Symptomatic testing for Nova Scotia Health care workers – 1-833-750-0632
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DEPARTMENT OF MEDICINE UPDATE | JUNE 11, 2021
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The SHORT Report
Member Updates
Feature Story
- What happens when you test positive for COVID-19 in Nova Scotia?
Great News About Our Members
- 2021 Pierre Elliott Trudeau Foundation Scholar
- In the Media
- Awards
- Department COVID Challenge Wrap-up
- Supporting Health & Wellness
Upcoming Events
COVID-19
- Nova Scotia Cases
- Monthly timeline
Quick Reference / Recurring Content
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Hi everyone,
I hope this short report finds you well.
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The tragedies of this past month have weighed heavily on our hearts. On May 31st we saw our flags at half-mast to remember the 215 children whose lives were taken at the former Kamloops Indian Residential School and for all Indigenous children across Canada who never made it home. We mourn with their families and communities. This past week a Muslim family was brutally murdered in London, Ontario when they were purposely run down, in the name of hatred, leaving four dead and a nine year old boy orphaned. My heart breaks and my thoughts and prayers go out to all those affected by these events, especially the residents and staff in our Department who have lived experiences of these injustices, for whom this hits very close to home. It is hard to see the good in the world when things like this happen. Then we have the moving words from our health leaders like Dr. Carr, Dr. Anderson and Dr. Gaynor Watson Creed; along with the outpouring of love and support demonstrated across our nation and we see there is hope. Racism, oppression, Islamophobia and any targeted hatred towards minority groups exists, and can seem overwhelming, but each of us can make a difference and together we can make a big difference. We are making progress as a Department with our new equity, diversity and inclusion (EDI) committee and with the broader support of Nova Scotia Health and the Faculty of Medicine under the leadership of Dr. Gaynor Watson-Creed, Assistant Dean, Serving and Engaging Society.
These events could have you feeling lost and depleted. If you need support, please reach out. We have included some excellent wellness resources below and please don’t hesitate to ask for help. Our success as a Department depends on us taking care of each other. We titled our strategic plan “Forward Together” for a reason. It is the only way forward.
In June, there are a number of opportunities to help learn and actively move us toward a more inclusive Department and society. One is the 9th Annual Thomas Fear and Alice Morgans Fear Memorial Conference. The third part in this conference takes place on June 15 from 7-9pm and will focus on "Priority Communities and Health Inequities as Exposed/Highlighted by the Pandemic".
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Learn more about the injustices inflicted on Indigenous people in Canada.
National Centre for Truth and Reconciliation (University of Manitoba)
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June is also Pride month. Halifax Pride will hold their pride festival later in August (12-22) and Pride Day is celebrated on June 28. The day marks the date in history when the first pride march was held in New York City in 1970. Pride month is all about inclusion and celebrating our unique differences while creating communities that are safe and welcome to all people. Pride Health is an area where we as health care providers can strive to make greater contributions.
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Our work together as a Department has helped us to overcome the many challenges that COVID-19 has put before us over the past year. Most recently we came together and raised $3,590 through asymptomatic testing and volunteering. The same spirit will help us rise to the challenges above as well.
I hope you enjoy the content of this month’s DoM Newsletter. As always, if you have stories or ideas for next month's newsletter, please let us know.
Take Care and Stay Well,
Christine
Christine Short,
MD, FRCP(C), FACP
Associate Professor & Head/Chief, Department of Medicine
Dalhousie University / Central Zone, Nova Scotia Health
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We welcome the following members to their new positions:
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Dr. Ashley Sutherland is the new Program Director in the Division of Clinical Dermatology & Cutaneous Science. Dr. Kerri Purdy stepped down from this position in May 2021.
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Stacey Riddell joined the DoM Physician Services' Office as Billing Clerk on June 1.
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Dr. Alfredo De la Torre joined the Division of Hematology for a one-year locum term on June 1.
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Dr. Yomna Eissa joined the Division of Hematology for a one-year locum term on June 1.
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Cassandra Duffenais joined the DoM Education Office for a term role as Undergraduate Coordinator on June 7 while Nina Nedic is on leave.
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Breanna Riley joins the Division of Cardiology on June 14 as admin assistant.
