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Environment and Climate Change Canada has issued heat warnings  for the Thompson/Cariboo/Shuswap, North Okanagan, Central Okanagan, and South Okanagan areas.   The Province has not declared an extreme heat emergency for these regions. With elevated temperatures, the risk of heat-related illness increases. The BC Centre of Disease Control provides a broad range of heat-related guidance on its website, including information on the different types of heat alerts, how to prepare for hot temperatures, symptoms of heat-related illnesses, those most at risk during hot weather and ways to stay cool. Preparing for and responding to hot weather: If you have air conditioning at home, make sure it is in good working order. If you do not have air conditioning at home: Find somewhere you can cool off on hot days. Consider places in your community to spend time indoors such as libraries, community centres, movie theatres or malls. Also, as temperatures may be hotter inside than outside, consider outdoor spaces with lots of shade and running water. Shut windows and close curtains and blinds during the heat of the day to block the sun and prevent hotter outdoor air from coming inside. Open doors and windows when it is cooler outside to move that cooler air indoors. Ensure that you have a working fan, but do not rely on fans as your primary means of cooling. Fans can be used to draw cooler late-evening, overnight and early-morning air indoors. Keep track of temperatures in your home using a thermostat or thermometer. Sustained indoor temperatures over 31 C can be dangerous for people who are susceptible to heat. If your home gets very hot, consider staying with a friend or relative who has air conditioning if possible. Identify people who may be at high risk for heat-related illness. If possible, help them prepare for heat and plan to check in on them. Who is most at risk? It is important to monitor yourself, family members, neighbours and friends during hot weather. Consider developing a check-in system for those who are at high risk of heat-related illness. Those at highest risk include: Older adults, especially those over 60 People who live alone People with pre-existing health conditions such as diabetes, heart disease or respiratory disease People with mental illnesses such as schizophrenia, depression or anxiety People with substance use disorders People with limited mobility and other disabilities People who are marginally housed People who work in hot environments People who are pregnant Infants and young children Your health: Drink plenty of water and other liquids to stay hydrated, even if you are not thirsty. Spray your body with water, wear a damp shirt, take a cool shower or bath or sit with part of your body in water to cool down. Take it easy, especially during the hottest hours of the day. Stay in the shade and use a broad-spectrum sunscreen with SPF 30 or more. Take immediate action to cool down if you are overheating. Signs of overheating include feeling unwell, headache and dizziness. Overheating can lead to heat exhaustion and heat stroke. Signs of heat exhaustion include heavy sweating, severe headache, muscle cramps, extreme thirst and dark urine. If you are experiencing these symptoms, you should seek a cooler environment, drink plenty of water, rest and use water to cool your body. Signs of heat stroke include loss of consciousness, disorientation, confusion, severe nausea or vomiting and very dark urine or no urine. Heat stroke is a medical emergency. In the event of a medical emergency, call 911. However, it is important to use 911 responsibly to avoid overwhelming the system. When to call 911: In cases of heat stroke: loss of consciousness, disorientation, confusion, severe nausea or vomiting or very dark urine or no urine. In general: when there is chest pain, difficulty breathing, loss of consciousness, severe burns, choking, convulsions that are not stopping, a drowning, a severe allergic reaction, a head injury, signs of a stroke or a major trauma. If you have a less urgent health issue: You can call HealthLinkBC at 811 and speak with a nurse or go to an urgent care centre or clinic if you can do so safely. That way, our emergency medical dispatch staff and paramedics will be available for people who need their services the most. There are also online tools at healthlinkbc.ca, including a “Check Your Symptoms” tool.  - 30 -

What’s in your drugs? As the toxic drug emergency continues unabated, drug checking is one of the ways to find out what’s in your drugs. In fact, drug checking provides the most accurate information about what is in substances, so people who use drugs can make informed choices about where, when and how much to use. The service is fast, free and confidential, and is legal at approved sites. Samples can be as small as a grain of rice, and results are typically available within 10 minutes. The technicians who provide the service are non-judgmental. No matter the test results, we don’t confiscate drugs, and they can be returned to you. Whether you’re planning to experiment with drugs for the first time, you rely on the illicit supply for pain relief, or use substances regularly and purchase from a familiar source – no matter the reason – we want you to bring in or drop off a sample before you use for testing. Get alerts to your phone and stay safe For up-to-date information on toxic drug alerts, sign up for text alerts by sending the keyword JOIN to ALERTS (253787). We also publish toxic drug alerts. 

