Contact Departments/Offices/Persons for TB Clinical and Public

Contact Departments/Offices/Persons for TB Clinical and Public Health Services within Manitoba
December 2014
Service
Clients in Winnipeg Health Region
requiring TB services
Clients in Northern Health
Region requiring TB
services
Clients in Prairie Mountain
Health Region requiring TB
services
Clients in InterlakeEastern Health Region
requiring TB services
Clients in Southern
Health Region
requiring TB services
Clients living in First
Nation Communities
requiring TB service
I. TB CASE MANAGEMENT
Respiratory TB
Consultation regarding
potential diagnosis or
diagnosis of respiratory
TB disease,
Action following any
AFB sputum result
suggestive or
confirmatory for TB.
Referral for respiratory
TB disease treatment; or
request for admission for
respiratory TB disease
Non-respiratory TB
Consultation regarding
non-respiratory TB
disease
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 Clients 17 years of age or
older:
Adult Chest Medicine Service
- Health Sciences Centre;
 paging 204 -787-2071
24 hours/day, seven
days/week
 If non-urgent, fax 204 -7872420 or page 204-787-2071
Monday to Friday.
 Clients younger than 17
years of age:
Pediatric Respiratory Service,
Health Sciences Centre;
 Paging 204-787-2071
24 hours/day, seven
days/week
 If non-urgent, tel. 204- 7874697 or
fax 204-787-4503
 Clients 17 years of age or
older:
Adult Infectious Disease (ID)
service, Health Sciences
Centre;
 paging 204-787-2071
24 hrs/day, seven days/week
 If non-urgent
Tel. 204-787-4697;
Fax 204-787-4053
 Clients younger than 17
years of age:
Pediatric Respiratory Service,
Health Sciences Centre;
 Paging 204-787-2071
24 hours/day, seven
days/week
 Clients 17 years of
age or older:
Thompson General
Hospital at 204-6772381
 Clients younger
than 17 years of
age:
Pediatric Respiratory
Service, Health
Sciences Centre;
 Paging 204-787-2071
24 hours/day, seven
days/week
 If non-urgent, tel.
204- 787-4697 or fax
204-787-4503
 Margaret Zamrykut
PHN CD Coordinator
Public Health
625 3rd St SW
Dauphin, MB R7N 1R7
(204) 638-2108
(204) 759-4033 fax
 Lorraine Poirier
PHN CD Coordinator
Public Health
Box 10
Souris, MB ROK 2CO
(204) 483-6229
(204) 759-4033 fax
 Kathryn
Baldwin
PHN CD
Coordinator
204-467-4781
Who may consult
with
Dr. Lo / Dr.
Ainslie
Daily
management in
region
 Shirley Loewen
CD Coordinator
Community
Services
365 Reimer,
Steinbach, MB
R5G 0R9,
(204) 346-7029
(204) 346-1046
fax
 Chancie Fletcher
CD Coordinator
25 Tupper St.
Portage La
Prairie, MB
R1N3K1
204-239-2406
Chest medicine oncall at HSC or
Thompson TB MD as
appropriate based on
location of client and
Peds respiratory oncall if case is a child.
 Clients 17 years of
age or older:
Thompson General
Hospital Thompson
General Hospital
Hospitalist at 204677-2381
 Clients younger
than 17 years of
age:
Pediatric Respiratory
Service, Health
Sciences Centre;
 Paging 204-787-2071
24 hours/day, seven
days/week
 If NON-Urgent
 Margaret Zamrykut
PHN CD Coordinator
Public Health
625 3rd St SW
Dauphin, MB R7N 1R7
(2024) 638-2108
(204) 759-4033 fax
 Lorraine Poirier
PHN CD Coordinator
Public Health
Box 10
Souris, MB ROK 2CO
(204 )483-6229
(204) 759-4033 fax
 Kathryn
Baldwin
PHN CD
Coordinator
204-467-4781
 Shirley Loewen
CD Coordinator
Community
Services
365 Reimer,
Steinbach, MB,
R5G 0R9,
(204) 346-7029,
fax (204) 3461046
 Chancie Fletcher
CD Coordinator
25 Tupper St.
Portage La
Prairie, MB
R1N3K1
204-239-2406
Specialty area related
to location of extra
pulmonary TB (ex:
kidney –
nephrologists)
May consult with
Dr. Lo / Dr.
Ainslie
Daily
management in
region

