‘Canary in the coal mine’: Alberta doctors sound alarm on rising COVID-19 cases

A number of Alberta physicians are sounding the alarm on the rising number of COVID-19 cases, with some calling on the province to put in place stricter measures to curb the spread of the virus.

Alberta reported 1,646 new cases of COVID-19 and 11 deaths over two days this past weekend. Saturday marked the single highest daily increase of new cases the province has seen since pandemic began at 919 cases.

Read more: Alberta records 727 cases of COVID-19 Sunday, 6 deaths as officials push for reduced social circles

On Friday, Premier Jason Kenney announced new restrictions in hopes of bending the curve, including mandatory 15-person social gathering limits for municipalities on the province’s “watch” list.

Voluntary measures were also placed on Edmonton and Calgary, which strongly urge residents not to host parties or gatherings in their homes.

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Click to play video 'COVID-19: Kenney asks everyone in Calgary and Edmonton to stop hosting social gatherings at home' COVID-19: Kenney asks everyone in Calgary and Edmonton to stop hosting social gatherings at home

COVID-19: Kenney asks everyone in Calgary and Edmonton to stop hosting social gatherings at home

However, some who work on the frontlines say the measures don’t go far enough.

“I do feel that stronger measures are needed in order to combat the COVID-19 case increase,” said Dr. Shazma Mithani, who works in the emergency departments at both the Royal Alexandra Hospital and Stollery Children’s Hospital in Edmonton.

“A lot of my colleagues and myself are very concerned.

“We are making our concerns heard and it doesn’t feel like those concerns are being listened to. We are on the frontlines of the hospital.

“In the emergency department in particular, we are essentially a canary in the coal mine in this kind of situation and we are telling the premier that we are concerned and I don’t feel our concerns are being listened to.”

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Read more: Further COVID-19 restrictions on social gatherings announced across much of Alberta

In the past two to three weeks, Mithani said the number of patients being admitted to hospital with COVID-19 has “increased dramatically.” With cases rising, she worries the hospitalizations will continue to increase in the weeks ahead, putting further pressure on the health-care system.

“We know there is about a two-week lag time between when we see the cases and when they present to hospital and start putting stress on the health-care system,” she said Sunday.

The most recent hospitalization data available from the province shows 171 people were hospitalized with COVID-19 as of Thursday, 33 of whom were being treated in intensive care. There are currently COVID-19 outbreaks in all of Edmonton’s major hospitals, apart from the Stollery.

Click to play video '9 Alberta hospitals have COVID-19 outbreaks, hospitalizations concerning: Hinshaw' 9 Alberta hospitals have COVID-19 outbreaks, hospitalizations concerning: Hinshaw

9 Alberta hospitals have COVID-19 outbreaks, hospitalizations concerning: Hinshaw

Dr. Stephanie Smith is the director of infection prevention and control at the University of Alberta Hospital. She said hospitalizations are also steady at the U of A Hospital and staffing has also become a concern.

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Read more: Hospital beds versus staff: Is COVID-19 overwhelming the human side of Alberta’s health system?

“When we have so much community spread, there are obviously health-care workers that are impacted by that community spread and they have to be isolated at home because their kids have COVID or they’re been exposed in one way or another.

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“That’s put a huge stress on the health-care system just in terms of being able to staff the number of beds that we have,” she explained.

What can be done to slow the spread?

Mithani is calling for mandatory measures, as well as what she calls a “circuit-breaker lockdown” to help bring case counts down. She worries the trajectory the province is currently on could lead to upwards of 2,000 cases per day by Christmastime.

“Up until now, all of the measures have been essentially voluntary — or the most recent measures have been voluntary — and that hasn’t worked. Our numbers have continued to go up and the voluntary measures have not bent the curve,” she said.

“I think that any measure put in place should be mandatory, not voluntary.

“Second, I feel that a short, what we call a ‘circuit-breaker lockdown,’ would be very helpful in curbing the spread of COVID-19. So it would be a two- to three-week lockdown of non-essential services and this would hopefully help decrease the cases and give the hospitals a chance to catch up, give the contact tracers a chance to catch up as well.”