Environment Canada has issued a heat warning for the Fraser Canyon including the community of Lytton. Daytime high temperatures near 35 degrees Celsius combined with overnight lows near 18 degrees are forecast through Sunday. This is not an extreme heat emergency. Interior Health is reminding people that elevated temperatures increases the risk of heat-related illness increases. The BC Centre of Disease Control provides a broad range of heat-related guidance on its website, including information on the different types of heat alerts, how to prepare for hot temperatures, symptoms of heat-related illnesses, those most at risk during hot weather and ways to stay cool. Preparing for and responding to hot weather: If you have air conditioning at home, make sure it is in good working order and turn it on. If you do not have air conditioning at home: FFind somewhere you can cool off on hot days. Consider places in your community to spend time indoors such as libraries, community centres, movie theatres or malls. Also, as temperatures may be hotter inside than outside, consider outdoor spaces with lots of shade and running water. Shut windows and close curtains and blinds during the heat of the day to block the sun and prevent hotter outdoor air from coming inside. Open doors and windows when it is cooler outside to move that air indoors. Ensure that you have a working fan, but do not rely on fans as your primary means of cooling. Fans can be used to draw cooler late-evening, overnight and early-morning air indoors. Keep track of temperatures in your home using a thermostat or thermometer. Sustained indoor temperatures over 31 C can be dangerous for people who are susceptible to heat. If your home gets very hot, consider staying with a friend or relative who has air conditioning if possible. Identify people who may be at high risk for heat-related illness. If possible, help them prepare for heat and plan to check in on them. Who is most at risk? It is important to monitor yourself, family members, neighbours and friends during hot weather. Consider developing a check-in system for those who are at high risk of heat-related illness. The most susceptible individuals include: Older adults, especially those over 60 People who live alone People with pre-existing health conditions such as diabetes, heart disease or respiratory disease People with mental illnesses such as schizophrenia, depression or anxiety People with substance use disorders People with limited mobility and other disabilities People who are marginally housed People who work in hot environments People who are pregnant Infants and young children  Your health: Drink plenty of water and other liquids to stay hydrated, even if you are not thirsty. Spray your body with water, wear a damp shirt, take a cool shower or bath or sit with part of your body in water to cool down. Take it easy, especially during the hottest hours of the day. Stay in the shade and use a broad-spectrum sunscreen with SPF 30 or more. Take immediate action to cool down if you are overheating. Signs of overheating include feeling unwell, headache and dizziness. Overheating can lead to heat exhaustion and heat stroke. Signs of heat exhaustion include heavy sweating, severe headache, muscle cramps, extreme thirst and dark urine. If you are experiencing these symptoms, you should seek a cooler environment, drink plenty of water, rest and use water to cool your body. Signs of heat stroke include loss of consciousness, disorientation, confusion, severe nausea or vomiting and very dark urine or no urine. Heat stroke is a medical emergency. In the event of a medical emergency, call 911. However, it is important to use 911 responsibly to avoid overwhelming the system. When to call 911: In cases of heat stroke: loss of consciousness, disorientation, confusion, severe nausea or vomiting or very dark urine or no urine. In general: when there is chest pain, difficulty breathing, loss of consciousness, severe burns, choking, convulsions that are not stopping, a drowning, a severe allergic reaction, a head injury, signs of a stroke or a major trauma. If you have a less urgent health issue: You can call HealthLinkBC at 811 and speak with a nurse or go to an urgent care centre or clinic if you can do so safely. That way, our emergency medical dispatch staff and paramedics will be available for people who need their services the most. There are also online tools at ca, including a “Check Your Symptoms” tool. 

