Breaking News: Maimonides Sends COVID Patients to Hospital to Curb Outbreak

Dec. 1, 2020

By JANICE ARNOLD

MONTREAL – A rapidly worsening COVID outbreak at Maimonides Geriatric Centre has been brought under temporary control by transferring infected residents to hospital, but family members say more needs to be done to prevent a recurrence.

On Nov. 29, 20 residents were taken by ambulance from the Cote Saint-Luc long-term care facility’s “hot zone.” Two acutely ill residents were brought to the Jewish General Hospital and the rest to Hotel Dieu Hospital, which has a unit dedicated to less severely ill patients from nursing and seniors’ homes.

Maimonides’s hot zone for active cases, located on its uppermost seventh floor, is closed for now.

The move was made after some relatives held a demonstration outside Maimonides on Nov. 26, fearing the facility had lost control of the viral spread. They claimed infection prevention measures were inadequate, that a shortage of nursing and support staff was resulting in repeated movement between cold, warm and hot zones, and that infected residents were not getting the medical treatment they needed.

They appealed to Premier Francois Legault to take immediate action.

Active cases went from zero to over 50 in a couple of weeks, the most at any long-term care home in the province at that point, although not the highest per capita rate. Eight residents had previously been sent to hospital. Ten residents have died, while others recovered.

In addition, more than 20 staff members and about a dozen registered caregivers – either family members or workers privately hired – have tested positive and had to quarantine at home.

Maimonides was hard hit by COVID in the first wave, when one-third of residents had the virus and 39 succumbed to it, according to Quebec government statistics. Members of the Canadian Armed Forces and later the Canadian Red Cross were brought in.

During this second wave, administrators had insisted the situation was in hand, that stringent infection prevention measures were in place, and that staffing overall met government requirements, until relatives raised their voices ever louder that this was not what they observed. They received support from Cote Saint-Luc Mayor Mitchell Brownstein and local Member of the National Assembly, David Birnbaum.

In a Nov. 29 public message under the heading “Mission accomplished!” Barbra Gold, an official of CIUSSS West-Central Montreal, the regional health authority that manages Maimonides, confirmed that the residents’ transfer to hospital had been completed that day.

“We hope that this temporary closing of our hot zone will break the cycle of infection in our facility,” she stated.

Gold said that 10 other residents with active COVID who had been in the hot zone remain at Maimonides, explaining, “our medical team determined they could be safely returned to their rooms (in other areas).”

Caregivers are not allowed to visit the residents at Hotel Dieu, she said, but an effort is being made to set up FaceTime calls. They were accompanied to Hotel Dieu by the nurses and orderlies who had tended to them at Maimonides. The CIUSSS has arranged for kosher food to be available there.

Gold added that a virtual town hall with families is being planned to address concerns.

The day before, Gold communicated that an evaluation of Maimonides’s COVID isolation unit by public health authorities, infectious disease specialists and the institution’s health care professionals had been conducted. A “contributing factor” to the virus’s rapid spread, they believe, was “a high density of very contagious individuals in a relatively small area that has not been built to accommodate them.” That seventh-floor wing was sealed off with plastic sheeting.

Another CIUSSS official, associate chief executive officer Francine Dupuis, told the media that the ventilation system may have been another factor. She also said the origin of the outbreak was traced to a caregiver, who was asymptomatic and later tested positive.

The Family Advocacy Committee, which staged the demonstration, is now calling for mandatory weekly testing of all employees and visitors to Maimonides. Its chair, Joyce Shanks, whose 92-year-old father is a resident, deplored that testing is now voluntary and only required when a positive case occurs in a unit.

The committee would also like to see the return of the Red Cross or of the health department’s “swat team,” which shores up staff when an outbreak reaches a critical level.

The CIUSSS says that, as of Dec. 7, all registered caregivers at Maimonides and other CHSLD under its jurisdiction, which includes the Jewish Eldercare Centre, must be tested every two weeks, either on-site or at any testing centre in the province. Written proof of a negative result must be shown or they will be barred. Maimonides has an on-site clinic three days a week, and Eldercare twice a week.

