Increase in numbers seeking hospital treatment - Anglo Celt
Cavan General Hospital continues to feel the strain as the HSEs daily operations update shows that the highest number of confirmed cases (22) was in Cavan. There have been two Covid-19-related deaths and 814 new cases of the disease notified to the Department of Health in the past 24 hours. The cumulative number of cases in Ireland runs to 42,528 while the death toll stands at 1,826. Today's notified cases break down as follows: 432 and 381 women, 70% under 45 years of age. The median age of today's cases is 32 years old. There were 226 in Dublin, 77 in Cork, 64 in Galway, 56 in Donegal, 48 in Meath and the remaining 343 cases are spread across all remaining counties. Chief Medical Officer Dr Tony Holohan said: "It is vital that the entire population consistently implement public health advice into their daily lives; keep your social contacts to an absolute minimum and keep physical distance when you need to be out of your home. "22 out of 26 counties have seven-day incidence rates as a percentage of 14-day incidence rates above 50%. This shows rapidly increasing growth rates across the country." In Northern Ireland, another 1,066 cases of Covid-19 have been recorded over the past 24 hours. One further death was also recorded, taking the official Department of Health toll to 588. There has been a further increase in the number of people in hospital in the Republic with Covid-19. Over the weekend, public health officials issued stark warnings about the spread of Covid-19 and the number of people in hospital with the disease passed 200. As of 8am on Sunday there were 201 Covid-19 patients hospitalised, of which 30 were in ICU. At 8pm on Saturday night there were 198 confirmed cases in Irish hospitals and 103 suspected cases. According to the HSEs daily operations update, of the confirmed cases, the highest number (22) was in Cavan, followed by Beaumont (21), Tallaght (18) and Cork University Hospital (15).
New Covid cases in Cavan and Monaghan - Anglo Celt
The latest update from the National Public Health Emergency Team yesterday evening detailed freshly reported Covid infections in Cavan and Monaghan. Both counties were included among 30 new cases, with others being in Carlow, Cork, Donegal, Galway, Kilkenny, Meath, Offaly, Roscommon, Westmeath and Wexford. There is now a total of 29,025 confirmed cases of COVID-19 in Ireland as of midnight on Monday, August 31. In total the HPSC reported a single day rise of 217 confirmed cases. Other incidences were confirmed in Dublin (103), 25 in Kildare, 17 in Limerick, 17 in Tipperary, 7 in Waterford, 7 in Wicklow, 6 in Clare, 5 in Louth. The breakdown of the new cases are 103 are men and 113 are women, with 70% under 45 years of age. Just over half (51%) are confirmed to be associated with outbreaks or are close contacts of a confirmed case. A further 19 cases have been identified as community transmission. The HSE is working to identify any contacts the patients may have had to provide them with information and advice to prevent further spread. Dr. Ronan Glynn, Acting Chief Medical Officer, Department of Health, responded to the latest spike in confirmed Covid cases, the highest daily reported since May, by saying: the five day moving average remains relatively stable at 115 cases per day. However, this is still a substantial number of cases and I urge everyone to double down on their efforts now wash hands regularly, physically distance from others, wear face coverings where appropriate, avoid crowded areas, know the symptoms, isolate and contact your GP if you have any concerns. Please continue to reduce your social contacts so that the virus does not get the opportunity to spread further, added Dr Glynn.
