NORTHERN INTER-TRIBAL HEALTH AUTHORITY WILDFIRE UPDATE DATE: July 16, 2015 (15:30) PURPOSE: 2015 Wildfire Event – Internal Update 16/07/2015 PREPARED BY: Patrick Hassler, Emergency Response Coordinator MHO NITHA MHO continues to work with community leaders, ESS, and WFM to address repatriation of communities on a case by case basis based on the following; 1. Fire threat 2. Smoke threat 3. Available medical services 4. Availability of potable water, utilities and critical infrastructure. Health Surveillance is in place within the shelters Health inspections are taking place frequently at the shelters Hand hygiene is being promoted at the shelters NITHA MHO is engaged with the PAPHR MHO (Dr. Chokani), Alberta Health Services MHO (Dr. Yacoub) and RQHR MHO (Dr. Tania) on regular basis. Discussions with the MHO`s, Red Cross and Sask Health Emergency Management Branch surrounding patient tracking and locating. Current system is meant for family looking for other family members, this system is not working well for the purpose of surveillance tracking. 10 animal bites – Please note that these incidents still need to be reported to the MHO`s to ensure proper follow up and treatment. Repatriation Document sent out and sent to be posted on PAGC portal. Updated repatriation considerations and current smoke/fire recommendations today. (14/07/15) 14/07/2015 – Meeting with the Red Cross and ESS addressing the issue of phased repatriation and the need for the Red Cross to ensure they are following the recommendations of community leaders within the rescindment documentation regarding what priorities are returning. Documentation regarding priority client definitions was shared with the Red Cross to post at shelters to help alleviate some confusion. Repatriation logistics for the LaRonge area – Noting that some demographic within the evacuated population may not be able to return home as evacuation orders are rescinded. This smaller demographic could be negatively affected if critical services/support they may require are not available at the LaRonge hospital if the general evac is not lifted for LaRonge. Emergency Social Services (ESS) 10392 people receiving support from ESS/Red Cross 4774 Prince Albert 1033 Regina 3531 Saskatoon 256 North Battleford 798 Cold Lake 170 Beardy`s 37 Muskeg Shelter 9 Meadow Lake Wildfire Management See maps below 500 military personnel arrived to support ongoing efforts. Armed forces are assisting on fires. Thunder storms moving into the area this afternoon and more rain expected Friday. Red Cross See Emergency Social Services update NITHA staff continue to assist Red Cross with Volunteer services in most activities including registration of evacuees P Hassler, ERC WildFire Event – NITHA Update 2015 Page 2 of 12 Issues surrounding Cold Lake such as food, services for persons in hotels and fuel issues for persons between Cold Lake and Lac La Ronge who self-evacuated are being sorted out. A change in voucher systems has created some confusion. Daily vouchers were issued previously now multi day and or larger sum vouchers are being issued and vendors are not giving vouchers with day and or sums still remaining on them. This is to be corrected promptly. Those evacuees who previously chose not to have a bracelet or lost one, but need one now can present to reception centers for them. Rotational workers who are not able to return to their homes on their week/s off can register for services at a reception center. Clients from Regina Evras (?sp) Center will be moved to Saskatoon as the center is booked for a venue and must close as a shelter. Mental Health Addictions NITHA Mental Health and Addictions Advisor has been attending the Inter agency planning group meeting weekdays and weekends (will be taking July 18/19 weekend off- but can be reached by cell if required). PAPHR has been offering additional Mental Health support at the evacuation centers (and on the weekend; currently Brett Enns reports, these services are rarely utilized so far). The detox unit is full, it was often full prior to the evacuations. All Evacuation Centers/Shelters have primary mental health supports from their communities, from 2nd level partner counsellors and mental wellness teams. PAGC, MLTC, PBCN, LLRIB. The Wellness and Holistic Centre at PAGC is also full with evacuees.