I was on the infection control committee for a Toronto area hospital during SARS. It turned my life upside down for six months. It was very scary - no one initially knew the most basic cause (a virus?) or how to best protect oneself. Half of people who got SARS ended up on ventilators in the ICU, 17% died - including 101 health care workers. I saw a SARS patient. I know a colleague who died.
The government response to SARS - putting negative pressure rooms and decontamination areas in all emergencies, providing PPE, investing in PPE stores, making N95 mask fitting and donning/doffing protocols, contact tracing all cases and quarantining 15,000 people in Toronto alone and coming up with a system for transferring people between hospitals (which initially stopped accepting transfers from small hospitals- with some tragic results) was both excellent and groundbreaking. Many of the deaths from SARS were, however, in nursing homes around Scarborough Grace.
This time around, the PPE stores were not kept up to date, then were destroyed. Surveillance teams in place were defunded. Contact tracing was never done systematically. Closing borders and travel is a big deal and I don’t blame the government for delays - they did it reasonably based on current information. Yes, it could have been better. There was no criminal intent.
The three biggest mistakes in my view were: 1) keep enough PPE, preferably made in Canada 2) don’t let Quebeckers go south to Florida and 3) do something about the nursing homes, which were problematic during SARS and have been for decades. But I can tolerate mistakes if lessons are learned. We did better than many. It is easy and unproductive to look back in anger.