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We will begin at 6PM, check out the info below while you wait: Plan to join us for our next Town Hall! Thursday September 23, 2021 ...
We will begin at 6PM, check out the info below while you wait:

                                                                 Plan to join us
                                                                  for our next
                                                                   Town Hall!

                                                                   Thursday
                                                                 September 23,
                                                                     2021
We will begin at 6PM, check out the info below while you wait: Plan to join us for our next Town Hall! Thursday September 23, 2021 ...
Physician Town Hall            Alpacas at the family farm – near
                               Muenster, SK
Hosted by: Dr. Susan Shaw

                                    August 26, 2021
                            www.saskatchewan.ca/COVID19
We will begin at 6PM, check out the info below while you wait: Plan to join us for our next Town Hall! Thursday September 23, 2021 ...
Town Hall Reminders
• This event is being recorded and will be available to view on
  the Physician Town Hall webpage (Names, Polling Results,
  and Q&A are not posted unless a question is asked verbally).

• Please sign in using your full name!

• Watch for this icon during the event and respond to our live
  polls.

• Submit your questions using the Q&A function at anytime!

                                         www.saskatchewan.ca/COVID19
We will begin at 6PM, check out the info below while you wait: Plan to join us for our next Town Hall! Thursday September 23, 2021 ...
Panelists joining us this evening...

 • Beyond the list of presenters on the agenda, we also have a
   number of colleagues joining us to support the Q&A.

 • Panelists – please introduce yourselves in the chat.

 • Ask your questions during the event and panelists will try to
   answer!

                                     www.saskatchewan.ca/COVID19
We will begin at 6PM, check out the info below while you wait: Plan to join us for our next Town Hall! Thursday September 23, 2021 ...
Truth and Reconciliation

 We would like to acknowledge that we are
 gathering on Treaty 2, 4, 5, 6, 7, 8 and 10
 territory and the Homeland of the Métis.
 Recognizing this history is important to our
 future and our efforts to close the gap in
 health outcomes between Indigenous and
 non-Indigenous peoples. I pay my respects to
 the traditional caretakers of this land.

                                         www.saskatchewan.ca/COVID19
We will begin at 6PM, check out the info below while you wait: Plan to join us for our next Town Hall! Thursday September 23, 2021 ...
Agenda

Heading into Fall: SHA Digital Health Analytics/ Modeling Update   Dr. Jenny Basran

       COVID-19 Surveillance and Epidemiological Trends            Dr. Johnmark Opondo

                 Offensive Strategy Highlights                     Dr. Johnmark Opondo

                  Vaccine Strategy Highlights                      Dr. Tania Diener

                 Defensive Strategy Highlights                     Dr. John Froh

                        Safety Updates                             Dr. Mike Kelly
                      Physician Wellness                           Dr. Alana Holt
                             Q&A                                   Opportunity to ask your questions live!

                                                                   www.saskatchewan.ca/COVID19
We will begin at 6PM, check out the info below while you wait: Plan to join us for our next Town Hall! Thursday September 23, 2021 ...
Heading into Fall:
SHA Digital Health Analytics/
Modeling Update
Dr. Jenny Basran
Senior Medical Information Officer

COVID-19
Health System Update

                                     www.saskatchewan.ca/COVID19
We will begin at 6PM, check out the info below while you wait: Plan to join us for our next Town Hall! Thursday September 23, 2021 ...
PHAC Modelling – July 30, 2021

                                                                                                                                         August 24, 2021 actual cases

       https://www.canada.ca/content/dam/phac-aspc/documents/services/diseases-maladies/coronavirus-disease-covid-19/epidemiological-economic-research-data/update-covid-19-canada-epidemiology-modelling-20210730-en.pdf
We will begin at 6PM, check out the info below while you wait: Plan to join us for our next Town Hall! Thursday September 23, 2021 ...
PHAC Modelling – July 30, 2021
                                                                                                                                          August 25 actual

       https://www.canada.ca/content/dam/phac-aspc/documents/services/diseases-maladies/coronavirus-disease-covid-19/epidemiological-economic-research-data/update-covid-19-canada-epidemiology-modelling-20210730-en.pdf
We will begin at 6PM, check out the info below while you wait: Plan to join us for our next Town Hall! Thursday September 23, 2021 ...
Provincial projections from BC Modelling Group – Aug 18, 2021

https://pypm.github.io/home/docs/studies/prov20210818/
Manitoba – August 25, 2021                                                                                                Manitoba Current State: August 25, 2021
                                                                                                                              •  56 new cases, with 443 active cases (7 day rolling avg = 51)
   MB Modelling – Projected Cases and Hospitalizations for Manitoba                                                           •  Test positivity 2.8%
                                                                                                                              •  65 people in hospital, with 21 in ICU (32% of hospitalized)
                                                                                                                              •  Rt = 1.1
                                                                                                                              •  65.4% of Manitoba fully vaccinated (76% of eligible 12+)
                                                    Cases

