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We will begin at 6PM, check out the resources below while you wait:
The Online Therapy Unit (https://www.onlinetherapyuser.ca)
The Online Therapy Unit is located at the University of Regina specializes in offering adults free
Online Cognitive Behaviour Therapy (Online-CBT) for depression, anxiety, alcohol misuse, and
chronic health conditions.
Online-CBT involves reviewing educational material online with therapist support typically
provided once-weekly. The approach is evidence-based, effective and convenient.
Current course offerings:
Saskatchewan Residents
• The Wellbeing Course for Mental Health
• The UniWellbeing Course for Post Secondary Students
• The Chronic Conditions Course including Chronic Pain
Canada Wide
• The Alcohol Change Course
www.saskatchewan.ca/COVID19
Physician Town Hall Smokey summer
evening near
Hosted by: Dr. John Froh Humboldt, SK
July 22, 2021
www.saskatchewan.ca/COVID19
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
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
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
Agenda
COVID-19 Surveillance and Epidemiological Trends Dr. Johnmark Opondo
Offensive Strategy Highlights Dr. Johnmark Opondo
Vaccine Strategy Highlights Dr. Tania Diener
Defensive Strategy Highlights John Ash
Safety Updates Dr. John Froh
Physician Wellness Patty Stewart McCord
Q&A Opportunity to ask your questions live!
www.saskatchewan.ca/COVID19
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 have dropped
• The Delta variant is more transmissible and may be more dangerous. It has
displaced the Alpha variant 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.
• To avoid case surges, we need to continue to ensure that Saskatchewan
residents take their first and second doses in all communities.
• We need to combine our low uptake strategy with the age based strategy to
meet community needs and ensure strong testing and contact tracing.
www.saskatchewan.ca/COVID19
COVID-19 cases, rate per 100,000 (last 7-days), by health region, Canada, July 22, 2021
Far North SK
currently has
102 the highest
case rates in
Canada
21 Watching with
18 caution USA #s
www.saskatchewan.ca/COVID19
Saskatchewan Epidemiology Summary
Number of Cases
50
0
100
150
200
300
350
250
1/1/2021
1/4/2021
1/7/2021
1/10/2021
1/13/2021
Source: Panorama, IOM
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
Number of 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
4/4/2021
4/7/2021
4/10/2021
4/13/2021
4/16/2021
4/19/2021
4/22/2021
4/25/2021
Hospitalization
4/28/2021
5/1/2021
5/4/2021
5/7/2021
5/10/2021
5/13/2021
5/16/2021
5/19/2021
5/22/2021
5/25/2021
5/28/2021
5/31/2021
6/3/2021
6/6/2021
6/9/2021
6/12/2021
Death
6/15/2021
6/18/2021
6/21/2021
6/24/2021
6/27/2021
6/30/2021
7/3/2021
7/6/2021
7/9/2021
7/12/2021
7/15/2021
SK-COVID-19 pandemic cases, deaths and hospitalization (7-Day Average); Jan 1 – July 20 2021 (n = 32,643)
7/18/2021
2
4
6
8
0
www.saskatchewan.ca/COVID19
10
12
16
14
Death and HospitalizationEntry of Variants in SK Pose a New Threat
Vigilance to watch for further emerging strains like the Lambda variant
www.saskatchewan.ca/COVID19COVID-19 cases, rate per 100k (July 7 – 21, 2021) and vaccine coverage by eligible age group
45.0 100
Proportion with at least 1st dose
40.0 90
Case Rate per 100K
80
35.0
Vaccine Coverage Rate (%)
70
30.0
Case Rate per 100K
Proportion fully vaccinated (received 2 doses) 60
25.0
50
20.0
40
15.0
30
10.0
20
5.0 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/COVID19Assessed Risk of Epidemic
Transmission, by Zone
July 14 – 20, 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: July 7 – 13, 2021 Week: July 14 – 20, 2021Current situation: Viral transmission
• Half of eligible population is fully immunized (n = 525,000;
50%); most recent cases have occurred in unimmunized residents
(June 2021)
• Delta variant increasing by ~50% this week (n = 307 vs 210)
• Immunization uptake has plateaued
• Provincial Public Health Orders were lifted on Sunday July 11, 2021
• Far North East currently grappling with a complex outbreak in Hatchet Lake
• Provincial R(t) = 0.8 (CI: 0.1 – 1.6)
• COVID-19 has not ‘gone away’ and the risk of Fall surge still present
• General trends obscure health inequities
• Marginalized disproportionately affected by COVID-19
www.saskatchewan.ca/COVID19COVID-19 does not infect equitably
• As has been highlighted in COVID-19 epidemiology weekly
summaries throughout – overcrowding, essential service workers
and inequity are important factors in this pandemic
• Public Health and community partners have worked to protect the most
vulnerable in our population throughout the pandemic
• With Public Health Orders lifting – how will we use this data for action as
we move forward in the future
• Inequities existed before COVID – need to use this information to inform our
evolving response to COVID, and to "build back fairer", not only “recover” or
get “back to pre-pandemic” as our goal.
