Hamilton hospitals over capacity as flu season surges

Emergency rooms in Hamilton are over capacity, as local hospitals feel the strain of flu season spreading through the city.

Health officials across the country are reporting higher than normal lab-confirmed cases of the flu. Hamilton has mostly dodged that bullet, local officials say, with numberssitting in the mid-level range for what the city usually experiences around this time of year.

But even without a larger-than-normalspike, hospitals are still over capacity, says Ian Preyra, chief of emergency medicine at St. Joseph's Hamilton. St. Joes is currently 28 beds over capacity due to the surge.

"When we're over capacity, it's not just a number. People really feel it," Preyra said. "It means those ambulances can't be offloaded, patients may wait longer, and patients who are admitted to hospital may wait to find a bed."

As is the norm when hospitals are crowded, code zero ambulance events which is when there is only one or fewer ambulances across the service's entire fleet available for a call have spiked. There have been 16 code zeros in Hamilton already this month, onlyhalfway through January.

Last year there were 21 code zero events in all of January, and that was the highest number for a single month in the whole year. The union representing local paramedicshaslong said code zeros are dangerous.Union officials saythey're caused bya surge in call volumes for help, coupledwith increasingly long wait times offloading patients in local hospitals.

Hamilton Health Sciences is operating over capacity too, saidspokespersonLillian Badziochin an email. "Our adult medical/surgical bed occupancy rate has been consistently over 105 per cent since October 2016 and was 114 per cent yesterday (Jan. 15)," she wrote.

Emergency departmentphysicians have also identified that there has been anincrease in overall respiratory complaints and that overall volume has gone up, she said.

Bad flu season catches hospitals off guard

7 years ago

Duration 3:37

A particularly bad flu season across Canada has caught some hospitals off guard. Some are cancelling elective surgeries to make room for the huge number of flu patients. Some cities, like Calgary, say its the worst flu season on record. A particularly severe strain of influenza A, H3N2, and an early run of influenza B are making this season particularly nasty and a little unusual

In the first week of January there were 44 lab-confirmed cases of flu in Hamilton, according to the city. There were 19 the week before, in the last week of 2017.

That's a middle-of-the-roadsituation for what Hamilton sees most years, said Dr. Ninh Tran, associate medical officer of health. Updatednumbers of confirmedcases will be available on Thursday.

"That will give us a sense as to if the trend is going up," Tran said.

While Hamilton's numbers remain relatively steady, the number of people stricken by flu continues to rise across the country, with 15,572 laboratory-confirmed cases for the season as of Jan. 6, the Public Health Agency of Canada says.

The level of influenza activity is "in the higher range of expected levels for this time of year," the agency said in its latest FluWatch report, released Friday.

Last year, there were far fewer cases, with 8,976 reported by the end of the first week of January 2017.

H3N2, which is the dominant flu in both Canada and the U.S., is prone to mutation, which can make the vaccine against it less effective even though it appears the virus strain was correctly predicted. Experts, including Canada's chief public health officer, have said that, although it's too early to tell for sure, the H3N2 component of this year's vaccine may have mutated during the manufacturing process, making it less effective.

Tran said it's too early to make a call on the vaccine's effectiveness, but he still advocated that Hamiltonians get their flu shot, even though it takes two weeks to be fully effective.

"I still think it's a good idea to get it, as we might not be at the peak yet," he said.

adam.carter@cbc.ca