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Sarah Cooper joins the Division of Digestive Care & Endoscopy on June 21 as education admin.
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Siony Neale is now permanent in the Division of Digestive Care & Endoscopy.
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Cristina Umayam is now permanent in the Division of General Internal Medicine.
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Rachel Hemsworth is now permanent in the Division of Cardiology.
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Laura Ring has returned to her team lead role with ID.
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Samantha Milligan is staying on with ID as an Admin.
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We are grateful for having these team members in our department. We say farewell and best wishes to:
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Dr. Glen Ginther, Division of Geriatric Medicine, is retiring on June 30.
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Shannon MacKenzie will be leaving Digestive Care & Endoscopy for a role with the IWK.
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Kirsten Sutherland will be leaving Cardiology for a role with Mental Health and Addictions.
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Dr. Barna Tugwell has changed her name to Dr. Barna De (pronounced "Day").
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Dr. Bernard "Bernie" Badley
1933 – 2021
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"Dr. Badley began his career with Dalhousie Medical School and the (now) Nova Scotia Health in 1965 – a journey that would continue for the next 50 years. As one of the first gastroenterologists in Atlantic Canada, Dr. Badley revelled in his role as teacher to generations of medical students and postgraduates who trained under his tutelage.
Dr. Badley held several administrative roles within Dalhousie’s Faculty of Medicine (including Vice-Dean) and the Royal College of Canada where, for several years, he served as Chief Examiner of Gastroenterology. Dr. Badley was the founder and Medical Director of Nova Scotia’s Colon Cancer Prevention Program, the most comprehensive in Canada, in 2009. Under his supervision, the novel program ultimately decreased the number of Nova Scotians being diagnosed with and dying from colon cancer."
Excerpts from: Leadership Update from the Dean's Office - June 1, 2021
Dr. Kevork Peltekian, Head, Division of Digestive Care & Endoscopy, gave a lovely tribute to Dr. Badley at the beginning of the May 12 Department meeting.
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Dr. Arnold Mitnitski
1944 – 2021
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A message from Dr. Kenneth Rockwood:
I am sorry to have to tell you that Arnold Mitnitski died on May 26 after a brief illness. He leaves to mourn his wife Larissa, daughter Julia and family. A brilliant, kind, and humble man, with a deep appreciation of music – not for nothing is Julia a classical pianist – Arnold was much beloved and admired by a wide range of friends and Colleagues, in many disciplines, in many countries.
An established mathematician and scientist in the former Soviet Union, Arnold moved to Halifax in 2000, after some years in Montreal. Arnold began as an Assistant Professor in the Department of Medicine to work full-time on mathematical aspects of ageing. By then, we'd worked together for about six years. I was privileged to know Arnold, to work with him most of my career, and to be his friend. Arnold’s fundamental contributions to understanding frailty drew international attention, and in 2011 he was made University Research Professor of Medicine. Arnold retired, more or less, two years ago. He was honoured to have been acknowledged as Professor Emeritus of Medicine. He had a special love for Dalhousie, and especially the opportunities afforded him by the Department of Medicine, in hiring him (a mathematician!) for which I will forever be grateful.
Arnold and I learned together about interdisciplinary work. We went from good will but mutual incomprehension to being able to finish each other's sentences. That took about ten years. And then we discovered a useful discipline of our own, that served us well since: the things we sorted out that turned out to be reasonably true, were only true when we knew them so well that each could express it in terms not objectionable to the other. That's something worth knowing that I'm glad to share. I'm going to call it the "Mitnitski Doctrine".
The other thing worth sharing is the idea to not wait till someone is dying to tell them what a privilege it is to know and work with them.
Kenneth Rockwood, MD, FRCPC, FRCP
Professor of Medicine (Geriatric Medicine & Neurology)
Kathryn Allen Weldon Professor of Alzheimer Research
Dalhousie University Halifax, NS Canada
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QEII Foundation Endowed Chair in Palliative Care Research
The Faculty of Medicine at Dalhousie University is pleased to invite applications for the QEII Foundation Endowed Chair in Palliative Care Research.
