Changes at Parlee Beach means improved access for people with disabilities


New Brunswick’s largest beach will once again be open to the public starting Friday and visitors to Parlee Beach Provincial Park will notice some changes that include improved access for those with disabilities.

“We have been lobbying for years now to make the entire province accessible,” said Mathieu Stever, the manager of the ParaNB program with Ability New Brunswick

The provincial park is getting a $2-million facelift in advance of its second season in operation amid the pandemic. According to the province, funding for the upgrades is being applied from the capital improvement budgets from 2020 to 2022.

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The work includes upgrades to roads, entrances, the canteen, restaurant bar and patio area as well as improved access to the beach, according to the park’s manager, Michel Mallet, who said they partnered with Ability NB on the project starting in 2019.

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“We call it a comfort station, which is basically an accessible washroom and accessible charging room and shower outside,” said Mallet.

Improved sidewalks and beach-friendly wheelchairs will also be available for visitors, said Mallet.

He said an accessible playground is also being installed in the coming weeks. The hope is to have the upgrades ready by the end of the school year, he said.


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Program helping Moncton youth with disabilities find work


Program helping Moncton youth with disabilities find work – Mar 18, 2021

“I think it is great having Parlee Beach set the example of how you can renovate the beach and make it accessible for everyone because our motto is that everyone plays,” said Stever.

Stever said he hopes the initiative will encourage other provincial parks in the province to do similar upgrades.

“It is everyone’s right to be able to access all recreation activities in the province”, he said.

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Parlee Beach opens on Friday with COVID-19 protocols similar to last year, said Mallet.

All washrooms and changing rooms, even the accessible ones, will remain closed for now, he said.

Access to the provincial beach for vacationers from outside of the province will also depend on the loosening of COVID-19 restrictions.





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COVID-19: Toronto woman charged after gatherings reportedly held at Innisfil Airbnb


A Toronto woman has been charged in connection with an Airbnb rental in Innisfil, Ont., after gatherings were reported to be taking place at the address amid the third wave of the COVID-19 pandemic.

Under Ontario’s current emergency orders, short-term rentals are only allowed for people who are in need of housing.

All gatherings are also currently prohibited in order to curb the spread of the novel coronavirus.

South Simcoe Police said they received complaints from the community about gatherings at an address in the 25th Sideroad and 9th Line area.

On Wednesday, the Toronto woman and Airbnb renter was served a provincial offences notice under the Reopening Ontario Act.

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8 from GTA charged following gathering at Muskoka cottage


Eight people from the Greater Toronto Area (GTA) have been charged following a gathering that took place at a cottage in Gravenhurst, Ont., on Saturday night.

Under Ontario’s current stay-at-home order, gatherings with anyone outside of one’s household are prohibited in order to curb the spread of the third wave of COVID-19.

The fine for violating the rule under Ontario’s Emergency Management and Civil Protection Act is $750.

At 10:30 p.m. Saturday, police say they responded to a complaint from a member of the public and found eight people who were in violation of the current coronavirus restrictions.

Officers say the individuals were charged accordingly.





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8 charged after trespassing, violating stay-at-home order in Adjala-Tosorontio: police


Three men and five boys have been charged after trespassing at a vacant residence in Adjala-Tosorontio, Ont., and violating the province’s stay-at-home order on Thursday. The order was put in place earlier in the month in an effort to curb the COVID-19 health crisis.

Just before 4 a.m, OPP responded to a report of people trespassing at a property on 20th Sideroad.

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5 Ontarians from different addresses charged after riding in same car during stay-at-home order

The concerned citizen reported hearing a number of unknown voices and seeing flashlights on the property.

Police attended the scene and found three men and five boys trespassing and in violation of Ontario’s stay-at-home order under the Emergency Management and Civil Protection Act and the Reopening Ontario Act.

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All eight individuals, who were all from Peel Region, were charged with entering premises when prohibited and failure to comply with an emergency order under the Emergency Management and Civil Protection Act.


