New Brunswick Chiropractors Association

April 27, 2021

GNB Update:

Dr. Russell announced today another death, a person from the Moncton area in their 20's. This is the youngest death in NB and a reminder that everyone is at risk.

Dr. Russell also announced that the new cases in Edmundston area are linked to the same LTC facility, and the region will return to orange alert as of midnight tonight. The Grand Falls/Drummond area will remain to orange for another week.

Cases of the UK, South African and Indian variants are all present in NB. Hence, extra vigilance is recommended. Zone 3 is under close monitoring due to the presence of the Indian variant - additional measures may be coming.

April 26, 2021

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April 23, 2021

GNB Update:

Troubling new trend of new cases in almost all zones, including variant cases. The reason appears to be non-essential travel, which is strongly discouraged. Most of new cases today were travel-related. If you do travel or a member of your family, you have to self-isolate and in separate dwelling from others as well as respect other rules.

March 29th, 2021

REVISED - The area in which the Red level applies in Zone 4 (Edmundston region) has been extended. Beginning at midnight tonight, Saint-Léonard, Grand Falls, Drummond, New Denmark and Four Falls will be included along with the previously indicated areas of Edmundston and the upper Madawaska region.

Public Health made the recommendation to the all-party cabinet committee on COVID-19 and to cabinet to extend the area in which the Red level applies, with the exception of the Saint-Quentin and Kedgwick regions, based on the confirmed presence of the more contagious variants of COVID-19 along with the possibility of community transmission.

March 18, 2021

COVID-19 Vaccinations - Appointments are now available for regulated healthcare providers. Details on how to book is in your inboxes - reach out if not there. We are confirming if applies to staff too.

March 15, 2021

GNB Update: Effective at midnight tonight, the following areas are returning to orange alert: St. Leonard, Grand Falls, Drummond and Four Falls. However, remaining areas in zone 4 remain in lockdown. Travel outside of or to the lockdown areas are strongly discouraged.

March 11, 2021

GNB Update: The provincial government announced today that pharmacies will play a key role in the next phase of the COVID-19 vaccination plan.

Beginning today, New Brunswickers who are 85 and older may contact a pharmacist to set up an appointment to receive their first dose of the COVID-19 vaccine. Appointments will be scheduled at nearly every pharmacy in the province, with the first vaccinations starting Wednesday, March 17.

Vaccines will be administered by appointment only. At this time, appointments may be booked only by individuals who are 85 or older or by a family member or caregiver on their behalf. People who meet the criteria are asked to book only one appointment in one location.

A Medicare card will be required to book an appointment, however residents without a Medicare card are still eligible and should speak to a pharmacy. Appointments may be booked online if the pharmacy has an online booking tool on their website; otherwise, appointments should be made by calling the pharmacy. At this time, only pharmacies are accepting appointments.

More details about New Brunswick’s updated COVID-19 vaccination plan, including timelines for additional age groups and priority groups will be provided on Friday, March 12.

25 January 2021

The NBCA has release Updated Recommendations.

1 May 2020

The NBCA has released updated Operational Plan to inform safe return to practice.

29 April 2020

The NBCA has released updated Permanent Telehealth Standard.

24 April 2020

The NBCA has released Return to Practice Recommendations to inform safe return to practice.

1 April 2020

New Brunswick remains in a State of Emergency. The Renewed and Revised Mandated Order COVID-19 stays in effect which state:

“Regulated health professionals are prohibited from providing in-person services except those services they deem essential for the health and wellbeing of their clients. The offering of services is permitted conditional on compliance with all applicable control measures in the NB OCMOH Novel Coronavirus (COVID-19) Guidance for Primary Care Providers in Community Setting. (…)”

Any chiropractor conducting urgent or emergency care services must consult the Guidance for Primary Care Providers in Community Setting document.

Accordingly, the definitions below should help you to determine whether cases are urgent:

1. The patient is in an urgent state if they would be severely physically limited from basic daily activities without chiropractic care. Severe limitations could require patients to seek further medical services (e.g. emergency care) if left untreated.

2. The patient is in an urgent state if left untreated would be vulnerable to an acute flare-up that could leave them severely physically limited from basic daily activities.

3. Patients who are not experiencing urgent-type pain or dysfunction as described above, are not considered emergent care.

