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COVID-19 NATIONAL RESOURCE CENTRE

As the national association representing Canada’s chiropractic profession, our primary responsibility is to assist our members with managing the impact of the pandemic and to assist them to prioritize the health and welfare of patients in an ever-changing environment. Given the current COVID-19 pandemic, you can find accurate, evidence-based information and guidance at your fingertips.

The information that follows is a collection of useful reference resources to help chiropractors as the COVID-19 pandemic evolves. The content on this page will be reviewed regularly and updates will be provided as new information and resources become available. Make sure to reference the Webinar section for further information on COVID-19 and return to practice resources. For key data, trends and the status of the pandemic globally, visit the World Health Organization (WHO) Situation Report for weekly epidemiological updates.

For more information and to connect with colleagues and CCA staff, please join our private Facebook Group.

RESOURCES FOR CHIROPRACTORS

Strategies and useful information about practicing in the time of COVID-19, including useful clinic signage and procedures for your practice.

What the Canadian government is doing to help you access federal funding and information. This page will be updated as new information becomes available.

Access resources and updates from the federal government and your provincial association and/or regulator.

Resources to support you and your patients’ mental health and well-being.

Clinic Resources

Patient Care

  • Enhance your knowledge, management and rehabilitation skills for patients with COVID-19 with this complimentary seven-module course from the World Health Organization.

Public Health Agency of Canada Resources

There are a number of updated resources available on our website for the public, as well as for health professionals, including our Outbreak Update and the COVID-19 Virtual Assistant: Coronavirus disease (COVID-19). Your organization may also be interested in:

COVID-19 information:
General information:

Coronavirus disease (COVID-19): Travel restrictions, exemptions and advice

Coronavirus disease (COVID-19): Awareness resources

Facebook: Healthy Canadians

Facebook: Travel Advice from the Government of Canada

Twitter: @TravelGoC

Twitter: @GovCanHealth

Twitter: @CPHO_Canada

LinkedIn: Public Health Agency of Canada

Mask Recommendations

According to the World Health Organization, wearing face masks remains one of the most effective preventive measures against the spread of respiratory infections, including COVID-19. As provincial public guidelines change, we encourage all members to stay up to date with the guidelines and recommendations from their provincial regulatory body and health ministry pertaining to healthcare professionals. In many jurisdictions, mask wearing continues to be recommended in clinical settings, in situations with immunocompromised persons, and when requested by patients.

Virtual chiro care – telehealth applied to chiropractic

The information provided in the Best Practice Guide was created to help our members set-up virtual chiro care. Knowing when it is appropriate to use, when to refer and how to function with virtual chiro care is essential during this pandemic – and beyond. Virtual chiropractic visits offer the possibility to help patients who need care, potentially allowing them to decrease/manage their pain, and avoid the need for an in person visit.

This guide is for educational purposes only. We are providing the most up-to-date information while recognizing that information and updates are fluid and change depending on your province. It is critical that you check with your provincial regulator about the requirements for the ability to conduct chiropractic visits in this manner. There are many important considerations, such as privacy, consent, billing and insurance coverage that must be taken into account before proceeding.

Virtual chiro care visits: What you need to know

Government Aid Programs

The Canadian government continues to operate a number of funding programs aimed at supporting businesses, employees, and individuals during the COVID-19 pandemic. An overview of available programs can be found here: www.canada.ca/en/department-finance/economic-response-plan

If you notice any out-of-date information, please notify the CCA at: info@chiropractic.ca

February 9, 2022: Government extends expanded access to Local Lockdown Program and Worker Lockdown Benefit

January 18, 2022: Applications Now Open for Ontario Business Costs Rebate Program

January 18, 2022: Ontario Cuts Electricity Rates to Help Workers, Families and Small Businesses

January 14, 2022: COVID-19 Subsidies – Explanatory Notes Relating to the Income Tax Act and Income Tax Regulations

January 12, 2022: Government extends loan forgiveness repayment deadline for the Canada Emergency Business Account

January 5, 2022: Remarks by the Deputy Prime Minister and Minister of Finance on support for Canadians and Canadian businesses in the face of the Omicron variant

December 30, 2021: Canada Worker Lockdown Benefit

December 30, 2021: The Government of Canada launches applications for the expanded Canada Worker Lockdown Benefit

December 22, 2021: Remarks by the Deputy Prime Minister on the Temporarily Expanded Eligibility for the Lockdown Program and Worker Lockdown Benefit

December 22, 2021: Government Temporarily Expands Access to Lockdown Program and Worker Lockdown Benefit

December 22, 2021: Backgrounder – Temporarily Expanding Eligibility for the Local Lockdown Program and the Canada Worker Lockdown Benefit

December 14, 2021: Supporting Canadians through the Recovery

November 26, 2021: Backgrounder:  Amendments to the Canada Labour Code to provide ten days of paid sick leave

November 26, 2021: Government of Canada introduces legislation to support workers with ten days of paid sick leave, protect health care workers and finish the fight against COVID-19

November 26, 2021: Backgrounder:  Amendments to the Criminal Code to protect health care workers and people seeking access to health services

November 24, 2021: Government introduces legislation to create jobs and implement targeted COVID-19 support

October 21, 2021: Targeting COVID-19 Support Measures

October 21, 2021: The Canada Worker Lockdown Benefit

October 21, 2021: Government announces targeted COVID-19 support measures to create jobs and growth

July 30, 2021: Extending Business Support Measures Through the Pandemic

July 30, 2021: Government extends COVID-19 benefits and business supports to support stronger economic recovery

Employers who have seen a drop in revenue during the COVID-19 pandemic may be eligible for a retroactive subsidy to cover part of the wages paid to employees. More information about eligibility and on how to apply is available here.