 “overwhelm acute
 care system within
  2 months after a
    fourth wave
       begins”
                                             ICU Occupancy

  August 24, 2021 – Taking pre-emptive action despite low case numbers currently
  • Masks required in indoor public settings, including schools
  • Most provincial health care employees, teachers and child care workers will have to be fully vaccinated
  • Vaccination required for expanded list of activities and services
  • Encouraging private businesses and organizations to mandate vaccines for employees.
  Vaccine lottery - $25,000 scholarships for youth
  ProtectMB Community Outreach and Incentive Grants - $20,000                                                               https://www.gov.mb.ca/covid19/updates/cases.html

https://drive.google.com/file/d/1VWEJcnpczk0VAkulNxZ7ZTYCfhU_FwwS/view?form=MY01SV&OCID=MY01SV https://www.cbc.ca/news/canada/manitoba/manitoba-covid-19-update-august-26-1.6154269
Alberta – August 25, 2021                                                                                                           Alberta Current State: August 25, 2021
                                                                                                                                       •   1076 new cases, with 8496 active cases (7 day rolling avg = 753)
                                                                                                                                       •   Test positivity 9.31%
BC Modelling – Projected Cases and Hospitalizations for Alberta                                                                        •   284 people in hospital, with 59 in ICU (or 21% of hospitalized)
                                                                                                                                              •    82.1% of non-ICU patients are unvaccinated/ partially
                                                                                                                                                   vaccinated
                                                                                                                                              •    96% of ICU patients are unvaccinated /partially vaccinated
                                                                                                                                       •   Rt = 1.19 (1.16-1.23) on August 16-22
                                                                                                                                       •   58.7% Alberta population fully vaccinated (69.2% of eligible 12+)

 Most public health measures lifted when hit Stage 3 on July 1, 2021

 Delaying further lifting of public health measures delayed until Sept. 27, including:
         •    Mandatory masking orders in publicly accessible transit, taxis and ride-shares. This includes school buses.
         •    Mandatory isolation for 10 days for those with COVID-19 symptoms or a positive test result.
         •    Testing at assessment centres for any symptomatic individual.

 Vaccination Lottery to win $1 million or travel prizes

https://www.cbc.ca/news/canada/calgary/alberta-covid-coronavirus-aug-25-1.6152536    https://www.alberta.ca/stats/covid-19-alberta-statistics.htm   https://pypm.github.io/home/docs/studies/prov20210818/
Alberta Modelling – August 24, 2021

In UK, hospital : case ratio = 4X’s lower

Israel hospital : cases ratio = 2.5-3X’s
lower
                                     https://twitter.com/GosiaGasperoPhD/status/1430418833152503811/photo/1   https://twitter.com/GosiaGasperoPhD/status/1424986183445086209
British Columbia – August 25, 2021                                                                                        BC Current State: August 25, 2021
                                                                                                                            •
                                                                                                                            •
                                                                                                                                698 new cases with 5,356 active cases (7 day rolling avg = 630)
                                                                                                                                Test positivity 5.4%
                                                                                                                            •   139 people in hospital, with 75 in ICU (or 54% of hospitalized)
                                                                                                                            •   ~ 68% of BC population fully vaccinated (75.4% of 12+ eligible)
 BC Modelling – Projected Cases and Hospitalizations

   Mandatory Mask mandate indoors, including schools and campuses
   Effective Sept 13, 2021 - BC Vaccine Card – required for range of non-essential rec and social activities
   Effective August 21, 2021 new PHO for Interior BC, until end Sept.
   •    Indoor group exercise limit of 10, no high intensity
   •    Personal gathering limit to one other household or 5 guests
   •    Organized indoor events limit of 50 persons with covid safety plan
   •    Travel to BC Interior not recommended

https://pypm.github.io/home/docs/studies/bc20210816/ https://www.cbc.ca/news/canada/british-columbia/bc-covid-19-update-aug-25-1.6153477 https://experience.arcgis.com/experience/a6f23959a8b14bfa989e3cda29297ded
BC Modelling Long term Projections (NOT PREDICTION)

