Encouraging news: Update on E. coli outbreak in Calgary

Government of Alberta

Published

8 months ago

7 minute read

The Emergency Department at Calgary’s Peter Lougheed Hospital at the height of the E. coli outbreak, Sept 7, 2023

As hospital admissions and daily numbers of new E. coli cases continue to decline, health officials are seeing signs that the initial outbreak that affected several Calgary daycares has peaked.

The number of secondary transmissions connected to this outbreak remains low, indicating there is limited transmission of the E. coli bacteria beyond the initial outbreak.

The kitchen connected with the original outbreak remains closed indefinitely. In addition, precautionary measures at specific daycare facilities remain in place. Parents and operators have been made aware of these measures directly and through communication with Alberta Health Services.

“I am relieved every time I hear of a child who is well enough to leave hospital. My heart goes out to each family member who has been impacted, and I want them to know that we will get to the bottom of this. Thank you as well to our front-line staff for supporting these children and their families on the road to recovery.”

Adriana LaGrange, Minister of Health

“Families have had their lives turned upside down by this outbreak. I’m relieved many of them are seeing their children recover and start to get back to their normal routines. I want to reassure parents they can place their trust in our high-quality child-care system and that they are not alone. We are here to support them in any way we can.”

Searle Turton, Minister of Children and Family Services

“We are cautiously optimistic that the outbreak has peaked and that we will continue to see case numbers drop. That said, this does not diminish the fact that we still have some children who remain very ill, and my heart goes out to them, their parents and their loved ones.”

Dr. Mark Joffe, chief medical officer of health

Hospitalizations and cases

As of Sept.19, there were a total of 348 lab-confirmed cases connected to this outbreak, no increase from Sept. 18. Between Sept. 9 and Sept. 14, there was an average increase of 33 new cases a day. Since then, the average case numbers decreased to fewer than four a day to no increase on Sept. 19.

There have been a total of 27 lab-confirmed secondary cases, with no additional secondary cases confirmed, since Sept. 16. Some cases of secondary transmission are common and expected in significant outbreaks such as this.

Currently eight patients are receiving care in hospital, down one from Sept. 18. All these patients have been confirmed as having hemolytic uremic syndrome (HUS), including two on dialysis (a decrease of one since Sept. 18). All patients are in stable condition and responding to treatment. Front-line health care teams continue to provide the best care and support possible.

A total of 707 children connected to the outbreak have been cleared to return to a daycare facility.

Daycares

As of Sept. 19, six daycare facilities are under closure or partial closure orders:

Active Start Country Hills – Dolphin and Starfish preschool classes
CanCare Childcare – Scenic Acres location – Busy Bees, Bumble Bees and Butterflies classrooms
CEFA Early Learning Calgary South – JK 3-1 classroom
Renert Junior Kindergarten – all four Junior K classrooms
1st Class Childcare Shawnessy – “Main daycare” area is being closed
Calgary JCC Child Care – a closure order was issued for infant and toddler rooms on Sept. 15

Closure orders were rescinded for Classrooms 3 and 4 at Vik Academy on the afternoon of Sept. 18 following negative test results for E. coli.

Additionally, while MTC Daycare site is not being closed, affected children and staff in Prominade and McKenzie classrooms are being notified that they are excluded from attending all child-care facilities until they test negative for E. coli and remain symptom-free.

All closure orders are posted on the Calgary Zone Alberta Health Services website.

Initial results suggest these cases affecting additional daycare facilities are predominantly cases of secondary transmission. Either these new cases were in contact with children from the original daycare or children from the original daycares were in contact with the facility.

Parents and staff from all the daycare facilities involved are being provided with information about what to do if they experience symptoms, test positive or have concerns about the health and safety of their child.

Investigations

The public health investigation into this outbreak continues, and work continues to identify the source of the outbreak. Additionally, the ministries of Health and Children and Family Services are conducting a review of all shared kitchens serving child-care facilities across Alberta.

The food histories of more than 1,150 children and 250 daycare staff are being reviewed by public health officials. This includes those who became ill and those who did not, all of whom were at the 11 affected daycares between Aug. 15 and Aug. 31.

Guidance to parents

If children develop symptoms, including bloody diarrhea, families are encouraged to visit an emergency department. If a child is not symptomatic, do not take them to hospital. Families with concerns or questions can call Health Link at 8-1-1 or contact their family physician for advice and support.

In addition, Alberta’s government is providing families with a one-time payment of $2,000 per child enrolled in the original facilities that were closed due to the outbreak.

Alberta’s government is committed to working with parents and operators through this challenging time and encourage them to reach out to Child Care Connect at 1-844-644-5165 with questions or concerns.

Province announces next step to revamped health care system

Published on May 14, 2024

Government of Alberta

Setting the foundation for a refocused health system

Proposed legislation would support the refocusing of Alberta’s health care system to ensure Albertans get the care they need when and where they need it.

On Nov. 8, 2023, Alberta’s government announced plans for a refocused health care system to ensure patients are receiving the care they need, when and where they need it. To achieve this, Alberta’s government will be creating four new organizations, one for each priority health services sector: acute care, primary care, continuing care and mental health and addiction.