Full posting:
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Announcement:
Interim Division Head of Medical Oncology
We are pleased to announce the appointment of Dr. Nathan Lamond as Interim Division Head in the Division of Medical Oncology, Department of Medicine as of July 1, 2021.
Dr. Lamond earned his medical degree at Dalhousie University, followed by a residency in Core Internal Medicine and a Medical Oncology residency also at Dalhousie. After completion of his Medical Oncology residency, he began a clinical appointment as a Medical Oncologist at the Nova Scotia Cancer Centre, QEII Health Sciences Centre, as well as a Medical Oncology consultant at the Yarmouth Regional Hospital. He is an Assistant Professor in the Department of Medicine, Faculty of Medicine, as well as an Assistant Professor in the Medical Research Graduate Program, Faculty of Graduate Studies at Dalhousie University.
Dr. Lamond is an active member on many local, national as well as international professional organizations and is currently Co-Chair of the Atlantic Canada Oncology Group. He has membership on several committees including the Nova Scotia Cancer Program Leadership committee and has recently completed a term as Co-Chair of the Head & Neck Cancer Multidisciplinary Cancer Site Team. From a leadership perspective, he has held several clinical/administrative positions including the Medical Lead of Community Oncology, Nova Scotia Cancer Care Program.
Clinically, Dr. Lamond’s practice focuses on head & neck as well as lower gastrointestinal cancers and he is a co-author on many publications and abstracts in these fields. His education portfolio is concentrated on continuing medical education and he regularly lectures across Canada on colorectal and thyroid cancers. Dr. Lamond has been vital in creating ongoing education for Nova Scotia’s growing group of General Practitioners in Oncology.
Nathan is originally from Cape Breton and now calls Dartmouth home. He and his wife live there with their young family and spend their time pursuing hiking, jogging, cycling, paddling, skiing and any other reason they can find to be outdoors.
We would like to extend a big thank you to Dr. Daniel Rayson for all the contributions he has made to the Department, Nova Scotia Health and the Faculty of Medicine during his time as Division Head.
Dr. Helmut Hollenhorst
Medical Director QEII, CZ Cancer Center
Nova Scotia Health
Dr. Christine Short
Head, Department of Medicine
Nova Scotia Health
Dr. Todd Howlett
Executive Medical Directors, CZ
Nova Scotia Health
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Announcement:
Division Head of Clinical Dermatology & Cutaneous Science
We are pleased to announce the appointment of Dr. Kerri Purdy as Division Head of Clinical Dermatology & Cutaneous Science, Department of Medicine as of January 1, 2021.
Dr. Purdy received her MD from Dalhousie University and did an internal medicine residency and dermatology residency at Dalhousie as well. She is an assistant professor with Dalhousie university and has her FRCPC from the Royal College. She is the past Program Director for the Dermatology Training.
She is the past president of the Canadian Dermatology Association, a member of the editorial board for the Journal of Cutaneous Medicine and Surgery, and a member of the dermatology working group with Royal College. She has a number of publications and posters to her credit.
Dr. Christine Short
Head, Department of Medicine
Nova Scotia Health
Dr. Todd Howlett
Executive Medical Directors, CZ
Nova Scotia Health
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Associate Dean, Research - July 1, 2021
Dr. Eileen Denovan-Wright has been appointed Associate Dean, Research, for a five-year term. This appointment is effective July 1, 2021. Dr. Roger McLeod steps down from this position to a well-deserved retirement.
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What happens when you test positive for COVID-19 in Nova Scotia?
Dr. Ashley Miller, Nova Scotia Health's Chief Medical Information Officer and member of the Division of General Internal Medicine explains.
"We're actually looking to intervene quicker because we don't want people to be at home, unwell, and missing the window of opportunity to be treated in the hospital," said Miller.
Dr. Ashley Miller, the chief medical information officer for the province, and Graeme Kohler, the director of primary health care in the northern zone, came up with COVID Community Virtual Care during the first wave.
At-home monitoring
The Nova Scotia Health Monitoring Program allows patients to track their oxygen levels at home. It's a small monitor that is easily placed on the finger and tracks oxygen levels.
Missed calls a significant issue
Kohler said nearly all physicians and clinicians who are making the diagnosis calls will have phones that read NS Health on the display as of Wednesday (May 12).