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Ontario’s latest COVID-19 modelling data is dire, say health experts


Ontario’s latest COVID-19 modelling data is dire, say health experts – Apr 16, 2021





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Group urges province to open COVID-19 vaccine pre-registration to all Ontarians


A Toronto city councillor and a group of health-care professionals are calling on the province to open COVID-19 vaccine pre-registration to all Ontarians in a bid to improve the rollout of shots.

Coun. Josh Matlow and health-care professionals from the University Health Network and the University of Toronto, posted an open letter to Premier Doug Ford, Health Minister Christine Elliott, and the co-chairs of the COVID-19 science advisory table on Wednesday.

Read more:
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“While the vaccine rollout offers an end in sight to the COVID-19 pandemic, too many Ontarians who have yet to be eligible for the current phase of the vaccination plan are left feeling anxious about when, and how they’ll learn that their turn will finally come,” the letter said.

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“That is why we recommend the province offer a specific category on their call-in and online booking systems that gives Ontarians an opportunity to pre-register for the vaccine.”

The letter said residents should be able to enter their date of birth, postal code, and contact information and get onto a registration list.

“Once eligible, Ontarians could receive an email and/or text message outlining the next steps on how to officially book their vaccine appointment and applicable location(s),” the letter said.

They said this could improve the management of vaccine supply, offer insight into vaccine hesitancy, and give residents the feeling of being closer to overcoming the pandemic.





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Ontario hospitals told to ‘ramp down’ all elective, non-emergency surgeries due to COVID-19


The president of the Ontario Hospital Association says hospitals have been directed to “ramp down” all elective surgeries and non-emergency activities starting Monday amid the third wave of the COVID-19 pandemic.

“A major redeployment of staff and resources is required to provide care for a large wave of COVID patients requiring hospitalization,” Anthony Dale tweeted.

In a memo dated on Thursday, Matthew Anderson, Ontario Health’s president and CEO, said effective Monday, April 12 at 12:01 a.m. hospitals are instructed to ramp down on non-urgent activities, including surgeries.

“Given increasing case counts and widespread community transmission across many parts of the province, we are facing mounting and extreme pressure on our critical care capacity,” the memo read.

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The memo noted the scale back does not apply to the Northern Ontario Health Region but cautions the region should be prepared to do so in the near future if needed.

Hospitals that specialize in pediatric patients were also advised to not ramp down any capacity and continue with plans to care for children and youth.

“These are very difficult and challenging times for all Ontarians, and we understand that deferring scheduled care will have an impact on patients and their families and caregivers,” the memo read.

As of Friday, there are 541 patients in Ontario’s ICUs with COVID-19 according to Critical Care Services Ontario’s daily report — the highest number seen in the entire pandemic. Patients admitted to ICUs in the province have surged in the last couple weeks.

The province also reported more than 4,200 new COVID-19 cases on Friday, the second highest increase in a case count since the pandemic began.

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Ontario reports more than 4,200 COVID-19 cases, second highest case count on record

“This situation is extraordinarily serious and we ask for patience and support from the people of Ontario as hospitals grapple with this historic crisis,” Dale said. “Ensuring equitable access to critical care services is our paramount priority.”

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Following the scale back directive, another physician Dr. Naheed Dosani said he has received calls from concerned patients living at home with serious illnesses who are “understandably upset that their surgeries/procedures will be canceled.”

The memo from Ontario Health prompted the College of Physicians and Surgeons of Ontario to issue a statement of support for doctors citing provincial consideration to enact critical care triage protocol.

“We firmly believe physicians need to be supported if they are required to make extraordinary decisions about which of their patients will be offered critical care resources that are in short supply,” Nancy Whitmore, CEO of the college said in her statement.

“Once the critical care triage tool is initiated by the command tables of the province, we are supportive of physicians acting in accordance with this protocol even when doing so requires departing from our policy expectations.”

Whitmore said these are extraordinary times requiring extraordinary decision-making. Despite no official word on triage from the province, the college said it would provide clarity and support to Ontarian physicians if the protocol is enacted.

