Brown: ‘There will be choices about who will get the care they need and who will not’
TORONTO – Dr. Adalsteinn Brown told reporters in Toronto on Tuesday that he was going to “talk bluntly” about the current COVID-19 situation in Ontario.
Brown, co-chair of the province’s COVID-19 Science Advisory Table, said that at the current rate of case growth, doctors will have hard choices to make when it comes to treating patients.
“(They will have) to confront choices no doctor ever wants to make, and no family ever wants to hear. There will be choices about who will get the care they need and who will not,” said Brown.
“We’re at a very dangerous point.”
Over the past four weeks, there has been a 69.3 per cent increase in COVID-19 hospitalizations and an 83.1 per cent increase in ICU patients, and there are now more than 400 ICU beds in Ontario occupied with COVID-19 patient.
For context, Brown said that about one quarter of the province’s hospitals have no ICU capacity left, and another quarter have “only one to two beds” available.
The hospitals with no or very limited ICU capacity are spread out throughout the province, he added.
Brown added this virus is impacting everyone, not just those who have contracted it.
“It affects all patients needing intensive care, whether it’s patients who had a heart attack, who’ve been in a motor vehicle accident or who have COVID-19,” he said.
Dr. Barbara Yaffe, the province’s associate chief medical officer of health, said at the briefing that survey results and current trends indicate the “lockdown” measures implemented in late December were “not enough.”
“We are in a serious situation, so we need more serious measures put in place,” she said.
In terms of new cases per day, Brown stated that at five per cent growth, Ontario would be looking at 20,000 cases per day by mid-February. At seven per cent, which is the growth rate being seen in some regions, that number could hit 40,000 new cases per day by mid-February.
Brown said he fears that if Ontarians don’t significantly reduce their contact with others during the pandemic, the province’s health system will become overwhelmed and deaths will exceed first-wave totals before vaccines have time to take effect.
“The impact on our health system is already greater today than we have ever seen in Ontario’s history,” he said.
It was noted during the briefing that 40 per cent of Ontario’s long-term care homes are in outbreak. Since Jan. 1, 198 residents and two staff members at long-term care homes have died due to COVID-19.
The ‘U.K. variant’
Brown warned that the new variant of COVID-19, first identified in the United Kingdom, is more easily transmissible and could begin to rapidly spread in the province.
If that does occur, it will “considerably extend” the time it will take for case counts to drop significantly.
Eight more people infected with the new variant of the coronavirus in Ontario were identified on Jan. 11. A total of 14 instances of the variant have been identified, but “it’s very likely that we have more that we’re not aware of,” said Yaffe.
Of those cases, three currently have no known links to travel, suggesting community spread could already be happening.