Since the second wave began, the 320-bed Eldercare has had total of 17 cases among its residents of which 10 are now active, attending physician Dr. Mark Karanofsky reported. Two residents have died. Two positive staff are currently isolating at home. Karanofsky himself came down with COVID in late October and has recovered.

Pandemic Has Federation Pivoting on Priorities, AGM Hears

Sept. 29, 2020 – By JANICE ARNOLD

MONTREAL—Thousands in the Montreal Jewish community have become ill with COVID, and “far too many have not survived.”

That grim observation by Federation CJA president Gail Adelson-Marcovitz set the sombre tone for the organization’s 103rd annual general meeting, livestreamed from its headquarters on Sept. 24.

Gail Adelson-Marcovitz
Gail Adelson-Marcovitz

In her report, Adelson-Marcovitz signaled that the pandemic has brought into stark relief the necessity to reassess the community’s priorities and direct resources to where they are most needed.

These have been identified by the Federation as meeting the immediate needs of those most severely affected by the pandemic, both those community members already recognized as vulnerable, and others who have suddenly found themselves struggling financially or facing domestic problems, as well as sustaining community institutions and the quality of Jewish life.

“All non-essential costs are being cut to ensure everyone’s survival,” Adelson-Marcovitz said, and that’s included “a dramatically reduced staff.”

This belt-tightening was being set in motion before the pandemic was declared, and has since accelerated, she said.

The Federation wants the input of the community-at-large in this process and is circulating a survey on critical needs, completed anonymously.

Adelson-Marcovitz said the goal is to “emerge a leaner and stronger community.”

Federation CEO Yair Szlak said the organization is moving away from automatic support for “legacy” agencies to “a funding model based on outcomes,” meaning funding will be based on measurable results.

Since the pandemic, the money going to Federation’s dozen agencies has been determined on a month-by-month basis, rather than an annual allocation.

Staff was cut by 30 percent in April and those remaining have taken salary cuts, he said.

The Federation is also re-evaluating its role, with a view to transitioning to “convener and collaborator rather than central command control,” said Szlak.

Pre-pandemic priorities of bolstering Jewish identity and community security are moving forward. Szlak said that $5.5 million raised during last year’s Combined Jewish Appeal will help pay for enhanced security at 34 synagogues, schools and other institutions, a total of over 40 buildings. More than 100 volunteers have been trained to served as “the eyes and ears” at those places, he said.

Jewish Identity Montreal has been created, integrating the Bronfman Jewish Education Centre and various programs, and a mobile application called JLife will soon be launched to provide a “concierge system to the Jewish world,” Szlak said.

In July, Federation kicked off a two-year campaign to raise $100 million in lieu of the usual annual CJA drive. Treasurer Serge Levy reported that while revenue from all sources for the fiscal year ending March 31 was down $7 million, for a total of approximately $50 million, the organization is in “a strong and stable financial position.”

Harvey Levenson

The meeting did have its lighter moments. Longtime volunteer and philanthropist Harvey Levenson was treated to a tribute video in which he was good-naturedly ribbed for everything from his love of scotch to his lack of fashion sense.

Levenson, who has been associated with Federation since the 1970s, received the Samuel Bronfman Medal, the organization’s highest honour. It was presented by Samuel Bronfman’s grandson, Stephen Bronfman.

In his acceptance speech, Levenson, currently chair of the Jewish General Hospital Foundation, said COVID has “completely altered our perception of what is important in the community…Who could have believed a pandemic would make the community come together in such a cohesive manner. We must have the courage and patience to continue on this road.”

Adelson-Marcovitz is completing the first year of her two-year term. The slate of board of directors for 2020-2021 was approved by online vote, and sees Joel Segal become first vice-president, traditionally the post before the presidency.