Read the complete story on CBC.ca
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GREAT NEWS ABOUT OUR MEMBERS
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2021 Pierre Elliott Trudeau Foundation Scholar
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Dr. Jasmine Mah, Clinician Investigator Program and PGY3 Internal Medicine Resident, has been named a 2021 Pierre Elliott Trudeau Foundation Scholar!! This is a remarkable and high profile achievement!!
"Fifteen leading doctoral researchers from across Canada and around the world have been selected for the Pierre Elliott Trudeau Foundation’s leadership program as 2021 Scholars. These bold, innovative, community-focused Scholars are interdisciplinary and come from a range of disciplines, including medicine, religion, policy studies, international health, and law."
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P.E.I. doctor battling pandemic's 3rd wave...
It's scary, it's difficult, and there is nothing else Dr. Emily MacAdam of Morell, P.E.I., would rather be doing right now. The third-year internal medicine resident at Dalhousie University is part of a COVID-19 infectious disease team in...
Read more
www.cbc.ca
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Piecing together progress | QEII Times June'21
“That’s really the clinical issue: to better understand which drugs will work in which individual patient,” says Dr. Hanly...
Read more
www.qe2times.ca
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In the fight against cancer | QEII Times June'21
Through this genetic sequencing, Dr. Ramjeesingh found that Graham’s cancer harboured a particular type of mutation identified as BRAF...
Read more
www.qe2times.ca
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"The IM (Internal Medicine) residents and program have been so collaborative and flexible during the COVID outbreaks. Having their input on our pathways and participation in our new COVID initiatives has been so helpful." Dr. Steven Gruchy
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'We were hit quickly and hit hard': Dalhousie resident...
The crushing third wave of the COVID-19 pandemic in Nova Scotia is providing a unique - if stressful - learning experience for a number of Dalhousie University medical residents.
Read more
www.saltwire.com
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Developing a 'culture of nutrition' | QEII Times June'21
Malnutrition is commonly underdiagnosed and undertreated because it’s not routinely screened for when patients are admitted to hospital, says Dr. Leah Cahill...
Read more
www.qe2times.ca
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American College of Cardiology
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The American College of Cardiology honoured Dr. Kim Anderson with the JACC: Heart Failure Young Author/Investigator Award.
The Young Author Achievement Awards are awarded to researchers within the first five years of their training. Editorial boards for each JACC sister journal nominate winners chosen from research submitted in the prior year. This award honours not only the young investigator but also the program in which he or she is working. The 2020 award winners were announced at ACC.21.
Primary Author: Kim Anderson, MD
Mentor: Douglas S. Lee, MD, PhD.
https://www.jacc.org/doi/10.1016/j.jchf.2020.07.008
Dr. Anderson is Assistant Professor, QEII-Halifax Infirmary Hospital, Dalhousie University, Nova Scotia. She completed her medical education and cardiology residency at the Universite de Montreal, followed by a Fellowship in Advanced Heart Failure and Transplantation at University Health Network, University of Toronto. Her manuscript came about in connection with her work on her master’s degree in clinical epidemiology and health care research from the University of Toronto. She and her mentors found that they regularly care for patients who have had multiple physician encounters prior to being diagnosed with heart failure. Dr. Anderson’s research and professional efforts focus on improving access to care for patients with heart failure, and this study is a step forward in increasing awareness and expediting the diagnosis and treatment of this under-diagnosed condition.
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Doctors Nova Scotia honoured Dr. Stacey Northgrave, Division of Clinical Dermatology & Cutaneous Science, with the Community Specialist of the Year Award for her dedication in providing dermatological care for people in Cape Breton and eastern Nova Scotia.
