Clint Capela (Atlanta Hawks) with a dunk vs the Oklahoma City Thunder, 02/26/2021
Clint Capela (Atlanta Hawks) with a dunk vs the Oklahoma City Thunder, 02/26/2021
The supermarket giant said profits were weighed down by £892 million in coronavirus-related costs.
A CDC committee will analyze reports related to the Johnson & Johnson vaccine, prosecutors weigh charging officer who shot Daunte Wright and more news to start your Wednesday.
Forecasts by Type (Clinical Trial Manufacturing (Clinical Trial Packaging, Others), Clinical Trial Logistics and Distribution (Clinical Trial Cold Chain Logistics, Others), Clinical Trial Supply Chain Management), by End Users (CRO’s, Pharma & Biotech, Others (Academics, Research Institutes etc.New York, April 14, 2021 (GLOBE NEWSWIRE) -- Reportlinker.com announces the release of the report "Clinical Trial Supply and Logistics Market for Pharma 2020-2030" - https://www.reportlinker.com/p06058482/?utm_source=GNW )) PLUS COVID-19 Impact AnalysisThe global clinical trials supply and logistics market for pharma is estimated to have reach $10.3bn in 2019, dominated by the clinical trial manufacturing segment. The global clinical trial supply and logistics market for pharma is expected to grow at a CAGR of 6.6 % in the first half of the forecast period. This new report also covers the economic impact of COVID-19 as well as how the pandemic will affect your industry sector. How this report will benefit you Read on to discover how you can exploit the future business opportunities emerging in this sector. In this brand new 178-page report you will receive 81 charts– all unavailable elsewhere. The 178-page report provides clear detailed insight into the global clinical trial supply and logistics market for pharma. Discover the key drivers and challenges affecting the market. The report also includes insight on how COVID-19 will affect your industry. By ordering and reading our brand-new report today you stay better informed and ready to act. Report Scope • Revenue and growth forecasts from 2020 to 2030 for the global clinical trial supply and logistics market. This report also discusses the Drivers and Restraints of the global clinical trial supply and logistics market. • Revenue and growth forecasts from 2020 to 2030 for the leading submarkets of the global clinical trial supply and logistics market: • Manufacturing – also with sub forecasting for packaging and for other production • Logistics and distribution – also with sub forecasts for cold chain logistics and for other services • Supply chain management This report discusses the Drivers and Restraints of each submarket. • Revenue and growth forecasts from 2019 to 2029 for the leading national markets: • United States • Japan • EU5: Germany, France, United Kingdom, Italy, Spain • Brazil • Mexico • China • India • GCC • South Africa • Rest of the World Revenues forecast for the US, Japan, EU5, Brazil, Mexico, China, India, GCC, South Africa are further broken down by submarket. • This report profiles the leading companies offering clinical trial supply and logistics services to the pharmaceutical industry: • ADAllen Pharma • Almac Group • Amatsigroup • Catalent • DHL • FedEx • Fisher Clinical Services • Marken • Parexel International • Sharp Packaging Services, LLC • Many others • This report provides qualitative analysis of the clinical trial supply and logistics market. This report discusses the Strengths, Weaknesses, Opportunities and Threats of the clinical trial supply and logistics market. Social, Technological, Economic and Political factors that influence this market are also discussed. • This report discusses trends in the clinical trial supply and logistics market, clinical trial manufacturing market, comparator sourcing, clinical trial packaging, clinical trial supply chain management. • This report discusses the regulatory outlook of the clinical trial supply and logistics industry, outlook for cold chain logistics in the clinical trial sector, as well as regulatory aspects of cold chain distribution for clinical trial materials • Key Questions Answered by this Report: • How is the clinical trial supply and logistics market for pharma evolving? • What are the drivers and restraints for the growth of the clinical trial supply and logistics market for pharma? • How will each clinical trial supply and logistics