Physician Town Hall Hosted by: Dr. Susan Shaw - April 15, 2021 - Saskatchewan Health ...
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View from the Lighthouse! - Cochin, SK
Physician Town Hall
Hosted by: Dr. Susan Shaw
April 15, 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
Truth and Reconciliation
We would like to acknowledge that we are
gathering on Treaty 2, 4, 5, 6, 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
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
Agenda
COVID-19 Surveillance and Epidemiological Trends Dr. Johnmark Opondo
Offensive Strategy Highlights Dr. Johnmark Opondo
Dr. Kevin Wasko
Vaccine Strategy Highlights Dr. Tania Diener
Dr. Julie Stakiw
Dr. John Froh
Defensive Strategy Highlights
John Ash
Safety Update Dr. Mike Kelly
Physician Wellness Dr. Rachana Bodani
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
COVID-19 cases, rate per 100,000 (last 7-days), by province/territory, Apr 15, 2021
SK now has the 3rd
highest new case
rate in Canada
after AB and ON
SK was 4th last
week
www.saskatchewan.ca/COVID19
Source: Public Health Agency of Canada https://health-infobase.canada.ca/covid-19/epidemiological-summary-covid-19-cases.html
COVID-19 cases (rate per 100,000), by province/territory, Apr 15, 2021
SK ranks 3rd in rate
of total cases in
Canada after QC
and AB
www.saskatchewan.ca/COVID19
Source: Public Health Agency of Canada https://health-infobase.canada.ca/covid-19/epidemiological-summary-covid-19-cases.html
COVID-19 vaccine, population coverage (1 dose), by province/territory, April 15, 2021
Almost 15% of
Saskatchewan’s
population has received
at least one dose of a
COVID-19 vaccine
www.saskatchewan.ca/COVID19
Source: Public Health Agency of Canada: https://health-infobase.canada.ca/covid-19/vaccination-coverage/
Epidemic curve, SK-COVID-19 pandemic, by zone, Feb 1 2020 – Apr 14 2021 (n = 37,085)
450 40000
Central East Central West Far North East
400 35000
350
Far North West North Central North East 30000
300
25000
North West Regina Saskatoon
Number of Cases
Cumulative
250
20000
200
South Central South East South West 15000
150
10000
100 Unknown Region Far North Central
50 5000
0 0
7/6/2020
11/23/2020
1/20/2020
2/3/2020
2/17/2020
3/2/2020
3/16/2020
3/30/2020
4/13/2020
4/27/2020
5/11/2020
5/25/2020
6/8/2020
6/22/2020
7/20/2020
8/3/2020
8/17/2020
8/31/2020
9/14/2020
9/28/2020
10/12/2020
10/26/2020
11/9/2020
12/7/2020
12/21/2020
1/4/2021
1/18/2021
2/1/2021
2/15/2021
3/1/2021
3/15/2021
3/29/2021
4/12/2021
www.saskatchewan.ca/COVID19
Source: Panorama, IOM•New cases and test rates, 7- day rolling average, per 100,000, by subzone, April 11, 2021
COVID-19 cases and test positivity, 7-day rolling average, Nov 1, 2020 – April 11, 2021
350.0 14.0
300.0 12.0
Current Test Positivity 8.2%
250.0 10.0
7-Day Rolling Average
Test Positivity (%)
200.0 8.0
150.0 6.0
5%
100.0 4.0
50.0 2.0
0.0 0.0
Cases Test Positivity
Source: Interactive epi file
www.saskatchewan.ca/COVID19COVID-19 cases (n = 37,384), hospitalizations (n = 1,456) and deaths (n = 462) by age group
4000 350
3484 3514
3500 3415
300
3070
2945
3000
Number of Hospitalization and Death
250
2625
2456
2500 2301
Number of Cases
2202 200
2121
2000 1900
1781
1693
150
1500 1301
1156
100
1000 861
553
500 50
0 0
0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80+
Cases Hospitalization Death
www.saskatchewan.ca/COVID19
Source: RRPL-IOM Data Extract –Updated Mar 25, 2021SK COVID-19 outbreaks (N = 207) by settings, Jan 25 – April 15, 2021
250
Confirmed outbreaks are another “tip of the iceberg”
200
where Workplaces (n = 132) and Congregate Living* (n =
28) account for ~ 3 in 4 outbreaks
Number of Outbreak
150
100 *Includes: group home, LTC facility, PCH, communal living setting, correctional
centre, assisted living facility, shelter
50
0
Community
Health Facility
Sport
Post-secondary
Workplace
LTC Facility
Business
Overall
Place of Worship
Group Home
Event
Assisted Living Facility
Gym
Restaurant/Bar
Personal Care Home
Correctional Centre
Communal Living Setting
www.saskatchewan.ca/COVID19