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The Faculty of Medicine announced the 2021 award winners at their annual Faculty meeting on June 8. We congratulate all the winners in the Faculty of Medicine awards, and would like to particularly recognize those from our department:
Faculty of Medicine Award for Excellence in Patient-Oriented Research
Dr. Jennifer Jones, Division of Digestive Care & Endoscopy
Faculty of Medicine Early Career Investigator Award
Dr. Leah Cahill, Research Scientist
Faculty of Medicine Early Career Award for Excellence in Education
Dr. Allen Tran, Division of General Internal Medicine
Faculty of Medicine Excellence in Clinical Practice Award
Dr. Todd Hatchette, Department of Pathology with cross appointment to Department of Medicine, Division of Infectious Diseases
Dr. Allan Cohen Memorial Award in Community Service
Dr. Lisa Barrett, Division of Infectious Diseases
Faculty of Medicine Award for Career Excellence in Research Mentorship
Dr. John Hanly, Division of Rheumatology
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Department COVID Challenge Wrap-up
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All department members were challenged to drop in to a pop-up clinic and get your asymptomatic test done, or better yet volunteer!
The department donated $10 dollars a department member had an asymptomatic test and $20 dollars every time someone volunteered at one of our many pop-up COVID asymptomatic testing sites between April 23 and May 21.
A total of $3,590 was raised for FeedNS and ShelterNS.
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Where can I get tested?
How can I volunteer?
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Supporting Health & Wellness
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English-French Phrase Book for Health Professionals
As we live in a province with many French communities and often serve French communities from other Atlantic provinces, I think this reference can be useful to you. The Reseau Sante Nouvelle-Ecosse developed a small medical short sentences dictionary (a lexicon) to help you communicate with your French patients.
Merci!
Kim (the cardiologist who has an english name but a french accent)
Dr. Kim Anderson, MD FRCP(C) MSc
Cardiologist Advanced Heart Failure, Transplantation and Mechanical Circulatory Support
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Dr. Kata Koller, Geriatric Medicine, and Dr. Matthew Miles, Digestive Care & Endoscopy have been looking at ways to support physician wellness within the Department of Medicine, during this pandemic time and moving forward.
Dr. Koller looks forward to collaborating with the recently appointed Assistant Dean of Wellness, Dr. Angela Cooper and the wellness champions who have stepped forward from various divisions to be a part of wellness related endeavors.
Living Your Life on Purpose (login required)
Starts June 15, 2021
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Dignity for LGBTQ2+ Disabled Employees and Job Seekers (by Pride at Work)
June 16, 2021
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Caregiver Support Group (login required)
June 23, 2021
Separating Home and Work Support Group (login required)
June 28, 2021
The Value of Mindfulness
(login required)
Kids & Company Canada
Previous webinars on your child’s sleep, nutrition, resilience, and more
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Dal Human Resources recently released a Resilience Guide.
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CARE4YOU 2021
For 10 years, the CARE4YOU Conference has focused on engaging, inspiring and refuelling helping professionals who work in high-stress and trauma-exposed environments.
The virtual conference will be 5 individual sessions that will take place between 9:00AM and 4:30PM EST on Friday June 25th. You will be able to sign up to participate “real time” on June 25th or you can watch the recorded sessions which will be on the website for the whole month of July.
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New program September 2021
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Doctors Nova Scotia Physician Wellness
"Building strong connections between colleagues not only helps physicians grow professionally but can also help inoculate them against burnout. Doctors Nova Scotia’s upcoming physician mentorship program will match experienced doctors with international medical graduates or recent Canadian graduates to help them successfully transition to practising medicine in Nova Scotia. The program will begin in September 2021."
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Dr. Nicholas Giacomantonio (Dr. Nick), Division of Cardiology, is leading the 15th annual Heartland Tour.
It will be a virtual event with some exciting adaptions for 2021.
5 physical activity challenges available:
- Get up and move challenge
- The 150 challenge
- The bluenose 100 challenge
- The youth 60 a day challenge
- The T2T (tip to tip) virtual "ride" challenge
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Please join us for the DoM Awards Extravaganza - Second Edition on June 29 @ 8am. The new link to join can be found in your Outlook calendar. Contact Mary.Synette@nshealth.ca for details.
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To express sincere gratitude, Dalhousie University is closed on July 2 to allow an extended long weekend.
