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Message from the President                                                           October 28th, 2020

This e-Alert has been put together in communication with the Oral Health Consultant for the Province of Manitoba to help provide some clarification on current Public Health Orders as they relate to provision of oral health care services to essential workers at this time.

The Self isolation Order: https://www.gov.mb.ca/asset_library/en/proactive/2020_2021/orders-soe-selfisolation-10132020.pdf

MDA dentists are reminded, as is customary outside a pandemic response, for all patient care at all times, dentists should provide an appropriate point of care risk assessment. In all circumstances, dentists should exercise reasonable and prudent judgement in assessing risk.

What are current Public Health measures related to Travel and Self-isolation?

In general, anyone arriving in Manitoba is required to self-isolate for 14-days upon arrival to reduce the spread of COVID-19. However, there are exceptions to this requirement specified in the order.

In particular, Manitoba residents who have travelled to "Western Canada* or "Northwestern Ontario** are exempt from the self-isolation requirements when they return to Manitoba if they have not travelled outside of western Canada or northwestern Ontario and are not displaying any symptoms of COVID-19.

Residents of western Canada or northwestern Ontario are also exempt, if they have not travelled to another country or any part of Canada outside of western Canada or northwestern Ontario in the 14-day period immediately before entering or arriving in Manitoba and are not displaying any symptoms of COVID-19.

*Western Canada means British Columbia, Alberta, Saskatchewan, Yukon, Northwest Territories and Nunavut. (as defined in the order).
**Northwestern Ontario means that portion of Ontario that is located west of Terrace Bay (as defined in the order)

In addition to the above, at the current time, what persons are exempt by the self-isolation order for persons entering Manitoba?

  • Persons who are transporting goods and materials into or through Manitoba, if they are not displaying any symptoms of COVID-19;
  • Aircraft and train crew members, if they are not displaying any symptoms of COVID-19;
  • Persons engaged in providing vital services in Manitoba, such as health care providers, police officers, emergency services personnel, corrections officers, members of the Canadian Armed Forces, social service workers and elected officials and their staff, if they are not displaying any symptoms of COVID-19;
  • Persons engaged in the construction or maintenance of critical infrastructure in Manitoba, if they are not displaying any symptoms of COVID-19;
  • Persons engaged in the construction or maintenance of any building, structure or other project, if the failure to complete the construction or maintenance on a timely basis would pose a threat to persons, property or the environment and they are not displaying any symptoms of COVID-19;
  • Persons who are travelling into Manitoba to facilitate shared parenting arrangements under a custody order or agreement, including any child accompanying them, if they are not displaying any symptoms of COVID-19;
  • Persons travelling into Manitoba for emergency medical purposes; Players, coaches, managers, training and technical staff and medical personnel employed by or affiliated with a professional sports team based in Manitoba, if they are not displaying any symptoms of COVID-19; The cast and crew and other persons directly involved in a film production, if they are not displaying any symptoms of COVID-19;
  • Persons who have completed the period of isolation required under an emergency order made under the Quarantine Act (Canada) elsewhere in Canada, if they travel directly to Manitoba immediately after their required period of isolation ends.
  • Persons who are travelling into Manitoba to facilitate shared parenting arrangements under a custody order or agreement, including any child accompanying them, if they are not displaying any symptoms of COVID-19;

How do Public Health Orders relate to out of Province workers at this time?

Out-of-province workers arriving in Manitoba are required to self-isolate for 14-days upon their arrival UNLESS they are providing vital services and they are not displaying any symptoms of COVID-19. This includes:

  • workers such as health care providers
  • police and correctional officers
  • national defence personnel
  • persons responsible for construction or maintenance of water control works, highways, bridges, hydro-electric generating stations and electrical infrastructure, waste water treatment and sewage facilities and telephone and Internet services

In addition, individuals engaged in the construction or maintenance of any building, structure or other project, are also exempt if the failure to complete the construction or maintenance on a timely basis would pose a threat to persons, property or the environment if they are not displaying any symptoms of COVID-19.

It is the responsibility of the employer to determine if it is absolutely necessary for the worker to immediately begin work upon entering Manitoba (e.g. no one else is available to perform their function) and to implement appropriate workplace health and safety measures in the workplace. Employers should consult with occupational health or Workplace Safety and Health prior to their arrival to ensure appropriate steps are taken to mitigate the potential risk to others in the workplace.

Individuals who are exempt from the self-isolation order should self-monitor for symptoms and immediately self-isolate and notify their employer (as applicable) should they develop symptoms. They should maintain an appropriate physical distance from others, follow all general public health measures (e.g., hand hygiene, cough etiquette, etc.) where possible, avoid settings where physical distancing is not possible.

What are the restrictions to seeing essential workers seeking dental treatment at this time?

At this time, if essential workers have symptoms or fail the Shared Health Screening Tool they may be managed pharmacologically until they are deemed recovered prior to in-person treatment.

At this time, asymptomatic essential workers who are exempt under the self-isolation order and who require in-person health care services should be provided services utilizing the enhanced precautions as detailed in the most updated MDA Guidance for patient care during the COVID-19 response.

Sincerely,

Marc Mollot, B.Sc, DMD
President & Chairman of the Board
Manitoba Dental Association



Most Recent MDA Guidance - CLICK HERE

Shared Health Guidelines for Essential Services


Additional Resources

Province of Manitoba Protection Plan Updates

Shared Health COVID-19 – Guidelines for Screening of Manitoba Health Care Workers (Physicians and Staff)

Understanding the Spread of COVID-19: Asymptomatic Testing for Truck Drivers

MDA PATHWAY AND INTERIM IPC GUIDANCE FOR PATIENT CARE DURING THE COVID-19 RESPONSE - CLICK HERE