Earlier quoted context omitted.
In terms of thermodynamics, a electric resistive heater is 100% efficient, but if the measurement is how many BTU of heating you can put into a room in a day with a certain amount of watt hours, a modern heat pump will always beat it. Also of course 100% electric.
A heat pump is more than 100% efficient on that measure. I am not sure about "always". Does it not depend on the temperature difference? The use cases for steam seem to be where you need more than room heating though: the first paragraph mentions sterilising medical equipment, humidity control, and washing.
I don't know of any of the customers of the steam system in downtown Vancouver that use it for sterilization purposes, it connects almost exclusively large office towers. There's no hospital or medical facilities connected to it.