COVID-19 has been deadlier in Windsor-Essex than most parts of Ontario. Here's why

In Windsor-Essex, the pandemic has been deadlier than nearly any other part of Ontario, according to provincial statistics.

While fatalityrates are down from their peak, COVID-19 continues to claim lives on a weekly basis.

According to the data, the region has had more COVID-19-related deathsper capita than any other region exceptToronto.

The rate stands at 110deaths per 100,000 people, compared with 117for the provincial capital. That translates to onelife lost for every thousand residents.

In total, 464 people in Windsor-Essex have died from COVID-19since the pandemic began.

They include:

• Apersonal support workerwho was described as embodying the qualities of the sun: "always warm, steadfast and present."
• Asenior couple who died just two days apart their children forced to say their final goodbyes on Zoom.
• A27-year-old man who was "like a second dad" to his younger siblings.

The death toll rose sharply last winter as the second wave devastated long-term care and retirement homes, claiming hundreds oflives locally and many more across the province.

An independent provincial commission founddecades-long deficiencieswithin Ontario'slong-term care system such as understaffing and underfunding contributed to the death toll.

The topic of why the death toll has been so high needs further investigation, said Dr. Shanker Nesathurai, the region'sacting medical officer of health.

But Nesathuraihada few ideas, suggesting that the region's demographic makeup and older populationcould play a role.According to the 2016 census, 17.2 per cent of people in Windsor were65 and older, about a percentage point higher than the national average for that year.

He also questioned whether there could be a correlation with socioeconomic status, which is associated with worse health outcomes in general.

"That's something I think is worth exploring is a component of the disproportionate number of deaths related to the economic and social status of the community?" he said during a media briefing on Wednesday.

The high death toll also reflects the sheer number of cases in Windsor-Essex, he said.

"Windsor-Essex has had a disproportionate number of people infected, and therefore you would expect a disproportionate number of deaths."

The region has had 20,400 cases since the pandemic began, despite the medical officer of health implementing additional localpublic health restrictions above theOntarioguidelines several times throughout the pandemic, and an accelerated rollout of COVID-19 vaccines.

Nicole Dupuis, chief executive officer of the public health unit, said the region has higher rates of chronic conditions including cancer and cardiovascular disease, which are risk factors.

"We do have a higher burden of chronic disease compared to the province."

Battling the fourth wave

With the availability of vaccines, the number of COVID-19 deaths has not since approached levels seen during the second wave. But there remainscause for concern.

Dr. Ian Mazzetti, an intensive-care physician and the chief of medicine at Windsor Regional Hospital, said the pandemic's fourth wave got off to a bad start.

Since the beginning of September, 25 people have died after contracting COVID-19 the equivalent of one death roughly every 2.5 days.

He thinks the region's lower vaccination rate, which is at81 per centbut has lagged behind the rest of the province for months,is one of the factors.

He's calling on residents to roll uptheir sleeves so they can dramatically reduce their chances of ending up in hospital.

"The risk of getting COVID-19 is about six times higher [if you're unvaccinated]," he said.

"If you get COVID-19, you're about 11 times more likely to be hospitalized, 11 times more likely to wind up in the intensive-care unit with a guy like me looking after you," he said.