COVID-19 Update MAY 13, 2021 - QUESTIONS: First Nations Telehealth
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COVID-19 Update
MAY 13, 2021
QUESTIONS: VCHELP@FNTN.CA
Outline
1. MOH Update - Dr. Wadieh Yacoub & Dr. Chris Sarin
2. COVID-19 Vaccine Update – Dr. Parminder Thiara
3. Questions
QUESTIONS: VCHELP@FNTN.CA
MOH Update
DR. WADIEH YACOUB, SENIOR MEDICAL OFFICER OF HEALTH
DR. CHRIS SARIN, DEPUTY MEDICAL OFFICER OF HEALTH
QUESTIONS: VCHELP@FNTN.CA
HAPPY
NURSING
WEEK 2021!
QUESTIONS: VCHELP@FNTN.CA
Reminder - Privacy
All information related to an individual who is or was infected with a
communicable disease shall be treated as private and confidential
No information shall be published, released or disclosed in any manner
that would be detrimental to the personal interest, reputation or privacy
of that individual.
QUESTIONS: VCHELP@FNTN.CA
Current Situation – Canada (as of May 12, 2021)
Total number of active
cases in Canada:
76,676
Public Health Agency of Canada https://health-infobase.canada.ca/covid-19/dashboard/?stat=rate&measure=total_last14&map=hr&f=true#a2
QUESTIONS: VCHELP@FNTN.CA
Current Situation - Alberta
Overview of COVID-19 in Alberta (as of May 11, 2021):
Interactive Alberta data can be found at: https://covid19stats.alberta.ca/
VCHELP@FNTN.CA
Overview of COVID-19 cases in First Nations
communities on reserve in Alberta
Source: FNIHB COVID-19 ER System via Synergy in Action (May 12, 2021)
3,988 46 434
8,144 98
(49.0%) Impacted Hospitalized
Total COVID-19 cases ICU ever
Males communities ever ever
37 24 7,638 426 80
Communities with active
Currently in Hospital Recovered Active Deaths
cases
QUESTIONS: VCHELP@FNTN.CA
Age distribution of on-reserve COVID-19 cases in
Alberta
Source: FNIHB COVID-19 ER System via Synergy in Action (May 12, 2021)
COVID-19 cases by Treaty Area and age group
Treaty 6 Treaty 7 Treaty 8 First Nations Communities (on Reserve)
1800
1600
1659
1400
1398
1200
COVID-19 cases
1184
1000
915
881
800 811
765
600
673
574
538
492
400
448
433
400
385
376
369
356
319
312
291
200
258
254
252
243
242
234
224
114
172
155
128
121
133
97
82
0
70+ years
Under 5 years
10-19 years
20-29 years
30-39 years
40-49 years
50-59 years
60-69 years
5-9 years
Age group
QUESTIONS: VCHELP@FNTN.CA
COVID-19 Cases
0
100
200
300
400
500
600
700
800
12 Apr 2020
19 Apr 2020
26 Apr 2020
3 May 2020
10 May 2020
17 May 2020
24 May 2020
31 May 2020
7 Jun 2020
14 Jun 2020
21 Jun 2020
28 Jun 2020
5 Jul 2020
12 Jul 2020
^Data may be incomplete due to late receipt of lab reports
19 Jul 2020
26 Jul 2020
Treaty 6
2 Aug 2020
9 Aug 2020
16 Aug 2020
23 Aug 2020
30 Aug 2020
Treaty 7
6 Sep 2020
13 Sep 2020
20 Sep 2020
27 Sep 2020
*Onset date is the earliest of the “date of onset of symptoms” and “specimen collection date”
4 Oct 2020
Treaty 8
11 Oct 2020
18 Oct 2020
25 Oct 2020
1 Nov 2020
Onset* Week
Source: FNIHB COVID-19 ER System via Synergy in Action (May 12 , 2021)
8 Nov 2020
15 Nov 2020
22 Nov 2020
29 Nov 2020
6 Dec 2020
13 Dec 2020
COVID-19 cases by week of onset* of symptoms and Treaty Area
20 Dec 2020
27 Dec 2020
QUESTIONS: VCHELP@FNTN.CA
3 Jan 2021
10 Jan 2021
First Nations Communities (on Reserve)
17 Jan 2021
24 Jan 2021
31 Jan 2021
7 Feb 2021
14 Feb 2021
21 Feb 2021
28 Feb 2021
7 Mar 2021
14 Mar 2021
21 Mar 2021
28 Mar 2021
4 Apr 2021