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In an email to Global News, Dr. Mary Grant, a radiologist in Ontario, said the college’s letter about possible critical care triage was upsetting to receive and she is urging the public to do their part in these “unprecedented times.”

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“We all believe that the public needs to be made aware of our reality in the medical world,” Grant wrote. “We need public buy-in for this stay at home order, we need those who are eligible to get vaccinated, and we need folks avoiding activities for the short while that could result in trauma (need for an ICU bed).”

Premier Doug Ford declared a third state of emergency and implemented a stay-at-home order in effect for the next four weeks as the province struggles to bring down rising COVID-19 infection rates and hospitalizations.





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Phase 2 of Ontario’s vaccine plan to focus on age, neighbourhood and health conditions in April


The Ontario government says there will be a focus on seniors aged 60 and older, those in other congregate settings, hot spot regions and those who cannot work from home in an updated vaccine rollout plan on Friday.

According to the documents, the vaccine rollout firstly targets death prevention, followed by prevention of illness, hospitalization and ICU admission, and transmission reduction.

The province is currently wrapping up Phase 1, in which those living in long-term care homes, retirement homes, as well as staff and front-line workers were targeted. Over 820,000 doses have been administered and over 269,000 Ontarians have been fully immunized with two shots.

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Officials noted that the plan does not factor in the newly approved Johnson & Johnson shot and additional doses of the Pfizer-BioNTech’s vaccine, which was announced on Friday.

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Health officials said timelines are amendable and may change based on vaccine supply.  There are currently four vaccines approved in Canada: Pfizer, Moderna, AstraZeneca and Johnson & Johnson. The first three require two shots several weeks apart while Johnson & Johnson only requires one.

Retired Gen. Rick Hillier, the head of the province’s vaccine rollout said with the approval of the new vaccines, the hope will be that everyone who wishes to be vaccinated will have at least their first dose by the end of June, or potentially by the first day of summer on June 20.

Phase 2 of Ontario’s three-phase rollout plan will see shots administered based on risk factors including age, neighbourhood, existing health conditions and inability to work from home.

Read more:
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This strategy focuses on the 2.5 million Ontarians between the ages of 60 and 79 years old.

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Residents over the age of 80 will be vaccinated first in March, followed by those over 75 years old, over 70 years old, over 65 years old and over 60 years old with the target end date to be done by the beginning of June.


The Phase 2 sequencing provided by the Ontario government.


Ontario government


Health Conditions and Congregate Settings

This strategy focuses on the 2.9 million Ontarians living with health conditions and the 0.2 million Ontarians living in congregate settings. This group will begin to be vaccinated in April.

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Ontarians living with the following health conditions will be vaccinated in Phase 2:

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Highest-risk (442,000)

  • organ transplant recipients
  • hematopoietic stem cell transplant recipients
  • people with neurological diseases in which respiratory function may be compromised
  • haematological malignancy diagnosed <1 year
  • kidney diseases eGFR<30

High-risk (292,000)

  • Obesity (BMI>40)
  • Other treatments causing immunosuppression
  • intellectual or developmental disabilities

At-risk (2.2 million)

  • immune deficiencies and autoimmune disorders
  • stroke/cerebrovascular disease
  • dementia
  • diabetes
  • liver disease
  • all other cancers
  • respiratory diseases
  • spleen problems
  • heart disease
  • hypertension with end organ damage
  • diagnosis of mental disorder
  • substance use disorders
  • thalassemia
  • pregnancy
  • immunocompromising health conditions
  • other disabilities requiring direct support care in the community.

At-risk staff, essential caregivers and residents in congregate settings will be vaccinated in this category.

  • supportive housing
  • developmental services/intervenor and supported independent living
  • emergency homeless shelters
  • other homeless populations not in shelters
  • mental health and addictions congregate settings
  • homes for special care
  • violence against woman shelters and anti-human trafficking residents
  • children’s residential facilities
  • youth justice facilities
  • indigenous healing and wellness
  • provincial and demonstration schools
  • on-farm temporary foreign workers
  • bail beds and indigenous bail beds
  • adult correctional facilities

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This strategy focuses on the 900,000 Ontarians living in targeted hot spot regions, who have high rates of death, hospitalizations and transmission. These hot spot regions will still focus on older age groups first. The vaccination process will begin in April and is expected to be completed by the end of May.