B.C.'s largest population health survey, the SPEAK survey, has been extended and will remain open until July 31 to help boost participation. People living in Interior Health can have a say in shaping the health programs and services in their region by participating in the Survey on Population Experiences, Action, and Knowledge (SPEAK) survey and sharing their experiences over the past few years. “The SPEAK survey is an important opportunity for people living in our region to have their voice heard around issues such as their social, economic, physical and mental health. It’s particularly important that we hear more from people with unique needs who are usually under-represented, such as racialized populations, people from rural and remote communities, seniors, and those with children,” said Interior Health interim Chief Medical Health Officer Dr. Martin Lavoie. Together with the BC Centre for Disease Control and health authorities across the province, we launched the third round of SPEAK on April 25. To date in B.C., over 85,000 people have responded and we are hoping to hear from 120,000 people of all backgrounds and from all over the province, particularly from underrepresented groups, where participation levels are lower, such as: First Nations, Métis and Inuit people People from racialized communities; including those of Chinese, South and Southeast Asian, Black, Filipino, Latin American, Arab, and more. People living in rural parts of the province; Men aged 18 to 34; People aged 75 and older; People with no post-secondary education; People with lower household incomes; and People with children and young adults in their lives. The survey asks how people living in B.C. are doing when it comes to their social, economic, physical health, mental health, and overall well-being, so we can better support communities across the province. The survey takes around 20 minutes to fill out and can be accessed at www.bccdc.ca/SpeakSurvey. Members of the public are also encouraged to share the survey with their family and loved ones and help them participate as needed. SPEAK is available in 10 different languages and people’s responses will inform future public health initiatives across the province. By responding to the survey people living in B.C. will let their health authority know what resources are needed to improve health and well-being in their community. The SPEAK survey is funded by the BCCDC Foundation for Public Health.  The BC Centre for Disease Control, a part of the Provincial Health Services Authority, provides public health leadership through surveillance, detection, treatment, prevention and consultation services. The Centre provides diagnostic and treatment services for people with diseases of public health importance, and analytical and policy support to all levels of government and health authorities. The BCCDC also provides health promotion and prevention services to reduce the burden of chronic disease, preventable injury and environmental health risks. For more, visit www.bccdc.ca  or follow us on Twitter @CDCofBC.

Work is underway for an updated and expanded Cariboo Memorial Hospital, which will improve access to care for people in Williams Lake and surrounding Cariboo-Chilcotin area, including the First Nations of the Secwépemc, Tŝ ilhqot’in and Dãkelh Dené. “The redevelopment of the Cariboo Memorial Hospital represents a significant investment in the Cariboo-Chilcotin communities’ health and well-being, now and into the future,” said Adrian Dix, Minister of Health. “That is why it is so exciting to be with the community today to celebrate the start of construction that will increase the hospital’s capacity and provide a modern working environment.” The project includes a three-storey addition, as well as renovations to the existing facility. The redevelopment will add 25 new beds for a total of 53. This includes a new medical/surgical inpatient unit with 36 beds (an increase of 16), a new mental-health and substance-use inpatient unit with eight single-occupancy rooms, a patient-seclusion room and an expanded ambulatory-care and oncology unit with 16 renovated treatment spaces.   There will be a new emergency department with 23 treatment spaces (an increase of 12), two trauma-treatment bays, a seclusion room, an ambulance carport and a separate public entrance. As well, the new addition will have an expanded maternity and women’s health unit with four single-occupancy rooms for maternity care, two nursery rooms and two women’s health beds in private rooms. The maternity area will allow parents to stay in the same room with their babies until they are ready to go home. The pharmacy will be expanded, providing additional space for pharmacists and pharmacy technicians. An interfaith sacred space will allow for traditional cultural and healing practices. There will be 71 new parking stalls. “Our government is taking action to help people who are facing challenges accessing care in rural and remote areas,” said Jennifer Rice, Parliamentary Secretary for Rural Health. “This fully redeveloped hospital will provide expanded access to a state-of-the-art facility for people in Cariboo-Chilcotin to help them get the services they need.” Construction will happen in two phases. The first phase, which will include the three-storey addition, is expected to finish in 2026. Phase 2 will start after