Source: COVID response unit, Ministry of HealthAssessed Risk of Epidemic
Transmission, by Zone
Apr 7 – 13, 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 Mar 31 – Apr 6, 2021 Week Apr 7 – 13, 2021Current situation • Saskatchewan is currently at a very critical juncture • We are in accelerated exponential growth – R(t) is increasing • The majority of new cases in Saskatchewan are variants and rising • Previously, majority of deaths were age 80+ (n = 228; 51%); this week, the majority of deaths were
Public Health Orders: Update
Current Public Health Order extended to April 26th
Remaining in the extension:
• Restrictions for Regina and Area
• No indoor private gatherings
• No expanding household “bubbles”
• No indoor public gatherings, including restaurants/bars
• No travel to or from Regina Area communities, unless essential
• Ministry of Education moved all Regina schools to Level 4
• No change to outdoor gathering limits (n = 10) and places of
worship capacity limits (n = 30), including Regina
www.saskatchewan.ca/COVID19Key Public Health messages this week
• VOCs have:
• Increased demand for testing, investigation work, tracing and
isolation
• Increased demand for hospitalization and ICU services in the
south
• BOTH have huge demand on staff surge response
www.saskatchewan.ca/COVID19Offensive Strategy Highlights
Dr. Johnmark Opondo
Medical Health Officer – Offensive Strategy
COVID-19
Health System Update
www.saskatchewan.ca/COVID19Offensive Strategy
Key goal: prevent, contain and mitigate viral spread and promote population health
Key work of Public Health:
1. Emergency preparedness and response, including cross-sector business and service continuity
2. Epidemiology and surveillance: understand patterns of transmission to adjust response measures
3. Case, contact and outbreak investigation and management
• Population-based measure that aims to interrupt networks of transmission and control
epidemic
• Notification Isolation/Quarantine Investigation Reporting Monitoring Evaluation
• Assisted Self-Isolation Sites (ASIS), ASIS Medical and Secure isolation sites (SIS)
• Risk assessment: case communicability period, acquisition, exposure setting(s), contacts
4. Testing strategy: symptomatic, active case finding (investigations), public health surveillance
5. Enforcement: Public Health Orders, Public Health inspection, compliance/education
6. Risk communication: public awareness, behavior change, population health promotion
7. COVID-19 Immunization planning and delivery
www.saskatchewan.ca/COVID19The Natural History
Cases infected with VoC, as of April 15, 2021
www.saskatchewan.ca/COVID19 22Variants of Concern
www.saskatchewan.ca/COVID19 23Variants of Concern
www.saskatchewan.ca/COVID19 24Impact on Contact Tracing (and Test and Isolate)
Even now at 250 – 300 cases per day, it is challenging to stay on top of who
acquired the infection from where and all the associated transmissions and
contact details.
The main purpose of contact tracing is:
To identify, assess, and manage people who have been exposed to a disease
to prevent onward transmission.
When systematically applied, contact tracing will break the chains of
transmission of COVID-19 and is an essential public health tool for
controlling the virus. (This is the main purpose of CT)
Contact tracing for COVID-19 requires identifying people who may have
been exposed to COVID-19 and following them up daily for 14 days from
the last point of exposure.
www.saskatchewan.ca/COVID19Testing: Test-to-Protect Strategy
Acute TWO ANTIGEN POC PATHS
POC LTC POC
Regular antigen testing for residents of
(PCR) Saskatchewan offered in workplaces.
ONE Community Prioritized plan for at-risk populations (e.g.,
personal care homes), service sectors (e.g.,
Physicians can
enter BOTH
STRATEGY Police) and businesses (email: streams:
Antigentestingintake@saskhealthauthority.ca.) Community for
Test their clinic staff &
Antigen HCW home testing
Centres
POC Health Care Home-based antigen testing for HCWs and
for them and their
(PCR) their household (Phase I distribution hubs in household!