If passed, the Health Statutes Amendment Act would enable the government to take the necessary next steps to refocus the province’s health care system. The legislation would ensure Albertans have a system that works for them by prioritizing their need to find a primary care provider, receive urgent care without long waits, have access to the best continuing care options and obtain excellent mental health and addiction treatment.

“We are taking another step toward improving health care by updating legislation and enabling the governance and oversight required to refocus the health system. The critical improvements to transparency and accountability will help support the successful refocusing of the health care system to one that is responsive, effective and reflects the needs and priorities of Albertans today and for future generations.”

Adriana LaGrange, Minister of Health

The Health Statutes Amendment Act will enable the transition from one regional health authority, Alberta Health Services, to an integrated system of four sector-based provincial health agencies including primary care, acute care, continuing care and mental health and addiction. The agencies will be responsible for delivering integrated health services, ensuring Albertans receive timely access to care, regardless of where they live.

The Health Statutes Amendment Act establishes roles for an oversight minister and sector minister. The Minister of Health will take on the role of oversight minister, responsible for setting the strategic direction of the overall health system. A sector minister will be responsible for a specific health services sector. For example, the sector minister for Recovery Alberta is the Minister of Mental Health and Addiction. On the recommendation of the oversight minister, additional health service sectors may be established and designate a minister responsible for that newly created sector.

Enhanced government oversight will help Alberta’s government to better direct resources to the front lines where they are needed the most, improve patient care overall and support health care professionals.

“Mental health and addiction have been growing issues within our society and need to be prioritized within our health care system. Amid an addiction crisis, a refocused health system will allow for mental health and addiction services to get the attention, oversight and focus they need. Recovery Alberta would allow for improved mental health and addiction care across the province as an important part of an integrated health system.”

Dan Williams, Minister of Mental Health and Addiction

“Refocusing Alberta’s healthcare system is a crucial step towards ensuring that we can deliver a framework that prioritizes accessibility, accountability, and patient-centered care. By streamlining operations, improving oversight and fostering collaboration, we are setting a strong foundation for a healthcare system that is better equipped to address the diverse needs of each of our communities.”

Jason Nixon, Minister of Seniors, Community and Social Services

The legislation will enable the minister of health to transfer employees or classes of employees from AHS to the new sector-based organizations, once established. During the transition period, AHS will be enabled to continue operating as a regional health authority. Employee transfers will be seamless, maintaining existing bargaining relationships and collective agreements. This will ensure stability for the workforce, unions and government as the health system refocus is implemented. There will be no job losses for staff who transition into the new organizations.

Amendments to be made to existing legislation

The Health Statutes Amendment Act includes amendments to the Regional Health Authorities Act and the Health Information Act, which have not been updated since the 1990s.

As part of these amendments, the name of the Regional Health Authorities Act will change to the Provincial Health Agencies Act. The amended Provincial Health Agencies Act will remove outdated references to allow the transition from a single regional health authority to a unified, sector-specific provincial health system. This will clarify the scope and accountabilities of provincial health agencies and health service providers going forward.

The amendments will also place responsibility on the provincial health agencies for operational planning and oversight of clinical service delivery across the province. This will enable provincial health agencies to set priorities in the provision of health service delivery. The agencies will also be tasked with sharing information and collaborating closely to support seamless patient care as the transition to the refocused health care system takes place.

Alberta’s government is committed to ensuring that patient information continues to remain safe and secure through this transition. Amendments to the Health Information Act will be introduced to support the new health system refocus and to support the establishment of the Canadian Centre of Recovery Excellence. These amendments will allow the Ministry of Health, the Ministry of Mental Health and Addiction, the four new provincial health agencies, the Health Quality Council of Alberta and Canadian Centre of Recovery Excellence to have the authority to use health information for health system purposes.

If passed, the Health Statutes Amendment Act will enable Recovery Alberta, the mental health and addiction provincial health agency, to begin operating in the summer of 2024. The primary care, acute care and continuing care provincial health agencies are expected to be established in the fall.

Quick facts

Consequential amendments are changes made to existing legislation due to new legislation being passed. These amendments are necessary to ensure legislative alignment with the proposed amendments to the Regional Health Authorities Act.
- To support the Regional Health Authorities Act amendments and ensure alignment, 43 other acts are being consequentially amended – for example, to replace references to “regional health authority” with “provincial health agency” where necessary.
AHS will remain a key provider of health services, and in fall 2024 will transition to focusing on the provision of acute care services.
Alberta’s government introduced the Canadian Centre of Recovery Excellence Act which, if passed, will establish the Canadian Centre of Recovery Excellence (CoRE) as a public agency that would support the Government of Alberta, including Mental Health and Addiction, and Recovery Alberta in advancing the Alberta Recovery Model.

Related information

Red Deer Hospital Lottery – Second Chance Early Bird Prize!!!

Published on May 14, 2024

Red Deer Regional Health Foundation

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