British Columbia

Northern B.C. hospitals avoided the first wave of COVID-19. Now they are struggling to keep up

COVID-19 patients from northern British Columbia are being sent to Victoria for care as both case counts and hospitalizations in the Northern Health region surge to unprecedented levels.

Some patients being sent to Victoria as hospitalizations in the region surge

Harry Good went from hauling a moose out of the woods near Hazelton, B.C., to struggling to sit up after he was diagnosed with COVID-19. He is posting videos of his recovery from hospital in Prince George, expressing concerns for doctors and nurses he says are dealing with an influx of patients like him. (Harry Good)

COVID-19 patients from northern British Columbia are being sent to Victoria for care, as both case counts and hospitalizations in the Northern Health region surge to unprecedented levels.

Since mid-November, northern B.C. has seen a sharp spike in positive test results, with the number of new COVID-19 cases rising from 96 between Nov. 1 and 15 to 343 between Nov. 16 and 30.

The number of patients requiring hospitalization, meanwhile, is happening at rates higher than anywhere else in the province. With just six per cent of the province's population, Northern Health patients now account for as many as 20 per cent of the critical care patients on any given day — and health-care providers are feeling the strain.

"I think the last time I had any days off was August," said Dr. Lovedeep Khara, an intensive care doctor at the University Hospital of Northern B.C. in Prince George, where the majority of the region's COVID-19 patients in need of intensive care wind up.

The current situation in northern B.C. is a sharp contrast to the spring and summer, when the region went weeks without any new infections, or even spring, when there were only one or two new cases at a time.

Now, Khara said, hospital staff are going "at full speed," foregoing holidays and regular downtime to handle the influx of new patients. Adding to the complexity of the situation is the fact COVID patients remain in intensive care for days or weeks at a time, requiring specialized teams, rooms and equipment to keep everyone safe from infection.

"Everybody is pretty strained and stressed," said Dr. Simon Rose, another ICU specialist in Prince George. "Not just doctors and nurses, but support and cleaning staff."

Near-surge capacity

Northern B.C. has 41 critical care beds, 24 of which were occupied on Nov. 30. But what's more important, health-care workers say, is the number of people available to staff them.

Fort St. John, for example, is able to look after patients with relatively mild symptoms, but once they need a ventilator or ICU care, they will likely be sent to Prince George where there are more doctors and respiratory therapists to support them. And this past week, at least two patients were sent to Royal Jubilee Hospital in Victoria to try to take some of the strain off hospitals in the north.

Courtenay Kelliher, who is in charge of Northern Health's pandemic response, said health-care workers in the region are reaching their limits and expressed hope cases will start to decline soon.

"A surge should be like a tidal wave," she said. "It comes in and it goes out, and you hope not to see a big one like that again." 

Critical care capacity in Northern B.C. as of November 30, 2020. On this date, fifty per cent of base beds were occupied by COVID-19 patients. Surge beds are meant to be used in short-term emergencies and not as part of regular operations. (Source: B.C. Ministry of Health/Graphic by CBC)

But the fear, Kelliher said, is that even though they've been operating at near-capacity for weeks, it's still unclear whether the wave has peaked or if it will continue to grow.

Adding to the stress is what some health-care workers view as a growing backlash to not just public safety measures, but the very notion of whether COVID-19 is even a concern. 

"When you get to the end of your day ...  and post after post and article after article is people complaining that the guidelines are too much and the orders are too much and this is a conspiracy … it leaves you feeling, just, defeated," Kelliher said.

"We went from in the springtime where the public held these pot-clanking parades and honking parades [for] frontline workers … And now it's almost been a 180 where there's sort of a hostility towards us."

"It just adds to that emotional exhaustion that already exists."

To hear more on how hospitals in the north are handling the surge in COVID-19 patients, and how it is impacting healthcare professionals in the region, tap the audio below.

In this series, the CBC's Andrew Kurjata takes an in-depth look at how a spike in COVID-19 cases and hospitalizations is impacting healthcare workers in northern Brtish Columbia. 39:44

Subscribe to Daybreak North on CBC Listen or your favourite podcast app, and connect with CBC Northern British Columbia on FacebookTwitter and Instagram

About the Author

Andrew Kurjata

CBC Prince George | @akurjata

Andrew Kurjata is an award-winning journalist covering Northern British Columbia for CBC Radio and cbc.ca, situated in unceded Lheidli T'enneh territory in Prince George. You can email him at andrew.kurjata@cbc.ca.

Comments

To encourage thoughtful and respectful conversations, first and last names will appear with each submission to CBC/Radio-Canada's online communities (except in children and youth-oriented communities). Pseudonyms will no longer be permitted.

By submitting a comment, you accept that CBC has the right to reproduce and publish that comment in whole or in part, in any manner CBC chooses. Please note that CBC does not endorse the opinions expressed in comments. Comments on this story are moderated according to our Submission Guidelines. Comments are welcome while open. We reserve the right to close comments at any time.

now