submarket for pharma grow over the forecast period and how much revenue will these submarkets account for in 2030? • How will the market shares for each clinical trial supply and logistics submarket for pharma develop to 2030? • What is the value of the leading clinical trial supply and logistics submarket for pharma s in important regions of the world? • What will be the main driver for the overall market to 2030? • How will the market shares of the national markets change by 2030 and which geographical region will lead the market by 2030? • Who are the leading players and what are their prospects over the forecast period? This study is intended for anyone requiring commercial analyses for the global clinical trial supply and logistics market for pharma. You find data, trends and predictions.Read the full report: https://www.reportlinker.com/p06058482/?utm_source=GNWAbout ReportlinkerReportLinker is an award-winning market research solution. Reportlinker finds and organizes the latest industry data so you get all the market research you need - instantly, in one place.__________________________ CONTACT: Clare: email@example.com US: (339)-368-6001 Intl: +1 339-368-6001
Dublin, April 14, 2021 (GLOBE NEWSWIRE) -- The "Industrial Heating Equipment Market Analysis By Product, By Application And Segment Forecasts, 2017-2026" report has been added to ResearchAndMarkets.com's offering. The growing construction industry and an increase in demand for energy-efficient solutions are likely to stimulate demand for industrial heating equipment.The Global Industrial Heating Equipment Market size is expected to reach USD 33.88 billion by 2027 After a disappointing trade flow in 2016-2017, global trade in the first half of 2018 has shown significant improvement owing to low global manufacturing output along with unstable crude oil prices. Moving forward, the vulnerability in raw material prices remains a concern, along with unpredictable trade policies adopted by major consumers and manufacturers. The chemical and mining sectors accounted for the largest share in the industrial heating equipment market. This has been calculated on the basis of chemical industries outlook for the future by precedence to a capacity addition of the chemical and the mineral, material, and mining industries. An increase in demand for residential buildings in developed economies, driven by low-interest rates, a decrease in unemployment rates, and low debt service ratios, will positively contribute to the construction activities, which will aid in the growth of the industrial heating equipment market.Further key findings from the report suggest The heat pump segment was valued at USD 2.53 billion in 2019 and is estimated to reach USD 3.46 billion by the end of the forecast period. The segment is anticipated to grow at a CAGR of 4% due to an exponential increase in the capacity of SMEs under the specialty chemical industry in Asia. This segment registered a decline in production by 11% during 2014-2016; however, it is expected to pick up the pace by the end of 2019.The U.S. region is expected to grow significantly during the forecast period at a CAGR of 4.6%. The industrial sector in the U.S. contributed to over 30% of the thermal demand in the region. In 2010, the petroleum refining and chemicals industries accounted for 31% and 20% of the total process heating energy use, respectively. The petroleum refining and chemical industries use more than 1 quad of energy each for process heating.The demand for thermal energy varies from 900 GJ to 3.6 TJ depending on the size of a refinery plant. The industrial manufacturing sector of Canada accounts for nearly 65% of the thermal energy demand. The paper & pulp and petroleum refining industries are the largest consumers of industrial heating equipment.Key participants in the industry include Danfoss, Ingersoll-Rand Plc, Lennox International, Inc., Daikin Industries Ltd., Robert Bosch GmbH, Johnson Controls, Uponor Corporation, United Technologies Corporation, Emerson Electric Co. and Honeywell International Inc.In 2018, Danfoss acquired shares in Finland-based developer and provider of turnkey IoT solutions, Leanheat. Danfoss plans to strengthen its global position in building energy optimization and management. Key Topics Covered: Chapter 1. Market SynopsisChapter 2. Executive SummaryChapter 