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The following 13 public health units will receive up to 920,000 additional vaccine doses to target “historic and ongoing hot spots,” according to the documents.

  • Durham
  • Halton
  • Hamilton
  • Niagara
  • Ottawa
  • Peel
  • Simcoe Muskoka
  • Waterloo
  • Wellington Dufferin Guelph
  • Windsor Guelph
  • Windsor Essex
  • York
  • Toronto
  • South West

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This strategy focuses on the almost 2.5 million Ontarians who cannot work from home amid the pandemic. These residents are broken into two groups and those who fall under this category will be vaccinated at the end of Phase 2 expected to be around June.

The first group contains 730, 000 people:

  • elementary/secondary school staff
  • workers responding to critical events (police, fire, compliance, funeral, special constables)
  • childcare and licensed foster care workers
  • food manufacturing workers
  • agriculture and farm workers

The second group contains 1.4 million people:

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  • high-risk and critical retail workers (grocery and pharmacies)
  • remaining manufacturing labourers
  • social workers
  • courts and justice system workers
  • lower-risk retail workers
  • transportation, warehousing and distribution
  • energy, telecom, water and wastewater management
  • financial services
  • waste management
  • mining, oil and gas workers

Over 400,000 essential caregivers will be vaccinated at the same time (at the end of Phase 2), with the focus being on those who take care of residents living with the highest-risk conditions including organ transplants recipients and hematopoietic stem cell transplant recipients.

Ontario will be launching its online vaccination booking system and call centre on March 15. Certain public health units have launched their own system including in Peel Region and Guelph.


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Ontario pharmacies added to COVID-19 vaccine rollout


Ontario pharmacies added to COVID-19 vaccine rollout

The Ontario government said it is also working with all 34 public health units in the province to create mass immunization clinics. According to the document, “it is expected that approximately 80 per cent of total provincial vaccine allocations will be administered through mass immunization clinics during Phase 2 and 3.”

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Vaccinations will also be made available through certain pharmacies and family health centres.

“It is expected that the majority of the first shipment of AstraZeneca in March and in Phase 2 will be supported by the addition of retail pharmacies and primary care,” the documents read.

— With files from The Canadian Press





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People with disabilities request priority for COVID-19 vaccine in N.B.


The New Brunswick Coalition of Person with Disabilities is calling on the province to prioritize people with disabilities in its vaccine rollout schedule.

The group’s vice-president, Murielle Pitre, said people with disabilities often have other health conditions that leave them more vulnerable to the coronavirus which should be taking into consideration in the province’s vaccine plan.

“I think that we should figure somewhere on the schedule and the reality is that we are just not,” said Pitre.

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She said the coalition supports the decision to have health-care and senior-care workers and seniors at the top of the list to receive the vaccine. But she says people with disabilities should be included among the vulnerable population.

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“Many people with disabilities have lung issues. For example, I have scoliosis and my lungs don’t function at 100 per cent.”

Mike Parker of Moncton was born with cerebral palsy and also suffers from a heart and lung condition, which he said leave him more vulnerable to COVID-19.

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“In my case, it is a heart and lung disorder, which scares the heck out of me and that is why I don’t go out that much,” he said.

He said that as a person with a disability, he feels overlooked in the province’s vaccine rollout plans.

“Us the disabled, we are not even mentioned, so it is upsetting,” he said.


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COVID-19 long haulers denied disability insurance claims


COVID-19 long haulers denied disability insurance claims

People with disabilities are also not specifically listed in Nova Scotia’s vaccine rollout plans.

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Pitre said many people with disabilities have been housebound for months, which is impacting their mental health.

“Many people have been isolating since last year, I mean, since the beginning of the pandemic because they are afraid to go out,” she said.

Pitre said has spoken to her local MLA several times on the matter but hasn’t heard back yet.

“We are waiting on a response,” she said.

