New Measures To Keep Everyone Safe Against Omicron Variant At LTC Homes

The Ontario government, in consultation with the Chief Medical Officer of Health, is taking further action to protect the health and safety of residents, staff and caregivers in long-term care and retirement homes from COVID-19 and the Omicron variant. These temporary measures will help reduce the risk of transmission during the winter months and protect the progress the province has made in stopping the spread of the virus and its variants throughout these settings.

COVID-19 cases in long-term care homes have fallen steadily over the past months due to vigilant policies and a high vaccination rate. In line with Ontario’s cautious approach throughout the pandemic and in light of evolving global evidence around the Omicron variant, the province is adjusting its COVID-19 policies in long-term care homes.

Effective immediately, all general visitors to a long-term care home will need to be fully vaccinated to enter. In addition, the ministry will be directing all long-term care homes to increase infection prevention and control (IPAC) audits.

The following measures at long-term care homes will also go into effect at 12:01 a.m. on Friday, December 17, 2021:

• Testing of all staff, students, volunteers, and caregivers, regardless of vaccination status, at least twice a week prior to entry into the home as part of enhanced active screening practices.
• Requiring a negative test upon entry to a long-term care home for all visitors and support workers who provide essential services to a resident or to the facility, unless they had a negative test the day before.
• Requiring caregivers to be fully vaccinated, unless they have a valid medical exemption or are attending to a resident in a palliative end-of-life situation. Caregivers will be required to have a first dose by December 20, 2021 and all required doses to be considered fully vaccinated by February 21, 2022. In the interim, designated caregivers who are not fully vaccinated would need to restrict their visit to the resident’s room.
• Limiting indoor visits to a maximum of two people per resident at a time and outdoor visits, where feasible, to a maximum total of four people per resident at a time.
• Cohorting of residents for higher-risk activities, such as singing and dancing, and discouraging large social activities. This is in addition to the cohorting of residents during meal times, which is currently occurring.
• Limiting social day trips to only residents who are fully vaccinated and requiring those residents who leave the home for social reasons to be actively screened upon their return to the home and if they had a known exposure to a case, isolated and tested using a PCR test. All residents, regardless of vaccination status, can continue to leave the home for essential reasons, such as medical appointments.
• Suspending overnight absences for social purposes regardless of residents’ vaccination status. Residents who wish to leave the home overnight for social purposes or due to COVID-19 may be temporarily discharged and need to follow the re-admission protocol to return at a later date.

To further protect retirement home residents and staff from the spread of COVID-19 and the Omicron variant, Ontario is also enhancing its COVID-19 policies in retirement homes effective December 22, 2021 to keep residents safe, including:

• Requiring rapid antigen testing for staff, volunteers, contractors and essential caregivers, regardless of vaccination status, two times per week prior to entry into the home as part of enhanced active screening practices.
• Requiring rapid antigen testing for general visitors and support workers entering a retirement home, regardless of vaccination status.
• Strongly encouraging retirement homes to restrict general visitors to only those who are fully vaccinated and implementing additional requirements for essential visitors and general visitors who are not fully vaccinated when entering a retirement home.
• Limiting the number of visitors and group sizes for social activities and events.
• Implementing additional testing and isolation requirements for residents when they return from an overnight absence.
• Instructing retirement homes to increase IPAC audits.

The COVID-19 vaccine remains the single best protection against COVID-19 and variants. Every eligible Ontarian is strongly recommended to get vaccinated or receive their booster if they are eligible as soon as possible. To quickly increase our vaccination rates over the next few weeks, primary care providers and their teams have been asked to maximize resources and prioritize increasing capacity to administer first, second and booster doses as quickly as possible, while maintaining essential and critical clinical services. This could include the careful deferral of non-essential clinical services to further support local vaccination efforts over the coming weeks.