3. Indicative MetricsChapter 4. Industrial Heating Equipment Market Segmentation & Impact Analysis4.1. Industrial Heating Equipment Segmentation Analysis4.2. Industrial Outlook4.3. Regulatory Framework4.4. Industrial Heating Equipment Market Impact Analysis4.4.1. Market driver analysis188.8.131.52. Growing Construction Industries184.108.40.206. Demand for energy efficient solutions4.4.2. Market restraint analysis220.127.116.11. High Costs4.5. Key opportunities prioritized4.6. ETOP Analysis4.7. Porter's Five Forces Analysis4.8. Competitive Metric Space Analysis4.9. Price trend AnalysisChapter 5. Industrial Heating Equipment Market By Product Insights & Trends5.1. Product Dynamics & Market Share, 2018 & 20265.2. Heat Pumps5.3. Furnaces5.4. Unitary Heaters5.5. Boilers5.6. Radiant HeatersChapter 6. Industrial Heating Equipment Market By Application Insights & Trends6.1. Application Dynamics & Market Share, 2018 & 20266.2. Oil & Gas6.3. Mining Materials & Metals6.4. Machinery Manufacturing Industry6.5. Automotive6.6. ChemicalChapter 7. Industrial Heating Equipment Market Regional Outlook7.1. Industrial Heating Equipment Market share by region, 2018 & 2026Chapter 8. Competitive Landscape8.1. Market Revenue Share by Manufacturers8.2. Manufacturing Cost Breakdown Analysis8.3. Mergers & Acquisitions8.4. Market positioning8.5. Strategy Benchmarking8.6. Vendor LandscapeChapter 9. Company Profiles DanfossUnited Technologies CorporationIngersoll-Rand PlcLennox International Inc.Daikin Industries Ltd.Johnson ControlsRobert Bosch GmbHUponor CorporationEmerson Electric Co.Honeywell International Inc. For more information about this report visit https://www.researchandmarkets.com/r/8qgmjc CONTACT: CONTACT: ResearchAndMarkets.com Laura Wood, Senior Press Manager firstname.lastname@example.org For E.S.T Office Hours Call 1-917-300-0470 For U.S./CAN Toll Free Call 1-800-526-8630 For GMT Office Hours Call +353-1-416-8900
Thailand reported on Wednesday 1,335 new COVID-19 cases, the biggest daily rise since the start of the pandemic and the third record rise this week, as the Southeast Asian country struggles with a new wave of infections. The spike in cases comes as Thais celebrate the Songkran new year holidays and authorities have urged people to avoid unnecessary travel and reduce gatherings to help limit the outbreak, which includes the highly transmissible B.1.1.7 variant first identified in Britain. "The period after Songkran is a critical time to control the outbreak, if not we could see 10,000 to 20,000 cases per day," senior health official, Opas Karnkawinpong, said, urging people to work from home for two weeks after the holidays.
Although the state government has issued directives against the setting up refugee camps, local communities are clandestinely providing shelter to refugees
Russia's rouble extended strong gains on Wednesday on hopes of improving ties between Moscow and the West, while other emerging market currencies rose as U.S. inflation data failed to stoke fears of imminent policy tightening. The rouble led gains across currencies in Europe, the Middle East and Africa, having surged 1.8% on Tuesday after a phone call between U.S. President Joe Biden and Russian President Vladimir Putin, which the Kremlin said was a proposal to normalise ties.
Joe Biden, who vowed to restore America's global standing, is weighing how far to diverge from the tradition of giving plum slots to political allies.
US envoy John Kerry will hold talks in Shanghai ahead of a climate summit hosted by President Biden.
The Sleeping Beauties by Suzanne O’Sullivan review – 21st century health mysteries. Sleeping sickness, strange behaviour and mass hysteria ... a neurologist makes sense of ‘psychosomatic’ illness
100 days to Tokyo: how Team GB is shaping up for a unique Olympics. Virtual diving meets, farming fitness and training on trampolines have featured in a buildup where the pandemic meant necessity has been the mother of invention
The teams, who will meet at Bristol in June, have not played each other in the format since 2014.
J&J vaccine concerns, Montana governor issues an executive order banning the development or use of vaccine passports in Montana. Latest COVID news.
MLB yanked the All-Star Game from Atlanta because of Georgia’s controversial voting law. Bravo. But why turn timid on public health during a pandemic?
