The 70 or so minutes discussing Southwestern Public Health’s sharps program this past Monday exceeded the length of the majority of council meetings in the past year.
And, when Mayor Preston wrapped up the discussion, nothing had been resolved as to why is it the city’s responsibility to undertake disposal of discarded sharps – hundreds of thousands of them each year – when it is the health unit that dispenses them.
And, that is not a misprint. In 2019, the health unit distributed about 438,000 of them throughout its coverage area with about a third of those being returned after use.
The health unit is proposing a collaborative partnership with the city whereby it would be responsible for disposing of the sharps at an estimated annual cost of $65,000 per year.
As Coun. Joan Rymal duly noted the city is already on the hook for about $100,000 annually for sharps disposal. The three or four large bins around the city need to be cleaned out several times a week because the numbers dropped off as opposed to the twice a month the health unit feels would suffice under the partnership.
While the new COVID-19 case numbers have retreated somewhat at the back end of this week, they remain disturbingly high. In the Southwestern Public Health region as of Friday, two key indicators are red-flagged.
The percent positivity rate has risen sharply to six per cent, with a number above five meaning there is widespread community transmission at this moment.
As recently as mid-October the number was well below one per cent.
And, the ongoing cumulative confirmed case rate per 100,000 population sits at 166.4 for the health unit’s coverage area. For St. Thomas. it is even higher at 169.6, although it has dropped significantly this week.
Any number above 40 per 100,000 population is enough to keep the region in the COVID-19 Red-Control or Grey-Lockdown zone. Continue reading →
Do you have the feeling we’ve spent the last nine months trying our best – most of us, that is – only to find we’re right back at Square 1 with a shut down effective Monday.
A whole lot of one step forward and two steps back.
We spoke with Elgin-Middlesex-London MPP Jeff Yurek on Tuesday (Dec. 22) about his government’s decision to wind many things down for a minimum of 28 days.
And, why wait almost a week instead of starting Christmas Eve as was originally planned.
“The key to the lockdown is to open up space in the hospitals,” advised Yurek, “especially the ICU rooms across the province. We’re getting almost to capacity and you need the space in order to have other emergency surgeries like heart, stroke, etc. open for those spaces.”
As of Thursday, Southwestern Public Health was advising of eight hospitalizations across the region due to COVID-19 infections with two of those individuals in the ICU.
“That’s the key criteria,” continued Yurek, “to keep the cases numbers down and open up capacity in the hospitals. The doctors have informed us four weeks should be a good enough time period to do so.”
For many of us, we’ve settled into a pandemic dictated routine where our days are punctuated with Zoom meetings interspersed with live-streamed gatherings, exponentially increasing our screen time. Leaving us to wonder how much of this will pivot over to the new reality? But what happens when one of these feeds fails or the audio stream is so out of whack it is impossible to follow along? It has happened twice this month with city council: once with a reference committee meeting dealing with community grants and again this week with the scheduled council meeting.
This past week Dr. Joyce Lock, Southwestern Public Health medical officer of health, issued a Section 22 order under Ontario’s Health Protection and Promotion Act dealing with the need to self-isolate for 14 days if you have symptoms of or are diagnosed with COVID-19. The order covers the health unit’s coverage area which includes St. Thomas along with Oxford and Elgin counties. Dr. Lock, in conjunction with provincial health officials, has been stressing the need to self-isolate for more than four months and the order puts some muscle behind this. Failing to comply could result in a fine of up to $5,000 for every day in which an individual fails to self-isolate. It appears no coincidence the order, which came into effect yesterday (July 24), comes as the region sees a spike in COVID-19 confirmed cases.
The item on Monday’s reference committee agenda notes, “The members will discuss the council grants process.” Trouble is, this council and previous editions have not had a clearly defined method of distributing funding to community groups and organizations. In particular, the last two rounds of funds disbursement have been an embarrassing undertaking, to put it mildly. In the past, this has been a totally unstructured affair with little in the way of guidelines to follow. The overarching target – seldom adhered to – has been one-half per cent of the general tax levy or in the $250,000 range. Last year’s determination of who gets what was likened in this corner to a “Saturday morning session at the auction house.” The best takeaway was Coun. Gary Clarke’s observation, “Groups think we have a process in place.”
“This is not a luxury hotel. It is an appropriate place for end-of-life care in a cost-effective manner.” Coun. Linda Stevenson’s observation at the Jan. 16 reference committee was typical of the words of support from council members for the Hospice of Elgin, a 10-bed palliative care facility which, when built, would serve the residents of St. Thomas and Elgin county. Trouble is, neither municipality has come forward and put dollars on the table. Even though in September of last year, Deputy Premier Christine Elliott pledged $1.6 million pledge toward construction of the hospice at a yet-to-be-determined location. Plus, the province will provide $840,000 annually toward the operating costs. The annual funding is projected to cover approximately 50 per cent of the hospice operating costs. Late last month, the county played its cards in the form of a letter from Warden Dave Mennill to city council advising municipal officials there resolved “to support the Elgin Hospice Group through non-financial measures but declined to offer financial support.” In a conversation with after this week’s reference committee, he elaborated further. “It won’t be financial support because we are tied to 2023.” That’s when the county’s financial commitment to The Great Expansion at St. Thomas Elgin General Hospital is fulfilled.
Four months ago, the province green-lighted an end-of-life residential hospice for St. Thomas and Elgin. And Thursday (Jan. 16) city council got an enhanced picture of what the palliative care facility will look like and feel once inside. In her presentation to Mayor Joe Preston and councillors, Laura Sherwood, director of hospice partnerships with St. Joseph’s Health Care Society, detailed the pressing need for the Hospice of Elgin, which will serve the only county in southwestern Ontario currently without a community-based hospice. Sherwood noted each year, more than 800 people in St. Thomas and Elgin die without adequate services, “placing tremendous pressures on families, caregivers, and our local health care system.” Within the next dozen years or so, that figure is expected to increase by as much as 50 per cent.
Size does, in fact, matter. That was the finding back in 2003 of what was known as the McCarthy-Tetrault report, a full and independent review of the council of the day and its working relationships at city hall. The initial call for a review of council and staff dated back to April 28 of that year when Jeff Kohler, then an alderman, moved that “the City of St. Thomas undertake an independent review of human rights practices in the corporation of the City of St. Thomas.” The subsequent report categorized council as “dysfunctional” and its inability to operate in cohesive fashion is “rooted in the mix of personalities . . . . The resulting lack of respect for others seriously undermined the effectiveness of council.” The report’s author, Chris White of the law firm McCarthy-Tetrault, made several recommendations, the most contentious of which called for the reduction in the size of council to seven members from the then-current eight, including the mayor, in an effort to cut down on the number of deadlocked votes.