                  BC Model assumes 94% vaccine efficacy and over 80% eligible population vaccinated

https://bccovid-19group.ca/post/2021-08-18-report/slides.pdf
BC Modelling - What can be done?
             “What if” Expand Vaccine coverage to 90% eligible population AND public health measures starting next week for 6 weeks

                          Hospital demand still exceeds previous levels but lower than vaccination only scenario
https://bccovid-19group.ca/post/2021-08-18-report/slides.pdf   https://bccovid-19group.ca/post/2021-08-18-report/
Modelling Impact to Children

                                                                                                         Alberta 0-19 infection projections

   Model assumes 94% overall vaccine efficacy and over 80% eligible population vaccinated

https://bccovid-19group.ca/post/alberta-4th-wave/ https://bccovid-19group.ca/post/2021-08-18-report/slides.pdf
Sask Current State: August 25, 2021
                   •   158 new cases, with 1602 active cases (7 day rolling avg = 163)
                   •   Test positivity 9.31%
                   •   104 people in hospital, with 19 in ICU (or 18% of hospitalized)
                   •   52.5% of Sask population fully vaccinated (68% of eligible 12+)

August 25 actual
COVID-19 Surveillance and
Epidemiological Trends
Dr. Johnmark Opondo
Medical Health Officer

COVID-19
Health System Update

                         www.saskatchewan.ca/COVID19
Key Findings
• All indicators daily cases, percent positivity and hospitalizations show upward trends
  across majority of zones
• The number of COVID-19 cases reported in Saskatchewan continue to increase for this
  week
   • with a 14.1% increase in the current week 172 (7 day average new case production) compared to the
     previous week (142).
   • The rate of confirmed cases among 18-29 year olds has seen a sharp increase in the last two weeks and
     represents 28 % of cases this week.
   • Testing is picking up and Percent Test Positivity this week is 8.1%
• The Delta variant is more transmissible and may be more dangerous. It has displaced the
  Alpha variant as the dominant circulating strain. It is critical to control the spread of this
  variant.
• Continued challenges with community outbreaks, increased risk with re-opening
• Covid-19 Planning assumptions is moving from “Pandemic Response” to “endemic vaccine
  preventable” disease, is NOT feasible with approx. 500,000 not yet vaccinated
• To avoid case surges, we need to continue to ensure that Saskatchewan residents take
  their first and second doses in all communities.

                                                          www.saskatchewan.ca/COVID19
COVID-19 cases, rate per 100,000 (last 7-days), by province/territory, August 26, 2021

                                                                                                                                SK has the 2nd
                                                                                                                                highest new case
                                                                                                                                rate among the
                                                                                                                                provinces in
                                                                                                                                Canada after AB

Source: Public Health Agency of Canada https://health-infobase.canada.ca/covid-19/epidemiological-summary-covid-19-cases.html

                                                                                                            www.saskatchewan.ca/COVID19
COVID-19 cases, rate per 100,000 (last 7-days), by health region, Canada, August 26, 2021

                                                                        Far North SK
                                                                        currently has the
                                                                        highest case
                                                                        rates in Canada

                                                                        Case rates are
                                                                        reflective of
                                                                        outbreaks/active
                                                                        case finding

                                                  www.saskatchewan.ca/COVID19
Number Cases

                                                                                    0
                                                                                        50
                                                                                                 100
                                                                                                              150
                                                                                                                        200
                                                                                                                                    250
                                                                                                                                                         300
                                                                                                                                                                      350
                                                                         1/1/2021
                                                                         1/4/2021
                                                                         1/7/2021
                                                                        1/10/2021
                                                                        1/13/2021
                                                                        1/16/2021
                                                                        1/19/2021
                                                                        1/22/2021
                                                                        1/25/2021
                                                                        1/28/2021
                                                                        1/31/2021
                                                                         2/3/2021
                                                                         2/6/2021
                                                                         2/9/2021
                                                                        2/12/2021
                                                                        2/15/2021
                                                                        2/18/2021
                                                                        2/21/2021
                                                                        2/24/2021
                                                                        2/27/2021

                                                      Cases
                                                                         3/2/2021
                                                                         3/5/2021
                                                                         3/8/2021
                                                                        3/11/2021
                                                                        3/14/2021
                                                                        3/17/2021
                                                                        3/20/2021
                                                                        3/23/2021
                                                                        3/26/2021
                                                                        3/29/2021
                                                                         4/1/2021

                              Source: Panorama, IOM
                                                                         4/4/2021
                                                                         4/7/2021
                                                                        4/10/2021
                                                                        4/13/2021
                                                                        4/16/2021
                                                                        4/19/2021
                                                                        4/22/2021
                                                                        4/25/2021
                                                                        4/28/2021
                                                                         5/1/2021
                                                                         5/4/2021
                                                                         5/7/2021
                                                                        5/10/2021
                                                      Hospitalization

