Novel coronavirus (COVID-19)

Alerts and notices

Possible exposure at community event

NSHA Public Health has advised that people may have been exposed to COVID-19 on March 14 at Lake Echo Community Centre (3168A Highway #7, Lake Echo). People who attended the event should self-monitor and if they develop symptoms, use the COVID-19 online self-assessment, and call 811 if directed to.

Provincial State of Emergency

On 22 March, the Province of Nova Scotia declared a state of emergency to help contain the spread of COVID-19. The state of emergency will be in effect for 14 days and may be renewed. The emergency order is valid until noon on 5 April 2020.

• Health Protection Act Order by the Medical Officer of Health (PDF 165 KB)
• Declaration of Provincial State of Emergency (PDF 42 KB)
• Direction of the Minister under a Declared State of Emergency (PDF 59 KB)
• Direction of Minister – Municipal Meetings (PDF 50 KB)

Nova Scotians should not leave the province and only leave home for essential items and services. If possible, one person per family should be designated to do these tasks. Under the state of emergency:

• Nova Scotia borders will tighten to travellers and all entry points (land, sea, air) will be closely managed. Anyone entering the province will be stopped, questioned, and told to self-isolate for 14 days. Exemptions for cross-border travel include healthy workers in trades and transportations sectors who move goods and people (e.g. truck drivers); healthy people going to work (e.g. health-care workers); and people travelling into the province for essential health services (e.g. chemotherapy treatment).
• Provincial parks, beaches, and tourist attractions are closed. Provincial trails will remain open for exercise. Gathering limits and social distancing guidelines must be followed.
• Police are authorized to enforce orders under the Health Protection Act. If Nova Scotians and businesses do not practice social distancing and self-isolation, they will face fines of $1,000 for individuals and $7,500 for businesses. Multiple fines can be given each day an individual or business fails to comply. Police can also enforce offences under the Emergency Management Act. For example, fines for charging higher than fair market prices for goods and services.
• There are several groups who are essential and exempt from gathering limits, but must still maintain social distancing and other public health protocols. They include:
• health
• food, agrifood and fisheries
• transportation, including trucking, rail and transit
• construction and manufacturing
• IT, telecommunications and critical infrastructure
• public services, such as police, fire and ambulances

Law enforcement enforce orders under the Emergency Management Act and Health Protection Act. If you are aware of someone not following provincial direction, have a conversation with them first – they may need help. If a call to police is needed, please call a non-emergency number for the police that serve your community. Do not call 911.

Closures and restrictions

COVID-19 testing data

Nova Scotia is testing for COVID-19. Updated 26 March 2020.

* Positive cases are those found to have a positive confirmation by either the QEII Health Sciences Centre’s Microbiology Lab or the National Microbiology Lab in Winnipeg.
** Negative cases are those found to have a negative confirmation by either the QEII Health Sciences Centre’s Microbiology Lab or the National Microbiology Lab.

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When to seek help

Symptoms

Symptoms of novel coronavirus include fever, cough, difficulty breathing, and pneumonia.

The severity can range from mild to severe, and in some cases, infection can lead to death. Current information suggests most people don’t experience severe illness or need to be hospitalized.

What to do if you think you might have come in contact with COVID-19

If you’ve travelled

The Province of Nova Scotia, under the authority of the Health Protection Act, is requiring anyone who has travelled outside Nova Scotia to self-isolate for 14 days from the day they get back to the province, even if they do not have symptoms.

If you’ve travelled recently and you develop a fever and/or new cough, you should call 811 for assessment.

When to call 811

Not everyone who has concerns about COVID-19 needs to call 811. To find out if you need to call, use the COVID-19 online self-assessment.

Testing

Nova Scotia Health Authority has established COVID-19 assessment centres. If you need in-person assessment, 811 will refer you to a centre. Don't go to a COVID-19 assessment centre unless 811 referred you.

If you self isolate

If you are returning from travel outside Nova Scotia, you are directed to self-isolate for 14 days from the day you get back to the province, even if you do not have symptoms.

This means:

• go directly home; avoid work, school or other public areas
• limit contact with people you live with, if you have symptoms
• use a separate bedroom and bathroom, if possible, if you have symptoms
• take and record your temperature daily and avoid fever reducing medications (e.g., acetaminophen, ibuprofen)
• call 811 if you have a fever and/or new cough
• make plans to have groceries and other supplies delivered
• avoid anyone with chronic conditions, compromised immune system or older adults
• do not have visitors to your home
• do not use public transit/taxi

In your home:

• keep shared spaces (e.g. kitchens, bathrooms) clean and well ventilated
• use soap and water to clean dishes and utensils after each use
• clean door handles, light switches, railings, remotes, and other high-touch areas daily
• clean your home and household items with store bought disinfectant or diluted bleach (one part bleach to nine parts water)
• wash clothes, and linens using regular laundry soap and water (60-90°C).
• do not share personal items (toothbrushes, clothing, towels, drinks, etc.)
• if available, use disposable gloves and protective clothing (e.g. plastic aprons) when cleaning anything soiled with bodily fluids

Protect yourself:

• wash your hands with soap and water regularly or use hand sanitizer
• cough into your sleeve or tissue and discard immediately
• do not touch your eyes, nose or mouth

Safe activities if no symptoms (while keeping your distance from others):

• sitting on your deck or balcony
• yard work

The Government of Canada has additional resources about how to self isolate and how to care for someone with COVID-19.