If NON-Urgent
204- 787-4697
204-787-4503 fax
204- 787-4697
204-787-4503 fax
II. INFECTION PREVENTION AND CONTROL
Hospital IPC
Consultation regarding
IP&C practices for
hospital care
 WRHA TB Infection Control
Professional
Tel 204-793-9244
 Northern Health
Region IP&C:
Tel 204-677-2381
 Miranda Radics
Regional Manager
Clinical Programs
150A 7th Street
Brandon MB
R7A 7M2
Phone: 204.578.2309
Cell: 204.724.0290
Fax: 204.578.2820
[email protected]
 Daveena Conrod
IP&C Manager
204- 785-4877
204-785-7749 fax
[email protected]
Regional MOH
Office IP&C
Consultation regarding
IP&C practices for an
office setting
 WRHA TB Infection Control
Professional
Tel 204-793-9244
 Northern Health
Region IP&C:
Tel 204-677-2381
 Margaret Zamrykut
PHN CD Coordinator
Public Health
625 3rd St SW
Dauphin, MB R7N
1R7
(204) 638-2108
(204) 759-4033 fax
 Lorraine Poirier
PHN CD Coordinator
Public Health
Box 10
 Daveena Conrod
IP&C Manager
204- 785-4877
204-785-7749 fax
[email protected]
Regional MOH
2|Page
 Ginette
Lafrenière
Regional
Infection Control
Coordinator
409 Hospital
Street
Steinbach, MB,
(204) 326-6411,
ext. 2186
 Shelly Rempel
Regional
Infection Control
Coordinator
409 Hospital
Street
Steinbach, MB,
(204) 326-6411,
ext. 2190
 Judi Linden
Regional IP&C
Coordinator
180 Centennaire
Dr.
Southport, MB
R0H1N1
204-428-2738
 Shirley Loewen
CD Coordinator
Community
Services
365 Reimer,
Steinbach, MB,
R5G 0R9,
(204) 346-7029,
fax (204) 3461046
 Chancie Fletcher
CD Coordinator
Respiratory
precautions for
clients who are
receiving care in a
FNIHB facility or
during transport and
have a confirmed or
suspect diagnosis
Respiratory
precautions for
clients who are
receiving care in a
FNIHB facility or
during transport and
have a confirmed or
suspect diagnosis
Souris, MB ROK 2CO
(204) 483-6229
(204)v759-4033 fax
in consultation with:
local ICP



Emergency
Department
Referral of an individual
3|Page
 Notify Emergency Staff prior
to sending the client. If
respiratory TB disease is
 Notify Emergency
staff prior to sending
the client. If
 Notify Emergency staff
prior to sending the
client. If respiratory
Kathryn Baldwin
PHN CD Coordinator
204-467-4781

25 Tupper St.
Portage La
Prairie, MB
R1N3K1
204-239-2406
In consultation
with:
Ginette
Lafrenière
Regional
Infection Control
Coordinator
409 Hospital
Street
Steinbach, MB,
204) 326-6411,
ext. 2186
Shelly Rempel
Regional
Infection Control
Coordinator
409 Hospital
Street
Steinbach, MB,
(204) 326-6411,
ext. 2190
Judi Linden
Regional IP&C
Coordinator
180 Centennaire
Dr.
Southport, MB
R0H1N1
204-428-2738
Maureen Kitson
25 Tupper St.
Portage La
Prairie, MB
R1N3K1
204-239-2450
Shirley Loewen
CD Coordinator
Community
Standard consultation
with emergency
services who will be
with confirmed or
suspected TB disease
requiring emergency
services
suspected advise the client to
wear a mask covering his/her
nose and mouth
respiratory TB
disease is suspected,
advise the client to
wear a mask covering
his/her nose and
mouth
TB disease is
suspected, advise the
client to wear a mask
covering his/her nose
and mouth
May consult with
Dr. Lo / Dr. Ainslie