• DATA FOR ACTION
www.saskatchewan.ca/COVID19Key Public Health messages this week
• The efforts of local Public Health over the last year have made a
difference in reducing morbidity and mortality in Saskatchewan
• For over a year, non-pharmaceutical interventions (social
distancing, masking, hand hygiene, contact tracing, isolation) have
worked to control a novel pathogen
• New context – immunization era (pharmaceutical intervention)
• Better balance between health protection and health promotion
• Addressing the structural determinants of health
• Empowerment and agency
• Building back fairer
www.saskatchewan.ca/COVID19Offensive Strategy
Dr. Johnmark Opondo
Medical Health Officer
COVID-19
Health System Update
www.saskatchewan.ca/COVID193 Main Priorities
1. Control COVID Spread
2. Vaccinate Saskatchewan
3. Re-open SK
• Reimagine…Rebuild…Renew
• Must follow multiple tracks at the same time
www.saskatchewan.ca/COVID19Offensive Strategy
Implementation is now underway post the Public Health Order:
• Case and Close Contact definitions have changed in alignment with PHAC definitions
• Daily monitoring of Cases and Contacts has stopped
• Cases at risk of decompensation and without supports will be referred for monitoring
by primary care (in development)
• Cases and Contacts will be advised to isolate, however isolation will no longer be
mandated
• Public Health will not receive positive antigen test results from community
• Public Health will continue to respond to confirmatory positive PCR tests
• More to come…
Continued encouragement of Testing and Vaccination will be key!
www.saskatchewan.ca/COVID19Vaccine Strategy
Dr. Tania Diener
COVID Vaccine Strategy Chief
COVID-19
Health System Update
www.saskatchewan.ca/COVID19Vaccine 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
80.2% 60.2%
Percentage of Eligible
Population (12+) Vaccinated
89.2%
As of July 22, 2021
https://covid19tracker.ca/vaccinationtracker.html
82.4%
86.4%
77.0% 64.4%
78.9%
81.2% 44.9%
74.9% 85.1%
74.0%
56.3% 80.2% 41.7%
60.6% 86.7%
60.0% 82.6%
64.2%
79.8%
63.9% 56.3%
83.5% 58.8%
FIRST SECOND
DOSES DOSES
80.9% 61.7%Who has been immunized?
July 22, 2021 First Doses (%) Fully Vaccinated (%)
July 8 July 22 %Change July 8 July 22 %Change
Vaccination Percentage
Ages 80+ 93 93 (-%) 87 88 (+1%) (First Doses)
Ages Current (%)
Ages 70 – 79 93 93 (-%) 86 86 (-%) 40+ 82% (+1%)
Ages 60 - 69 87 87 (-%) 77 80 (+3%) 30+ 78% (+2%)
18+ 75% (+3%)
Ages 50 - 59 76 80 (+4%) 61 70 (+9%) 12+ 74% (+3%)
Ages 40 - 49 71 73 (+2%) 49 60 (+11%)
Ages 30 - 39 61 65 (+4%) 37 50 (+13%)
Ages 18 - 29 57 62 (+5%) 29 43 (+14%)
Ages 12 - 17 59 61 (+2%) 19 35 (+16%)
Overall 71 74 (+3%) 51 60 (+9%)
www.saskatchewan.ca/COVID19Printing COVID-19 immunization records from MySaskHealthRecord
• Saskatchewan residents with a MySaskHealthRecord
account can print their COVID-19 immunization records
by following the simple instructions available at
www.eHealthSask.ca.
• If you do not have a MySaskHealthRecord account, you
can sign up today at eHealthSask.ca.
• eHealth Saskatchewan is currently working with the Ministry of Health to refine the
print out from MySaskHealthRecord
• International travel destinations may have specific requirements for their proof of
vaccination documentation and the Federal government is looking into this.
www.saskatchewan.ca/COVID19Update to True Contraindications Document
• CV-19 G0146 COVID-19 Vaccine True Contradictions
• This document has been updated (AZ contraindicated in individuals
with history of Capillary Leak Syndrome) and posted to the COVID
website.
www.saskatchewan.ca/COVID19Post mRNA COVID-19 Vaccine Myocarditis / Pericarditis Immunization Recommendations
• As a precautionary measure, NACI recommends that the second mRNA
COVID-19 vaccine dose should be deferred in individuals who developed
myocarditis or pericarditis following the first dose of an mRNA COVID-19
vaccine until more information is available.