Toronto police didn't check Bruce McArthur's criminal record in 2013 before or after interviewing him — despite possessing evidence connecting the now-convicted serial killer to three missing men whose disappearances officers were then investigating. That's just one of many serious investigative flaws former judge Gloria Epstein identifies in her independent review of Toronto police's handling of missing-persons cases — including the victims of McArthur — released Tuesday. Epstein argues proper preparation for the McArthur interview, an understanding of his 2003 assault conviction, and his connection to the three missing men should have resulted in greater police scrutiny of his conduct as early as November 2013. He was eventually arrested and charged with murder in January 2018. "Someone with a connection with all three missing persons who had attacked another member of the LGBTQ2S+ communities and been banned from the Village for a period should have undoubtedly have qualified as a person of interest," Epstein wrote, referring to the gay community's downtown neighbourhood. The 1,100-page report marks the first time some of these details — of what police did and knew when — have come to light. The service has previously refused to "dissect the investigation" despite questions about how police handled the investigations into missing men who turned out to be McArthur's victims. Retired judge Gloria Epstein released her final report on Toronto police service's handling of missing-persons cases, including McArthur's victims, on Tuesday.(Submitted by Shelley Colenbrander) "I cannot say that McArthur would necessarily have been apprehended earlier if these investigative steps had been taken," Epstein wrote. "But the Toronto police did lose important opportunities to identify him as the killer." McArthur went on to kill five more men after police first interviewed him as part of Project Houston. In a news conference, acting Toronto police chief James Ramer told reporters Tuesday "the shortcomings [Esptein] identified are inexcusable" and that the service is going to implement her recommendations "as quickly as possible." The 16-minute interview The Project Houston task force was launched in November 2012 to probe the disappearances of Skandaraj Navaratnam, Abdulbasir Faizi and Majeed Kayhan — all of whom were connected to Toronto's Gay Village. Almost a year into that investigation, police discovered McArthur was connected to Navaratnam and Faizi through his online username "silverfoxx51." A detective on the project scheduled an interview in November 2013. But Det.-Const. Joshua McKenzie did not prepare questions, look into McArthur's background or do a Canadian Police Information Centre (CPIC) database search on him before the interview, according to Epstein's report. If he had, McKenzie would have found McArthur's 2003 assault conviction, which Epstein argues could have then been used to obtain the synopsis of the serial killer's unprovoked pipe attack on a gay man in the Village in 2001. Project Houston, a police task force, was created to probe the disappearances of Skandaraj Navaratnam, Abdulbasir Faizi and Majeed Kayhan.() Instead, the interview with McArthur lasted only 16 minutes and McKenzie didn't ask McArthur about his known connection to Faizi after McArthur denied knowing the missing man. McArthur also admitted to having had a sexual relationship with Kayhan — who police had yet to connect to McArthur — but McKenzie didn't ask follow-up questions about the relationship. 'Important fact went unnoticed' After the interview, police had a connection between McArthur and all three missing men. "However, this important fact went unnoticed," wrote Epstein. "McKenzie's summary of the interview failed to include it." In the report, Epstein references and agrees with a summary of the implication of those connections from an unnamed police investigator provided to the review. "[McArthur] would have been the one and only person who was linked to all three disappearances at that point from all the information we had," the investigator said. WATCH | Report 'hard to read,' interim chief says: "He would be on the top of the list of finding out what more is he capable of and what he does. The prime suspect, if you will." Instead, it looks like no supervisor reviewed McKenzie's interview or instructed any follow-up action because of it, according to the report. Epstein said McKenzie was a relatively junior officer at the time and told the review that he did what he was told. Neither the video of the McArthur interview nor the summary McKenzie wrote were added to Toronto police's records system, Versadex, or the major case management system, PowerCase. In her report, Epstein outlines how those omissions had ramifications on how police investigated McArthur when he was arrested, but not charged, for an assault in June 2016. CBC News has previously reported on the attempted choking of a man, in the back of McArthur's van, who was able to escape and called 911. Afterward, McArthur went to the police and said the incident was consensual. He was let go, as police believed his story was credible. Bruce McArthur pleaded guilty to killing these eight men. Top row, from left to right: Skandaraj Navaratnam, Andrew Kinsman, Selim Esen and Abdulbasir Faizi. Bottom row, from left to right: Kirushna Kumar Kanagaratnam, Dean Lisowick, Soroush Mahmudi and Majeed Kayhan.(John Fraser/CBC) The investigator, Sgt. Paul Gauthier, is facing police disciplinary charges in connection with the case. He told the independent review that had he known McArthur had been identified as someone in contact with three missing persons in Project Houston, Gauthier would have contacted officers from the task force before making his decision not to charge McArthur. "[Gauthier] saw this situation as a counterproductive siloing of relevant information. I agree with him," Epstein wrote. However, the report also notes that Gauthier's 2016 investigation failed to turn up McArthur's 2003 assault conviction. By that time, McArthur had received a record suspension from the Parole Board of Canada in connection with that conviction, but that didn't mean police couldn't find a record of the assault. 'Easily discoverable' "We do know this information, which turned out to be relevant, was easily discoverable during Project Prism," Epstein wrote in relation to the task force that looked into the disappearances of Andrew Kinsman and Selim Esen and eventually led to the arrest of McArthur. Without the information on McArthur's pipe assault, Epstein said that investigators in Project Houston and the 2016 choking investigation saw McArthur "as a 64-year-old man with no prior violent history." "What became obvious to me during this Review is that officers have varying (and sometimes inaccurate) understandings of what is available to them on their own databases." McArthur murdered five men — Soroush Mahmudi, Kirushna Kumar Kanagaratnam, Dean Lisowick, Esen and Kinsman — after he was interviewed as part of Project Houston in 2013. Esen and Kinsman were killed after the 2016 attempted choking investigation. McArthur is currently serving a life sentence for the first-degree murder of all eight men. He will be 91 by the time he can apply for parole.
