Lessons from the first wave not learned everywhere

CHSLDs and retirement homes (RPA) are struggling to implement the lessons of the first wave of COVID-19 in the spring in Quebec, while community transmission is not running out of steam.

“We know what to do, and if the measures are put in place, there is no reason to go to 25 or 50% [de résidents infectés] ”, Estimates the geriatrician specialized in epidemiology, Dr. Quoc Dinh Nguyen.

Yesterday, the list of the Ministry of Health and Social Services still counted 15 RPA in critical situation and 10 CHSLD,
with such percentages. Some may display 10 to 20 cases in a single day.

One of these CHSLDs is the Drapeau-Deschambault CHSLD, in Sainte-Thérèse, where more than 50 residents, including 7 died, and 50 employees were infected. By email, the Laurentian Integrated Health and Social Services Center (CISSS) does not explain how the virus could have spread so quickly.

Its situation is, however, not unlike that of the CHSLD Saint-Eusèbe, in Joliette, where COVID-19 had already spread to several units before being discovered. Since the end of October, 31 residents have died there.

Quoc Dinh Nguyen, Geriatrician

Archive photo

Quoc Dinh Nguyen, Geriatrician

Know what to do

“It is worrying for that, because they should know what to do”, indicates for its part the geriatrician David Lussier.

The doctor wonders if the government should not also deploy its SWAT teams more quickly to help these places. According to him, it is when there are even fewer than 10 cases of infection that action must be taken to quell the spread of the coronavirus.

He adds, however, that we can expect to see the number of outbreaks increase, especially in RPAs, where residents can come and go.

“It’s a reflection of the situation in the community,” he says. Currently, there are nearly 1,000 cases of RPA infection in Quebec.

Impossible perfection

“When there are a lot of cases in the community, it requires a degree of perfection which is perhaps humanly impossible”, adds the Dr Nguyen.

He especially notices that with about 20 to 25 deaths per day, the second wave will take longer to catch up with the approximately 4,000 deaths in the spring, but it could get there if it is not broken.

The CEO of the Regroupement québécois des residences pour seniors (RQRA), Yves Desjardins, recognizes that the second wave is “difficult” for its members.

” The tray [de cas quotidiens] does not manage to descend, ”he remarks on the situation in Quebec, forcing the RPAs to stay on the lookout.

COVID-19 outbreaks current in date November 18

105 RPA hatching

  • 969 case of infection
  • 125 death
  • Residence des Sages, in Bas-Saint-Laurent, 88% of infected residents
  • Residence Aubé, in the Capitale-Nationale, 86% of infected residents
  • Villa Goyette, in Saguenay – Lac-Saint-Jean, 75% of infected residents
  • Auberge du bon temps, in Saguenay – Lac-Saint-Jean, 67% of infected residents
  • Seniors’ domain, Saguenay – Lac-Saint-Jean, 54% of infected residents

61 CHSLD hatching

  • 585 case of infection
  • 314 death
  • CHSLD Drapeau-Deschambault, in the Laurentians, 41% of infected residents
  • Brome-Missisquoi-Perkins Hospital (3rd floor and UCDG), in Estrie, 40% of infected residents
  • CHSLD Marc-André-Jacques, in Chaudière-Appalaches, 40% of infected residents
  • CHSLD St-Eusèbe, in Lanaudière, 36% of infected residents
  • CSSS Granit (4th floor), in Estrie, 36% of infected residents

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