Workers acute care settings starting April 19 (Regina
already implemented). With self-serve online
training accessible on website)
Immunization is a key offense strategy - but we also need increased testing helps us to Test,
Trace, Investigate and Isolate to reduce transmission and support clinical decision making and
safe transitions of care.
www.saskatchewan.ca/COVID19Vaccine Strategy
Dr. Tania Diener
COVID Vaccine Strategy Chief
Dr. Kevin Wasko
Physician Executive – Integrated Rural Health
Dr. Julie Stakiw
Physician Lead, Vulnerable Populations
COVID-19
Health System Update
www.saskatchewan.ca/COVID19Immunization Campaign Goals
• Protect those most vulnerable
• Minimize serious illness & death
• Protect health care capacity
• Minimize spread of COVID-19
• Immunize as many people, as
quickly as possible; safely.
www.saskatchewan.ca/COVID19Vaccine Administration per 100,000 Population
Canada
23,995.62
Doses Administered
Per 100,000 population
As at April 15, 2021
https://covid19tracker.ca/vaccinationtracker.html
101,614.66
91,442.96
61,257.47
23,141.59 23,464.38
22,676.09
26,777.25 24,734.36
22,367.32
25,023.09
23,948.79
18,676.76
22,300.09Vaccine Summary 1st and 2nd dose by Region
Region 1st Doses Given 2nd Doses Given Total Doses Given
Far North West 5,130 1,480 6.610
Far North Central 410 319 729
Far North East 4,241 1,212 5,453
North West 17,984 2,934 20,918
North Central 18,118 4,407 22,525
North East 9,999 1,487 11,486
Saskatoon 64,358 7,369 71,727
Central West 8,625 1,033 9,658
Central East 25,692 4,219 29,911
Regina 67,602 9,266 76,868
South West 7,961 755 8,716
South Central 15,555 1,746 17,301
South East 19,780 3,995 www.saskatchewan.ca/COVID19
23,775
https://dashboard.saskatchewan.ca/health-wellness/covid-19-vaccines/vaccines#cumulative-doses-tabWho has been immunized?April 14, 2021
Long Term Care Age 60-69
1st doses = 7,751 (92%) 1st doses = 83,843 (61%)
2nd doses = 6,849 (82%) 2nd doses = 4,772 (3%)
Personal Care Homes
1st doses = 5,652 (133%) Age 50-59
2nd doses = 3,712 (87%) 1st doses = 43,888 (30%)
2nd doses = 6,026 (4%)
Age 80+
1st doses = 43,620 (85%)
2nd doses = 11,973 (23%) Phase 1 health-care workers
Age 70-79 1st doses = 28,073 (69%)
1st doses = 64,259 (81%) 2nd doses = 18,412 (45%)
2nd doses = 5,175 (6%)
Source: https://www.saskatchewan.ca/government/news-and-media
www.saskatchewan.ca/COVID19Group Homes and Shelters– update
• Regina: Shelters are complete. Group homes and day programs are in progress.
• Saskatoon: Since starting on March 30th there have been approx. 29 on-
site/community based clinics; plus 1 drive thru which booked 75 group home
vehicles; approx. 6 more on-site or community-based clinics are booked for this
current week and into next week.
• Rural: The majority of the homes that have not been completed will be done in the
next week depending on vaccine supply. Area % Complete
North 51%
• North: On track to complete by end of April. Regina 60%
Saskatoon 92%
Rural 59%
www.saskatchewan.ca/COVID19Changes to Drive-Thru Eligibility
• Effective April 16, 2021 the Saskatchewan Health Authority has changed eligibility
for drive-thru and walk-in immunization clinics to ages 48 years and older with
the exception of the Regina drive-thru, where eligibility remains 46-54.
• All drive-thru and walk-in clinics will be on a first-come, first-served basis. No
appointment is necessary, residents can attend at their convenience.
www.saskatchewan.ca/COVID19Vaccine Interval Dosing: General Population
• On March 3, 2021, the National Advisory Committee on Immunization (NACI)
recommended extending the dose interval between first and second doses of vaccines
to optimize early vaccine rollout and population protection.
• The Government of Saskatchewan adopted that recommendation on March 4, 2021,
with the exception of long term care and personal care home residents and staff.