• If an individual is at high risk of COVID-19 acquisition or severe outcome
due to community transmission or underlying condition, then a decision
to get the second dose should be made in consultation with the
individual’s physician (cardiologist if possible) and the patient and their
informed consent.
• Wait at least until their episode of myocarditis or pericarditis has
completely resolved before proceeding. This includes resolution of
symptoms attributed to myocarditis or pericarditis, as well as no
evidence of ongoing heart inflammation or sequelae.
• NACI does not list a previous history of myocarditis or pericarditis
unrelated to the mRNA COVID-19 vaccines as a contraindication to
receiving these vaccines.
www.saskatchewan.ca/COVID19Vaccine Uptake
• Strong vaccine uptake is required to keep Saskatchewan citizens safe and protected from
ongoing and evolving risks.
• Saskatchewan’s target of vaccinating 70% of the eligible population has allowed re-opening but
is not sufficient to prevent future COVID outbreaks.
• Evidence continues to evolve on the effectiveness of vaccines against variants of concern and
variants of interest.
• The lifting of public health orders put those unvaccinated at greater risk.
www.saskatchewan.ca/COVID19Vaccine Hesitancy barrier to high vaccine uptake
Vaccine Hesitancy refers to a delay in
acceptancy or refusal of vaccines despite
availability of vaccine services. Vaccine
hesitancy is complex and context specific,
varying across time, place and vaccines, and
can also vary by population groups – age,
gender, culture, etc. It is influenced by factors
such as complacency, convenience and
confidence.
- World Health Organization Definition
www.saskatchewan.ca/COVID19Three C’s Model
Confidence Complacency Convenience
• Trust in the effectiveness • Perceived risks of COVID-19 • How geographical
and safety of vaccines is low and vaccination is accessibility, language and
• Trust in the reliability of the not deemed a necessary health literacy affect
system and competency of preventive action uptake.
the health services • How immunization services
• Trust in the motivations of are delivered at a time,
the policy-makers who place and in a cultural
decide on the needed context that is convenient
vaccines • The quality of the service
(real and/or perceived)
www.saskatchewan.ca/COVID19What we know – Saskatchewan Context
Sources
• Vaccine uptake in Saskatchewan has changed over time. Influenced by • Social Contours and
context of vaccine development, outbreak intensity, and stage of the COVID-19 study
pandemic – Social Contours and COVID19 Study: June 2020- March 2021 conducted in
• Sk. residents surveyed responded that 84% are prepared to get vaccine, Saskatchewan - June 1, 2020 to
March 31, 2021, May 2021, June 2021
4.5% were hesitant and 11% said they would refuse. Concerns over • COVID-19 vaccine
safety and a wish for more scientific evidence were noted as reasons for hesitancy and refusal in
Saskatchewan – July 2021
vaccine hesitancy – Social Contours and COVID19 Study- May 2021
• Vaccine Youth focus
• Factors indicating the likelihood of vaccine refusal and hesitancy are Groups- June 2021
lower education level, financial instability, Indigenous status, not
being concerned about spreading the virus. Social Contours and COVID19 Study: June 2020-
March 2021
• Youth Focus Group – Don’t feel COVID is a risk, parents are concerned
about the safety of the vaccine, don’t want to wait in line, need to take
vaccines to youth, need motivating communication campaign, consider
promotions and incentives for youth. Youth vaccine focus group- June 2021
www.saskatchewan.ca/COVID19Saskatchewan Uptake Strategies
Enhance Access COVID-19 Community Market the benefits of Model our Values
Champions program vaccines
• Identify/implement • Ensure high uptake
localized strategies • Work with key • Broad-based among health care
that address the key stakeholders to communications on workers to keep them
barriers to vaccine increase vaccine safety, efficacy and safe and send a
access uptake among their critical role played by message to the public
customers, clients and vaccine in helping us about practicing what
• Create local staff return to normal we preach
partnerships that
support those
strategies
Feedback and Surveillance Data
www.saskatchewan.ca/COVID19Defensive Strategy Highlights
John Ash
Defensive Strategy Co-Chief
COVID-19
Health System Update
www.saskatchewan.ca/COVID19Strategy – 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 UpdateProvincial COVID-19 Daily Cases, Admissions, Census and Deaths
SK COVID-19 Daily Cases, Admissions, Census and Death
(7 day rolling average)
300 35
30
250
25
New Cases/day; Non-ICU and ICU Census
200
Admissions/day; Deaths/day
20
150
15
100
10
50
5
0 0
2-Mar-21 16-Mar-21 30-Mar-21 13-Apr-21 27-Apr-21 11-May-21 25-May-21 8-Jun-21 22-Jun-21 6-Jul-21 20-Jul-21
SK COVID-19 ICU Census - 7 day rolling avg SK COVID Non-ICU Census - 7 day rolling avg SK COVID-19 New Cases/day - 7 day rolling avg
SK COVID-19 Admissions/day - 7 day rolling avg SK COVID-19 Deaths/day - 7 day rolling avg
www.saskatchewan.ca/COVID19Area COVID-19 Daily Cases, Admissions, Census and Deaths
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 patients suffering long-term impacts
of COVID
• Develop and implement operational and staffing plan to maintain acute and
ICU capacity within operations and prepare for fall surge
www.saskatchewan.ca/COVID19Measures
100% of Integrated Services Areas have acute outbreak response
team
100% acute care areas have 90% reliability on established outbreak
response standard processes
• TBD # Suspect and actual outbreaks in acute
www.saskatchewan.ca/COVID19Defensive Strategy
Target:
Daily Average
Covid Census is <
or = 60 for 14
consecutive days.