                                                                        5/13/2021
                                                                        5/16/2021
                                                                        5/19/2021
                                                                        5/22/2021
                                                                        5/25/2021
                                                                        5/28/2021
                                                                        5/31/2021
                                                                         6/3/2021
                                                                                                                                   Lagging Indicators

                                                                         6/6/2021
                                                                         6/9/2021
                                                                                                                                     - Hospitalization ↑

                                                                        6/12/2021
                                                                        6/15/2021
                                                                        6/18/2021
                                                                        6/21/2021
                                                                        6/24/2021
                                                                        6/27/2021
                                                                        6/30/2021
                                                                         7/3/2021
                                                                                                                                     - Critical care Covid demand ↑

                                                                         7/6/2021
                                                                         7/9/2021
                                                      Death

                                                                        7/12/2021
                                                                        7/15/2021
                                                                        7/18/2021
                                                                        7/21/2021
                                                                        7/24/2021
                                                                        7/27/2021
                                                                        7/30/2021
                                                                         8/2/2021
                                                                         8/5/2021
                                                                         8/8/2021
                                                                        8/11/2021
                                                                        8/14/2021
                                                                        8/17/2021
                                                                        8/20/2021
                                                                                                                                                                            SK-COVID-19 pandemic cases, deaths and hospitalization (7-Day Average); Jan 1 – Aug 24 2021 (n = 35,893)

                                                                        8/23/2021
                                                                                    0
                                                                                        2
                                                                                             4
                                                                                                          6
                                                                                                                    8
                                                                                                                              10
                                                                                                                                          12
                                                                                                                                                           14
                                                                                                                                                                      16

www.saskatchewan.ca/COVID19

                                                                                                       Death and Hospitalization
New cases and
test rates, 7-day
rolling average,
per 100,000, by
subzone,
August 22, 2021

                    www.saskatchewan.ca/COVID19
New Cases (7-Day Average)

                                                                                0.0
                                                                                            50.0
                                                                                                        100.0
                                                                                                                        150.0
                                                                                                                                      200.0
                                                                                                                                                  250.0
                                                                                                                                                                                                          300.0
                                                                     2/1/2021
                                                                     2/4/2021
                                                                     2/7/2021
                                                                    2/10/2021
                                                                    2/13/2021
                                                                    2/16/2021
                                                                    2/19/2021
                                                                    2/22/2021
                                                                    2/25/2021
                                                                    2/28/2021
                                                                     3/3/2021
                                                                     3/6/2021
                                                                     3/9/2021
                                                                    3/12/2021
                                                                    3/15/2021
                                                                    3/18/2021

2021
                                                                    3/21/2021
                                                                    3/24/2021
                                                                    3/27/2021
                                                                    3/30/2021
                                                                     4/2/2021
                                                                     4/5/2021
                                                                     4/8/2021

                                                  Cases
                                                                    4/11/2021
                                                                    4/14/2021
                                                                    4/17/2021
                                                                    4/20/2021
                                                                    4/23/2021
                                                                    4/26/2021
                                                                    4/29/2021
                                                                     5/2/2021
                                                                     5/5/2021

Source: Interactive epi file-Updated August 22,
                                                                     5/8/2021
                                                                    5/11/2021
                                                                    5/14/2021
                                                                    5/17/2021
                                                                    5/20/2021
                                                                    5/23/2021
                                                                    5/26/2021
                                                                    5/29/2021
                                                                     6/1/2021
                                                                     6/4/2021
                                                                     6/7/2021
                                                                    6/10/2021
                                                                    6/13/2021
                                                                    6/16/2021
                                                                    6/19/2021
                                                                    6/22/2021
                                                                    6/25/2021
                                                  Test Positivity

                                                                    6/28/2021
                                                                     7/1/2021
                                                                     7/4/2021
                                                                     7/7/2021
                                                                    7/10/2021
                                                                    7/13/2021
                                                                    7/16/2021
                                                                    7/19/2021
                                                                    7/22/2021
                                                                    7/25/2021
                                                                    7/28/2021
                                                                                                                                                          Current Test Positivity as at August 25: 8.1%

                                                                    7/31/2021
                                                                     8/3/2021
                                                                     8/6/2021
                                                                     8/9/2021
                                                                    8/12/2021
                                                                                                                                                                                                                  COVID-19 cases and test positivity, 7-day rolling average, Feb 1, 2020 – Aug 22, 2021

