- A Winnipeg man in his 80s who was infected at Victoria Hospital in Winnipeg
- A woman from Interlake-Eastern who was infected at Misericordia Place outbreak in Winnipeg
- Interlake-Eastern man in 40s
Regional breakdown of new Manitoba #COVID19 cases:
117 Winnipeg
26 Interlake-Eastern
18 Southern Health
6 Northern Health
3 Prairie Mountain
Cross Lake First Nation has multiple cases and moves red on pandemic response system.
Winnipeg #COVID19 test-positivity rate: 8.6 per cent
Roussin again tells people to reduce the number of people they see.
One Thanksgiving dinner led to seven infections, he said.
Roussin says people are still spreading the virus by travelling around the province, sharing items and going out when they ought to be isolating.
Roussin repeating some of his talking points from his Monday speech: If you can't name your contacts, you've had too many.
Stop socializing with people outside your home.
Seniors, consider staying home, period.
Roussin: "No one should be holding a Halloween party indoors."
Siragusa: 43 surgeries cancelled, some because staff are at home isolating, others because of changes due to PPE.
Most cancellations at St. B hospital.
Siragusa: We have beds and equipment. Staff is the "most precious" resource.
Siragusa: 218 #COVID19 cases since start of pandemic
37 currently
18 acquired infection from close contacts
Siragusa repeats: Patients must answer screening questions honestly.
Siragusa: Health-care staff sick time is increasing; now is over five-year average.
Isolating staff accounts for this.
Siragusa: Staff vacancy rates is complex.
Nursing staff vacancy: 14.5%
Says that's an improvement over last year.
Says more nurses graduating.
Roussin ran through the St. B outbreak quickly. Sounds like he listed 23 infections in three wards.
Victoria said they had 38 infections yesterday.
Siragusa says MB is trying out rapid testing for staff with symptoms.
At 150 HSC tested and 146 tested negative.
Four staff tested positive and are at home isolating.
[Note: rapid tests require PCR test follow up]
Siragusa makes another call out for volunteers to work in COVID call centre, Health Links, occupational therapy and swabbing sites.
Siragusa to health-care workers: I hope this provides reassurance.
Roussin asked about mixed messaging: Recommended no socializing outside home while order allows groups of five.
He says messaging is tailored to current conditions.
Right now, he says Manitobans need to take idea of staying at home seriously.
Roussin asked about more restrictions, including shutting down licensed establishments.
Says, yet again, if numbers go up, restrictions will increase.
Roussin says people living in more disadvantaged socio-economic areas are at risk of greater infection.
Some jobs, too.
Siragusa: Capacity dwindling in critical care, esp. at St. Boniface.
Siragusa asked what happens when ICU capacity is reached.
Says province will move patients between wards and hospitals as needed.
Roussin asked if Manitoba's performance is a failure of the pandemic response.
Says failure of restrictions to have effect is the result of people not taking up public health advice.
Siragusa asked where staff will come from to backfill isolating medical staff who have special expertise.
Says staff have a lot of skills in many areas.
"There are a lot of people who can do a lot of things," she says.
Siragusa: 92 per cent capacity in acute care translates, in Winnipeg, to 71 critical-care beds in use.
35 patients are ventilated, not all of them with #COVID19.
Six empty beds right now in Winnipeg.
Siragusa says she doesn't know how many MB health-care staff are isolating at the moment.
Roussin asked why province isn't going into personal care homes and testing people.
Says when there is an outbreak, universal testing doesn't change procedures in a care home, as precautions should be in place.
Roussin asked why hockey is still allowed.
Says he's looking at changes to amateur sport.
[Said that last week as well.]
Roussin won't state how many people work at contact tracing. Says that's complex. Doesn't know how many are bilingual.
Siragusa says she will look into why symptomatic Victoria patients weren't isolated after they started showing symptoms and potentially infecting workers and caregivers.
Will look into why rapid tests were not deployed, but suggests it may not be that simple.
Roussin asked what it would take - how bad it has to get - before province takes over Parkview Place.
Suggests taking over the Revera-run care home would be less important than ensuring procedures are followed.
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- Record daily case count and record test-positivity rate
- One more death and two more outbreaks
- 2nd day recommending no socialization outside members of your home.
If the province were to make a no-socialization rule an order, as opposed to a recommendation, the time to do it is soon.
Here's why ...
It would take two weeks to drive case counts down. There would continue to be some residual spread in households after that.
Four weeks would hammer the spread to next to nothing.