www.saskatchewan.ca/COVID19Defensive Strategy
Target:
Daily Average
Covid Census is <
or = 8 for 14
consecutive days.
www.saskatchewan.ca/COVID19Provincial ICU Demand – July 19-22
ICU Weekly Average Census from
July 19-22= 59 ptsLong COVID-19
• The long COVID-19 working group is developing their report and
recommendations which will be delivered mid-August for consideration.
• Current long COVID-19 patients which require consultation will need to
follow traditional clinical referral patterns. This status quo will be the
near term reality until new capacity for long COVID-19 is developed.
• Please respond to our poll regarding long COVID-19 during the Q&A
session!
www.saskatchewan.ca/COVID19Safety Update
Dr. John Froh
Defensive Strategy Co-Chief
COVID-19
Health System Update
www.saskatchewan.ca/COVID19Safety Bulletin
Scan the QR code below for the
latest Safety Bulletins:
26th Edition – June 28
• Fit Testing update
• SHA will now be fit testing any SHA staff or
physician that ‘must attend an SHA or Affiliate
facility for work’
• In order to be successful in this initiative we
are asking that leaders and physicians
prioritize this work
www.saskatchewan.ca/COVID19Don’t Take the Bad Day Home
Patty Stewart McCord, BGS, CCISM
Co-Lead, SHA Peer Support Program
Co-Lead, Physician Peer Support Team
Faculty, International Critical Incident Stress Foundation
COVID-19
Health System Update
www.saskatchewan.ca/COVID19~~ What’s your routine when you step in the door at the end of a workday? ~~What is the routine of those at home?
Today was different…
1. “Today this happened… 2. I feel ___________ 3. I need __________” Tyler Pope, RN, BSN Tri-Site CISM Team Co-Lead
Your Physician Health
& Wellness Supports If you or someone you know is
struggling in the aftermath of
Scan the QR Code to
access Physician Town Hall
a difficult event, or if you
Wellness presentations have questions about the
and more!
peer support program,
please email us at:
Health Care Worker Mental Health Support Hotline:
1-833-233-3314 8am – 4:30pm, Monday-Friday
Saskatoon, NE, NW:
Brenda Senger
306-657-4553 physicianpeersupport@saskhealth
Physician Regina, SE/SW:
Health Jessica Richardson authority.ca
Program 306- 359-2750Partners
www.saskatchewan.ca/COVID19Q&A Please respond to
Please enter your question in the Q&A section
the live poll!
OR
Raise your hand and we will unmute you so you can comment
or ask your question liveOnline Cognitive Behaviour Therapy Courses
The Online Therapy Unit (https://www.onlinetherapyuser.ca)
The Online Therapy Unit is located at the University of Regina specializes in offering adults free
Online Cognitive Behaviour Therapy (Online-CBT) for depression, anxiety, alcohol misuse, and
chronic health conditions.
Online-CBT involves reviewing educational material online with therapist support typically
provided once-weekly. The approach is evidence-based, effective and convenient.
Current course offerings:
Saskatchewan Residents
• The Wellbeing Course for Mental Health
• The UniWellbeing Course for Post Secondary Students
• The Chronic Conditions Course including Chronic Pain
Canada Wide
• The Alcohol Change Course
www.saskatchewan.ca/COVID19www.saskatchewan.ca/COVID19
Good News Story – Zero outbreaks in LTC
Thank you!
www.saskatchewan.ca/COVID19Next up on the Summer Series!
Thursday August 12, 2021 6:00 – 7:30 PM
Breaking the Chain of Vaccine Misinformation
Dr. Scott Napper BSc, PhD
Professor, College of Medicine,
Department of Biochemistry,
Microbiology & Immunology
Senior Scientist, Vaccine and Infectious
Disease Organization (VIDO)
www.saskatchewan.ca/COVID19You can also read