                                                                    8/15/2021
                                                                    8/18/2021
                                                                    8/21/2021
                                                                                0.0
                                                                                      1.0
                                                                                               2.0
                                                                                                     3.0
                                                                                                                 4.0
                                                                                                                        5.0
                                                                                                                                6.0
                                                                                                                                          7.0
                                                                                                                                                8.0
                                                                                                                                                                      9.0
                                                                                                                                                                                                          10.0

 www.saskatchewan.ca/COVID19

                                                                                                                Test Positivity (%)
Delta variant is dominant in Saskatchewan

                            www.saskatchewan.ca/COVID19
Delta variant
geographical distribution
in SK, August 24 2021 (n =
1,487)
Delta has taken hold in
the Far North of the
province and likely
throughout the province

                             www.saskatchewan.ca/COVID19
COVID-19 Epidemic Transmission Risk by SK Zone
                                                           Current Issues of Concern
                                                                 (Week of Aug 18 – 24, 2021)

                                                                                                                                             Δ from
                                                                                                                                   Zones
                                               FNW   FNC   FNE   NW   NC   NE   ST   CW   CE   RE   SW   SC   SE   FNIH   NITHA               prev
                                                                                                                                  affected
Issues of Concern (below)                                                                                                                     week
                             Risk Assessment
Variants of concern (VOC)                       X    X     X      X    X    X   X     X   X    X    X    X    X     X       X       15        --
Removal of PHOs (July 11)                       X    X     X      X    X    X   X     X   X    X    X    X    X     X      XX       15        +3
Household transmission                          X    X     X      X    X    X   X     X   X    X    X    X    X     X               14        +4
↑ Community/social events & activities                     X      X   XX    X   X     X   X    X    X    X    X     X      XX       13        --
Staff fatigue & shortages                       X          X      X    X   XX   X    XX   X    X    X    X    X     X               13        +3
Workplaces                                      X    X     X      X    X    X   X     X   X    X    X    X    X                     13        +5
Vaccine misinformation & hesitancy              X    X     X      X   X    X    X    X    X         X         X     X               12        +1
COVID fatigue/complacency                                         X   XX   XX   X    X    X    X    X    X    X     X      XX       12        +4
Return to school measures                                         X        X    X    X    X    X    X    X    X     X      X        11        -4
Large numbers of contacts                                         X   X    X    X    X    X    X    X    X          X      X        11         --
Travel – within Sask                            X          X      X   X    X         X    X         X         X     X      X        11        +2
Unvaccinated HCWs                               X    X     X          X    X    X    X    X         X    X                          10        +4
Symptomatic working/not staying home            X          X      X   X    X    X    X              X                                8         -1
Travel – interprovincial                                          X   X              X    X         X    X    X     X                8         --
Low testing numbers                                               X   X              X              X               X      X         6         -5
Non-compliance/COVID “rebellion”                                      X    X    X    X              X                      XX        6         -3
Communication/messaging to public                                     X    X         X         X    X                                5         --
Assessed Risk of Epidemic
                            Transmission, by Zone
                              Aug 18 – 24, 2021
                                   Previous week
                                   Current week 

                             Colour       Threshold level for
                               *           Epidemic Spread

                                      “The New Normal”

                                      COVID transmission is
                                      controlled, but there is a risk
                                      of community transmission.

                                      High risk that COVID
                                      transmission is not
                                      controlled.
                                      High likelihood that COVID
                                      transmission is not
                                      controlled.

Week: Aug 11 – 17, 2021                                                 Week: Aug 18 – 24, 2021
COVID-19 cases, rate per 100k (August 11 – 24 , 2021) and vaccine coverage by eligible age group

                      300.0                                                                                                                                                         100
                                                                                          Proportion with at least 1st dose                                                         90
                      250.0
                                 Case Rate per 100K                                                                                                                                 80

                                                                                                                                                                                          Vaccine Coverage Rate (%)
                                                                                                                                                                                    70
                      200.0
 Case Rate per 100K

                                                                                                                 Proportion fully vaccinated (received 2 doses)                     60

                      150.0                                                                                                                                                         50

                                                                                                                                                                                    40
                      100.0
                                                                                                                                                                                    30

                                                                                                                                                                                    20
                       50.0
                                                                                                                                                                                    10

                        0.0                                                                                                                                                         0
                              0-11            12-17             18-29             30-39            40-49              50-59             60 -69             70-79            80+
                                     Case Rate per 100K (This Week)                                                       Case Rate per 100K (Last Week)
                                     Proportion with 1st dose (This Week)                                                 Proportion with 1st dose (Last Week)
                                     Proportion fully immunized: Receive 2 doses (This Week)                              Proportion fully immunized: Receive 2 doses (Last Week)