11 Apr 2021
18 Apr 2021
^25 Apr 2021
^2 May 2021
COVID-19 cases by week of onset* by Treaty AreaSevere Outcomes
Sources: FNIHB COVID-19 ER System via Synergy in Action (May 12, 2021) &
https://www.alberta.ca/stats/covid-19-alberta-statistics.htm (May 10, 2021)
Total Case
Total Case ICU
Hospitalization Case Fatality Rate
Rate
Rate
Treaty 6 4.7 per 100 Cases 1.0 per 100 Cases 0.9 per 100 Cases
Treaty 7 7.1 per 100 Cases 1.7 per 100 Cases 1.3 per 100 Cases
Treaty 8 4.7 per 100 Cases 1.1 per 100 Cases 0.9 per 100 Cases
First Nations
Communities (on 5.3 per 100 Cases 1.2 per 100 Cases 1.0 per 100 Cases
reserves)
Alberta (includes First
4.0 per 100 Cases 0.7 per 100 Cases 1.0 per 100 Cases
Nations communities)
QUESTIONS: VCHELP@FNTN.CASevere Outcomes –Average Age
Sources: FNIHB COVID-19 ER System via Synergy in Action (May 12, 2021) &
https://www.alberta.ca/stats/covid-19-alberta-statistics.htm (May 10, 2021)
Average age of Average age of
Average age of Average age of
cases non-hospitalized
ICU cases deceased cases
hospitalized cases
Treaty 6 52 years 54 years 66 years 29 years
(range:14-88) (range:17-88) (range:23-88) (range:0-94)
Treaty 7 55 years 57 years 65 years 31 years
(range:16-86) (range:21-78) (range:20-86) (range:0-87)
Treaty 8 57 years 59 years 72 years 28 years
(range:1-93) (range:20-82) (range:48-93) (range:0-87)
First Nations
Communities (on
54 years 56 years 67 years 29 years
reserves) (range:1-93) (range:17-88) (range:20-93) (range:0-94)
Alberta (includes
First Nations
60 years 57 years 81 years 35 years
communities) (range:0-104) (range:0-90) (range:20-107) (range:0-108)
QUESTIONS: VCHELP@FNTN.CANumber
1000
2000
3000
4000
5000
6000
0
Apr 5-11 192
Apr 12-18 175
Apr 19-25 269
All Albertans
Apr 26-May 2 407
May 3- 9 450
May 10-16 792
May 17-23 740
May 24-30 937
May 31- Jun 6 1064
^late reporting from some communities
First Nations (on reserve)*
Jun 7-13 1747
Jun 14-20 2581
Jun 21 -27 1191
Jun 28 -Jul 4 1599
Jul 5-11 2833
Jul 12-18 2197
Test Volume
Jul 19-25 2148
Jul 26-Aug 1 2253
Aug 2 -8 789
Aug 9-15 1522
Aug 16-22 1313
123,016
4,343,100
Test volume
Aug 23-29 2619
Aug 30-Sep 5 1956
Sep 6 -12 1726
Sep 13-19 1808
Sep 20-26 1759
Sep 27 - Oct 3 3876
Oct 4-10 3583
Oct 11-17 2165
Oct 18-24 2576
Oct 25-31 1991
Nov 1-7 3063
Sources: Community Reports to FNIHB-AB (May 12, 2021)
4.9%
6.6%
Nov 8-14 2056
Nov 15-21 3299
Date tested or reported to FNIHB-AB
Nov 22-28 2986
Percent positive test
Nov 29-Dec 5 2475
The reported number of swabs samples collected by date
Dec 6- 12 3454
Dec 13-19 5257
Dec 20-26 2029
QUESTIONS: VCHELP@FNTN.CA
Dec 27 -Jan 02 2644
Jan 03-09 4090
Jan 10-16 4892
Jan 17-23 3543
Jan 23-30 2291
Jan 31 -Feb 6 1890
Feb 7-13 1434
Feb 14-20 1598
Feb 21-27 2561
Feb 28-Mar 6 1606
Mar 07-13 2074
percent positive test may be overestimated
Mar 14 -20 2028
Mar 21-27 1175
Mar 28-Apr 03 1878
Apr 04-10 2319
Apr 11-17 2522
^Apr 18-24 2577
^Apr 25 -May 01 1631
*some communities are not reporting testing data to FNIHB-AB, so
^May 3-9 2106Alberta COVID-19 Testing Criteria
Testing is available for:
◦ any person exhibiting any symptoms of COVID-19
◦ all close contacts of confirmed COVID-19 cases
◦ all workers and/or residents at specific outbreak sites
Asymptomatic testing has been paused for people who have no known exposure to
COVID-19.
