Five years after COVID-19: Algoma reflects on pandemic lessons as virus persists

128 Algoma residents died from COVID-19 during the pandemic period; 268 institutional outbreaks occurred in the region.
We carry the lessons of the pandemic with us
Dr. Tuinema reflects on how Algoma is building resilience by incorporating pandemic experience into future public health planning.

Five years after COVID-19 first reached Algoma, the region pauses to account for what was lost and what was learned. One hundred twenty-eight lives ended, 268 institutional outbreaks unfolded, and a community was reshaped by isolation, improvisation, and collective endurance. The acute emergency has passed, but health officials remind us that the virus has not — and that the habits of care forged in crisis are not yet finished with their purpose.

  • 128 Algoma residents died and 268 institutional outbreaks were recorded over five pandemic years, numbers that now anchor a community's reckoning with what it endured.
  • COVID-19 continues to circulate in periodic waves, posing real danger to older adults, immunocompromised individuals, and those with underlying conditions even as most people have returned to ordinary life.
  • Health officials are urging higher-risk residents to maintain masking in crowded indoor spaces, stay current with vaccinations, and practice basic respiratory hygiene — modest measures that carry uneven weight depending on who you are.
  • Sault Area Hospital still faces patient flow pressures during respiratory illness seasons, and its staff continue to navigate the fatigue of years spent on pandemic footing.
  • Algoma Public Health is transitioning out of emergency operations and returning staff to core programs, embedding hard-won pandemic lessons into long-term preparedness planning for future crises.

Five years after COVID-19 arrived in Algoma, the most visible signs of the pandemic have faded. Lineups outside stores are gone, masks have largely come off, and handshakes have returned. But March 2025 brought a moment of reckoning — a chance to measure what those years actually cost.

The numbers are sobering. Algoma Public Health documented 268 institutional outbreaks across the region from the pandemic's start through mid-March 2025. One hundred twenty-eight Algoma residents died from the virus. Behind those figures lies the lived texture of the era: the strange rituals, the sudden dislocations, the weight of sustained uncertainty.

Dr. John Tuinema, acting medical officer of health, was direct: the virus has not gone away. COVID-19 continues to move through the region in waves, and it remains a genuine threat to older adults, people with compromised immune systems, and those with underlying conditions. He encouraged higher-risk residents and those around vulnerable people to consider masking in crowded indoor spaces, stay current with vaccinations, and practice basic respiratory hygiene.

The pandemic placed extraordinary demands on health workers. Algoma Public Health staff took on extended and unfamiliar roles for years. Sault Area Hospital continues to see COVID infections and outbreaks, and respiratory illness seasons still create pressure on staff and patient flow, according to communications officer Rose Calibani.

Tuinema also reflected on what the region got right. Communities slowed transmission long enough for vaccines to arrive, and when they did, most residents accepted them — a collective act that blunted the virus's deadliest potential. Now, as Algoma Public Health returns to core programs and steps back from emergency operations, those lessons are being built into long-term preparedness planning. The region is not simply recovering. It is trying to be ready for whatever comes next.

Five years have passed since COVID-19 arrived in Algoma, and the region has moved through the worst of it. The lines outside stores are gone. The masks have come off most faces. People shake hands again instead of bumping fists. But March 2025 brought a moment to reckon with what those five years cost and what they changed.

From the start of the pandemic until mid-March this year, Algoma Public Health documented 268 institutional outbreaks across the region. One hundred twenty-eight Algoma residents died from the virus. Those numbers sit behind the collective memory most people carry: the strange ritual of waiting to enter a bank, the weight of masks, the sudden shift to working and studying from home, the peculiar intimacy of curbside transactions. It was disorienting. It was also, in many ways, survivable—which is not nothing.

But the virus did not disappear. Dr. John Tuinema, acting medical officer of health for Algoma Public Health, was clear about this in recent remarks. COVID-19 continues to move through the region in waves. Case numbers have dropped from their peaks, but the disease remains a genuine threat to older adults, to people with compromised immune systems, and to those carrying underlying health conditions. The pandemic's acute phase has ended. The virus itself has not.

For most people, life has returned to what it was. For some, caution remains necessary. Tuinema recommended that individuals at higher risk, or those in contact with vulnerable people, might still benefit from wearing masks in crowded indoor spaces. He encouraged residents to assess their own risk, to stay current with vaccinations, and to practice basic respiratory hygiene—staying home when sick, covering coughs. These are not dramatic measures. They are also not optional for everyone.

The pandemic placed extraordinary strain on the people who worked through it. Algoma Public Health staff took on extended hours and unfamiliar roles. Sault Area Hospital, the region's largest medical facility, absorbed waves of COVID patients and continues to see infections and outbreaks. Rose Calibani, the hospital's communications officer, noted that respiratory illness seasons still create patient flow challenges and stress for workers. The hospital continues to encourage handwashing and mask use in patient care areas, particularly during flu season.

Tuinema reflected on what the region learned. Communities came together to slow transmission, buying time for vaccine development. When vaccines arrived, the overwhelming majority of residents accepted them. That collective action reduced the virus's deadliest impact. Now, as Algoma Public Health steps back from emergency operations and returns staff to core public health programs, the lessons are being woven into long-term planning. The region is building resilience for whatever comes next.

Vaccination remains central to that strategy. Despite resistance from some during the pandemic, health officials emphasize that ongoing COVID vaccination is essential for reducing severe illness, especially among high-risk groups. The virus is still present. The tools to manage it are better understood. What remains is the discipline to use them.

COVID-19 continues to circulate in Algoma with periodic waves of increased transmission. While case numbers have declined from earlier peaks, COVID-19 remains a concern for older adults, immunocompromised individuals, and those with underlying health conditions.
— Dr. John Tuinema, Algoma Public Health acting medical officer of health
Our communities rose to the challenge to stop the spread, which bought us time to develop a vaccine. Once we had a vaccine, the overwhelming majority of residents rolled up their sleeves and got immunized to reduce the deadly impact of the virus.
— Dr. John Tuinema
A Conversa do Hearth Outra perspectiva sobre a história
Inventor

When you say the virus is still circulating, what does that actually look like in Algoma right now? Are people getting sick regularly?

Model

Yes, but it's different now. We're seeing periodic waves of increased transmission rather than the constant surge we experienced early on. People are getting infected, but most recover without hospitalization. The concern is concentrated—older adults, immunocompromised people, those with chronic conditions.

Inventor

So the 128 deaths and 268 outbreaks—those numbers feel historical now?

Model

They are historical, but they're also the weight we're still carrying. Those are real people, real families. The outbreaks happened in institutions where vulnerable people live and work. That's why health officials are still talking about precautions.

Inventor

Why do you think vaccination rates were so high in Algoma compared to other places?

Model

I think it's partly that people here saw the cost directly. They saw neighbors die. They saw hospitals strained. When the vaccine arrived, there was less abstract debate and more practical acceptance.

Inventor

The hospital is still dealing with this. What's the actual day-to-day impact?

Model

Patient flow challenges during respiratory seasons, stress on workers who are already tired, ongoing outbreaks. It's not crisis mode anymore, but it's not gone either. It's become part of the baseline.

Inventor

What does it mean that they're incorporating pandemic lessons into long-term planning?

Model

It means they're not treating this as a one-time event. They're building systems and protocols that assume the next emergency will come. They're learning from what worked and what didn't.

Inventor

And the people who resisted the vaccine—where are they now?

Model

That's not really addressed. But the fact that health officials are still emphasizing vaccination suggests they're still concerned about uptake, especially in high-risk groups.

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