Call to put reg numbers on fastfood cartons - Anglo Celt
A local community activist is calling on fast food restaurants, particularly drive-thru facilities, to start printing the registration plate numbers of customers on cartons as a way to deter roadside littering. Eugene Smith from Laragh is also asking retailers to be more responsible in how they sell items such as soft-drinks in multi-packs or two-for-one offers after finding the extra often ends up being discarded. He also claims the actions of those who fling rubbish from car windows is a smack in the face to volunteers right across the county who work hard to keep their local roadsides spic-and-span and as litter free as possible. Mr Smith lives on the near two-kilometre stretch (R165) defined locally as between the Fingerpost cross and the Cross Bar. Weve been picking the hedges around there for years, says Mr Smith, who explains that this years efforts back in February were boosted when many more in the community joined in. There were co-ordinated collections in other parts of the parish too. Together they collected enough roadside rubbish to fill three 8ft by 4ft trailer loads which, thanks to the cooperation of Wilton Waste and Cavan County Council, they were able to dispose of free of charge. Lockdown, was in one sense, a blessing says Mr Smith, who is also chair of the local Community Alert Committee. For one, there was less traffic on the road and, as a result, a lot less rubbish. But since restrictions were lifted and fast food establishments opened their doors, he says: Its back to being worse than ever it was. In a letter written to The Anglo-Celt, Mr Smith took umbrage with the accusation of young Swedish eco-activist Greta Thunberg that older generations were to blame for global warming. He instead thinks that the responsibility of caring for the environment is one that should be shared by all. What I want to know is, who are these older generation/pensioners that are going to McDonalds late on Saturday night getting chips or going to the off-licence getting their bottles of lager and Coke, throwing the containers out their car windows onto our road? It was not our generation that destroyed your planet. Our sausages came from the butcher. Our chips came from the spuds in the back garden in biodegradable skins; tea in a mug not a disposable cup. Mr Smith has also noticed Personal Protective Equipment (PPE) items - disposable masks and gloves - among the discarded waste. He expects these will feature prominently when locals get around to clearing the hedges next Spring. Its an absolute disgrace, slammed Mr Smith, who is calling on the authorities to legislate for more ways to link rubbish back to its original owner. We have to do something. Its clear the message isnt getting through. We have to think outside the box, everyone needs to think on this we. We need solutions to this problem, otherwise well be complaining again about it for more years to come.
Dozen Covid cases in local nursing homes - Anglo Celt
There were a dozen suspected or confirmed cases of Covid-19 infection each found at nursing homes in counties Cavan and Monaghan, according to the HIQA published report examining the impact of the pandemic on the sector nationally. As of June 30 last, there were six cases each in Cavan and Monaghan, five in neighbouring Leitrim, one in Longford, and 13 in Meath. The first confirmed case of COVID-19 in a nursing home in Ireland was reported March 13. The report states that many nursing homes in Ireland have been fortunate not to have an outbreak of COVID-19 to date. The HIQA published report however details the findings of recent inspections and HIQAs interaction with nursing homes throughout the outbreak, and describes the experiences of residents, their relatives and staff. At the time of the report being conducted, there were 576 registered nursing homes in Ireland, with approximately 32,000 residential places. Nursing homes are operated by a mixture of private and voluntary bodies, and the HSE. Private entities are by far the largest providers in the sector, managing eight out of 10 beds nationally (80%). While the average number of beds in nursing homes nationally is just over 56, they range in size from as little as nine beds to the largest centre which has 184 beds. The newly discovered coronavirus that causes COVID-19 is an especially difficult one to manage from an infection prevention and control perspective, HIQA acknowledges, particularly in the context of residential care for older persons. Between March 30 and July 3, there were 11 revisions to HPSC guidance. This required management in nursing homes to quickly take in and understand these updates. They were also required to enable the implementation of the changes throughout their service. Nursing home providers are now required to inform the Chief Inspector about unexpected deaths in their centres. A review of the number of deaths reported to the Chief Inspector in 2020 compared to previous years shows a significant increase. There were a total of 189 compliance assessments carried out in 189 nursing homes free of COVID-19 between April 29 and May 26. The assessment programme concluded on 26 May 2020 when a decision was made to recommence risk inspections of nursing homes. In total, inspectors made 2,826 assessments of compliance with