FNIHB MOHs will provide guidance to prioritize testing in First Nation communities
with cases.
QUESTIONS: VCHELP@FNTN.CAChanges to Variant of Concern Testing Strategy
Effective May 1, 2021, testing for COVID-19 variants of concern is only being
completed for:
• Hospitalized and emergency room patients
• Patients involved in outbreaks
• Healthcare workers
• Recent international travelers
This change was needed to maintain laboratory capacity and turnaround times as
positivity rates and overall test volumes have rapidly increased.
As variants have become dominant, recent COVID-19 cases are likely infected
with a variant of concern.
QUESTIONS: VCHELP@FNTN.CAChanges to COVID-19 Case Management and Contact Tracing
The following changes have been implemented:
FNIHB will no longer be relaying results of variant screening to community health nurses. Variant
information for those screened will continue to be available on Netcare.
Public health follow-up will be the same for all positive COVID-19 cases – VOC or non-VOC
◦ ALL cases of COVID-19 (VOC or non-VOC) should isolate completely away from their household
members to prevent ongoing exposure. If this cannot be accomplished at home, use of an isolation
hotel or a different dwelling/isolation centre should be considered.
◦ One test is recommended for all close contacts during their quarantine period.
◦ Arrangements for the first test should be when they are first notified they are a close contact.
◦ Retesting should occur in the following circumstances:
◦ If at any time during the quarantine period, the close contact becomes symptomatic, or
◦ upon recommendation of the MOH
◦ For more information, refer to the Public Health Disease Management Guidelines – Coronavirus -
COVID-19
QUESTIONS: VCHELP@FNTN.CARapid Testing Screening Program
Employers and service providers can apply to receive free rapid test kits through the
Alberta Government’s rapid testing screening program.
It is open to any public, private, or not-for-profit employer or service provider with an
approved COVID-19 screening program. Successful applicants must ensure proper
protocols are in place for COVID-19 screening, testing and reporting.
Rapid testing screening programs can identify pre-symptomatic and asymptomatic
cases – people who don’t know they’re infected with COVID-19 so they can be isolated
early to stop the spread.
People with symptoms or known exposure to a COVID-19 case must get tested at their
local Health Centre, use the online assessment tool, or call 811 to book a COVID-19
test.
For more information, refer to: https://www.alberta.ca/rapid-testing-program.aspx
QUESTIONS: VCHELP@FNTN.CAQUESTIONS: VCHELP@FNTN.CA
PCR Testing Results: False Positives/Negatives
Although considered extremely rare, false positive results can happen because of non-specific
PCR reactions. The proportion of false positive results increases as the prevalence of COVID-19 in
the population decreases. If a test is thought to be a false positive, consult with the CDC case
manager/MOH.
False negative tests in those with symptoms varies depending on timing and methodology of
sampling and is estimated to be around 20% (range 10 - 30%).
The following factors may lead to false negative results:
- insufficient virus at the site of specimen collection
- insufficient virus at the time of specimen collection
- incorrect specimen collection
False negative results pose a challenge in public health management of COVID-19 cases as an
individual may still be infected and be infectious to others. If the clinical index of suspicion is
high, a negative result should not rule out disease and the test should be repeated.
QUESTIONS: VCHELP@FNTN.CARegions in Alberta with High Case Numbers
Starting May 5, additional restrictions came into effect for regions in Alberta with at least
50 cases per 100,000 people, and at least 30 active cases.
QUESTIONS: VCHELP@FNTN.CAExpanded Restrictions for High Case Regions
The following restrictions are in effect in these regions:
• All outdoor social gatherings must be limited to no more than 5 people and a
maximum of 2 household cohorts.
•All outdoor sports and recreation activities are prohibited, except with members
of your household, or your two close contacts if you live alone.
• Retail services must limit customer capacity to 10% of fire code occupancy (not
including staff) or a minimum of 5 customers.
