Quebec unprepared for 1st wave of COVID-19 pandemic, leading to long-term care deaths
Quebec health officials were ill-prepared to weather the first wave of the COVID-19 pandemic, with no coherent emergency plan and a health system that left vulnerable seniors in the lurch, the province's health and welfare commissioner said Wednesday.
Joanne Castonguay's final report into the care and service offered to seniors in the pandemic's early months was released Wednesday, highlighting a need to overhaul the provincial Health Department.
In the 300-page report, Castonguay recommends transforming the health system from one that focuses primarily on providing medical and hospital services to one that gives priority to the patients' needs amid an increasingly aging population. She said that as the system is now designed, senior care, public health and prevention are in the government's blind spot.
Castonguay, who was asked to investigate by the provincial government in August 2020, said her findings and recommendations aren't about assigning blame. "Responsibility for the crisis that we have experienced is collective," she said.
"The pandemic has shown, unequivocally, that we can do better," Castonguay told reporters on Wednesday. "We have that responsibility for those who died, their families and health workers who found themselves in extremely difficult situations, to seize this opportunity to mark a progressive transformation of our health-care system."
Of the 5,718 deaths reported in Quebec during the first wave from February to July 2020, 4,836 were in elder care and long-term care.
The majority of the deaths -- 64 per cent -- occurred in long-term care homes, known as CHSLDs in the province. Castonguay's report notes that only 0.5 per cent of the population live in such settings. Nearly half of the 14,000 health workers who became infected during the first wave worked in long-term care.
Castonguay pointed to the lack of a tested crisis plan and confusion about roles and responsibilities as evidence of how unprepared Quebec officials were for the pandemic. There was also a serious shortage of equipment, she said.
Castonguay described a "paternalistic attitude" of the health system towards seniors, one that did not look closely at their needs. She gave the example of the removal of outside caregivers from long-term care homes, which was intended to limit the spread of the virus but often left residents without adequate care. She said the decision might have been different if the caregivers had been consulted.
She said an emphasis on the protection of personal information prevented officials from having data readily available that could have quickly identified an emerging crisis in long-term care as the pandemic began.
"Certain indicators showed a clear and early signal of the rapid spread of the pandemic in CHSLDs in Quebec," Castonguay said. "If the public health monitoring system had been appropriate, this data could have been observed and the alert or attention would have been directed more toward the CHSLDs."
She also called for the role of the province's public health director to be revamped so they communicate directly with the public instead of having their message filtered through politicians. While the role differs by jurisdiction, Castonguay noted that the independence of a public health director improves transparency and the public's willingness to accept recommendations.
Health Minister Christian Dube welcomed the report and said some of the failings identified have been addressed by health authorities. "This report invites us to adopt a new vision for the future, which we are committed to doing, together with our partners," he said in a statement.
Quebec's opposition leaders have been calling for months for a public inquiry to investigate the province's pandemic response. Liberal Leader Dominique Anglade said the commissioner's report confirms the need for an independent public probe, while Quebec solidaire's Vincent Marissal said the report doesn't shed light on what really went wrong in the management of the pandemic.
But Castonguay said that in her opinion, the three existing probes -- including her own -- are sufficient.
"Between the report from the ombudswoman, the upcoming report from the coroner and our reports, we have everything we need to engage in a transformation and look to the future," she said.
"It's really time that we move to improving our health-care system to deal with future crises and improve its overall performance."
- This report by The Canadian Press was first published Jan. 19, 2022.
-- With files from Caroline Plante in Quebec City.
CTVNews.ca Top Stories
'Nonsense:' Doug Ford slams lawsuits filed by Ontario school boards against social media platforms
Premier Doug Ford says that lawsuits launched by four Ontario school boards against a trio of social media platforms are “nonsense” and risk becoming a distraction to the work that really matters.
Several flight attendants from Pakistan have gone missing after landing in Canada
Multiple flight attendants from Pakistan International Airlines have abandoned their jobs and are believed to have sought asylum in Canada in the past year and a half, a spokesperson for the government-owned airline says.
Tipping is off the table at this Toronto restaurant
A Toronto restaurant introduced a surprising new rule that reduced the cost of a meal and raised the salaries of staff.
Rainfall warnings of up to 90 mm among weather alerts in effect for 7 provinces
Rainfall warnings of up to 90 millimetres, air quality advisories and other alerts have been issued for seven Canadian provinces, according to the latest forecasts.
Canada Post’s newest stamp features special cookies for Islamic holiday
Canada Post’s newest specialty stamps feature “melt-in-your-mouth” desserts to mark two Islamic festivals, the crown corporation announced Thursday.
King Charles calls for acts of friendship in first public remarks since Kate's cancer diagnosis
King Charles III gave public remarks for Maundy Thursday, addressing the importance of acts of friendship, following his and Catherine, Princess of Wales’ cancer diagnoses.
A dog and a bird formed an unlikely friendship. Their separation has infuriated followers
Peggy is a stout and muscular Staffordshire bull terrier, and Molly is a magpie, an Australian bird best known for swooping on humans during breeding season, not for befriending dogs. But in an emotional video posted online, Peggy’s owners announced that the animals had been separated.
Statistics Canada reports real GDP up 0.6 per cent in January as Quebec strikes end
Canada's real gross domestic product grew 0.6 per cent in January, helped by the end of public sector strikes in Quebec in November and December, Statistics Canada said Thursday.
Ukrainian child asylum seekers in St. John’s get class of their own
Roughly 50 children will gathered in a St. John’s classroom for the first time on Saturday for unique lessons on Ukrainian language, culture and history.