(Mental wellness and many other supports are also being gratefully utilized from STC, Beardy’s, Atahkakoop, and other area First Nations). It should be noted that the Community and Tribal Council teams are very likely the reason that provincial health workers are seeing few MH requests. NITHA MHA Advisor is also filling a scheduled round with PAGC Teams and on call or standby for additional hours or advice as needed. EMFS Working on the many fires in way of values protection, manpower, equipment and coordination. Personnel continue to work with communities in their areas to help support their operational needs. P Hassler, ERC WildFire Event – NITHA Update 2015 Page 3 of 12 Value protection equipment is moving from areas that the threat has decreased and is being deployed in other priority locations. PAGC Set up an Emergency Operations center in Prince Albert at PAGC Health Information line setup (844-813-2921) and is being manned from 8-5 daily for information regarding all evacuation locations and public updates from stakeholders. Information Portal online pagc.sk.ca Holding daily operational debriefing teleconference Currently supporting many evacuation needs including transportation, health, support, recreation etc. Sent a team of 6 to Cold Lake to support evacuees. Montreal Lake general evac due to fire Working to conduct training of fire fighters and coordinating with stakeholders. Nursing Health services available at the evacuation centers appear to have slightly different availabilities of services. Generally all evacuation centers have nurse practitioner coverage being delivered with support from Nitha, RHA, FNIHB, Evacuated community health staff as well as staff from 2nd level Partners. It is requested that health concerns from within one of the shelters should be first brought to the attention of onsite health so that they can coordinate care through community health members. Some issues around infectious diseases (chicken pox) and head lice are currently being addressed and monitored. At this time these are reported as minor. Increased complaints of sore throats being monitored and swabbed Immunization services are being offered at the Prince Albert shelters. Turn out has been low Many pts seen over the weekend by RN-NP Nursing coverage hours have been increased in Prince Albert. P Hassler, ERC WildFire Event – NITHA Update 2015 Page 4 of 12 Scheduled Rn/NP coverage for Prince Albert is posted on PAGC web site. Pagc.sk.ca PA Inn and Best Western = mini clinics set up with 2 nurses at each site for bulk of the day Travelodge/Ramada/ Quality Inn – roving nurse and PAPHA Home Care supporting 2 clients at Quality Inn Cold Lake – 2 nurses Saskatoon – 1 nurse Allen Bird Center – 1 nurse EHO/Infectious Control PAGC EHO`s and inspection staff are assisting communities to conduct air quality tests to help guide leadership decision making for smoke related evacuations NITHA Environmental Health advisor is briefed and engaged in this process NITHA advises communities to use the current (2013) Smoke and Fire Guidelines along with MHO advice along with community health input to guide this decision making NITHA ERC can be reached if emergency advice is needed at any time. NITHA IPC Advisor providing technical support for PAGC in the assessment and inspection of potential shelters in Beardy’s, James Smith, Athakakoop, Muskoday, and Muskeg Condoms have been dropped off at shelters NITHA assisting in the procurement of Head Lice treatments for shelters where cases have been identified. Highways Please refer to the highways hotline http://www.saskatchewan.ca/live/transportation/highway-hotline LLRIB LaRonge, Hall Lake, Sucker River, Kitsaki under General evac due to fire threat. Brabant, Stanley Mission, and Grandmothers Bay partial evac due to smoke Now have full time person at Cold Lake to assist LLRIB members P Hassler, ERC WildFire Event – NITHA Update 2015 Page 5 of 12 Rotational workers who are not able to return to their homes on their week/s off can register for services at a reception center. Chief Tammy Cook-Searson put a call out for 200 firefighters to volunteer. They received 600 and they were told it would be a week before training. This process will have to be expedited. Confusion around returning people to Grandmothers Bay and Stanley Mission. Priority persons were to remain evacuated and persons under general evac were to return. Red Cross started sending everyone home from these communities. This is currently being dealt with. PBCN Southend – partial evac due to smoke Deschambault Lake – partial evac due to smoke/fire MLTC Clearwater River – Partial evac due to smoke Birch Narrows – Partial evac due to smoke Canoe Lake – Partial evac due to smoke English river – Partial evac Buffalo River – Partial evac – TB patients and workers have remained in the community so medications and tracking are available. P Hassler, ERC WildFire Event – NITHA Update 2015 Page 6 of 12 MAPS Deschambault Lake P Hassler, ERC WildFire Event – NITHA Update 2015 Page 7 of 12 LaRonge P Hassler, ERC WildFire Event – NITHA Update 2015 Page 8 of 12 Montreal Lake P Hassler, ERC WildFire Event – NITHA Update 2015 Page 9 of 12 Weyakwin P Hassler, ERC WildFire Event – NITHA Update 2015 Page 10 of 12 MLTC Area P Hassler, ERC WildFire Event – NITHA Update 2015 Page 11 of 12 LaRonge Area South End Road P Hassler, ERC WildFire Event – NITHA Update 2015 Page 12 of 12