                                                                                                              www.saskatchewan.ca/COVID19
Summary current situation: Viral transmission

 •   Case counts have quadrupled in one month
     •   7-day rolling average July 21: n = 31; compared to August 26: n = 172
 •   COVID-19 hospitalization and ICU admission increasing
     •   Hospitalizations over 30% increase in one week and ICU admission demonstrating
         upward trend
     •   Average age in hospital/ICU admission is lowering
         • (37% of current COVID-19 hospitalization are < 39 years)
 •   Public health workforce cannot keep up with the volume of contact tracing,
     isolation, case/outbreak investigation, immunization etc
 •   SK continues to have the lowest immunization coverage rate in Canada
     • Lowest coverage in children/young adults

                                                       www.saskatchewan.ca/COVID19
Offensive Strategy
Dr. Johnmark Opondo
Medical Health Officer

COVID-19
Health System Update

                         www.saskatchewan.ca/COVID19
Key Public Health messages this week

•   Cases and admission will continue to rapidly escalate as we have seen in other
    jurisdictions and in modelling
•   There are things we can do to blunt the extent of the fourth wave in SK: Act EARLY
•   Community transmission rates need to be lowered through
    • Immunization OR frequent testing requirements for:
        •   Health Care Workers, teachers, and other at-risk groups
        •   Access to large venues and certain establishment
    •   Indoor mask mandates
    •   Consider vaccine “passports” for non-essential social events
    •   Reduce personal and public gathering sizes
    •   Strategic use of testing

                                                          www.saskatchewan.ca/COVID19
Vaccine Strategy
Dr. Tania Diener
COVID-19 Vaccine Strategy Chief

COVID-19
Health System Update

                                  www.saskatchewan.ca/COVID19
Vaccine Strategy
Key Goals:

•   Minimize serious illness & death

•   Protect health care capacity

•   Minimize spread of COVID-19

•   Immunize as many people, as quickly as
    possible; safely.
Vaccine Administration as a Percentage of Population Eligible (12+)
                                                                                        Canada          Canada
                                                                                         83.6%           75.5%

                                                                             Percentage of Eligible
                                                                             Population (12+) Vaccinated
                   91.5%
                                                                             As of August 26, 2021
                                                                             https://covid19tracker.ca/vaccinationtracker.html

                 87.3%
                             90.2%
                                                  80.5% 70.7%
                                     84.7%

                 84.7%                                                                                           76.5%

                            77.5%                                                                       88.8%
                                        75.3%
                 76.3%                            83.9%
                           69.0%                                                                                                  90.6% 77.5%
                                      66.7%                                86.3%
                                                77.6%
                                                           83.2%
                                                                   76.1%           77.4%

                                                                                                                      86.5%      78.3%
FIRST   SECOND
DOSES    DOSES
                                                                                        84.3% 74.5%
Who has been immunized?

                                             Vaccination Percentage
                                                  (First Doses)
                                            Ages           Current
                                                          (% change)
                                            40+           84% (+1%)
                                            30+           80% (+1%)
                                            18+            77% (--)
                                            12+           76% (+1%)

                          www.saskatchewan.ca/COVID19
Vaccine Eligibility for those Turning 12
11 year olds are now eligible for a COVID-19
Vaccine

Any individuals born in 2009 (turning 12 this year) can
now be vaccinated, regardless of their birthdate.

Only Pfizer BioNTech COVID-19 is to be provided for
these children.

Standard informed consent processes apply.
If immunized in schools, a paper consent form will be sent home to obtain
parental/guardian informed consent. If parents bring their children to a clinic/pharmacy
for immunization, verbal informed consent will be obtained by the immunizer.

https://https://www.saskhealthauthority.ca/system/files/2021-08/Dr-Shahab-Directive-to-Immunize-Children-born-in-2009-before-age-12-with-COVID-19-vaccine.pdf
https://www.saskatchewan.ca/government/news-and-media/2021/august/20/living-with-covid-long-term-covid-19-precautions-updated