• Population-based data suggests that the 16 week interval will allow a greater proportion
of the population to be immunized and result in a greater number immunized with one
dose in a shorter timeframe
www.saskatchewan.ca/COVID19Vaccine Efficacy
Vaccine Pfizer-BioTech Moderna AstraZeneca-Oxford
Number of Doses 2 2 2
Type of Vaccine mRNA mRNA Adenovirus Vector
Efficacy level* 95% 94% 70%
Hospitalization and 100% 100% 100%
death prevention*
Source: Government of Canada/clinical trial data
www.saskatchewan.ca/COVID19AstraZeneca
• Unlike the Moderna and Pfizer vaccines, which are mRNA vaccines, the AstraZeneca is a viral vector vaccine,
which is based on a viral vector platform that uses a modified virus to carry genes that encode SARS-CoV-2 spike
proteins into the host cells. Through this process, the body is able to mount a strong immune response against
the spike protein without exposing you to the virus that causes.
• Efficacy against the first occurrence of symptomatic COVID-19 disease >15 days after administration of the
second dose, by dosing interval:
Dosing Interval Vaccine Efficacy
4-8 weeks 55.7%
4-12 weeks 59.6%
9-12 weeks 69.0%
>12 weeks 81.6%
www.saskatchewan.ca/COVID19Bottom Line: All available vaccines are safe
AstraZeneca
• Contraindications
• NACI only states those less than age 55
• SHA has 2 additional criteria that our hematologist group identified
• Previous HIT (heparin-induced thrombocytopenia)
• Thrombosis associated with lupus anticoagulant (thrombotic anti-phospholipid
syndrome)
• Believe we are very cautious in our approach
• No AZ for previous HIT is simply because of the difficulties with the rapid lab assay not
the increased risk because of HIT previously - different mechanisms
www.saskatchewan.ca/COVID19AstraZeneca and hematologic complication (VIPIT)
This causes the clot
?
Not this
• Thrombophilia
• Hypercoaguability
• i.e. cancer, surgery
• Birth Control Pills
• Family History of Clots
• Personal History of Clots
www.saskatchewan.ca/COVID19
https://www.google.com/search?q=heparin+induced+thrombocytopenia+mechanism&rlz=1C1GCEB_enCA918CA918&tbm=isch&source=iu&ictx=1&fir=kk9ibxkiTTClMM%252CWd6LmLQkH0R4JM%252C_&vet=1&usg=AI4_-
kSPubieX0hzCus35fgM4yyJdgEL-A&sa=X&ved=2ahUKEwji3PTa8IDwAhUGMawKHbjnAgoQ_h16BAgdEAE#imgrc=kk9ibxkiTTClMMJohnson & Johnson
• 6 cases of CVST (Cerebral Sinus Venous Thrombosis) with
thrombocytopenia among 6.86 million doses administered
in the US
• 0.87/million doses
• White females
• Age 18-48 yrs (median 33)
• Onset 6-13 days after vaccine (8 days median)
• 1 on birth control
• CDC paused further immunization of J&J pending
investigation
www.saskatchewan.ca/COVID19Bottom Line: All available vaccines are safe
www.saskatchewan.ca/COVID19Vaccine Interval Dosing: Immunocompromised
• Most of the thoughts on vaccines MOA and efficacy in
immunocompromised are extrapolated from the flu and pneumonia
vaccine.
• For COVID Vaccines: Laboratory Data Serology (antibody levels) emerging
that suggests decreased efficacy after 1 dose of vaccine
• Antibody levels rise with second dose
• Should we give second dose sooner to boost antibody levels?
• NACI statement: No dose interval changes for special populations at this
time as no data to suggest translation of serological data into clinically
meaningful outcome differences.
• As more data emerges, this will likely change.
www.saskatchewan.ca/COVID19Clinically Extremely Vulnerable – Additional Criteria
As of April 13, 2021 - New criteria now includes:
• Pregnant women
• Youth aged 16 and 17 years who are CEV
• Physicians and Nurse Practitioners are asked to contact patients meeting the new criteria and issue them a letter of
eligibility.
• Patients will need to bring their signed letter of eligibility form to their appointment in order to receive their vaccine.