• Personal and wellness services, including hair salons, barbers, nail salons,
estheticians, tattoos and piercing, must close (starting May 10th).
QUESTIONS: VCHELP@FNTN.CAExpanded Restrictions for High Case Regions
• Faith services are limited to 15 in-person attendees.
• 10 people maximum for funerals, including participants and guests.
• Any workplace, except work camps and essential and critical
services, with transmission of 3 or more cases will be required by
health officials to close for 10 days.
The restrictions will be in place for at least 3 weeks and will be
extended, if necessary.
To view the current number of active cases in your region, refer to:
https://www.alberta.ca/maps/covid-19-status-map.htm
QUESTIONS: VCHELP@FNTN.CAExpanded Provincewide Restrictions
• Kindergarten to Grade 12 schools transitioned to online learning, effective May
7
• Post-secondary schools transitioned to online learning, effective May 5.
• Indoor fitness - all facilities must close, including for one-on-one training.
• All indoor sport, performance and recreation activities for youth and adults are
prohibited.
For further information on public health restrictions, refer to:
https://www.alberta.ca/enhanced-public-health-measures.aspx
QUESTIONS: VCHELP@FNTN.CACOVID-19 Vaccine Update
DR. PARMINDER THIARA, DEPUTY MEDICAL OFFICER OF HEALTH /
REGIONAL DIRECTOR OF PRIMARY AND POPULATION HEALTH
QUESTIONS: VCHELP@FNTN.CAAuthorized Vaccines for COVID-19: Canada
Moderna – approved December 23, 2020
Pfizer-BioNTech – approved December 9, 2020
AstraZeneca – approved February 26, 2021
Janssen – approved March 5, 2021
QUESTIONS: VCHELP@FNTN.CAVaccine Phases - Alberta Source: GOA -https://www.alberta.ca/covid19- vaccine.aspx QUESTIONS: VCHELP@FNTN.CA
Cumulative Number of COVID-19 Vaccine Doses
Administered in Canada by Jurisdiction
as of May 13, 2021
Source: https://health-infobase.canada.ca/covid-
19/vaccine-administration/
QUESTIONS: VCHELP@FNTN.CACOVID-19 Vaccine Data – Provincial
As of May 11th in Alberta:
Up to date information can be found at https://www.alberta.ca/covid19-
vaccine.aspx
QUESTIONS: VCHELP@FNTN.CACOVID Immunization Activity – On Reserve in Alberta
Source: Okaki Slice Analytics (May 12, 2021)
Number of people immunized by age group and Proportion of population immunized by age group Number of Number of Number of
type of dose and type of dose people who people who Nations
Dose 1 Dose 2 Dose 1 Dose 2 Doses have received are fully (bands) with
administered at least one immunized Immunizations
8000 90 dose (2 doses)
Proportion of population immunized (%)
7406
80
78.7 37,782 46
Number of people immunized
7000
6493
6282 24,683 13,099
70 67.1
6000 65.0
60
5000
4028 50 47.5
4000 3702
41.7
3047 3157 40
3000 2785
28.5
30
2000 22.3
20
1000 579 10.7
10
74
0
18- 34 35-49 years 50-64 years 65+ years Unknown 0
years 18- 34 years 35-49 years 50-64 years 65+ years
Age group Age group
QUESTIONS: VCHELP@FNTN.CACOVID Immunization Activity – On Reserve in Alberta
Source: Okaki Slice Analytics (May 12, 2021)
Number of people immunized Proportion of population aged 18 years and over
by zone and type of dose immunized by zone and type of dose
5711 21.9
North North
10644 40.8
712 22.8
Edmonton Edmonton
1623 52.0
1547 8.3
Zone
Zone
Central Central
3076 Dose 2 16.4 Dose 2
Dose 1 Dose 1
2458 33.1
Calgary Calgary
4929 66.4
2671 32.7
South South
4411 54.0
0 2000 4000 6000 8000 10000 12000 0 10 20 30 40 50 60 70
Number of people immunized Proportion of population immunized (%)
QUESTIONS: VCHELP@FNTN.CACOVID Immunization Activity – On Reserve in Alberta