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Protecting yourself from coronavirus

There are currently no vaccines available to protect you against the novel coronavirus. Nova Scotians are encouraged to think about what they can do to stay healthy and prevent the spread of any respiratory illness, including COVID-19.

There are simple, practical things you can do to prepare in case you or someone in your household becomes ill or if COVID-19 becomes common in your community.

Advice for individuals and families

Reducing contact with other people

Nova Scotians are required to practice social distancing to help reduce the spread of COVID-19. Social distancing means limiting your contact with other people – stay about 2 metres (6 feet) apart.

Government is requiring individuals, employers and organizations to limit social gatherings to no more than 5 people.

Avoid:

• group gatherings (ex: parties, weddings, funerals, bridge clubs)
• visitors in your home
• sleepovers and playdates and other social interactions with friends
• public spaces (ex: malls, gyms, theatres, crowded stores)
• parks
• non-essential travel
• athletic events

Use caution:

• grocery stores
• pharmacies
• gas stations
• essential medical appointments
• take out restaurants
• public transit
• essential travel

Safe activities include:

• Spring cleaning
• TV, books, music, movies at home
• sit on your deck
• a walk in your neighbourhood
• yard work
• cook a meal
• Call, message, video chat loved ones

Practise good hand hygiene

Wash or sanitize hands often, particularly:

• before and after preparing or eating food
• after touching pets
• after handling waste, dirty laundry or bathroom use
• whenever hands look dirty
• after shaking hands

Washing with soap and water is preferred – rubbing hands together removes visible dirt and germs. Use disposable paper towels (preferred) for drying hands, or a reusable towel that is laundered often.

If soap and water aren’t available (and your hands aren’t visibly dirty), use an alcohol-based hand sanitizer with at least 60% alcohol. Use enough to cover the fronts and backs of both hands and between all fingers. Rub hands together until they feel dry.

Use cough and sneeze etiquette

Cover coughs and sneezes with a tissue. Dispose used tissues in the garbage and wash your hands, or use an alcohol-based hand rub immediately after.

If you don’t have a tissue, cough and sneeze into your elbow, not your hand.

Avoid touching your eyes, nose, and mouth with unwashed hands.

Clean high-touch surfaces and objects often

Viruses can live on surfaces for several days. Frequent cleaning and disinfecting of high-touch surfaces and objects can reduce germs and prevent infection. You should clean at least once a day, or more if needed.

Clean and disinfect items like doorknobs, light switches, railings, toilets and tabletops daily. Wash with soapy water first. Then disinfect using household cleaning products, following the directions on the label, or a solution of 1 part bleach to 9 parts water.

Disinfect phones, remote controls, computers and other handheld devices with 70% alcohol or wipes.

Wash or launder clothing, sheets and towels on a regular basis.

Dispose of garbage on a regular basis. Wash hands after.

Make a plan

Being prepared is good advice any time.

All Nova Scotians should have an emergency kit and basic supplies that you/your family may need for up to 72 hours. Don’t panic buy or stockpile.

Make sure your prescriptions are filled.

Think about what you’ll do if you or member of your family becomes sick and needs care.

Talk to your employer about working from home if you need to self-isolate or care for a family member who is ill.

Communicate with family and friends. Let them know you’re making a plan. Share yours with them. Check in on each other and run essential errand should one of you become ill.

If you become ill, stay home until you are no longer showing symptoms.

Mental well-being

A new virus like COVID-19 can create fear and anxiety. The best ways to address concerns and support each other include:

• listen and provide reassurance – it's normal to have questions
• get information from reliable sources
• address questions and correct misinformation
• watch for discrimination or bullying related to COVID-19
• maintain normal routines and programming as much as possible

For help with mental health concerns, call 811 or the Mental Health Crisis Line toll-free at 1-888-429-8167.

Advice for employers and community groups

Employers should think about what they can do to help staff stay healthy and prevent spread of any respiratory illness, including COVID-19.

Support your employees if they need to stay home

The Province of Nova Scotia, under the authority of the Health Protection Act, is requiring anyone who has travelled outside Nova Scotia to self-isolate for 14 days from the day they get back to the province, even if they do not have symptoms.

Employers cannot require a doctor’s note if an employee must be off work.

Consider how you can support your employees while they're in self-isolation. Talk with your employees about flexible hours or alternative work arrangements if they are required to stay home.

