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MARCH 12, 2020: SRMT & MCA Joint COVID-19 (Novel Coronavirus) Informational Briefing

JOINT RESPONSE TO COVID-19

The Saint Regis Mohawk Tribe (SRMT) and the Mohawk Council of Akwesasne (MCA), including health and emergency staff, are working together to provide information to the community and to ensure readiness should the COVID-19 (Novel Coronavirus) outbreak require a pandemic response. The health of our entire community is a priority. Please refer to our websites for previous informational updates: www.srmt-nsn.gov and www.akwesasne.ca.

IMPORTANT INFORMATION/GENERAL UPDATES

  • As of March 10, 2020, 3 locations within our local area (on the U.S. side) are now able to provide testing for COVID-19: Canton-Potsdam Hospital, Alice Hyde, and Saranac.
  • On the Canadian side, the Eastern Ontario Health Unit is in the process of establishing assessment and testing centres for our region. This information is preliminary and the EOHU will provide further updates as necessary.
  • A preliminary testing site in Akwesasne is currently under discussion with the EOHU.
  • MCA has implemented new measures at their two long-term care facilities, Iakhihsohtha and Tsiionkwanonhso:te, under the advisement of the Ministry of Long Term Care. Health officials continue to update their procedures to accommodate changes in the situation.
  • The SRMT and MCA are consulting with local schools to determine any course of action necessary. Any changes to schooling will be announced in local media and social media and through our future updates on the MCA and SRMT websites.
  • Also as of March 10, the SRMT Family Support Program, under the advice of the NYS Office of People with Developmental Disabilities, is implementing a pre-screening process in response to COVID-19. This applies to any individual not directly involved in providing care in our IRA Facilities, Supportive Apartments and the Family Support Program Building; such as family members, care managers, advocates, and tribal staff not directly employed by the Family Support Program.
  • If you have been displaying symptoms and/or believe you have been exposed to the new coronavirus, please call prior to visiting a hospital or your healthcare provider.
    • Health service providers in the area will be able to assist you over the phone and make arrangements for safe transport, if needed, without the risk of exposing others to the virus.
    • It is extremely helpful to have a documented fever to show your healthcare provider. A documented fever just means the fever is measured — a fever is usually defined as a core body temperature of 100.4°F / 38°C.
    • Local health services recommend that temperature measurements be taken orally.
    • You can find a thermometer at the nearest grocery store, drug store and also within medical kits that have been provided at community events held throughout Akwesasne.
  • Cleaning and disinfecting is the best practice measure for prevention:
    • Hand hygiene is important — washing your hands with soap for at least 20 seconds and utilizing hand sanitizer with at least 60% alcohol content.
    • Bleach is a powerful for protection — the CDC recommends 1/3 cup of bleach per gallon of water or 4 teaspoons bleach per quart of water.
  • It is important for members of our community to be diligent in protecting themselves, as well as others. Practicing hand hygiene often, cleaning/disinfecting commonly-touched surfaces and staying home when you are sick are actions that can have a big impact on maintaining your health and the health of those around you.
  • The SRMT Emergency Management & Safety Office is meeting with LNHL (Little Native Hockey League) team representatives to discuss cautionary measures for those attending. As of March 11, 2020, the LNHL 2020 Tournament is to proceed as planned.
  • Post-secondary students preparing to return to their respective college or university are encouraged to please check with your academic institution for any updates prior to returning to campus.
  • Regarding those that are symptomatic the MCA Community Health Program can offer a telephone screening. The MCA Community Health Program is the program within the MCA Department of Health that will monitor the virus and any cases. They can be reached at 613-575-2341 Ext. 3220 during office hours. If you need to speak to a health representative during evenings or weekends, Telehealth Ontario provides free, confidential service for health advice or information. A Registered Nurse will take your call 24 hours a day, seven days a week. They can be reached toll free at: 1-866-797-0000

The Saint Regis Mohawk Tribe’s Health Services will screen patients concerned with COVID-19 at 518-358-3141.

CANADA UPDATES

From the Government of Canada website: www.canada.ca/coronavirus

As of March 10, 2020, 93 cases of COVID-19 have been confirmed in Canada.

PROVINCE/TERRITORY

CONFIRMED CASES

Ontario

36

British Columbia

39

Quebec

4

Alberta

14


Information on demographics, symptoms, and outcomes is available for 65 confirmed cases.

Of these confirmed cases:

  • The onset of illnesses occurred between January 15 and March 4, 2020
  • 53% of ill individuals are female
  • 82% of ill individuals are over the age of 40
  • 13% of ill individuals have been hospitalized
  • 1 person has died of COVID-19

U.S. UPDATES From the Centers for Disease Control and Prevention (CDC) website: www.cdc.gov COVID-19: U.S. at a Glance

  • Total cases: 423
  • Total deaths: 19
  • States reporting cases: 35 (including the District of Columbia)

COVID-19: Cases in the United States Reported to CDC

Travel-related

92

Person-to-person spread

75

Under investigation

771

TOTAL CASES

938


TRAVEL ADVISORIES

Both the Mohawk Council of Akwesasne and Saint Regis Mohawk Tribe have issued travel bans to staff for work related travel effective immediately.