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Read more: B.C. bans all social gatherings, indoor group physical activities in Lower Mainland amid surging COVID cases

Smith isn’t sure a lockdown would be the most effective approach. She is calling on Albertans to “truly” stick to the recommendations that are in place, but admits that may not happen.

“If we could say to everyone, ‘You cannot have any social gathering for the next four weeks’ and people would really stick to that, you do wonder if that would make a bigger difference. But I think that people have to take this seriously,” she stressed.

“That’s where we’re seeing transmission occurring is in these private parties and home settings. So I don’t know if shutting down businesses is actually going to make a big difference. I think that what we really need to do is actually have everyone focus on decreasing your number of close contacts and I think that will make a bigger difference if people truly listen to those voluntary measures and adhere to those… I don’t know if that’s going to happen though and that’s the challenge.

“This is the time to just kind of hunker down and stay within your very small cohort to try to reduce that spread.”

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Dr. Lynora Saxinger, an infectious diseases specialist at University of Alberta, said what’s concerning to her is that she believes a lot of people have been trying to modify their activities and it hasn’t been enough.

However, when it comes to lockdowns she also suggests it’s a difficult balance.

“No one really knows what the right steps are for lockdown right now and no one knows exactly where all of their transmission is occurring, so it’s always going to be an odds game,” Saxinger said.

“If you’re going to do it, I think there’s a real argument to go hard to try to keep it short and then try to buy time to pinpoint the problem.

“To avoid being judged harshly by history, if I can put it that way, I would say taking a pretty broad view of any place where people are getting together inside in a non-essential fashion, is probably what we would want to do up front. The idea is that if you can really reduce transmission across the board, it almost dials back the clock.”

Click to play video 'Edmonton hospitals at a tipping point: E.R. doctor' Edmonton hospitals at a tipping point: E.R. doctor

Edmonton hospitals at a tipping point: E.R. doctor

Saxinger said there’s a short window of opportunity for people to act and that the time to act is now.

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“If you act early when things are going up, the eventual peak, the length of the peak, the number of extra deaths, is lower. And I think that’s a really important counterbalance to the idea that people don’t like lockdowns, they are restrictive, they are hard on the economy — but the chaos of an uncontrolled pandemic is also very hard on the economy,” she said.

“I worry about overstating things but when you look at the experience across the world, this is not good. This is honestly a pattern that we’ve seen happening elsewhere and people that are a little farther ahead on this path are seeing what we’re afraid of.

“The next few days are almost the difference between even a halfway hope of a decent Christmas versus a really disastrous, disastrous time.”

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COVID-19: Lockdown would be a ‘massive impact’ on Albertans’ financial stability, according to Kenney

On Friday, the premier said the province is making decisions based on data and evidence, and that its goal is not to bring the COVID-19 case count to zero, but to “keep the spread under control so it does not overwhelm the health-care system.”

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“We’re focusing on an area of much more significant transmission in a much less structured environment, which is at-home social gatherings and social gatherings more generally,” Kenney said Friday.

Read more: Coronavirus: Where Alberta’s COVID-19 outbreaks are

“Our approach will continue to be informed by the data and by balancing the COVID concern with other broader social economic and health concerns.

“Having said that, I’ve been clear from the get-go that as much as I believe Albertans want to maintain what I call responsible freedom in all of this, if folks don’t respond to the kind of voluntary measures we’re calling on today in Calgary and Edmonton — no more at-home parties — if they don’t respond, we will have no choice but to bring in more stringent measures. I don’t want to do that.”

Saxinger also noted that while the past several months have been “a real grind,” there is promising news coming from COVID-19 vaccine research.

“We know that anything we are doing right now is really trying to get through to the next stage, that it’s not forever.”

Read more: Pfizer’s coronavirus vaccine may be 90% effective, early data suggests

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Alberta’s chief medical officer of health is scheduled to provide an in-person update on COVID-19 on Monday afternoon.

With files from Heather Yourex-West, Global News.

© 2020 Global News, a division of Corus Entertainment Inc.

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