Source: Okaki Slice Analytics (May 12, 2021)
Number of people immunized by Treaty area and Proportion of population aged 18 years and over
Priority Reason Dose 1 Dose 2
type of dose immunized by Treaty area and type of dose
Dose 1 Dose 2 Dose 1 Dose 2
Healthcare Workers (HCWs) 1043 874
10000 70
9408 Long-term Care Staff 75 64
9000 59.5
60 Long-term Care Residents 51 46
8000 7594 7681
50 65+ year olds 3380 2890
7000 46.7
Proportion of population
Other Congregate Care Living Sites 91 47
Doses Administered
6000
immunized (%)
5165 40
5000 32.6 Essential Services Workers (not 2405 1450
4126
3808 30 HCWs)
4000 24.3 23.1
16 - 64 year olds 17297 7630
3000 20
13.2 Other Risk 162 30
2000
10 179 68
1000 Unknown
0 0
Treaty 6 Treaty 7 Treaty 8 Treaty 6 Treaty 7 Treaty 8 Total 24683 13099
Treaty Area Treaty Area
QUESTIONS: VCHELP@FNTN.CACOVID Immunization Activity – On Reserve in Alberta
Source: Okaki Slice Analytics (May 12, 2021)
COVID-19 doses administered by week of immunization and type of dose
Dose 1 Dose 2
4500
4042
4000 3627
3469
3360 3311
3500
3039
Doses Administered
3000 2695 2722
2500 2286
2077 2144
2000
1464 1410
1500
980
1000
399
500 221 197 197
46 96
0
Week of immunization
QUESTIONS: VCHELP@FNTN.CAReported Reactions Following Immunization
Health practitioners are to report an adverse event following immunization
within 3 days of determining or being informed that a patient has experienced
an adverse event following immunization unless it has already been reported.
Resource: Adverse Events Following Immunization (AEFI) policy for Alberta
immunization providers
https://open.alberta.ca/publications/aefi-policy-for-alberta-immunization-providers
QUESTIONS: VCHELP@FNTN.CAReported side effects following COVID-19
vaccination in Canada and Alberta
CANADA – AS OF APRIL 30, 2021 ALBERTA – AS OF MAY 11, 2021
1,975,341 Doses administered
314 Adverse Events reported
ALBERTA FIRST NATIONS ON RESERVE – AS OF MAY 6,
2021
36,160 Doses Administered
19 Adverse Events reported
QUESTIONS: VCHELP@FNTN.CAVaccine Hesitancy - Resources
Alberta One Health Portal – COVID-19 Page - https://www.onehealth.ca/ab/ABCovid-19
QUESTIONS: VCHELP@FNTN.CAVaccine Hesitancy - Resources
Your Health, Our Strength campaign
https://yourhealthourstrength.ca/
An initiative from Alexis Nakota Sioux Nation
- Community Resources
- Toolkit
- Video
- Blog
- FAQs
QUESTIONS: VCHELP@FNTN.CAVaccine Hesitancy - Resources
This Is Our Shot Campaign
https://thisisourshot.ca/
Social media:
- Twitter Facebook Instagram
@thisisourshotca
#ThisIsOurShotCA
QUESTIONS: VCHELP@FNTN.CAQUESTIONS: VCHELP@FNTN.CA
For COVID-19 resources
and links to credible
sources of information
GO TO THE ALBERTA ONE HEALTH COVID-19 UPDATE PAGE
HT TPS://WWW.ONEHEALTH.CA/AB/ABCOVID -19
QUESTIONS: VCHELP@FNTN.CAIs there a topics you would like to
hear about, or are you interested in
presenting your community’s
COVID-19 response/experience?
PL EASE L ET US KNOW!
E M A I L: VCHE L P @ FNTN.CA OR
SAC.CDE MERGENCI ESAB - U RGENCESM TAB. ISC@CA NADA .CA
QUESTIONS: VCHELP@FNTN.CAAcknowledgments
Dr. Wadieh Yacoub, Senior Medical Officer of Health - FNIHB
Dr. Chris Sarin, Deputy Medical Officer of Health - FNIHB
Dr. Parminder Thiara, Deputy Medical Officer of Health – FNIHB
Margaret Litt, Regional Assistant Nurse Manager - FNIHB
Ibrahim Agyemang, Senior Epidemiologist – FNIHB
TSAG Telehealth Team (Michelle Hoeber, Brooke Hames and team)
FNIHB Technical Team
QUESTIONS: VCHELP@FNTN.CAQuestions?
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