SmartStream expand global footprint with its latest cloud-native AI application
Highlight Therapeutics to present data from Phase 2 immunotherapy studies of liver metastases and melanoma data at AACR Virtual Annual Meeting 2021 MADRID, Spain, April 14, 2021 (GLOBE NEWSWIRE) -- Highlight Therapeutics, (“Highlight”), a clinical-stage biopharmaceutical company developing RNA-based therapies against cancer, today announced that data from Phase 2 studies of its RNA-based immunotherapy BO-112 will be presented as posters at the American Association for Cancer Research (AACR) Virtual Annual Meeting 2021, April 10-15 and May 17-21. The e-poster presentations, which are available for browsing on from April 10, 2021, through June 21, 2021, are entitled: Phase IIa open-label clinical study of intratumoral administration of BO-112 in combination with pembrolizumab in subjects with liver metastasis from colorectal cancer or gastric/gastro-oesophageal junction cancer (Abstract number 5289)Phase 2 clinical study to evaluate the efficacy and safety of intratumoral BO-112 in combination with pembrolizumab in patients with advanced melanoma that have progressive disease on anti-PD-1-based therapy (Abstract number 4936)BO-112 as a modifier of the tumor microenvironment for liver metastases (Abstract number 994)A phase I study of intratumoral BO-112 and nivolumab for resectable soft tissue sarcoma (Abstract number 5273) Click on, or paste the following link into your web browser, to view the associated PDF document. http://www.rns-pdf.londonstockexchange.com/rns/3658V_1-2021-4-13.pdf Contacts:RNSCustomer Services0044email@example.com://www.rns.com
AuctionAuction resultsAuction date2021-04-14Settlement date2021-04-16Credit rating class1Term3mFixed purchase rate, %0.3Total bid amount, SEK mln0Accepted volume, SEK mln0Percentage alloted, %0Number of bids0AuctionAuction resultsAuction date2021-04-14Settlement date2021-04-16Credit rating class1Term6mFixed purchase rate, %0.4Total bid amount, SEK mln0Accepted volume, SEK mln0Percentage alloted, %0Number of bids0AuctionAuction resultsAuction date2021-04-14Settlement date2021-04-16Credit rating class2Term3mFixed purchase rate, %0.6Total bid amount, SEK mln0Accepted volume, SEK mln0Percentage alloted, %0Number of bids0AuctionAuction resultsAuction date2021-04-14Settlement date2021-04-16Credit rating class2Term6mFixed purchase rate, %0.7Total bid amount, SEK mln0Accepted volume, SEK mln0Percentage alloted, %0Number of bids0
WASHINGTON — Canada is growing ever more reliant on imported American oil, a new report from the country's energy regulator suggests, putting a counter-intuitive spin on the fierce debate about cross-border pipelines and energy independence. The United States provided nearly four out of every five barrels of imported crude in 2020, a year when global demand for fossil fuels was badly dented by the COVID-19 pandemic, the latest data from the Canada Energy Regulator shows. Some 77 per cent of Canadian imports came from the U.S., up from 72 per cent in 2019 and a paltry six per cent in 2010, before a dramatic spike in domestic American oil and gas production over the last decade. "We do often think of the pipeline relationship between the two countries as being one of, 'Canada produces and exports to the U.S.,'" said Darren Christie, the regulator's chief economist. "This is specifically showing that there is another side to that coin, which is that we also import production from the U.S." Close observers of Canada-U.S. trade flows, particularly those in the energy sector, might not be overly surprised by how much American crude oil has been travelling north in recent years. The U.S. absorbed a whopping 96 per cent of Canadian oil exports last year, the bulk of it heavy crude, more than half of it to the U.S. Midwest, which has been ground zero for pipeline disputes for much of the last 15 years. But a massive surge in U.S. oil and gas production, fuelled in part by new extraction technology like fracking and horizontal drilling, has made it a convenient source of feedstock for refineries in both countries, Christie said. "Their crude oil production has more than doubled in the last 10 years, which is quite a remarkable increase," he said. "That creates a massive supply push out of the U.S. And if we are just north and had previously been importing some crudes from around the world, it's a natural market for a lot of that increased production out of the U.S." While foreign oil has long been a part of the Canadian energy mix, the latest numbers — along with the proportion of