4|Page
Services
365 Reimer,
Steinbach, MB,
R5G 0R9,
(204) 346-7029,
fax (204) 3461046
Ginette
Lafrenière
Regional
Infection Control
Coordinator- 409
Hospital Street,
Steinbach, MB,
(204) 326-6411,
ext. 2186
Shelly Rempel
Regional IP&C
409 Hospital
Street Steinbach,
MB - (204) 3266411, ext. 2190
Chancie Fletcher
CD Coordinator
25 Tupper St.
Portage La
Prairie, MB,
R1N3K1
204-239-2406
Judi Linden
Regional IP&C
Coordinator
180 Centennaire
Dr.
Southport, MB
R0H1N1
204-428-2738
receiving and
transporting the client
III.
Public Health
Management
Consultation for contact
management; TB. case
transfer (within
Manitoba); TB issues
involving Correction
Centers
 Population and Public Health
 204-940-2274

204-947-0884 fax
Mantoux Testing
Request TST testing for
an individual
 VON (Victoria Order of
Nurses) clinic: 425 St. Mary
Ave.
 Tel 204-775-1693 for an
appointment (charges will
apply)
PUBLIC HEALTH MANAGEMENT
 Northern Health
Region TB Program
204-778-1514 OR
204-677-5378
Northern Health Region TB
Program:
204-778-1514 OR
204-677-5378
 Margaret Zamrykut
PHN CD Coordinator
Public Health
625 3rd St SW
Dauphin, MB R7N 1R7
(204) 638-2108
(204) 759-4033fax
 Lorraine Poirier
PHN CD Coordinator
Public Health
Box 10
Souris, MB ROK 2CO
(204)483-6229
(204) 759-4033 fax
 PMH Public Health for
contact tracing:
 Margaret Zamrykut
PHN CD Coordinator
Public Health
625 3rd St SW
Dauphin, MB R7N 1R7
(204) 638-2108
(204) 759-4033fax