Business may be eligible for a retroactive subsidy to cover part of their commercial rent or property expenses. Information and deadlines available here.

The Local Lockdown Program is a way businesses affected by a qualifying public health restriction can be eligible for retroactive wage and rent support through the Tourism and Hospitality Recovery Program (THRP). Please note that you do not have to be in the tourism, hospitality, arts, entertainment, or recreation sectors to be eligible for this support. More information about eligibility and on how to apply is available here

Resources and programs for businesses and their employees, including financial support, loans, and access to credit. Learn more here.

Support for Self-Employed Individuals:

Income support for self-employed individuals who are sick or need to self-isolate due to COVID-19. It is still possible to apply retroactively. More information is available here.

Income for self-employed individuals who are unable to work because they must care for their child or family member. It is still possible to apply retroactively. More information is available here

The government has made temporary changes to the Employment Insurance program to better support Canadians who need financial assistance. More information about EI benefits including sickness benefits and benefits for the self-employed is available here

Homeowners facing financial hardship may be eligible for a mortgage payment deferral. The deferral is an agreement between you and your lender. Typically, the agreement indicates that you and your lender have agreed to pause or suspend your mortgage payments for a certain amount of time. To know if you are eligible for a mortgage payment deferral or to learn what options are available, contact your lender — your bank or your mortgage professional. More information is available here

Provincial Resources

If you notice any out-of-date information, please notify the CCA at membership@chiropractic.ca.

British Columbia Chiropractic Association

Email: info@bcchiro.com
Phone: 604-270-1332
BCCA employees are working from home. The best way to contact the BCCA is by email – info@bcchiro.com.  Voicemails left on the main line will be returned as soon as possible.


The College of Chiropractors of British Columbia

Email: info@chirobc.com
Phone: 604-742-6470 or 1-877-742-6470

CCBC COVID-19 Updates
BC’s Response to Covid-19

Update As of December 31, 2021
• Only essential visitors are allowed at long-term care facilities

Update as of Dec 22, 2021:
• Indoor organized gatherings of any size are not allowed. This includes gatherings like New Year’s Eve parties, wedding receptions or other celebrations
• Indoor events at venues can only have 50% capacity. This includes events like concerts, sports or movies
• Bars and nightclubs are closed
• Restaurants, cafes and pubs can have a maximum of 6 people at each table and must have physical distancing or barriers between tables
• Indoor adult exercise, fitness and dance activities are not permitted
• These restrictions are in effect until January 18, 2022.


BC Resources for Health Care Professionals


Province of BC

British Columbia Covid-19 self-assessment tool

British Columbia COVID-19 Entrance Screening Tool for Health-Care Facilities

British Columbia COVID-19 Health-Care Worker Self-Check and Safety Checklist

News

Manitoba Chiropractors Association

Email: info@mbchiro.org
Phone: 204-942-3000
MCA – COVID-19 Guidance for providing chiropractic care
Government of Manitoba – COVID-19 Screening Tool

Province of Manitoba

Manitoba Covid-19 screening

Manitoba self-assessment Covid-19 screening

Ontario Chiropractic Association

Email: oca@chiropractic.on.ca
Phone: 416-860-0070 or 1-877-327-2273


College of Chiropractors of Ontario

Email: cco.info@cco.on.ca
Phone: 416-922-6355 or 1-877-577-4772

Province of Ontario

PATIENT SCREENING GUIDANCE DOCUMENT – August 26, 2021 – Ministry of Health

Ontario COVID-19 Patient Screening Guidance

Ontario.ca – COVID-19 self-assessment

Government of Ontario – Order in Council

Association des chiropraticiens du Québec

Email: acq@chiropractique.com
Phone: 514-355-0557

Ordre des chiropraticiens du Québec

Email: info@ordredeschiropraticiens.qc.ca
Phone: 514-355-8540 or 1-888-655-8540

Quebec self-assessment tool

Quebec COVID-19 Symptom-based Screening Questionnaire

Province of Quebec

Nova Scotia College of Chiropractors

Phone: 902-407-4255

Council of the Nova Scotia College of Chiropractors

Email: inquiries@chiropractors.ns.ca
Phone: 902-407-4255

Nova Scotia Daily checklist
Nova Scotia Self-assessment tool

This directive includes requirements regarding:

  • Screening
  • Hand hygiene
  • Environmental cleaning and disinfection
  • Physical distancing
  • Use of PPE
  • Exclusion or work restrictions during staff or chiropractor illness

Government of Nova Scotia – Coronavirus (COVID-19): restrictions and guidance

Province of Nova Scotia

The government website contains information on:

  • Self-isolation requirements
  • Exemptions from self-isolation
  • Medical exceptions from self-isolation and proof of full vaccination
  • Gathering limits
  • Full vaccination requirements
  • Business and service restrictions
  • Mask requirements
  • Social distancing guidelines
  • Enforcement

Nova Scotia Chiropractic Association

Phone: 902 407-4255

About Yukon chiropractors

Email: plra@gov.yk.ca

Yukon Covid-19 self-assessment

Yukon Patient screening questions for health care providers

Territory of Yukon

December 31, 2021: Public health measures introduced in response to spread of Omicron variant in the Yukon: Published

  • Restrictions on personal services establishments: proof of vaccination is required; limited to 25 people or 50 per cent of venue, whichever is less.
  • Self-isolate as required: self-isolate if you have COVID-19, if you are waiting test results for COVID-19, or if you have been advised to do so by public health officials.

December 30, 2021: Early sign of community transmission of Omicron variant in the Yukon, new recommendations introduced

  • To limit the spread of Omicron, beginning immediately, it is strongly recommended that all close contacts of people who have tested positive for COVID-19 isolate for seven days if the close contact has not received their booster shot. A close contact is anyone who was within six feet (two meters) for a combined total of 15 minutes or more over a 24-hour period while someone is in their infectious period.
  • It is also strongly recommended that people who are fully vaccinated with a booster should avoid close contact with a confirmed case. Following the seven-day period of isolation, if no symptoms present, those contacts may leave isolation but should continue self-monitoring for seven more days because they may start experiencing symptoms of Omicron in that second seven-day period.

Northwest Territories

Update for Employers and Workers

Northwest Territories self-assessment

Northwest Territories Screening Tool

March 31, 2022: GNWT Ending COVID-19 Public Health Emergency

January 4, 2022: Public Service Announcement

  • The October 22, 2021 Northwest Territories order remains in effect, except as specifically provided for in this Order. In the event of an inconsistency between this Order and the October 22, 2021 Northwest Territories order, this Order shall govern.

October 22, 2021: Public Health Order – EFFECTIVE

  • Essential businesses and facilities may remain open to the public with no more than ten (10) persons permitted in an indoor location at any one time. Physical distancing of at least 2 meters shall be maintained amongst persons from different households and any specific requirements of the Chief Public Health Officer communicated to the business or facility are to be followed.
  • Non-essential businesses and facilities must close to the public, including but not limited to community and youth centres
  • Persons who exhibit symptoms of COVID-19 must contact a health care provider to be reviewed for a COVID-19 test and “isolate” in accordance with the isolation requirements:
  • Stay in the indoor portion of your isolation location for 10 days unless you are advised otherwise by a Public Health Official or your healthcare provider.
    • Do not leave the indoor portion of your isolation location unless you need to seek medical attention. If you need medical attention, contact your health care provider and follow their instructions.
    • Do not have any visitors at your isolation location.
    • If you are at risk of more severe diseases or outcomes, monitor yourself for worsening or severe symptoms

Backgrounder: Banning Gatherings and Closing Certain Businesses in the Northwest Territories

  • The order essentially breaks businesses into red (absolutely not allowed to remain open); yellow (if you can maintain good social distance and don’t present a high-risk, you can remain open); and green (businesses that we believe must stay open to protect public health).
  • Personal service establishments where physical distancing is not possible, including but not limited to: barber shops, hair salons, tattoo and/or piercing services, spas, nail salons, massage therapists, aestheticians, naturopathic practitioners, acupuncturists, and chiropractic services.

Mental Health

We have all seen and felt the impact of living amongst a pandemic for the last two years. We may have felt the effects more or less than our fellow Canadians, but one thing is for sure, no one remained untouched. While we are starting to get back to work, school and some sense of normalcy, we may observe long-term implications for some time still. To support you and your patients, we have gathered mental health-related resources for personal and professional use.

Fact Sheets

The Canadian Psychology Association has developed a series of Fact Sheets specific to COVID-19 that are updated as information changes in this evolving environment.

  • Psychological Impacts of the Coronavirus (COVID-19) – PDF  | HTML
  • Psychological Practice and the Coronavirus (COVID-19) – PDF | HTML
  • Working from Home During COVID-19, With and Without Children – PDF | HTML
  • Coping With and Preventing COVID-19 – PDF | HTML

Screening Tools

The following screening tools are available to assist you in determining if your patients may be experiencing mental health-related challenges.

Treatment Options and Supports

If you find yourself needing to suggest treatment options or support services to patients, the following resources may assist with these conversations.

Support for Suicide

If a patient reports having suicidal thoughts, the following resource may help you navigate this difficult conversation.

References

Stay up to date on current literature regarding the intersection of mental health and NMSK pain.