imports from the U.S. — casts the ongoing controversy over pipeline links between the two countries in a surprising new light. On his first day in the Oval Office, President Joe Biden cancelled the Keystone XL pipeline expansion, which would have ferried an additional 800,000 barrels a day of Alberta oilsands bitumen to refineries on the U.S. Gulf Coast. Michigan is currently in court with Enbridge Inc. over Gov. Gretchen Whitmer's efforts to shut down Line 5, a vital cross-border energy link that crosses the Great Lakes beneath the ecologically sensitive Straits of Mackinac. The pipeline is widely billed by its defenders as a critical piece of infrastructure that feeds key refineries in Sarnia, Ont., and provides more than half of the propane needed to heat homes in Michigan alone, to say nothing of neighbouring states. Canada has vowed to strenuously defend Line 5, with Natural Resources Minister Seamus O'Regan insisting last month that its operation is "non-negotiable." Ottawa has yet to say if it will take part in the ongoing court case. Protesters in Minnesota are also doing their best to disrupt Enbridge's ongoing $10-billion upgrade of Line 3, another key link in the cross-border chain that connects to Line 5 at a facility in Superior, Wisc. The dependence on U.S. oil is especially high in Atlantic Canada, a region of the country where pipelines are often not an option. Imports to refineries there have increased tenfold over the last decade. While Canada's energy exports to the U.S. are more than six times what moves in the other direction, the interdependence between the two countries is dramatic, both from the standpoint of energy supply and economic impact, the American Petroleum Institute said in a report last week. Over the past 10 years, the value of petroleum liquids traded between the two has measured as high as 20 per cent of all Canada-U.S. trade. Up to 90 per cent of oil refined in Eastern Canada travelled either through or from the U.S., the API said. "Trade volumes in both directions are dominated by crude oil," it said. "Crude oil trade growth has been primarily driven by heavy crude oil shipped from Western Canada to the U.S. Midwest and Gulf Coast by pipeline and rail, and light crude oil from North Dakota and Texas shipped to Eastern Canada by pipeline and marine vessel." This report by The Canadian Press was first published April 14, 2021. James McCarten, The Canadian Press
As ICU admissions continue to soar in Ontario, critical care doctors and nurses are warning that the province's plan to add hundreds of new critical care beds alone will not improve the situation they're currently facing in this deadly third wave of the pandemic. Staff say rising ICU admissions are pushing the system to the brink — a system they say was already stretched thin before COVID-19 hit. Health Minister Christine Elliott said on Monday the province is taking steps to create more capacity in hospitals by redeploying staff, postponing elective surgeries and transferring patients when she was asked about the alarming increase in ICU admissions in Ontario because of COVID-19 cases. "By the end of this week we anticipate creating 350 net new spots," said Elliott. She said the plan is to ultimately free up between 700 and 1,000 beds. "We are creating capacity and we are making sure that every Ontarian who needs an intensive care bed will get one." But medical staff who work in ICU units say each new bed requires a host of resources — including specialized trained staff — that simply aren't available quickly. What it takes to run an ICU bed "At bare minimum, you have to have the physical space," said Dr. Michael Detsky, an ICU physician at Sinai Health System in Toronto. "You have to have the physical equipment … so the IV pumps, the ventilators, the dialysis machines, the monitors, all of that stuff has to be available in real time for the patients." An intubated COVID-19 patient breathes with the assistance of a ventilator in the ICU at the Humber River Hospital in Toronto on Dec. 9, 2020. (Nathan Denette/The Canadian Press) In addition to space and equipment, Detsky said each bed requires is a network of support staff, including a respiratory therapist, physiotherapist, pharmacist and social worker. That's in addition to specially trained nurses, who he says are crucial. "It's not like there's this abundance of clinicians who are available to service the existing beds we have, let alone the 'expanded thousand beds' that are coming," he said. "I get the sense in talking to colleagues at my own hospital and other