                                                                                                         www.saskatchewan.ca/COVID19
COVID-19 Vaccines – 3rd Doses for Travel
Some countries are requiring proof of vaccination with specific vaccines.
Some countries do not accept mixed series (i.e. AZ and mRNA; or 2 different mRNA; and some may not
accept AZ/Covishield).
Additional vaccinations are available for anyone who plans to travel and needs to meet travel
requirements which specify “fully vaccinated” as having received 2 doses of a matching mRNA vaccine.
                       1st                        2nd                         3rd                         4th
              AZ/Covishield               AZ/Covishield                     Pfizer                      Pfizer
              AZ/Covishield               AZ/Covishield                  Moderna                     Moderna                           Proof of intent to
                                                                                                                                     travel is not required
              AZ/Covishield                  Moderna                     Moderna
                                                                                                                                         to receive the
              AZ/Covishield                     Pfizer                      Pfizer                                                        vaccination.
                    Pfizer                   Moderna                     Moderna
                  Moderna                       Pfizer                      Pfizer
 https://www.saskatchewan.ca/government/news-and-media/2021/august/17/covid-19-update-for-the-week-of-august-17-additional-doses-of-covid-19-vaccine-approved-for-travel

                                                                                                      www.saskatchewan.ca/COVID19
NACI Recommendation: New to Canada – COVID-19 Vaccine
   Recommendations for individuals who plan on staying in Canada for
   longer periods of time and who are vaccinated with non-Health
   Canada authorized vaccines.
   - For individuals planning to stay in Canada for longer periods
       (i.e. To live, work, or study)
   - Those who have received one or two doses of a non-Health Canada authorized vaccine
     should be offered one additional dose of an mRNA vaccine soon after arrival in Canada.
   - Minimum interval between preceding dose and the additional dose should be 28 days

   If they’ve already received three doses of a COVID-19 vaccine, no additional doses should be
   offered at this time.

                                                 Awaiting Ministry recommendation at this time

https://www.canada.ca/en/public-health/services/diseases/2019-novel-coronavirus-infection/guidance-documents/recommendations-those-vaccinated-with-vaccines-not-authorized-health-
canada-staying-canada-live-work-study.html

                                                                                                www.saskatchewan.ca/COVID19
Update - Booster Doses

  There is no NACI statement in place yet regarding
  booster doses.

  The Clinical Expert Committee has sent a
  recommendation to the Ministry.

  Currently awaiting feedback and decision.

                                                 www.saskatchewan.ca/COVID19
Defensive Strategy Highlights
Dr. John Froh
Defensive Strategy Co-Chief

COVID-19
Health System Update

                              www.saskatchewan.ca/COVID19
Strategy – Maintain our COVID-19 Defensive Strategy
through ongoing readiness of the acute care system
to match incoming demand (including ICU) while
providing essential services to non-COVID-19
patients

    COVID-19
    Health System Update
Provincial Census (7 day rolling average)
                                             Non-ICU Census                                                                                                                Daily ICU Census
 160
                                            (7 day rolling average)                                                                                                           (7 day rolling average)
                                                                                                                                       50

 140
                                                                                                                                       45

                                                                                                                                       40
 120                                                                                           60%
                                                                                           increase in
                                                                                          last 2 weeks                                 35
 100                                                                                                                                                                                                                  46%
                                                                                                                                                                                                                  increase in
                                                                                                                                       30
                                                                                                                                                                                                                 last 2 weeks

                                                                                                                          ICU Census
  80
                                                                                                                                       25

  60                                                                                                                                   20

                                                                                                                                       15
  40

                                                                                                                                       10

  20
                                                                                                                                        5

    0                                                                                                                                   0
   21-Apr-21   5-May-21 19-May-21     2-Jun-21    16-Jun-21     30-Jun-21   14-Jul-21   28-Jul-21   11-Aug-21 25-Aug-21                4/21/2021 5/5/2021 5/19/2021 6/2/2021 6/16/2021 6/30/2021 7/14/2021 7/28/2021 8/11/2021 8/25/2021

                            Saskatoon - 7 day Rolling average       IRH - 7 day Rolling average                                                            IRH - 7 day Rolling average         SK - 7 day Rolling average
                            Regina - 7 day Rolling average
                            INH - 7 day Rolling average
                                                                    SK - 7 day Rolling average
                                                                                                                                            www.saskatchewan.ca/COVID19
                                                                                                                                                           Saskatoon - 7 day Rolling average
                                                                                                                                                           Regina - 7 day Rolling average
                                                                                                                                                                                               INH - 7 day Rolling average

Digital Health Analytics. Data source: ADT, RRPL. Based on where patient resides, not admitted. Census represents all the patients on a given day. Out of province patients not included.
Actions

  Maintain strategies to prevent COVID-19 transmission, and response to
   suspect and actual acute care outbreaks
  Maintain and update acute care surge plans based on modelling.
  Implement COVID-19 POC testing in the acute care setting
  Implement HCW antigen testing in the acute care setting
  Assess and develop plans to address the long-term impacts of COVID
  Maintaining Acute and ICU capacity; preparing for 4th wave surge