regulations, averaging approximately 15 regulations assessed in each nursing home. In general, a good level of compliance was found across the nursing homes assessed. Of the 189 nursing homes, 142 (75%) were found to be fully compliant with all of the regulations assessed. There were 13 nursing homes (7%) where one or more regulation was found to be not compliant. Four nursing homes were not compliant with more than 20% of the regulations assessed, and as a result, these homes will continue to be closely monitored by the Chief Inspector to ensure that they address the issues identified. The three regulations with the highest level of non-compliance were Regulation 3: Governance and management; Regulation 15: Staffing; and Regulation 27: Infection control. These will be discussed in more detail in the next section of the report. In one nursing home, the bedroom door of a resident who had tested positive was left open and another facility was deemed so unfit for residents it was taken over by the HSE and ultimately shut down. HIQA also found that multi-occupancy rooms and outdated facilities made it difficult to stop the spread of the virus. In one home, 29 members of staff tested positive for Covid-19, which had a knock-on effect on nursing care and proper cleaning of the centre in line with guidance. Inspectors though found that the vast majority of nursing homes were staffed by people who were committed to keeping residents safe. Many staff had agreed to work additional hours and made themselves available on stand-by should the need arise. For example, one inspector reported: All staff have been surveyed in relation to their willingness to increase their hours, particularly staff that do not currently work full-time. There was a screening and reporting process in place to ensure that symptomatic staff did not come on duty. Neither did staff come on duty if they were living with persons working in another healthcare setting that was affected by COVID-19. Six nursing homes were found to be not compliant with this regulation, representing 3% of all centres inspected. A recurring theme in this context was an insufficient number of staff on duty. For example, in one centre, the inspector wrote that the person in charge told the inspector that seven nurses had left to cocoon due to COVID-19 and a few other care staff had resigned from the centre. She said she was trying to manage the centre with minimum staffing at the moment. She only had a skeleton workforce and did not have any relief staff available. HIQAs Chief Inspector of Social Services and Director of Regulation, Mary Dunnion, said: COVID-19 has brought into sharp focus the need for reform of current models of care for older people in Ireland. The continued use of multi-occupancy rooms and outmoded premises in some nursing homes undoubtedly created challenges in containing the spread of infection. We must look to complementary models of care, such as homecare and assisted living, and ensure that there is improved clinical oversight in all nursing homes. Furthermore, the regulations governing nursing homes are outdated and must be revised to make them fit for purpose, particularly as regards governance, staffing numbers, skill-mix, and infection prevention and control. HIQA will continue to listen to the experiences of residents, relatives and staff to strive for safer, better care that focuses on the human-rights and individual needs of the person. From the onset of the pandemic, HIQA meanwhile has taken a number of initiatives to ensure the safety and welfare of residents and to support service providers and staff. These include a quality assurance process, whereby all nursing homes are phoned on a fortnightly basis by an inspector of social services. From March 25 up until the time of writing this report, 2,851 such phone calls were made to nursing homes.
Anglo Celt - INMO welcomes new PPE policy - Anglo Celt
The INMO has welcomed a change in national policy, which now mandates facemasks in all settings for any healthcare workers who provide care within 2m of a patient.
Nursing.jpg The INMO has welcomed a change in national policy, which now mandates facemasks in all settings for any healthcare workers who provide care within 2m of a patient. It also applies to any of their colleagues who come within 2m for more than 15 minutes. In practice, the INMO says this will mean nearly all frontline healthcare workers will wear facemasks. Until now, many parts of the health service did not require or permit staff in all areas to wear this basic form of PPE. The INMO wrote to the Chief Clinical Officer on April 3 calling for this new measure to be rolled out, and has repeatedly made the case for it to become national policy. Several hospitals, including the largest hospital, St. James’ Hospital, have already rolled out such a policy. INMO General Secretary, Phil Ní Sheaghdha, said: “This is welcome news to frontline staff and patients, which should ease some anxiety and reduce transmission of the virus. “This should have been rolled out weeks ago, but we are glad to have finally secured this measure. It will not only benefit frontline healthcare workers, but will reduce the risk of transmission to patients. “The next step must be ensuring sufficient supplies are available for all health workers, and continuous PPE training where needed.”