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Cfhi-Fcass.Ca | @Cfhi Fcass Discussion Panel cfhi-fcass.ca | @cfhi_fcass Discussion Panel Jennifer Zelmer Dr. Rim Zayed Dr Moliehi Khaketla Dr. Nnamdi Ndubuka Dr. James Irvine CEO, Canadian Medical Health Officer Medical Health Officer Medical Health Officer Consultant Medical Foundation for Northern Population Northern Population Northern Inter-Tribal Health Officer, Healthcare Improvement Health Unit Health Unit Health Authority Northern Population Health Unit Jennifer Ahenakew Brian Quinn Robert St. Pierre Teddy Clarke Leonard Montgrand Executive Director of Nurse Senior Mayor of La Loche Chief of Clearwater River Métis Nation of Primary Epidemiologist Dene Nation Saskatchewan, Area Health Care, NNW, Northern Population Director SHA Health Unit COVID-19 Saskatchewan Northwest North Outbreak - Lessons Learned saskatchewan.ca/COVID19 June 29, 2020 VISION Healthy People, Healthy Saskatchewan MISSION We work together to improve health and well-being. Every day. For everyone. VALUES • SAFETY: Be aware. Commit to physical, psychological, social, cultural and environmental safety. Every day. For everyone. • ACCOUNTABILITY: Be responsible. Own each action and decision. Be transparent and have courage to speak up. • RESPECT: Be kind. Honour diversity with dignity and empathy. Value each person as an individual. • COLLABORATION: Be better together. Include and acknowledge the contributions of employees, physicians, patients, families and partners. • COMPASSION: Be caring. Practice empathy. Listen actively to understand each other’s experiences. PHILOSOPHY OF CARE: Our commitment to a philosophy of Patient and Family Centred Care is at the heart of everything we do and provides the foundation of our values. saskatchewan.ca/COVID19 3 Northern Saskatchewan Administrative District 850 kilometers north of Regina Northern Village of LaLoche – Dene / Métis population of about 3200 Clearwater River Dene First Nation - population 1039 – 10 km from La Loche Denesuline language spoken by 89% of residents saskatchewan.ca/COVID19 4 La Loche • La Loche, Sask, was incorporated as a northern village in 1983, with a population of around 2600 people. • The Northern Village of La Loche lies on the eastern shore of Lac La Loche in northwestern Saskatchewan near the Saskatchewan-Alberta border. • The settlement of La Loche dates back to at least the fur trade and Peter Pond’s "discovery" in 1778 of the Portage La Loche or Methye Portage, which crosses the height of land between the Hudson Bay and Arctic Ocean drainage basins. The Methye Portage played a significant role in the Canadian Economy. • As a result of this, the people of La Loche have experienced a long history of colonization that resulted in intergenerational trauma which is still felt today and exhibited in the high rates of mental health and substance use in the community. saskatchewan.ca/COVID19 5 Clearwater River Dene Nation • Bordering La Loche to the north and reached via Highway 955 is the Clearwater River Dene Nation (CRDN) with a population of 1039 people (on-reserve). • The La Loche/CRDN population centre with about 4,000 people represents about 30 percent of the Denesuline speakers of Canada. The Denesuline language is spoken by 89% of the residents. • Originally from Fort McMurray area people and our treaty was signed in Fort McMurray in 1899. Back then people migrated along the Clearwater River, Christina River to Garson lake and to La Loche. CRDN didn’t receive it’s land until 1970. It’s was known as Portage La Loche Band later the name was changed to the Big C Band after years of negotiations to do a land transfer to be closer to modern amenities. • In the early 1990s the bands name was changed to Clearwater River Dene Nation which really represented our history. saskatchewan.ca/COVID19 6 Self Reported Indigenous Communities saskatchewan.ca/COVID19 7 Median After Tax Incomes saskatchewan.ca/COVID19 8 Crowding – Private Households With More Than One Person saskatchewan.ca/COVID19 9 Alcohol Related Hospitalizations saskatchewan.ca/COVID19 10 La Loche Health Centre The La Loche Health Centre has 9 beds in Acute Care, 5 Long Term Care beds and 2 Alternate Level of Care beds. The Emergency Room runs 24/7, with Emergency Medical Services and Emergency Air Medivac and ground transport. Northern Medical Services contracts 9 Physicians covering 3.5FTE (4.0 during COVID-19 pandemic) and coordinates the delivery of specialist services (Psychiatry, Orthopedics, ENT, GI, etc.) through remote and in person consultations. saskatchewan.ca/COVID19 11 Cascading Command Structure – COVID -19 EOC Commande r Communic Liaison Derek ations Officer Miller Officer Jocelyn Kim DocumentBishoff McKechneEOC ation Aide Managery Tamara LuizaMedical Kent - SafetyBond HealthSmith Officer Officer Cynthia Dr Julie