COVID-19 and people experiencing homelessness: Responding to the crisis

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Thanks to Matt Kellway, RNAO Director of Policy, currently seconded to Inner City Health Associates (ICHA) to assist with protecting Toronto homeless persons from COVID-19, for writing this report.

In our collective response to this pandemic, it is the vulnerable that need to go to the top of our list for care and safe keeping.  And, in that, we are failing the homeless because they have been relegated to the bottom. 

Ringing the alarm bells on critical care beds

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Yesterday, Friday, April 3 -- Ontario public health officials released modeling projections for the remainder of the month of April. The numbers are sobering, as the government is expecting 1,600 deaths by end of April and between 3,000 and 15,000 over the 18 to 24 months course of the pandemic. RNAO’s concern is that this planning still happens under a “best-case scenario"; from the outset, RNAO has been calling not to make that assumption.

Reprocessing of N95 – safe?

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The shortage of N95 masks is driving the efforts to find ways to reprocess (sometimes referred to as decontaminate, sterilize, sanitize or disinfect) these filtering facepiece respirators (FFR). We continue to receive emails expressing concerns from health providers worried that ineffective reprocessing will leave them exposed to contamination or degraded respirators. This is an issue that is evolving, there is ongoing research, and we provide here an update.

Sentinel surveillance and on-site testing in the homeless service sector

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The deepening crisis amongst persons experiencing homelessness is a major concern for RNAO and one we are actively urging all levels of government to immediately address.

We asked Dr. Aaron Orkin, Population Medicine Lead with Inner City Health Associates (ICHA), to share with RNAO his expert advice about sentinel surveillance and on-site testing for persons experiencing homelessness in Toronto, which of course is applicable to any other city and jurisdiction.   

RNAO’s VIANurse Program

RNAO continues its strong advocacy on the need to expand the capacity of Ontario’s health system to meet emerging health needs in tackling COVID-19. RNAO was the first out the door addressing growing nursing human resource shortages, as many RNs, NPs and PSWs are being quarantined and/or falling sick, and staffing needs escalate together with the acuity of the pandemic.