Lorraine Poirier
PHN CD Coordinator
Public Health
Box 10
Souris, MB ROK 2CO
(204)483-6229
(204) 759-4033 fax
 Travelers-primary care
5|Page
 Kathryn
Baldwin
PHN CD
Coordinator
204-467-4781
 MRCC – Facility
& WRHA TB
consult, no
IERHA
involvement
 Rockwood
Institute –
Federal provision,
no IERHA
involvement
 Hollow Water –
Federal provision
– IERHA PHN
with FNIH case
management
Scanterbury –
Federal provision
 Kathryn
Baldwin
PHN CD
Coordinator
204-467-4781
Referral to PH
via WRHA TB
(for named
contact)
Referred to
Physician for
screening TST
 Shirley Loewen
CD Coordinator
Community
Services
365 Reimer,
Steinbach, MB,
R5G 0R9
(204) 3467029, fax (204)
346-1046
 Chancie
Fletcher
CD Coordinator
25 Tupper St.
Portage La
Prairie, MB
R1N3K1
204-239-2406
WRHA FNIHB PPH
team handles case
transfers of all types
and refer to MB Health
for inter-provincial
transfers
 Shirley Loewen
CD Coordinator
Community
Services
365 Reimer,
Steinbach, MB
R5G 0R9
(204) 3467029, fax (204)
346-1046
 Chancie
Fletcher
CD Coordinator
25 Tupper St.
Portage La
Prairie, MB
R1N3K1
204-239-2406
All clients can receive
TSTs at any FNIHB
health facility on
reserve – tubersol
provided at no charge
provides or PMH Travel
Health Program (204)
578-2521
 Occupational/
Educational are provided
by primary care or
private agencies
IV.
LTBI Therapy
Health care provider
consultation or referral
for individual with a
positive TST or IGRA
who wishes to discuss
possible therapy for
latent TB infection
(LTBI)
6|Page
 Clients 17 years or older with
uncomplicated LTBI (no comorbidities, no
immunosuppression, HIV
negative) and identified as
part of a WRHA TB Contact
Investigation:
Klinic Community Health
Centre
 Tel 204-784-4023; Fax 204783-4013
Access Downtown:
 Tel 204-940-1626
 Fax 204-942-7828
 Clients 17 years or older who
aren’t identified as part of a
contact investigation with
uncomplicated LTBI (no comorbidities, no
immunosuppression, HIV
negative);
Klinic Community Health
Centre
 Tel 204-784-4023; Fax 204783-4013
 Clients 17 years or older with
co-morbidities and/or other
complex issues:
Health Sciences Centre:
 Urgent: Tel 204-787-2071
 Non-urgent: Tel 204-787-2384;
Fax 204-787-2420
 Clients younger than 17 years
of age (any LTBI issues):
Pediatric Respiratory Service,
LTBI MANAGEMENT
 Clients 17 years or
older with
uncomplicated
LTBI (no comorbidities, no
immunosuppression
, HIV negative);
Northern Health
Region TB
Program:
 Tel 204-778-1514
OR 204-677-5378
 Clients 17 years or
older with comorbidities and/or
other complex
issues:
 Tel 204-778-1514
OR 204-677-5378
 Clients younger
than 17 years of
age (any LTBI
issues):
Pediatric
Respiratory
Service, Health
Sciences Centre;
 Urgent Issues:
Tel/Paging 204787-2071
 Non-urgent: Tel
204-787-1318; Fax
204-787-1944
 Margaret Zamrykut
PHN CD Coordinator
Public Health
625 3rd St SW
Dauphin, MB R7N 1R7
(204) 638-2108
(204) 759-4033 fax
 Lorraine Poirier
PHN CD Coordinator
Public Health
Box 10
Souris, MB ROK 2CO
(204) 483-6229
(204) 759-4033 fax
 Kathryn
Baldwin
PHN CD
Coordinator
204-467-4781
Referred to
RSOPD, by
attending / family
physician
 Shirley Loewen
CD Coordinator
Community
Services
365 Reimer,
Steinbach, MB
R5G 0R9
(204) 3467029, fax (204)
346-1046
 Chancie
Fletcher
CD Coordinator
25 Tupper St.
Portage La
Prairie, MB
R1N3K1
204-239-2406
WRHA FNIHB PPH
team has LTBI
clinician who receives
referrals and sees
clients via telehealth


Health Sciences Centre:
Urgent Issues: Tel/Paging 204787-2071
Non-urgent: Tel 204-787-1318,
Fax 204-787-1944
V. INTEGRATED TB SERVICES
Integration TB
Services
Discussion regarding
opportunities/questions
regarding integration of
TB services.
7|Page
 Director, Integrated TB
Services
 Tel 204-940-8883
 Medical Director, Integrated
TB Services
 Tel 204-940-3607
 Integrated TB Services Admin
Support
204-940-8884
 Northern Medical
Officer of Health
204-334-7169
 Margaret Zamrykut
PHN CD Coordinator
Public Health
625 3rd St SW
Dauphin, MB R7N 1R7
(204) 638-2108
(204) 759-4033 fax
 Lorraine Poirier
PHN CD Coordinator
Public Health
Box 10
Souris, MB ROK 2CO
(204) 483-6229
(204) 759-4033 fax
 Kathryn
Baldwin
PHN CD
Coordinator
204-467-4781
 Shirley Loewen
CD Coordinator
Community
Services
365 Reimer,
Steinbach, MB,
R5G 0R9
(204) 346-7029,
fax (204) 3461046
 Chancie
Fletcher
CD Coordinator
25 Tupper St.
Portage La
Prairie, MB
R1N3K1
204-239-2406
Collaboration with
WRHA ITBS team