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People with disabilities, autism carry a heavier pandemic burden, advocates say

On Monday afternoon, a spokesperson for the Department of Health, Shawn Berry, said in an email to Global News that long-term care workers and residents and health-care workers are the priority and the province “will be providing more details in the coming weeks about the next groups in its vaccination roll out plans.”

Meanwhile, Parker said his shot cannot come soon enough.

“I am afraid that if I get (COVID-19) chances are I can’t say if I would survive or not. It is 50/50 with me,” he said.

 





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Coronavirus: Ontario patients to be ranked for life-saving care should ICUs become full


Hospitals in Ontario have received a much-anticipated document that lays out the criteria to be used if intensive care units fill up and medical resources are scarce.

According to the document, titled “Adult Critical Care Clinical Emergency Standard of Care for Major Surge” and prepared by the province’s critical care COVID-19 command centre – patients will be scored by doctors on a “short-term mortality risk assessment.”

“Aim to prioritize those patients who are most likely to survive their critical illness,” the document notes.

“Patients who have a high likelihood of dying within twelve months from the onset of their episode of critical illness (based on an evaluation of their clinical presentation at the point of triage) would have a lower priority for critical care resources,” the document reads.

It lists three levels of critical care triage:

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“Level 1 triage deprioritizes critical care resources for patients with a predicted mortality greater than 80 per cent,” the document notes.

“Level 2 triage deprioritizes critical care resources for patients with a predicted mortality (greater than) 50 per cent.”

At Level 3 triage, patients with predicted mortality of 30 per cent – or a 70 per cent chance of surviving beyond a year – will not receive critical care. At this stage, patients who have suffered a cardiac arrest will be deprioritized for critical care, as their predicted mortality is greater than 30 per cent.

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At this level, clinicians may abandon the short-term mortality predictions in favour of randomization, which the document notes is to be used “as a last resort” and should be conducted by an administrator, not by bedside clinicians.

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The protocol, dated Jan. 13, says there are three steps on the road to critical care triage:

Step 1 says hospitals should build surge capacity.

In Step 2 , “if demand still exceeds capacity, the hospital will adjust the type of care being provided to focus on key critical care interventions,” which include basic modes of ventilation.

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Step 3 is the initiation of critical care triage. Once that process kicks in, “all requests for ICU admission are managed by an administrator on call who supports the bedside clinicians.”

At the moment, there are 416 patients with COVID-19 in ICUs in Ontario, which has a total of 1,800 total ICU beds.

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Modelling released by the province last week show that about 700 ICU beds will be used by COVID-19 patients by the first week February.

Dr. Andrew Baker, the head of the critical care COVID-19 command centre and director of critical care at St. Michael’s Hospital, said the triage protocol contains information and tools that are a standard way for physicians to conduct an assessment for a patient upon arrival at an emergency department.

“They were shared with the critical care community as background only and to ensure a common approach across the sector, so physicians and other health professional staff can learn how to quickly operationalize an emergency standard of care for admission to critical care, if ever needed,” he said.

Baker said an emergency standard of care is not in place, but will be enacted if needed.

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He said there is an “extensive, sophisticated, provincewide effort” to transfer patients out of hospitals that are at capacity.

Dr. Michael Warner, the medical director of critical care at Michael Garron Hospital in Toronto, said the hospital is running at 105 per cent capacity, but has cancelled surgeries in order to keep some spots open in the ICU.

“I sincerely hope we never need to use this because it is terrible for patients, terrible for their families, causes moral distress for health-care workers, and it’s something that we should do everything possible to avoid having to implement,” Warner said.

David Lepofsky, the chairman of Accessibility for Ontarians with Disabilities Act Alliance, said the triage guidelines are discriminatory.

He pointed to the clinical frailty scale, a prognostic tool doctors use in cases of progressive illnesses to assess a patient’s general deterioration over time.

“This is disability-based discrimination and that’s against the law in the Constitution,” Lepofsky said.