                                               www.saskatchewan.ca/COVID19
Measures

   100% of Integrated Services Areas have acute outbreak response
    team
   100% acute care areas have 90% reliability on established outbreak
    response standard processes

                                        www.saskatchewan.ca/COVID19
Defensive Strategy

                     www.saskatchewan.ca/COVID19
Defensive Strategy

                     www.saskatchewan.ca/COVID19
Provincial ICU Demand – Aug 23 - 26

            Provincial ICU Weekly Average
Safety Update

  Dr. Mike Kelly
  EOC Safety Officer

COVID-19
Health System Update

                       www.saskatchewan.ca/COVID19
Safety Bulletin
                               29th Edition – August 23
Scan the QR code below for
the latest Safety Bulletins:   COVID-19 guidelines must be followed while at work at
                               SHA
                                  • Screen for Fitness for Work DAILY
                                  • Follow continuous masking guidelines and eye
                                    protection recommendations
                                  • Get TESTED
                                  • Be safe when taking breaks
                                  • Get VACCINATED
                                  • Do not hold in-person meetings unless necessary
                                  • Resume services in a safe way
                                  • Maintain additional safe practices (ie. Hand hygiene,
                                     enhanced cleaning, etc)

                                                www.saskatchewan.ca/COVID19
Habits and Habit Formation
Dr. Alana Holt
Co-Lead Pandemic Physician Wellness and Psychiatry
Response Team
Physician Health Program, SMA
Student Wellness Centre, U of S
Dept. of Psychiatry, College of Medicine

COVID-19
Health System Update

                                   www.saskatchewan.ca/COVID19
The “New Year” Reset

 What are my core values that drive my life and work?        Way/How
 Am I living and working with integrity right now?           Intentionality

 What is motivation??
 What motivates and inspires you??
 Start with WHY??? Your values? Your 20%??
                                                 Why              What
                                               Mindfulness      Productivity

                                         www.saskatchewan.ca/COVID19
Atomic Habits

Improvement
 or Decline

   James Clear, Atomic Habits        1 Year
                                www.saskatchewan.ca/COVID19
Goals vs. Systems

                    www.saskatchewan.ca/COVID19
3 Layers of Behaviour Change
                              Identity

                              Processes

                              Outcomes

                       James Clear, Atomic Habits
                               www.saskatchewan.ca/COVID19
The 4 Laws of Behaviour Change

 First Law: Make it Obvious

 Second Law: Make it Attractive

 Third Law: Make it Easy

 Fourth Law: Make it Satisfying

 James Clear, Atomic Habits

                                  www.saskatchewan.ca/COVID19
The 4 Laws of Behaviour Change

First Law: Make it Obvious- I will [BEHAVIOUR] at [TIME] in [LOCATION].
                           After [CURRENT HABIT], I will [NEW HABIT].

Second Law: Make it Attractive- Anticipation, Desire, Reframing.

Third Law: Make it Easy- Action, Repetition, Frequency, Environment.

Fourth Law: Make it Satisfying- Rewards, Progress, Streak/Chain.

 James Clear, Atomic Habits

                                         www.saskatchewan.ca/COVID19
Your Physician Health
  & Wellness Supports
Scan the QR Code to
access Physician Town Hall
Wellness presentations
and more!

Health Care Worker Mental Health Support Hotline:
 1-833-233-3314 8am – 4:30pm, Monday-Friday

                                Saskatoon, NE, NW:
                                  Brenda Senger       This is your time, it’s always a
                                306-657-4553                     good time!!
   Physician                       Regina, SE/SW:
    Health                       Jessica Richardson    Happy New Year! Be Well!
   Program                      306- 359-2750
Partners

           www.saskatchewan.ca/COVID19
Q&A                                                         Please respond to
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                 U of C’s Vaccine
                 Hesitancy Guide for
                 Primary Care!
Good News Story – Supporting pregnant women with Syphilis

• Significant increase in syphilis cases this year

• Our Neighbourhood Health Centre (Saskatoon)
   • Sexual Health Program
   • SHA Street Team
   • Other Community Agencies

• Locate the clients, help them access services,
  notify them of test results and support them
  with their medical needs, including
  transportation

                                                     www.saskatchewan.ca/COVID19
Join us this Fall!

         Thursday, September 23, 2021
                6:00 – 7:30 PM

                Watch for invites!

                             www.saskatchewan.ca/COVID19
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