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B.C. dentist petitions province to order shut-down of all dental offices

David Alfaro says current COVID-19 recommendation doesn害羞草研究所檛 go far enough
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Dr. Daniel Shoop works with another volunteer dentist pictured in Guatemala in 2013. Photo courtesy of Dr. Shoop

A Nelson dentist thinks all dental offices in the province should be shut down immediately to safeguard the public and dental workers from COVID-19.

The College of Dental Surgeons of BC (CDSBC) has but David Alfaro thinks the provincial government should order it. His petition in support of this idea now has more than 4,000 signatures.

But it appears that the CDSBC is not happy with his petition.

Alfaro says there are dental offices in B.C. (not in Nelson) that remain open and this puts the public and dental staff at risk.

害羞草研究所淩ecommending offices to close is not the same as mandating offices to close,害羞草研究所 he told the Star. 害羞草研究所淚f we don害羞草研究所檛 use strong terminology in these announcements, people might still open.害羞草研究所

The CDSBC is the licensing and regulatory body for dentists in the province.

Alfaro said that being exposed to aerosolized saliva and blood particles is part of daily dental office life.

害羞草研究所淥ur traditional universal precaution measures protect us and protect our patients. But we don害羞草研究所檛 know how effective these are against COVID-19. We are hearing that the droplets remain contagious in the air for a period of hours, perhaps on surfaces for days. Now obviously we are wiping surfaces and wearing masks and face shields. But to what level do we have to protect ourselves to provide dental care?害羞草研究所

Responding to a request from the Star, the CDSBC referred to a recent statement from Chris Hacker, the organization害羞草研究所檚 CEO, in which he asks individual dentists not to lobby the ministry.

害羞草研究所淚f you have any concerns or requests,害羞草研究所 Hacker writes, 害羞草研究所減lease direct them to either your professional association (the B.C. Dental Association) or to us as your regulator, not to the Office of the Public Health Officer. Dr. Bonnie Henry and her team must be allowed to continue to focus on the critical work of monitoring and responding to this public health emergency.害羞草研究所

Hacker害羞草研究所檚 statement goes on to say, 害羞草研究所淒ental offices must stay open where possible, allowing access to frontline oral health practitioners by patients who need them. The College also expects that your communications to patients and staff are consistent with what Dr. Henry and other health officials have stated.害羞草研究所

Alfaro and several of his staff attended the March 5-7 in Vancouver and have, on the advice of the Ministry of Health, isolated themselves because the conference has since been recognized as a potential source of COVID-19 infections.

害羞草研究所淚 took my own team down there for a team building experience, continuing education, a perk of the job,害羞草研究所 Alfaro said. 害羞草研究所淭here were no warnings, there was just 害羞草研究所榩ractise social distancing and wash your hands,害羞草研究所 and the conference went on as normal. There were many events in town that weekend, the city was abuzz, and there was no information about risk, and here we are 10 days after being told to go into self isolation.害羞草研究所

Alfaro said he and all his staff are in isolation, healthy and with no symptoms.

But his attendance at the conference has led to some unfortunate rumours in Nelson.

害羞草研究所淚 have people calling my personal cell phone saying they have heard that a dentist in town has confirmed COVID-19 and people have even mentioned they thought it was my office.

害羞草研究所淭his has been very, very difficult.害羞草研究所

Another issue is insurance, Alfaro said. All dentists have pandemic insurance, but to collect it they must be ordered to shut down by a health authority or a government, not simply close down on a recommendation.

Alfaro害羞草研究所檚 petition to the Ministry of Health also asks the province to establish 害羞草研究所渃entralized clinics for dentists to direct all of their emergency patients and to grant dentists in the province temporary hospital privileges if these clinics are to be established in existing hospital-based dental clinics.害羞草研究所

It also asks the ministry to facilitate employment insurance benefits for dental office staff, and 害羞草研究所渢o consider financial actions to reduce the fixed expenditure burden of dental offices.害羞草研究所

The Star asked the ministry and the B.C. Dental Association for comment and has so far received no response.

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bill.metcalfe@nelsonstar.com

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Bill Metcalfe

About the Author: Bill Metcalfe

I have lived in Nelson since 1994 and worked as a reporter at the Nelson Star since 2015.
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