It has been about a month since our last Covid-19 bulletin, and would like to take a moment to update everyone with questions we have been receiving.
First of all, we would like to thank all members for their diligence and work ethic to continue to use PPE during this very hot month that we have been experiencing. We understand the personal sacrifice you have undertaken to protect your clients and the general public. It is not easy to wear the masks, shields or goggles during the very hot weather. However, we have had great success in general in keeping our active case number down and no new cases for some time. This is because everyone, including you, are working hard to abide by the public health orders.
Manitoba government further extends state of emergency to support covid-19 pandemic work
The Manitoba government will extend the province wide state of emergency under The Emergency Measures Act to continue to protect the health and safety of all Manitobans and reduce the spread of COVID-19.
The extension takes effect at 4 p.m. Tuesday, July 14 for a period of 30 days.
A state of emergency allows the government to take quick action to support Manitobans when they need it most. The state of emergency was first declared on March 20 by the powers set out in section 10(1) and 10(2) of The Emergency Measures Act to enable the province to respond to the COVID-19 pandemic. It was further extended on April 18, May 17 and June 15.
For additional information and to view the state of emergency and public health orders, visit www.manitoba.ca/covid19/soe.html.
For more information on The Emergency Measures Act and a state of emergency, visit:
Phase 3 of Restoring Safe Services
Phase 3 of the “Restoring Safe Services Manitoba’s Pandemic and Economic Roadmap for Recovery” began on Sunday June 21st. For full details please click HERE.
Dr. Brent Roussin continues to advise Manitobans that this is not a return to normal. That in fact we are now at the point where we need to learn to live with the COVID-19 virus, and how we can reduce the risks in our lives.
As health care professionals, Phase 3 brings in a few changes. Occupancy limits have been lifted for all health professionals. However, this is not a full return to normal. Physiotherapists must continue to implement measures to ensure that members of the public are able to maintain a separation of at least two meters from others, except for brief exchanges, continue to screen individuals before they attend their appointments, and continue to wear PPE as prescribed here by Shared Health.
Please follow the links below for staff education for COVID-19 PPE requirements:
- Outpatient settings:
- In Home Care/Services:
- Public Practice Settings will continue to follow the guidelines set by the employment site.
Additionally, the screening questions have been updated. Residents of Western Canada and Northwestern Ontario do not need to self-isolate for 14 days when entering Manitoba if they are asymptomatic and have no known exposure to COVID-19. This includes British Columbia, Alberta, Saskatchewan, the Yukon, Northwest and Nunavut territories and the area of Northwestern Ontario (west of Terrace Bay).
The screening questions and their intent have been a topic of conversation over the last few weeks at the office. Please note that there have been a few changes to the screening questions posted on the Shared health site: click here to see the tool in full.
We have cut and pasted Question 3 and 4 below from the Shared Health Screening Tool with the answer that the public would see if they answered “yes”.
- A.3 Have you been in a setting in the last 14 days that has been identified by public health as a risk for acquiring COVID-19, such as on a flight, in a workplace with a cluster of cases, or at an event?
- You should speak with someone about your exposure.
- Q#4 A.4 Have you travelled outside of Manitoba in the last 14 days, excluding travel to western Canada, the territories or Ontario west of Terrace Bay?
- All returning travelers, except those excluded from current Public Health Orders, are asked to self-isolate and self-monitor for symptoms.
You should limit your contact with others and self-monitor for signs and symptoms for 14 days following your return to Manitoba. Especially avoid close contact with those at higher risk for severe illness, such as individuals over age 60 years or those with chronic health conditions.
You should not go to work and children should not go to school or daycare while self-isolating.
If you develop a fever, cough, shortness of breath, difficulty breathing or any other symptoms during the 14-day self-isolation period, or require further advice, please contact the COVID-19 screening line at Health Links-Info Santé at 204-788-8200 or 1-888-315-9257.
Please see the self-isolation fact sheet for further information manitoba.ca/covid19/factsheets.
There are individuals who are essential workers during the pandemic, including but not limited to nurses, paramedics and truck drivers that may answer affirmative for some of the screening questions. For example, truck drivers may answer the question about travel with a positive answer or a nurse who works in the ICU with COVID -19 suspect or positive patients may also answer one of the questions with a positive answer. The questions on the screening tool should be seen as a risk assessment instead of an immediate refusal of treatment. They give you the opportunity to plan, to ensure you maintain social distancing, wash your hands and wear your PPE, while still providing the care these individuals have requested from you. We encourage you to use the tool as a risk assessment and continue to treat all individuals equally when they contact physiotherapy for treatment.
Mental Health during Covid-19
The College of Physiotherapists would like to share this resource for dealing with mental health during the pandemic. The following website has great resources that may be beneficial to you, your patients or family.
The College of Physiotherapists of Manitoba has received numerous inquiries about appropriate hand sanitizer or disinfectant solutions in clinical settings. Below is information directly from Health Canada’s website:
One of the best ways to prevent the spread of COVID-19 is to wash your hands often with soap and water for at least 20 seconds. When that is not an option, Health Canada recommends using an authorized hand sanitizer that has an alcohol concentration of at least 60%. Product labels for authorized hand sanitizers will display either a Natural Product Number (NPN) or Drug Identification Number (DIN). Health Canada has published a list of authorized hand sanitizers, which is updated daily, Monday to Friday.
As with all health products, always read and follow the directions on the product label. Never eat or drink hand sanitizers and always keep them out of the reach of children. Always supervise young children when using hand sanitizers, because ingesting even small amounts can be dangerous or fatal.
Hard-surface disinfectants are liquids, sprays and wipes that are designed to be used on hard surfaces to kill germs (e.g. such as bacteria and viruses). These products can play an important role in reducing the spread of COVID-19. They always include clear directions for use, including information about how long the surface should be visibly wet to be disinfected. This information is in the directions for use on the product label.
Precautionary statements are clearly and prominently displayed on the package label to ensure that Canadians have the information they need to use these products safely. When using a hard-surface disinfectant, only use the recommended amount and ensure that you have good ventilation. Product labels for authorized hard-surface disinfectants will display a DIN.
Since disinfectants can irritate the eyes and skin, always wash your hands thoroughly after using them. Never drink or inject any disinfectant products and always keep them out of the reach of children. Labels list appropriate first aid instructions, and whether protective equipment should be worn during their use (e.g., rubber gloves).
Recalled Hand Sanitizer
Health Canada is advising Canadians that certain hand sanitizers are being recalled from the market because they contain industrial-grade ethanol that has not been authorized for use in hand sanitizers in Canada.
Industrial-grade ethanol contains impurities that are not found in the type of ethanol approved for use in manufacturing hand sanitizers, such as technical-grade, food-grade or pharmaceutical-grade ethanol. In addition, chemicals that may not be approved for use in hand sanitizers are added to industrial-grade ethanol.
Frequent use of these products may result in dry skin, causing irritation or cracking. Since industrial-grade ethanol has not been approved for use in hand sanitizers in Canada, the Department has not reviewed it for safety or efficacy.
A list of affected products can be found on Health Canada’s website by clicking here.
CPM Office Closure
We would also like to take this opportunity to remind registrants that the CPM office will continue to be closed to the public until September. Registrants can still contact the office by telephone or email. CPM staff will begin vacations over this period, so you may experience some delays to your inquiries.
If you will be returning to work, registration documents can be sent to our office by email or fax. Documents sent by regular mail are not encouraged as we are experiencing huge delays with Canada Post. Please submit your documents one week prior to your return to work to ensure adequate time to process your documents.
Stay safe. Stay Healthy,