Coronavirus: 4 deaths, at least 80 cases linked to epidemics in university hospitals


COVID-19 cases and outbreak-related deaths on the campus of the University Hospital of the London Health Sciences Center (LHSC) continue to climb, with at least 80 cases and four deaths as of late Sunday.
Middlesex-London Health Unit (MLHU) medical officer of health Dr Chris Mackie said on Monday the health unit was investigating “five, maybe more” cases involving staff and patients.

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“And then we have 11 confirmed secondary cases, so it would be mostly family members, and at least one tertiary case where a staff member has spread to someone else who has spread to someone. another as well, ”Mackie said.

“So it does reflect a bit on the community and that’s why we will have to all work together to really control this.”

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In a regional coronavirus update on Monday, LHSC Chief Medical Officer Dr Adam Dukelow reported that of the five COVID-19 patients in the LHSC intensive care units, two of the cases are linked to UH epidemics.

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He also announced new measures to tackle HU epidemics, in addition to measures announced last week.

“On Friday, we announced a number of additional measures to contain the outbreak, including the postponement of all elective and elective surgeries and procedures at the university hospital,” he said on Monday.

“Today, we are announcing that from tomorrow, outpatient and outpatient activity at the UH will also be reduced to only urgent and emerging appointments, procedures and diagnostic services.

Also, where possible, all other clinic appointments will be rescheduled as virtual appointments, Dukelow says, adding that anyone affected will receive direct notification from their care provider.

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“Certainly we regret that these measures are necessary,” said Dukelow, “but these are the next steps in the multi-level response in collaboration with Dr. Mackie and his team with the ultimate goal of curbing transmission within the community. hospital, as well as protecting the health and safety of our community. ”

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Mackie said he “really wished we could be more supportive sooner and figure that out sooner.”

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“And so I think I join with you in deeply regretting what’s going on here. That said, we are all determined to work together and contain this problem so that it does not spread to other facilities and minimize the impact on the community.

There are six ongoing outbreaks at UH: 10IP Palliative Care / Sub-Acute Medicine, 6IP Acute / Decant Medicine, Sixth Stage of Cardiovascular Surgery, 9IP Sub-Acute Medicine, C4-200 – Multi-Organ Transplant Unit (4TU ) and U4 Medicine.

A previous outbreak at U9 IP Ortho reported on November 11 is listed as resolved on November 26.

According to the health unit, four deaths are associated with the HU outbreaks: two reported last week on November 24 and 26, one death reported by the MLHU on Monday and another death which the health unit learned on Monday was included. in his data Tuesday, Mackie said.

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LHSC data released on Monday shows 36 patients have tested positive for COVID-19 in connection with outbreaks at the teaching hospital, while 34 staff and healthcare providers have tested positive for COVID -19 in relation to epidemics.

The original source of the outbreak is unclear, but Dukelow noted that there are “several pieces” that may have contributed to its spread to six units.

“One thing is that these are medical units and the staff who work in the medical units don’t necessarily always work in the same units. So, pre-symptomatic or asymptomatic staff, it could potentially spread that way – doing a shift on one floor one day, then another floor the next. It’s a piece of the puzzle, however. The full investigation is still ongoing. ”

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HU outbreaks appear to be a major contributor to the number of local cases in recent days, with outbreak-related cases accounting for more than half of the 33 new cases reported by the MLHU in the region on Monday.

“Eleven of the hospital staff or patients and another six or seven related to contacts of staff or patients of the outbreak who are usually family contacts,” Mackie explained.

Mackie also suggested Tuesday’s COVID-19 update for the region would likely be high.

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“The 33 we’re talking about today arrived on Sunday, so these are the cases we’re talking about. We’ve already received over 30 lab reports (Monday), ”Mackie explained.

“We’re still working on all of these things, how many are associated with the outbreak, and there are probably duplicates from things that have happened over the weekend. So we can’t say we have 30 new cases for today, but it’s really accelerating, at this point, in our community.

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