hospitals that this just feels like there just aren't enough bodies to look after the patients that you're anticipating coming to the door." Not enough trained nurses A shortage of critical care nurses is a problem that Birgit Umaigba said existed before the pandemic is now exacerbated by it. WATCH | ICU nurse on why more beds may not be enough: Umaigba, a Toronto-based nurse who specializes in critical care and emergency medicine, says the most critical patients should each have a dedicated nurse. "You walk in sometimes with three, four, five, six, seven, eight, nine — 10 nurses short," said Umaigba. "Having to juggle two patients that are really sick on ventilators is a safety issue … And in those kinds of cases, mistakes are bound to happen." Denise Morris, nurse manager in the medical surgical intensive care unit at Toronto General Hospital, watched the number of beds in her her unit increase to 44 from 30 last year. "You want to have those beds open. But trying to provide adequate staffing and safe staffing is challenging, to say the least," she said. "The number of beds is growing faster than the human resource pool that we have. We're having to rethink how we provide care. And can we do it in a team-based model with the help of additional colleagues from other departments." Birgit Umaigba, a registered nurse who specializes in critical care and emergency medicine, says there was a already shortage of critical care nurses by the time the COVID-19 pandemic hit.(CBC) While the province says it's redeploying staff —including nurses — from other hospitals in areas that aren't as hard hit to step in and help ICUs in hotspots, some people working in health care pointed out they don't always have specific training. "In dealing with certain areas that are more acute than others, you might have nurses that don't really have the expertise that possibly the staff of those units have," said Matt Patterson, a Toronto-based nurse who spent nine of his 17-year career in critical care. Less staff, and those remaining are fatigued Hospitals are dealing with a shortage of specialized ICU staff, and the ones they have are burned out and exhausted after more than 12 months of working through COVID-19. Dr. Shelly Dev, intensive care physician at Sunnybrook Health Sciences Centre in Toronto, says ICU staff are being stretched thin. "We can line up all of the beds in the world, but if you don't have someone who is healthy, capable, able to help you and provide the care to you when you are there in that bed, the bed doesn't matter, she said. "They are physically broken by how hard they're working." Dev said health care staff want to do their best during these chaotic times, but sometimes they're just not capable of that. "The worry among all of us workers is that our ability to provide that kind of top-of-the-line care — that we're so proud to provide in our health-care system — is waning," she said. The balancing act CBC News asked the Ministry of Health why the province is adding more beds without the necessary resources to accompany them, but it didn't answer the question in a written response. The ministry also didn't respond to questions about what it's doing to recruit more critical care nurses and doctors or whether it is looking for help from other provinces. "Last week, the province issued two emergency orders to support the redeployment of health-care professionals and other workers to hospitals," the statement reads. "In addition, we are providing hospitals with the flexibility to transfer patients to alternate hospital sites in situations where a hospital's resources are at significant and immediate risk of becoming overwhelmed." Denise Morris spoke to CBC News from Toronto General hospital, where she is nurse manager in the medical surgical intensive care unit.(CBC) When asked about what steps the College of Physicians and Surgeons of Ontario (CPSO) and the College of Nurses of Ontario (CNO) are taking to help meet the demands in Ontario's ICUs — including the registration of out-of-province physicians — both regulatory bodies said they're expediting paperwork to support the health-care system and have been doing so for the past year. For those working in Ontario's ICUs, there is anxiety about the weeks ahead, and the balancing act of managing beds with limited resources. Even so, Morris says the dedication of the ICU staff at Toronto General Hospital is unwavering. "it's been very stressful and quite frankly, scary," she said. "But staff are committed — they're committed to their patients and they show up every day."