25 March 2020

"Regulated health professionals are prohibited from providing in-person services except those services they deem essential for the health and wellbeing of their clients. The offering of services is permitted conditional on compliance with all applicable control measures in the NB OCMOH Novel Coronavirus (COVID-19) Guidance for Primary Care Providers in Community Setting. (…)"

Renewed and revised emergency order can be found at: https://www2.gnb.ca/content/dam/gnb/Corporate/pdf/EmergencyUrgence19.pdf

Novel Coronavirus Guidance for Primary Care Providers in Community Settings: https://www2.gnb.ca/content/dam/gnb/Departments/h-s/pdf/COVID-19GuidancePrimaryCareProvidersCommunitySetting.pdf

19 March 2020

UPDATED DIRECTIVES

Today, 19 March 2020, the Premier Blaine Higgs declared a State of Emergency under Section 12 of the Emergency Act to enhance measures to help contain the spread of COVID-19.

The GNB directive reads as such: “All regulated health service providers will cease operations unless the services to be provided are to address essential health care or an emergency health-care situation.” This requirement is effective immediately. This directive also applies to home visits or similar arrangements.

17 March 2020

PRACTICE DIRECTIVES – COVID-19

The New Brunswick Chiropractors Association (NBCA) recognizes that concerns are being raised regarding COVID-19 public health threat from chiropractors and their patients. The NBCA is committed to providing chiropractors and the public best available information and directives as follows:

Members:

Chiropractors are asked to review and comply with the NB Chief Medical Officer latest directives. See https://www2.gnb.ca/content/gnb/en/news/news_release.2020.03.0127.html. Also, consider the following resources:

Health and Allied Health Professionals: https://www2.gnb.ca/content/gnb/en/departments/ocmoh/cdc/content/respiratory_diseases/coronavirus/HealthandAlliedHealthProfessionals.html
Frequently Asked Questions: https://www2.gnb.ca/content/gnb/en/departments/ocmoh/cdc/content/respiratory_diseases/coronavirus/faq.html
Coronavirus disease : For health professionals: https://www.canada.ca/en/public-health/services/diseases/2019-novel-coronavirus-infection/health-professionals.html#a5

As of 13 March, all individuals that have been travelling internationally should self-isolate for 14 days. This directive applies to chiropractors and staff.

Chiropractors should triage patients and avoid non-essential services (except emergency/acute care).

Reschedule any patients who returned from international travel in the last 14 days, or those who have been in close contact with presumptive cases of COVID-19.

Reschedule any patients who are exhibiting any flu-like symptoms. Patients should be informed to monitor symptoms (e.g. headache, congestion, achiness, feeling unwell) and call tele-health (8-1-1) when symptoms worsen to include fever, coughing and difficulty breathing. If in doubt, call 8-1-1.

Patients should be triaged based on risk factors and conditions. For example, consider rescheduling all patients who are immuno-compromised or over the age of 70.

Cancellation or related fees should be waved until further notice.

Chiropractors and staff are asked to be take extra measures to clean equipment and surfaces to reduce the potential for cross-contamination. Chiropractors and all staff should wash their hands regularly and avoid touching their faces.

Measures should be taken to limit wait time for patients before and after visits. This can include spacing out visits, or using technology like texting to advise patients when available.

Treatments should be provided in dedicated treatment space with only 1 table. Open or common spaces like gyms or others should be avoided.

Exposure to COVID-19:

Chiropractors have a duty to report any suspected case of COVID-19 to the office of the Chief Medical Officer.

Any suspected case should call 8-1-1 immediately for further instructions.

Following exposure, chiropractors and staff should self-isolate for 14 days and monitor symptoms. The clinic should also be thoroughly cleaned with industrial grade cleaner prior to re-opening of the facilities.

Marketing:

Chiropractors should avoid making any unsubstantiated claims concerning the role of chiropractic care in preventing or managing COVID-19, or related viral infections. The NBCA will be monitoring social media and online content to ensure compliance with advertising standards. Failure to comply may lead to a complaint.

Patients:

Patients should report any flu-like symptoms in advance of a visit.

Patients should wash their hands before and after each visit.

Patients should try to be punctual to avoid unnecessary waiting, or potential cross-contamination.