Ontario will need public health measures to protect hospitals from patient surges because of staffing shortages, science table says

Ontario will need to use public health measures to 'mitigate influxes' of critically ill patients over the coming months and protect a healthcare system that is now struggling with 'worsening staffing shortages.'

The report from Ontario’s Science Table says that while the province has been able to accommodate past patient surges without having to turn to a triage system to ration critical care resources, it likely now “lacks the capacity” to accommodate the sort of uptick in hospitalizations it saw during the third wave of the pandemic this past spring when as many as 940 COVID-19 patients were in intensive care units simultaneously.

The scientists say that in addition to a “shortage of critical care nurses and staff” that has worsened through successive waves of the pandemic, hospitals may be less able to achieve “significant reductions in surgical and procedural activity” amid a “growing care-deficit.”

They also say that the “complete absence of influenza transmission” during the 2020-2021 flu season is unlikely to repeat itself this year, lending additional “uncertainty” to the healthcare system’s ability to withstand future waves of the pandemic.

“Going forward, it may be more challenging for the critical care system to rapidly increase capacity as it did during the height of Wave 3 due to staffing shortages, healthcare worker burnout, and a desire to preserve non-COVID clinical activity,” the report states. “It is imperative that public health measures that help to reduce transmission of SARS-CoV-2 as well as other infectious diseases with the potential to burden the healthcare system, including influenza, are in place over the coming months.”