Government of Canada:

As of March 9, 2020, the Public Health Agency of Canada (PHAC) is recommending that Canadians avoid all cruise ship travel due to the ongoing COVID-19 outbreak.

Cruise passengers include travellers from around the world who may be arriving from areas with known or unknown spread of COVID-19. The virus can spread quickly on board cruises due to the close contact between passengers. Older people and people with a weakened immune system or underlying medical condition are at a higher risk of developing severe disease.

Recent cruise ship outbreaks of COVID-19 indicate that a large number of individuals onboard can become infected. While the majority of affected passengers may experience mild symptoms, there have been a significant number of cases requiring hospitalization and critical care, and some deaths have been reported.

Registration of Canadians Abroad is a free service that allows the Government of Canada to notify you in case of an emergency abroad or a personal emergency at home. The service also enables you to receive important information before or during a natural disaster or civil unrest. Individuals can sign up to receive important information about COVID-19 at: travel.gc.ca/register

United States CDC & Department of State:

CDC recommends that travelers avoid all nonessential travel to the following destinations. Entry of foreign nationals from these destinations has been suspended:

  • China (Level 3 Travel Health Notice)
  • Iran (Level 3 Travel Health Notice)

CDC recommends that travelers avoid all nonessential travel to the following destinations (no entry restrictions):

  • South Korea
  • Italy

Individuals can receive COVID-19 country-specific information at: https://travel.state.gov/content/travel/en/traveladvisories/COVID-19-Country-Specific-Information.html

Before You Travel Due to the current public health situation, many countries have begun implementing strict screening procedures in order to prevent the spread of the COVID-19.

  • Any U.S. citizen returning to the United States who has been in Hubei province, China in the previous 14 days may be subject to up to 14 days of quarantine.
  • Any U.S. citizen returning to the United States who has been in the rest of mainland China within the previous 14 days may undergo a health screening and possible self-quarantine.
  • Please read these Department of Homeland Security supplemental instructions for further details.
  • U.S. citizens are encouraged to monitor media and local information sources and factor updated information into personal travel plans and activities. You may also follow us on Twitter and Facebook.
  • If you travel, you should enroll in the Smart Traveler Enrollment Program to receive updates.

EMERGENCY ALERTS

Individuals who live in New York State can subscribe for NY-Alert to receive critical information and emergency alerts on what is happening in their area. NY-Alert contains critical, emergency-related information including instructions and recommendations in real-time by emergency personnel. To sign up, please visit https://alert.ny.gov/.

The Centers for Disease Control and Prevention (CDC) also offers a subscription service (emails and text messages), should individuals will to receive information on COVID-19 directly. Learn more at https://www.cdc.gov/other/emailupdates/index.html.

PREVENTION There is currently no vaccine to prevent coronavirus, but the best way to prevent illness is to avoid being exposed to viruses in general by:

  • Avoiding close contact with people who are sick
  • Avoiding touching your eyes, nose and mouth
  • Staying at home when you are sick
  • Covering your cough or sneeze with a tissue or inside area of your elbow
  • Cleaning and disinfecting frequently touched objects and surfaces
  • Washing your hands often with soap and warm water for at least 20 seconds.

NOTE: Facemasks should only be used by people who show symptoms of COVID-19 and health professionals to help prevent the spread of the disease to others.

SYMPTOMS Reported illnesses have ranged from mild symptoms to severe illness and death for confirmed coronavirus disease cases.

The following symptoms may appear 2-14 days after exposure:

  • Fever
  • Cough
  • Shortness of breath
  • Please do not visit Urgent Care or the Emergency Room, including the SRMT Health Clinic or MCA’s health clinics, without notification, should you have symptoms of COVID-19 and have recently travelled or believe you have been exposed to the virus. If you have difficulty breathing, it is important to notify a health care provider or visit an ER with a call first to notify them.
  • Contact SRMT Health Clinic at (518) 358-3141 or MCA’s Department of Health at (613) 575-2341 for remote screening.
  • Self-quarantine until symptoms disappear.

IF YOU HAVE SYMPTOMS

NOTE: Individuals should have sufficient supply of food, medicine and other essential items for a 14-day quarantine period.

WHO DATA/SITUATION REPORTPosted on March 11, 2020 The World Health Organization (WHO) reports the following statistical data on the COVID-19 (novel coronavirus):

USEFUL LINKS EASTERN ONTARIO HEALTH UNIT

WORLD HEALTH ORGANIZATION

PUBLIC HEALTH AGENCY OF CANADA

U.S. CENTER FOR DISEASE CONTROL AND PREVENTION

NYS DEPARTMENT OF HEALTH NOVEL CORONAVIRUS HOTLINE

  • PHONE: 1-888-364-3065