Consider limiting events

Businesses and community groups are required to limit events and social gatherings to no more than 5 people. This could include events like weddings, religious services, movie screenings and concerts. This will help protect vulnerable Nova Scotians who are at risk for serious illness.

Other steps businesses and community groups can take

As well as following the advice for individuals, businesses and community groups should:

• make sure you have a business continuity or emergency plan in place
• think about what you’ll do if several of your employees get sick
• post handwashing signs and provide alcohol-based hand rub to encourage frequent hand hygiene
• make sure spaces and surfaces are cleaned
• remove non-essential items like magazines, stuffed toys, and other items that can’t be easily cleaned from reception areas

Working during COVID-19

If you’re an employer or employee and you have questions or concerns about work during COVID-19, contact the Department of Labour and Advanced Education for help.

Safety concerns

Workplaces are required to take precautions to ensure the health and safety of their employees and clients. If you’re worried about safety in the workplace, you should talk to your immediate supervisor. If the situation isn’t resolved, contact your Occupational Health and Safety Committee if you have one, or call the Safety Branch at 1-800-952-2687.

If you’re a business owner or manager and you want workplace safety advice, call the Safety Branch at 1-800-952-2687.

Leaves, layoffs and other labour questions

If you have questions about the Labour Code, like taking leave or being laid off, contact the Labour Standards Division at 1-888-315-0110.

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Support for individuals, families and businesses

Help is available for people facing economic hardship because of COVID-19.

Support for individuals and families

The province has made the following announcements to help vulnerable Nova Scotians:

Income assistance

Every individual and family member on income assistance will receive an additional $50 starting Friday, 20 March. People do not need to apply.

Feed Nova Scotia

$1 million to help Feed Nova Scotia purchase food and hire more staff.

Suspending student loan payments

Nova Scotia Student Loan payments are suspended until 30 September 2020. You don't need to make any payments, and your loans won't accrue interest. The suspension is automatic – you don't need to apply.

Support for seniors

Community Links and Seniors’ Safety Programs are programs that respond to the needs of vulnerable older adults across the province. Government is investing $230,000 in these programs to expand their capacity to provide more supports and services like:

• volunteers for delivering groceries
• technological options for keeping people connected by phone
• responding to other social issues as they emerge

If you’re an older Nova Scotian (or if you’re concerned about one) and you need non-emergency, non-medical help, call 211 or visit ns.211.ca.

If you are accepting help from someone you don’t know, please remember to protect your own privacy and safety and follow these tips.

Support for businesses

• Government will defer payments until June 30 for all government loans, including those under the Farm Loan Board, Fisheries and Aquaculture Loan Board, Jobs Fund, Nova Scotia Business Fund, Municipal Finance Corp. and Housing Nova Scotia.
• Government will defer payments until June 30 for small business renewal fees, including business registration renewal fees and workers compensation premiums (a list of fees will be posted online early next week).
• Changes to the Small Business Loan Guarantee Program, administered through credit unions, include deferring principal and interest payments until June 30, enhancing the program to make it easier for businesses to access credit up to $500,000, and for those who might not qualify for a loan, government will guarantee the first $100,000.
• Small businesses which do business with the government will be paid within five days instead of the standard 30 days.
• Ensuring more Nova Scotians can access the internet to work from home, by providing $15 million as an incentive to providers to speed up projects under the Internet for Nova Scotia Initiative and complete them as soon as possible.

The Government of Canada has funding and other resources available for Canadians and businesses.

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Government’s response to coronavirus

Nova Scotia’s health care system is actively monitoring and detecting potential cases of novel coronavirus. This work includes:

• establishing a patient screening process for use by all front-line health care workers
• monitoring hospitals for potential cases
• applying effective public health and infection control measures
• communicating directly with community organizations and universities
• sharing accurate, up-to-date information with our partners and Nova Scotians

The province and its health system partners are working to increase capacity within the health system. This includes:

• increased testing for COVID-19 – public health officials have begun testing anyone referred to an assessment centre by 811, all known contacts of people who test positive, and people in hospitals or emergency departments who meet the criteria for testing
• lab capacity is doubling to accommodate increased testing
• expanding virtual care for physicians, nurse practitioners and others so they can offer appointments to patients through telephone or video, minimizing the need to leave the house
• pharmacists can renew prescriptions for most medications and government will cover the assessment fee
• College of Physicians and Surgeons waiving the fee for retired doctors to renew their licences so they can come back to work
• 811 has increased staff and technology and is now answering 50 per cent more calls; capacity will double again on April 3
• establishing an alternate phone line for health-care workers to avoid burdening the 811 system
• enhanced infection control measures at hospitals to protect health-care workers and the public including increasing the frequency of cleaning and disinfection, focusing on high-risk areas and high-traffic areas and high-touch surfaces and using stronger cleaning products

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