Quebec allows some infected health workers to stay on the job as COVID-related absences rise
Appointments for 3rd vaccine doses to become available for all adults by Jan. 21
Quebec's health minister announced on Tuesday that some health-care workers in the province who have tested positive for COVID-19 or come in close contact with a confirmed case may remain on the job to protect hospital capacity.
The province plans on extending the policy to all essential workers in the coming days and weeks. Health Minister Christian Dubsaid the decision was made as a form of "risk management" as the health-care system experiences thousands of COVID-related absences.
Dubsaid the government has been in talks with unions for several days about the change in policy. He said they came to the conclusion it was the only way to prevent "permanent damage" for people who need health careand that decisions will be made on a case-by-case basis.
"The reality is that we have more and more sick people and fewer and fewer nursing staff," hesaid. "This is what we have to do if we want our society to continue to safely function."
The minister said there were about 7,000 health-care workers off the job on Monday due to COVID-19, and that number is expected to rise to 10,000 in the coming days. Those temporary absences are in addition to the thousands of nurses who left the public system during the pandemic because of the toll it was taking.
"If we have the choice, we wouldn't do it, but our situation is urgent and critical in the short term," Dub said. "This is the best alternative to not providing care."
Quebec's public health director, Dr. Horacio Arruda, who accompanied Dub at the news conference, said the Health Ministry has devised an "order of priority" to guide managers in deciding who can stay at work and who should isolate.
As an example, Arruda said a worker with few or no symptoms could be assigned to an area where there are patients who are also COVID-positive. Another example would be a worker whose family member has tested positivebut who has not yet received a positive result themselves.
"If someone's not in good shape, we won't send them to work," hesaid.
It is not yet clear how this order or priorities will affectworkers in long-term care homes.
Quebec's largest nurses' union, theFdration interprofessionnelle de la sant du Qubec(FIQ), is criticizing the decision, noting health workers still don't have full access to N95 masks.
"It is enormous pressure that the minister is putting on the backs of our members, and they should not have to bear the burden of the government's lack of preparation, nor of the risk of contamination in their workplaces," said Julie Bdard, president of the FIQ.
The FSSS-CSN union, which represents more than 130,000 health-care workers in Quebec, has also come out against the measure.
"Poor management of the pandemic once again puts health network staff at risk and therefore patients, who are all the more vulnerable," said that union's president,Rjean Leclerc.
Leclerc said the Health Ministry should focus on improving protective measures in the network instead, including adding testing sites to workplaces, improvingventilation and creating more stable health-care teams.
But Dr. Michel de Marchie, an intensive care specialist at the Jewish General Hospital in Montreal, said hospitals can't lose more personnel.
"The number of cases is increasing, elective surgeries are getting cancelled and staff are feeling the stress," de Marchie said. "The minister had no choice."
Wider eligibilityfor 3rd dose
The health minister also announced that Quebec will be widening the scope of its vaccine booster campaign. As of Jan. 4, Quebecers aged 55 to 59 can book online appointments. Appointments will open to a new age group every few days until Jan. 21.
The goal is to vaccinate between two million and three million people every monthand have administered boosters to every eligible Quebecer who wants one by March.
Health officials are also considering shortening the isolation period for those who test positive, following a decision by the U.S. Centers for Disease Control and Prevention to shorten quarantine from 10 days to five across industries, in the face of a serious labour shortage.
Duburged Quebecers who are not vaccinated to get their shots, noting that the majority of patients in intensive care are unvaccinated. He said that out of 12,833 new cases in the province in the past 24 hours, about 8,000 are not vaccinated.
"Those are people who are going to end up in hospital," he said.
Cases, hospitalizations spiked over holidays
The 12,833 cases reported on Tuesdayrepresentanother daily record in Quebec.
According to data tables published bythe province's public health institute, theInstitut national de sant publique du Qubec(INSPQ), there were more than 10,000 new cases of the virus reported on both Dec. 22 and 23.
There are 702 people in hospital (an increase of 88 from the previous day),including 115 in intensive care (an increase of six).
Capacity in hospitals for treating COVID-19 patients is slightly higher than last week, at 825, according to thelatest dashboardof data published by the Health Ministry on Twitter.
Hospital officials said they are cutting down on non-urgent procedures and activities, delaying up to 50 per cent of surgeries, in order to free up staff to help out with COVID patients.
While much of the focus has been on hospitals,some outbreaks have begun to pop up in nursing homes and in long-term care.
CHSLDMarguerite-Rocheleau, a long-term care residence for seniors, has reported a major outbreak among residents and staff.
The facility, located in Saint-Hubert in theMontrgieregion, reported 92active cases on Tuesday. Some 61residents and 31staff are infected. Two people have died.
Dub said a ministry team is closely monitoring the situation in long-term care but that most residents had received a third vaccine dose, which has been shown to lessen the risk of a severe outcome fromthe disease.
He said there'sa "big difference" in long-term care homes compared withthe first wave of the pandemic, which killed thousands of elderly residents.
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