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COVID-19 Health Care Provider Briefing Middlesex and London Region September 8, 2020

Welcome Presenter: Dr. Alex Summers Associate Medical Officer of Health Middlesex-London Health Unit @alexsummers4

Surveillance Report As of September 7 th , 2020: • Over 27.3 million COVID-19 cases and over 893,000 deaths have been reported worldwide. • 45, 314 cases of this illness confirmed in Ontario, including 2,862 deaths • Local:

Cases by Reported Date Data source : MLHU COVID-19 Case and Contact Management System, extracted 2020-09-08 at 08:30 EDT. Data current as of the end of day 2020-09-07

Cases by Onset Date Data source : MLHU COVID-19 Case and Contact Management System, extracted 2020-09-08 at 08:30 EDT. Data current as of the end of day 2020-09-07 Note : Illness that began in the period denoted by the grey bars may not yet be reported.

New Hours of Operation • MLHU’s Outbreak and Facilities Team – Monday to Friday 9:00 a.m. to 5:00 p.m. – On-call support: • Monday to Thursday 5:00 p.m. and 9:00 p.m., • Friday to Sunday from 5:00 p.m. to 9:00 p.m. • For afterhours support, call 519-663-5317 ext. 9012 to report probable or confirmed cases of COVID-19.

Updated Provincial Resource COVID-19 Guidance: Primary Care Providers in a Community Setting : • Clarification for patients who screen negative and are coming to the office/clinic for vaccine administration, gloves are not required to be worn, but considered as per the Canadian Immunization Guide (Bullet 24) • Removed the wording on “essential visits” • Recommendation to actively screen all patients (and those accompanying, if applicable) upon entry to office/clinic, in addition to phone screening • Patients and accompanying persons must mask for the entire clinic visit • In addition to symptomatic patients, testing should also be offered to, or arranged for, asymptomatic patients with a known or suspected exposure • Requirement to self-isolate while working for asymptomatic primary care providers revised to reflect return from travel outside of Canada or to an area inside Canada with an elevated rate of COVID-19 (Bullet 31).

New Visitor Policy for Long-Term Care • Resuming Visits in Long-Term Care Homes policy: – Caregivers can visit, without time limits. – Each resident and/or their substitute decision-maker may designate a maximum of two caregivers. – If a home is not in an outbreak, and the resident is not self- isolating or symptomatic, caregivers can visit together. – If a home is in an outbreak, or the resident is self-isolating or symptomatic, they must visit one-at-a-time to limit possible exposures and follow Health Unit directions.

New Visitor Policy for Long-Term Care • Resources supporting this update include: – Poster: • Our home is currently free from COVID-19 • Limited visits during a COVID-19 outbreak – Checklist for Visits with Residents – Frequently asked question (FAQ) document on the updated COVID-19 visiting policy.

MLHU Info and Contact • Weekly webinars held on Tuesdays at 12:00 p.m. to 12:30 p.m. • Please send your questions to healthcareproviders@mlhu.on.ca • Monday to Sunday, 8:00 a.m. - 7:00 p.m. – Hotline model – Call 519-663-5317 • www.healthunit.com

Questions? Ask using chat function now, or after the webinar at: healthcareproviders@mlhu.on.ca