© 2021 The Canadian Press





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Medical staff need guidance on life or death triage decision as Ontario ICUs fill up: experts


TORONTO — As intensive care units in Ontario hospitals continue to fill up with COVID-19 patients, the province has yet to finalize a plan on who should get life-saving care when health resources are limited.

The latest COVID-19 projections show the province’s ICUs could reach “gridlock” by mid-to-late February.

At that point, health-care workers will have to decide who gets an ICU bed and who doesn’t – a practice known as critical care triage. It’s a heart-wrenching decision doctors in a number of countries with hospitals overwhelmed with COVID-19 patients have had to make.

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“It’s really concerning to not know what the plan is and transparency around that would go a long way towards everyone’s ability to prepare and everyone’s mental well-being,” said Dr. Samantha Hill, the president of the Ontario Medical Association, which represents more than 40,000 physicians.

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The province has stumbled in its efforts to get the critical care triage ethical framework out to doctors.

Ontario Health sent out a critical care triage protocol on March 28, 2020, but retracted it several months later after an outcry from human rights organizations.

“The first protocol was horrifically discriminatory against patients with disabilities,” said David Lepofsky, the chairman of Accessibility for Ontarians with Disabilities Act Alliance.

One problem with that proposal was the use of a “clinical frailty scale,” or CFS, Lepofsky said.


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Kingston prepares for out-of-region COVID-19 patients


Kingston prepares for out-of-region COVID-19 patients

The scale is also part of a proposed framework sent to the government by the Bioethics Table, which advises the province on the health system’s response to COVID-19.

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The document – titled “Critical Care Triage during Major Surge in the COVID-19 Pandemic: Proposed Framework for Ontario” – lays out how a patient would qualify or be excluded from critical care and was sent to the province in September.

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The clinical frailty scale is used as a prognostic tool for progressive illnesses that assesses a patient’s general deterioration over time, the Bioethics Table notes in the document, which was obtained by The Canadian Press.

However, the proposal acknowledges that the CFS “would seem to conflate disability with frailty and hence would contribute to over-triaging of persons with disabilities.”

It further notes that the CFS “illustrates how clinical evidence and experience are not sufficient alone to establish the justifiable use of a clinical tool and calls attention to the embedding of social norms within clinical tools and in their application in practice.”

The Ontario Human Rights Commission has also expressed concern about the recommendation that patients be evaluated for their survival potential over the next 12 months.

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Under the Bioethics Table’s proposed protocol, patients would be evaluated and assigned into colour-coded categories based on the predicted percentage of short-term mortality risk over the next year.

There would then be three levels of triage depending on demand and availability of beds.

In Level 1 triage, patients who have greater than 20 per cent chance of surviving 12 months should be prioritized. In Level 2, patients with greater than 50 per cent chance of survival in a year should be prioritized and, in Level 3, patients who have a greater than 70 per cent chance of survival should be prioritized.

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Ena Chadha, the chief commissioner of the Ontario Human Rights Commission, said the 12-month time period is troubling.

“A doctor can make a decision in the short term: is this person going to survive next week, the next two weeks,” she said.

“But when you start looking at one year…you are going to be infused with discriminatory ideas about the person’s disability and age. Our stakeholders would like to see a much shorter time frame.”

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COVID-19 deaths in Ontario’s 2nd wave to exceed 1st if contacts aren’t reduced, modelling suggests

Both Lepofsky and Chadha, along with the Bioethics Table, said there must also be due process — an appeal process — so that life or death decisions aren’t made by one person.

Another major concern for both Lepofsky and Chadha is the province’s lack of transparency on such an important issue.

“This process is very opaque as to who are the decision-makers, what is the process and where are we at right now?” Chadha said.

“This is distressing for our community stakeholders. They are very worried that their dignity and life is at stake and that when it comes to making decisions about a very horrible death, the health-care decision-makers may not understand the value of their life.”

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The Ministry of Health said the Bioethics Table will continue to talk to various stakeholders.

“These conversations are ongoing to ensure that the proposed framework reflects the best available evidence and advice,” said spokesman David Jensen, noting that nothing has been approved by the ministry.





© 2021 The Canadian Press





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