• Please note that CEV patientsBottom Line and a BIG ASK
• When possible, please counsel your patients on the safety and efficacy of all vaccines
• VIPIT is extremely rare and NONE of the previous risk factors for clots have been
associated with VIPIT
• Please do not write patients letters for dose interval changes, vaccine selection or
priority vaccination for medically vulnerable conditions other than the CEV list.
• Very confusing and anxiety provoking for patients and immunization staff
• Please follow the science
“At this point I would rather receive my Astra Zeneca Vaccine on an
airplane while taking my birth control pills than get COVID”
www.saskatchewan.ca/COVID19Defensive Strategy Highlights
Dr. John Froh
Deputy Chief Medical Officer - Pandemic
John Ash
Executive Director of Acute Care Regina
COVID-19
Health System Update
www.saskatchewan.ca/COVID19Defensive Strategy
Key Goal: Adapt/expand to meet projected COVID-19 demand
in hospitals.
Key Strategies: Key Factors Going Forward
• Surge acute capacity through use of surge spaces/processes.
• Utilize and balance capacity across the SHA to manage the Acuity of patients is Patients presenting to
care needs of COVID and non-COVID patients. higher than what was Acute Care are
• Convert hospitals to Alternate Level of Care where required. experienced in the decompensating
fall/winter quicker
• Enhanced outbreak management mitigation and response
capacity. B.1.1.7 variant is 50% more infectious, 60%
more severe and is impacting a younger
• Field hospitals for contingency scenario only. demographic
Performing well across all strategies despite extremely high
hospitalization rates over the last 2-3 months.
www.saskatchewan.ca/COVID19Total ICU Capacity – April 14, 2021
www.saskatchewan.ca/COVID19Regina ICU Age Demographic
www.saskatchewan.ca/COVID19COVID-19 – Acute and ICU Capacity By Age (April 15) 30 25 20 15 10 5 0
Safety Update
Dr. Mike Kelly
EOC – Safety Officer
COVID-19
Health System Update
www.saskatchewan.ca/COVID19Safety protocols keep us safe
Although variants of concern are on the rise, our safety protocols in place
continue to protect us:
• PPE is continuously monitored and recommendations, requirements
and guidelines reviewed
• Algorithms are reviewed and updated on a regular bases and now
include point of care testing
• Current screening protocols remain effective for detection of VOCs
www.saskatchewan.ca/COVID19Safety Bulletin
Scan the QR code below for the
latest Safety Bulletins: • Health Canada recently put out a safety
Alert indicating that face masks that contain
graphene may pose a health risk,
• PriMED and Supermax procedure masks are
the two procedure masks the SHA has
purchased as part of the COVID-19
response,
• The SHA has received written confirmation
that procedure masks from both Primed
and Supermax DO NOT contain graphene.
www.saskatchewan.ca/COVID19Physician Wellness Boost on Sleep
Dr. Rachana Bodani
MD FRCPC (Psychiatry)
COVID-19
Health System Update
www.saskatchewan.ca/COVID19Sleep • Sleep gives us a break to replenish and restore our mental and physical reserves. Restorative benefits of sleep include: • immune mediation • thermoregulation • energy conservation • memory consolidation • emotional regulation • It is susceptible to stress and often changes transiently • Any changes to professional and personal roles, any illnesses experienced, any stress on emotional and physical resiliency may precipitate sleep disturbance
Spielman’s Model for Insomnia • Almost everyone will have had acute insomnia • The events of the past 13 months may represent precipitants for insomnia in some of you. • Any additional impact of stress on emotional resiliency (onset of anxiety, etc.) would add to the stressor box. • As the stressor withdraws, up to 30% of people will develop chronic sleep problems perpetuated by maladaptive sleep conditioning/behaviour. • Right now, we are living with a chronic stressor WITH the potential for chronic consequences
Chronic Stress Effect on Arousal States
Strategies to Manage Sleep
• Early intervention for sleep is important
• Addressing sleep hygiene, and anxiety and stress management will be necessary to
facilitate improved sleep.
