Moncton doctors say Horizon Health has enough staff, supplies to deal with pandemic

Lead doctors at Horizon Health Network say the organization has enough supplies and staff to deal with the coronavirus pandemic.

Dr. Ken Gillespie, chief of staff at the Moncton Hospital, told reporters on Friday that after the SARS outbreak in 2003, every province put into effect a "pandemic preparedness," which the doctor said means a stockpile of supplies are put aside for this sort of incident.

He said ventilators are "crucial to what we're expecting to come."

There are 39 adult ventilators, three neo-natal ventilators at theMoncton Hospital. With another six ventilators on order, two of which are expected to arrive next week with four more coming, "shortly after that."

There are 90 ventilators across the Horizon Health Network, while Dr. Jennifer Russel,New Brunswick's chief medical officer of healthsaidthere are a total of161 in the province with another 50 per cent on order.

"We feel like the number of ventilators that we have is pretty good per capita," Gillespie said.

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GIllespie said there about 500,000 N95masks, and four million regular masks.He added that N95 masks are not needed in the "vast majority of situations" and they aren't going to be worn by medical staff and patients all the time.

"We'd burn through our N95 masks supply very quickly, and the problem in that scenariois that when we do need them they won't be available."

Over the last week, Horizon Health cancelled all non-urgent services, and reducedsurgical access, except for urgent procedures such aslimb-saving and cancer surgeries.

'We don't have any issues with staffing'

Because Horizon stopped doing elective procedures this week, "we don't have any issues with staffing," Gillespie said.

"We are looking at how do we redeploy the staff that we have to areas where they're needed."

For example, a staff person is now at the door screening people who are trying to enter the hospital, but it's not a job that normally exists.

Normally, 300 physicians work out of Moncton Hospital, and Gillespie saidthere are currently about 20not able to work, "six or seven" of themoff because ofself-isolation.

Gillespie added that how many supplies and staff are needed depends on how closely the public follows safety measures.

"The workload is either going to be spread out over a very long period of time or a very short period of time," he said.
"If it's a very short period of time then we're gonna be in trouble, if it's spread out over a long period of time we're gonna befine."

Moncton Hospital specialists say they're ready for COVID-19, but how badly the province is hit depends on how closely people follow recommended procedures.

Assessment centre

Dr. Jody Enright, medical director, set upMoncton Hospital'sassessment centre in a tent in the parking lot. She said it's been operational since Saturday. People who are showing symptoms of the virus can contact 811 or their family doctor. After a phone assessment is made, if it's deemed necessary, the patient is referred to the assessment centre.

"To date we've been able to call those patientswithin an hour or two and often get them an appointment within an hour or two," said Enright.

The patient drives in, and the staff go to the car to make an assessment.

"We do the swab right there and they carry on and go home to self-isolation."

Enright said the numbers have been increasing over the week, but "we still have quite a bit of capacity there."

She said the current criteria for testing is that a person must have a cough or fever, as well as some contact with the illness.

"Either they have traveled within the last 14 days themselves or they've been in contact with a sick person who has travelled within the last 14 days, or they've been acontact of a known case of COVID," said Enright.

The only lab in the province capable of testing swabs is in Moncton at the Dr. Georges L Dumont Hospital.

"it's been able to keep up with everything we've been sending," said Dr. Enright.

Apart from the Moncton clinic, Horizon Health also set up assessment centres in Saint John, Miramichi and Fredericton with a plan to set up an assessment centre in Upper River Valley very soon.

Vitalit set up screening clinics in each of the network's zones: Beausjour, Northwest, Restigouche and Acadie-Bathurst.Tele-Care 811 or a family doctor must make a referral.

Infection control

Dr. Gordon Dow, infectious disease specialist at the MonctonHospital, said, "infection control is very near and dear to my heart becauseit's the only tool we have for COVID-19."

With no vaccines or proven therapies, Dow said of self-isolation, social distancing, and preventive measures,"it's all we've got."

There are two routes through whichinfection happens: touching and droplets.

Dow explained that coughing and sneezing are the two ways droplets are released into the air to a maximum distance of three feet, or a little less than a metre. The moisturecan stay in the air for about 15 minutes. He said, this iswhy people are being asked to keep a distance of six feet, or about two metres.

Droplets then land on surfaces and can last about a day on a porous surface, and up to three days on a nonporous surface. This is why surface cleaning is important.

Dow conceded it's been said many times, butaside from social distancing,the bestdefence against the virus is frequent hand washing and don't touch your face.