is a must in order to save lives.

"If you're going to send people to work, then you better make sure they can go to work safely," he said.

Dr. Sumon Chakrabarti, an infectious disease physician with Trillium Health Partners, said the province is seeing the lion's share of cases that are happening in the third wave inessential workers.

He said people that "keep the lights on" such as farmers, factory workers and grocery store clerks are not protected by the shutdown because by definition, they are essential and cannot close.

"So the lockdown is exactly missing the biggest source of cases," Chakrabarti said. "This is one of my biggest concerns."

Targeted vaccination campaigns, paid sick leave, isolation support and targeted testing will mitigate the root of the problem in essential workers,Chakrabarti said.He said this population hasbeen hit hard, yet they've been continuously overlooked, wave after wave.

He said prioritizing the safety of essential workers is what will help get this third wave under control.

WATCH | Dr.Peter Juni, the scientific director of the Ontario COVID-19 Science Advisory Table,speaks to CBC's Rosemary Barton about the need to vaccinate essential workers:

'It pains me': Ontario doctor calls on government to protect essential workers

3 years ago

Duration 9:04

Dr. Peter Jni, a member of Ontarios COVID-19 Science Advisory Table, says the situation in ICUs right now is precarious and Canadians need to follow public health measures and stay at home. Watch Rosemary Barton Live on Sunday at 10 a.m. ET/7 a.m. PT/11:30 a.m. NT on CBC News Network and CBC Gem.

Speaking on CBC News Network Sunday, Spiegelmansaid tocare forone ICU patient on life supportit takes a whole team of health-care professionals, including at least five nurses in a 24-hour period, social workers, respiratory therapists, dietitians and more. This, as the health sector faces "a huge nursing shortage," he said.

He said the government's"emergency brake"to shut down the province is necessary, but only time will tell if it's enough.

Jni, for his part, saidhe will be advising the Ontario government in the coming days and weeks to pivot the vaccination campaign to essential workers.

"It's a new pandemic now," he said.

For this change to happen, Jni said the province can't continue to distribute the vaccine by population size or age cohort, but rather to people who need it most.

"We need not equality, we need equity now."

Triaging patients is worst-case scenario, OHA says

President and CEO of the Ontario Hospital Association Anthony Dale saidas of Saturday, critical care units received 38 new admissions, bringing COVID-19-related admissions to 467. There arearound 1,800 people in critical care overall.

Dale said these numbers are crushing the capabilities of the hospitals and if the numbers continue to increase this way,the worst-case scenario would see physicians having to triage patients and make choices about how to use their resources based on patients' overall health and probability of survival.

"The situation is extremely, extremely serious. I can't put into words how concerned we are about what the next several weeks will bring," he said.

The vast majority of new community cases are the B117 variant first detected in the United Kingdom, he said, which is proven to cause more hospitalizations, notably in younger people, and carries more severe longer-term consequences. The probability of death is also much higher, he said.

He said he will keep pushing the government to address the dire situation on the ground and will make it known that more aggressive action is needed to stem the tide.