• Remember sleep itself is not a function that is under voluntary control; and
therefore “trying” to sleep will inevitably undermine the process itself; however, there
are a variety of controllable factors that do mediate sleep and the focus should be
on controlling these.
www.saskatchewan.ca/COVID19Interventions to Improve Sleep
Intervention Rationale
Set boundaries for time spent on work/news/social Not only is there ++ information related to the pandemic, the
virus/variants/numbers that we are faced with, there is also now this
media and move these activities away from sleep time
battle against negative public opinion, vaccine hesitancy, and false
when possible. narratives about covid19 that are distressing. These all serve as a
constant reminder of the threat, which can contribute to physiologic
- Consider forcing yourself to set aside time during the arousal and trigger insomnia.
day to ”think” or worry
This is true even if you are actively seeking out more positive content
(such as innovative PPE ideas, or social connectedness with other
healthcare providers). These are valuable things to seek out, but can
lead to mental alerting and should be done earlier in the day.
Avoiding late night blue light (screen time). Blue light from screens will contribute to endogenous melatonin
suppression.
Preserve the last hour of the day to engage in some Elevated levels of stress and overload of information can lead to
hyperarousal. A pro-active approach can mitigate the effect of this on
form of self-care.
sleep.
This could involve some sort of relaxation, taking a
bath, reading a book, listening to soothing music, or any
number of other strategies that feel as though they
improve your wellness.
www.saskatchewan.ca/COVID19Interventions to Improve Sleep
Intervention Rationale
Maintain a routine and schedule as much as possible. Waking at the same time every morning is particularly
effective. Unlike trying to fall asleep at constant bedtime every
This may be particularly relevant for those that are off work, night, which is not necessarily under your control and may
on self-isolation, or working from home. I encourage setting lead to increase time awake in bed; waking up at the same
a constant wake time, even if there is nothing specifically to time every day is very much controllable.
wake for, and having a routine schedule to adhere to. This
includes ensuring adequate exercise and nutrition whenever
possible. You can set cell phone alarms as reminders to help
anchor your schedule through the day.
Avoid spending unnecessary time in bed. The bed should remain a stimulus to be associated with sleep
only. The more time spent awake in the bed, the more we can
Take wakefulness out of the bed, and ideally out of the anticipate that wakefulness starts to replace sleep. This is
bedroom. Do not use this space to work, watch tv, or even to particularly true if the wakefulness is associated with stress
rest without sleeping. If forced to self-isolate in the and with focus on the crisis.
bedroom, keep out of the bed and sit in an alternative place
if possible (such as a chair in the bedroom).
www.saskatchewan.ca/COVID19Interventions to Improve Sleep
Intervention Rationale
Do not TRY to sleep Too often people use the safety and comfort of the bed as an
escape from stress. This can lead to increased wakefulness in
Do not use sleep as a way to escape from stress, or bed if you are laying there without sleeping. It can also lead to
“too much” sleep, which may be less consolidated and result
prematurely end the day. Only go to bed when
in frequent awakenings through the night.
tired/sleepy.
Do not try to go to bed early to accommodate for
prolonged time to fall asleep.
Instead, do something boring and relaxing until you
feel sleepy enough that you believe you may fall
asleep, and go straight to bed at that time.
www.saskatchewan.ca/COVID19What to do when the problems persist
• Seek help
• Ensure that any contributing causes have been addressed/ruled out
including utilizing physician health supports if suspecting underlying
mental health concerns
• Insomnia can be treated with CBTi or sedative hypnotics depending on the
presentation
• Evidence based websites for persistent insomnia treatment include Sleepio
and Shuti
www.saskatchewan.ca/COVID19Your Physician Health
& Wellness Supports
Town Hall Physician Wellness Webex Series available:
Physician Wellness and Support webpage
Health Care Worker Mental Health Support Hotline:
1-833-233-3314 8am – 4:30pm, Monday-Friday
Saskatchewan Medical Association
Physician Health Program
Saskatoon, NE, NW:
Brenda Senger
306-657-4553 Thank you for all that
Regina, SE/SW: you do!
Jessica Richardson
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 liveGood News Story! –
Saskatchewan Air Ambulance celebrates 75 years!
• Has transported over 72,000 to date
• Staff of 85 (pilots, engineers, maintenance, nurses, and administration)
• Current Aircraft can fly over 1,000 miles without refueling
https://www.saskatchewan.ca/government/our-stories/saskatchewan-air-ambulance-celebrates-75-years-of-saving-lives
Have a good news story to share? Send us an email at news@saskhealthauthority.ca
www.saskatchewan.ca/COVID19Next Town Hall
Thursday April 22, 2021 - 18:00-19:30
Thank you for attending!
www.saskatchewan.ca/COVID19You can also read