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865,800
total completed tests
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4 currently in non-ICU;
222 total patient admissions
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6 currently in ICU;
74 total patient admissions
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226,488
Rapid tests at pop-up locations
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Rapid test locations have included:
Amherst, Antigonish, Bedford, Bridgewater, Brooklyn (Queens County), Cole Harbour, Dartmouth, Digby, Eastern Passage, Elmsdale, Eskasoni, Halifax, Kentville, Kingston, Liverpool, Millbrook, Musquodoboit Harbour, New Glasgow, New Minas, Port Hawkesbury, Sackville, Spryfield, St. Peter’s, Sydney, Tantallon, Truro, Wolfville, Yarmouth
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678,615
Total vaccine doses administered
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47,930
People who have received second dose
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64.9%
% population vaccinated - one or more doses
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You must continue to follow all public health guidelines (eg. wearing a mask/PPE, washing your hands and physical distancing).
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Additional restrictions
Extended school closures; tighter border restrictions; full isolation requirements for rotational workers; essential shopping only; Details
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People aged 40 and older can book an appointment for the Pfizer or Moderna COVID-19 vaccine.
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NS pauses use of AstraZeneca vaccine Details
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Access to Paid Sick Leave for Nova Scotians
Nova Scotians who must take time off work due to COVID-19 may now qualify for up to four paid sick days under Nova Scotia’s new COVID-19 Sick Leave Program. The $16 million program is expected to help more than 100,000 Nova Scotians. Days between May 10 and July 31, 2021 may be eligible for the program. Program launched on May 26. Details
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400,000 vaccine doses administered
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New application process for entering NS
Permanent Nova Scotia residents and people travelling for essential reasons must apply to enter the province; Details
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People aged 35 and older can book an appointment for the Pfizer or Moderna COVID-19 vaccine.
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People aged 30 and older can book an appointment for the Pfizer or Moderna COVID-19 vaccine.
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People aged 25 and older can book an appointment for the Pfizer or Moderna COVID-19 vaccine.
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500,000 vaccine doses administered
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People aged 20 and older can book an appointment for the Pfizer or Moderna COVID-19 vaccine.
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People aged 12 and older can book an appointment for the Pfizer or Moderna COVID-19 vaccine.
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Nova Scotia gradually reopening for summer
Premier Iain Rankin and Dr. Robert Strang, Nova Scotia’s chief medical officer of health, announced that the province will reopen gradually under a five-phase plan. Details
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Nova Scotia resumes use of AstraZeneca vaccine for second doses only. Details
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New contracts for Medical Services Insurance (MSI) and Prescription Monitoring Program. Release
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600,000 vaccine doses administered
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Announced May 28, in-person classes resume at public and private schools outside of Halifax Regional Municipality (HRM) and Sydney on Wednesday, June 2. Licensed child care returns to full capacity.
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Announced May 31, in-person classes resume at public and private schools in HRM and Sydney on Thursday, June 3.
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COVID-19 vaccine second dose rescheduling begins
A notice to reschedule will be sent to the email provided during the initial booking. Anyone who did not provide an email is asked to call 1-833-797-7772. Notices to reschedule will continue to be sent over the following weeks as vaccine supply is received.
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Travellers flying into Nova Scotia can receive a COVID-19 test kit at the Halifax Stanfield International Airport. Details
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QUICK REFERENCE /
RECURRING CONTENT
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Nova Scotia Health / Dr. Lynn Johnston
Uploaded: March 13, 2020
Video: 10 min
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Nova Scotia Health / Dr. Glenn Patriquin
Uploaded: April 3, 2020
Video: 3 min
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Canada.ca
Uploaded: June 15, 2020
Video: 1 min 25 seconds
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All press briefings are listed
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Legal Information Society of Nova Scotia
Complete online then download or email document. Once signed and witnessed, it is valid.
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Spectrum MD
(Antimicrobial Stewardship)
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Nova Scotia Health logo needs to be visible in the upper left corner of the home screen to ensure you are accessing local content.
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Nova Scotia Health staff and physicians experiencing COVID-19 symptoms, contact Occupational Health:
1-833-750-0632
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Potential COVID Exposures
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Nova Scotia Health - COVID-19 Hub
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Nova Scotia Health - Library Services
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COVID-19 resources for health care providers
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Canada (June 11/21)
1.4 million cases
25,800+ deaths
35.5 million tests performed
26 million vaccine doses administered
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World Health Organization (WHO)
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Globally (June 11/21)
175 million cases
3.7 million deaths
2.15 billion vaccine doses administered
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When you take care of yourself, you take care of others.
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