The slow rollout of Ontario’s COVID-19 vaccination program to people living and working in the province’s virus-ravaged nursing homes has left one facility where an unidentified variant has been detected vulnerable to a devastating outbreak.
The Simcoe Muskoka District Health Unit got the go-ahead to roll up its mobile immunization unit to Roberta Place last Saturday – days after an outbreak began ripping through the long-term care home in Barrie, north of Toronto, infecting nearly every resident.
Colin Lee, Simcoe Muskoka’s associate medical officer of health, said residents and staff should have received the vaccine well before the outbreak began.
Vaccine maker Moderna delivered 168,000 doses to Canada at the end of December. The Ontario government earmarked the Moderna vaccine for Toronto, Peel Region, York Region and Windsor-Essex, the four areas with the highest COVID-19 transmission rates.
Dr. Lee told reporters on Thursday that the four regions received the Moderna doses that were destined for Simcoe Muskoka. “We were planning to go straight to the long-term care homes with it,” he said.
Health authorities say an unidentified variant of COVID-19 is behind the outbreak at Roberta Place, which began on Jan. 8 after one staff member tested positive during routine screening.
The staffer was in close contact with someone who travelled internationally, but not to the United Kingdom, Brazil or South Africa. Dr. Lee said the staffer’s swab is one of six that contains an unidentified variant. It’s a “very, very high probability,” he said, that the variant will turn out to be the strain from one of those three countries.
Forty-eight hours after the outbreak began, 55 residents and staff were sickened with the virus. As of Thursday, 122 of the home’s 130 residents had tested positive for COVD-19, including 25 who have died. Another 72 staff and two essential visitors were also sickened with the virus.
The health unit immunized 21 residents on Saturday with the Pfizer vaccine, but testing subsequently revealed that most of them were already infected with COVID-19, Dr. Lee said.
“Unfortunately, the ability to move the vaccine came a little bit late,” he said.
The health unit has a small amount of the Pfizer vaccine, which it must juggle between administering a second dose to long-term care residents and staff who’ve received their first shot and to those in retirement homes, who have yet to be vaccinated, Dr. Lee said.
“There are some difficult choices we have to make,” he said.
Fourteen cases of a COVID-19 variant have been found in Ontario as of Jan. 16, according to the province’s weekly epidemiologic summary. Roberta Place is the first known case of a highly contagious variant finding its way into a long-term care home in Canada – a sector that has been hard hit by the coronavirus.
Ontario has deemed residents of long-term care homes the province’s most vulnerable citizens. To date, 3,256 nursing home residents have died of COVID-19.
These residents were supposed to be at the front of the line for the vaccine. An expert committee that advises the Public Health Agency of Canada on immunization recommended that the first shots go into the arms of residents and staff in long-term care homes.
But in Ontario, that is not what has happened. The first dose of a vaccine has made its way to only 40 per cent of the province’s 626 long-term care homes, according to Alexandra Hilkene, press secretary for Health Minister Christine Elliott.
In addition to the Moderna vaccine, Canada has also approved one made by Pfizer. Ontario opted to distribute its first doses of the Pfizer shot only through hospitals with access to freezers capable of keeping vials at -70 C, as the vaccine maker suggested.
“I can only wish I could turn the clock back,” Dr. Lee said. “If we had vaccines a month before we went in on Saturday, I think this outbreak would be a lot less severe.”
With a report from Laura Stone in Toronto
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