that, will include further renovations and is scheduled to be complete in 2029. “Beginning construction on the redevelopment of Cariboo Memorial Hospital is a significant milestone. I know the people of Williams Lake and surrounding communities are looking forward to the expansion and the improvements to health services the upgraded hospital will bring,” said Susan Brown, president and CEO, Interior Health. “I am grateful for the contributions from our First Nations partners in the design of the new building. It is such a well-planned space that will benefit not only patients and their families, but also Interior Health staff and physicians.” The project budget is $366.5 million and will be shared between the Province, Interior Health and the Cariboo Chilcotin Regional Hospital District. “It’s exciting to see construction start on the Cariboo Memorial Hospital upgrade, which will provide our region, health workers and residents with a modern new facility,” said Al Richmond, chair, Cariboo Chilcotin Regional Hospital District. “I express my thanks to Minister Dix and Interior Health for their continued support and effort to make this project happen.” Read the original release from BC Gov News

A fourth medical simulation centre has opened in Interior Health (IH) at Penticton Regional Hospital (PRH) in partnership with the University of British Columbia Southern Medical Program. “It’s welcome news this fourth simulation centre will enhance patient care across the Interior region by providing health-care professionals and students with the opportunity to learn from realistic, safe medical scenarios,” said Adrian Dix, Minister of Health. Simulation programs are designed to create medical scenarios providing health-care professionals and students with the most realistic experience for learning and refining procedures, patient care and team dynamics while in a safe environment. Simulation centres allow inter-professional teams to work together to practice, ideally in a similar environment with their own equipment, while also utilizing manikins, actors and more to help re-create major incidents. “Simulation exercises create an environment for research to enhance the quality of our patient care and safety. Through simulation, we want to promote collaboration and learning so that participants are truly achieving excellence in health-care delivery,” said Dr. Jared Baylis, medical director for the Interior Health simulation program and medical education simulation lead for the Southern Medical Program. “Exercises can help strengthen skills and team communication, prompt reviews of specific protocols and may encourage teams to make changes to optimize workflow, space design and much more.” In October 2022, the IH/UBC Simulation Program became the only program in B.C. to be accredited by the Royal College of Physicians and Surgeons of Canada. The program also offers many sessions accredited by the UBC Continuous Professional Development program, earning Continuous Medical Education credits for practising physicians and medical staff. The simulation program started in 2009 in the Kootenays with rural physician Dr. Jeff Plant and clinical nurse educator Eve Burkart to support their rural colleagues in providing best-practice quality care to patients experiencing high-risk, low-frequency events such as cardiac arrest or trauma. Although an emerging educational tool at the time, the program quickly gained traction and was mobilized to support rural emergency departments throughout the IH network. “It’s been fantastic to see this program grow from its beginnings in the Kootenay region to where we are now,” said Eve Burkart, clinical practice nurse educator with Interior Health. “Simulation greatly benefits the medical staff, students and the teams they work with as they gain exposure to a range of patient events that they might not see regularly during residencies and rotations. This team focus was, and continues to be, particularly important in rural areas. Simulation provides specific experiences and training to strengthen the provision of evidence-based care without any risk to a patient.” In addition to the new Penticton centre, Interior Health has the Pritchard Simulation Centre in Kelowna, the Rae Fawcett Simulation Centre in Kamloops, the Kootenay Boundary Simulation Program in Trail, and the IH Rural Mobile Simulation Program that travels to 29 rural and regional sites. “Simulation provides essential training that can really improve patient quality and safety. It's highly beneficial to learn and practice with real-life scenarios that includes all team members,” said Dr. Devin Harris, executive medical director, quality and patient safety, Interior Health. “Clinicians can learn and gain confidence and expertise in a supportive environment. This preparation will pay dividends for when an event does occur and will lead to healthier communities in the Interior.” Interior Health, UBC Faculty of Medicine, and UBC Okanagan School of Nursing have embarked on this partnership to implement, operationalize and provide simulation education throughout the Interior Health region. The joint collaborative nature of the program allows the development of comprehensive patient curriculum for the benefit of staff, students and clinical practitioners who are located and practice within the geographic boundaries of Interior Health.