Logistics Planning Leschyshyn KryzanowsFinance Operations Chief Chief Chiefki Chief Shane Brent Ken UngerPhysicianJohn Ash Merriman KitchenHR IHICC – Supply Services Saskatoon Provincial EOC Chain Kevin Zimmerma Rob Gentes Suzanne ColinDigital Karst IHICC – Provincialn ACOSHR lead Mahaffey Health Program/II Regina Blake IHICC – Chad S Sheila McMullen811 North Freeman EDs Anderson Pandemic Healthline Pam Plan Annex IHICC – Rod McKay or (Government wide) Leads Rural McKenzie Jennifer AhenakewJeannie Munro or Jacquie Holzmann EOC Command er Communic Liaison Derek ations Officer Miller Officer Jocelyn Kim DocumentBishoff McKechneEOC ation Aide Managery Tamara LuizaMedical Kent - SafetyBond HealthSmith Officer Officer Cynthia Dr Julie Logistics Planning Leschyshyn KryzanowsFinance Operations Chief Chief Chiefki Chief Shane Brent Physician HR Ken Unger John Ash IHICC – MerrimanSupply Kitchen Services Health EOC Saskatoon Chain Kevin Rob Zimmerma Suzanne ColinDigital Karst Gentes IHICC – Provincialn HR Mahaffey Health Program/II ACOS lead Regina Blake IHICC – Chad S Sheila McMullen811 North Freeman EDs Anderson Pandemic Healthline Pam Plan Annex IHICC – (Ministry of Health) McKay or Leads Rod Rural McKenzie Jennifer AhenakewJeannie Munro or Jacquie Holzmann IHICC - IHICC - IHICC - Commander Commander Commander IHICC - TBC TBC TBC Commander TBC Communications Communications Communications Liaison Officer Liaison Officer Liaison Officer Communications Officer Officer Officer Liaison Officer TBC TBC TBC Officer TBC TBC TBC TBC TBC Documentation Documentation Documentation EOC Manager EOC Manager EOC Manager Documentation Aide Aide Aide EOC Manager TBC TBC TBC Aide TBC TBC TBC TBC TBC Medical Health Medical Health Medical Health Safety Officer Safety Officer Safety Officer Medical Health Officer Officer Officer Safety Officer TBC TBC TBC Officer TBC TBC TBC TBC TBC Integrated Health Logistics Chief Planning Chief Finance Chief Operations Chief Logistics Chief Planning Chief Finance Chief Operations Chief Logistics Chief Planning Chief Finance Chief Operations Chief Logistics Chief Planning Chief Finance Chief Operations Chief TBC TBC TBC TBC TBC TBC TBC TBC TBC TBC TBC TBC TBC TBC TBC TBC Supply Chain HR Physician Services Supply Chain HR Physician Services Supply Chain HR Physician Services PHC PHC PHC Supply Chain HR Physician Services TBC TBC ACOS leads TBC TBC ACOS leads TBC TBC ACOS leads PHC ACOS leads Incident Command TBC TBC Provincial Provincial Provincial Digital Health HR Digital Health HR Digital Health HR Provincial Program/IIS Acute Services Program/IIS Acute Services Program/IIS Acute Services Digital Health Program/IIS HR TBC TBC TBC TBC TBC TBC Acute Services Directors Directors Directors TBC Directors TBC Provincial Provincial Provincial Centres Provincial Programs Programs Programs Continuing Care Continuing Care Continuing Care Programs Continuing Care Directors Directors Directors Directors IIS IIS IIS IIS Directors Directors Directors Directors IHICC - Regina IHICC - Saskatoon IHICC - North IHICC - Rural saskatchewan.ca/COVID19 12 Local EOC saskatchewan.ca/COVID19 13 Northern SK Population Health Unit https://populationhealthunit.ca/ • Unique collaborative initiative in Saskatchewan - established in 1998 • Efficient delivery of population health services across geographic northern half of province • Provides support, expertise & specialized programming across the north • Population health promotion • Health protection and disease control • Health surveillance • Emergency preparedness & response • Program planning and evaluation • Research etc. • Team includes: Medical Health Officers, Epidemiologist, Public Health Nurse Specialists, Public Health Inspectors, Env. Health Protection Coordinator, Public Health Nutritionist, Dental Health Educator, Infection Prevention & Control Practitioner, Population Health Promotion Coordinator and others. • Work closely with communities, leadership and First Nations partners saskatchewan.ca/COVID19 14 NITHA 33 First Nation Communities 37, 441 on-reserve pop (INAC 2019) 47.5% of SK on- reserve pop; 3% SK total pop. saskatchewan.ca/COVID19 COVID-19 Background The Outbreak saskatchewan.ca/COVID19 First Case • The first case was confirmed on April 15, 2020, with contact tracing demonstrating the case was related to an outbreak in Kearle Lake Oil Sands, north of Fort McMurray • MHO of the Northern Saskatchewan Population Health Unit led a CD team to promptly initiate the case investigation • The index case was a health care worker linked to a Kearle lake case • Subsequent transmission in the long term care facility and community saskatchewan.ca/COVID19 17 Long Term Care Outbreak • The index patient was a health Long Term Care care worker • There were 6 LTC patients and 2 respite patients • 21 HCW
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