Top doctors in Toronto, Peel Region, Ottawa ask province for stronger measures to slow COVID-19

Medical officers of health in Toronto, Peel Region and Ottawa urged the province on Monday to impose stronger public health measures immediately, saying a provincial stay-at-home order is needed now to curb COVID-19.

In a Sunday letter to Dr. David Williams, Ontario’s chief medical officer of health, Dr. Eileen de Villa, Dr. Lawrence Loh and Dr. Vera Etches said stricter restrictions are required to “reverse the surge” of cases in their respective public health unit.

“A stay-at-home order issued by the province through an Emergency Order is necessary to prevent and mitigate large scale morbidity and mortality and irreparable strain on the health-care system,” the letter reads. 

“Stricter lockdowns have been shown to be effective in other countries to control transmission while vaccine campaigns progressed to achieve sufficient population coverage to suppress transmission.”

The letter specifically asks Williams to issue the stay-at-home order.

Stronger measures are needed “given the rapid deterioration in local indicators” across the three public health units, the medical officers of health say. They note both Toronto and Peel Region have seen rapid growth in cases even though the regions have been in the grey-lockdown zone of the province’s colour coded framework.

In the letter, the three medical officers of health also call for “enhanced” additional safety measures. These are:

  • Review all businesses and services defined by the province as essential with an aim to: identify businesses and services that should be removed from the current list of essential services; identify which services in businesses with a large square footage are essential; and implement staffing limits of not more than 50 per cent for businesses and services deemed by review to be essential.
  • Impose travel restrictions between regions within Ontario.
  • Legislate the emergency provision of paid sick days to supplement existing federal income supports.
  • Move schools to online or hybrid learning in situations where school outbreaks in local jurisdictions are significant and the capacity to manage is stretched.

The three medical officers of health ask the provincial government to make “every possible effort” to secure more vaccine doses for the province and to ensure the necessary administration of vaccine doses is in place in areas where they are needed most.

“While continued expansion of vaccine administration remains a critical component of our long-term pandemic response, public health measures are needed immediately to reverse, as quickly as possible, the concerning trends we are seeing in our health units. Given the urgency of the situation, we will make ourselves available to discuss this letter, ” the letter continues.

According to data from Ontario’s science advisory and modelling consensus table, released on April 1, the following trends are evident, the medical officers of health added:

  • The third wave of COVID-19 is here and variants of concern are driving it.
  •  Younger Ontarians are being admitted to hospital with COVID-19. The risk of intensive care unit admission is two times higher and the risk of death is 1.5 times higher for those with the B.1.1.7 variant.
  • COVID-19 accounts for the majority of people in ICUs and threatens the health system’s ability to deal with regular ICU admissions.
  • Stay-at-home orders will “turn the curve” and protect the ability of residents to access health care.

Ontario is not alone in experiencing a surge in cases due to variants of concern, the medical officers of health say. They note that the following points were made in an evidence brief from Public Health Ontario, dated Feb. 16:

  • Strict lockdowns of larger geographies for at least four weeks have the greatest impact on COVID-19 rates.
  • Evidence and experiences from Europe show that any public health measures must be “swift and intense” to slow COVID-19 spread in Ontario communities.
  • More restrictions at a level beyond the provincial shutdown and stay-at-home order were necessary to address the growth of variants of concern in other jurisdictions. Such restrictions include the closure of non-essential retail stores and shifting schools to remote learning. “The situation here in Ontario merits a similar response,” the medical officers say.
  • Measures that apply to all of Ontario should be considered, given the national lockdowns that were implemented to manage variants of concern in other countries.

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