Please see the attached document to learn more about the look, contamination, and risk associated with the current drug alert.

Interior Health and Thompson Region Division of Family Practice are pleased to announce that the Thompson Region Family Obstetrics (TRFO) clinic will begin accepting new referrals for expectant parents starting next week.   “This clinic is a vital resource for new and expecting families in Kamloops and surrounding communities who require access to local maternity care,” said Minister of Health Adrian Dix. “I want to applaud all the efforts that allowed these services to resume.” Collaborative efforts between the Ministry of Health, Thompson Region Division of Family Practice, local maternity care providers, and Interior Health have addressed concerns related to the stability of the clinic, which resulted in a temporary interruption to referrals for new expectant parents. The TRFO clinic provides care for parents and families in Kamloops and surrounding communities, like Merritt, Barriere, Ashcroft, Lillooet, Lytton, and Clearwater starting from early pregnancy up to six weeks following the birth of their babies. The clinic supports on average about 600 to 700 deliveries per year.  “Interior Health knows how important access to stable, quality care is for expectant parents and families,” said Susan Brown, Interior Health President and CEO. “We are committed to working with all partners to ensure this clinic is successful moving forward and to keeping patients at the heart of all these discussions.”  The TRFO clinic will start accepting new referrals next week, and work collaboratively with the newly opened antenatal care clinic to ensure timely access to care for expectant parents.  “TRFO physicians believe that the support provided by IH and the Ministry of Health for the clinic will help to ensure its ongoing sustainability,” said Dr. Shaun Davis, co-lead of the TRFO physician group. “We are optimistic that the supports put in place will allow for the permanent recruitment of family doctors who work in obstetrical care. The collaboration with the antenatal care clinic will ensure timely access to all maternity services in Kamloops.” The Thompson Region Family Obstetrics clinic is located on the first floor of the Clinical Services Building at Royal Inland Hospital. It is open from 9 a.m. to 5 p.m. and offers 24-hour call shifts.  

Unattached pregnant patients in the Kamloops area can now access the Midwifery Antenatal Care Clinic in Royal Inland Hospital to receive ongoing care before birth.  The clinic receives referrals from family doctors, nurse practitioners, midwives and the Kamloops Urgent Primary Care and Learning Centre (UPCLC). Patients who have had their initial appointments at the Kamloops UPCLC are automatically added to the referral list.  Patients who have not had a confirmed pregnancy with a dating ultrasound should book an initial appointment with a family doctor, nurse practitioner, midwife or the Kamloops UPCLC (250-314-2256) to be added to the referral list.  A member of the care team will reach out to all patients on the referral list via phone by June 19 to book appointments based on their due dates and other specific needs. Instructions will be given directly to patients in these calls.  To contact the Midwifery Antenatal Care Clinic, please dial 250-314-2782 and select 1 to leave a message. Staff check messages frequently and will respond in a timely manner.  We encourage patients to also connect with Healthy from the Start (855-868-7710) for additional support and information. This is a toll-free, confidential phone line that connects patients with a public health nurse, who will share information, answer questions and help you get connected to resources in the community.