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COVID-19 Health Care Provider Briefing Middlesex and London Region May 12, 2020

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

Surveillance Report As of May 12 th , 2020: • Over 4.2 million COVID-19 cases and over 285,000 deaths have been reported worldwide. • 21,817 cases of this illness confirmed in Ontario, including 1,788 deaths • Local:

Number of Cases by Municipality Number of cases Percent of cases Municipality (%) London 422 92.1 Strathroy-Caradoc 19 4.1 Middlesex Centre 7 1.5 Thames Centre 4 0.9 North Middlesex 4 0.9 Southwest Middlesex 1 0.2 Lucan-Biddulph 1 0.2 — Adelaide Metcalfe 0 — Newbury 0 — Total 458 Data source: MLHU COVID-19 Case and Contact Management System, extracted 2020-05-11 at 08:30 EDT. Data current as of the end of day 2020-05-10

Cases by Reported Date Data source : MLHU COVID-19 Case and Contact Management System, extracted 2020-05-12 at 08:30 EDT. Data current as of the end of day 2020-05-11.

Cases by Reported Date Data source : MLHU COVID-19 Case and Contact Management System, extracted 2020-05-12 at 08:30 EDT. Data current as of the end of day 2020-05-11

Cases by Onset Date Data source : MLHU COVID-19 Case and Contact Management System, extracted 2020-05-12 at 08:30 EDT. Data current as of the end of day 2020-05-11. Note : Illness that began in the period denoted by the grey bars may not yet be reported.

Cases by Onset Date Data source : MLHU COVID-19 Case and Contact Management System, extracted 2020-05-12 at 08:30 EDT. Data current as of the end of day 2020-05-11 Note : Illness that began in the period denoted by the grey bars may not yet be reported.

Health Equity Data Collection • Gathering race-based and socio-economic demographic data is important • “You cannot manage what you don’t measure” • Although we are often hesitant to ask, people are very willing to answer these questions if they understand why

Script • “I would like to ask you a few sociodemographic questions that will help us ensure you receive high quality and equitable care. We understand that our clients are all unique and by getting this information, it will allow us to understand any demographic trends related to the COVID- 19 pandemic. Answering these questions is voluntary. For the purposes of understanding trends, your identifying information such as your name and birthdate would not be included in the analysis, only the answers to the sociodemographic questions.”

Questions • Which of the following best describes your race? • What was your total family income before taxes last year? • We also ask about occupation, homeless/underhoused, and Indigenous identity

Provincial Updates • COVID-19 Testing Policy and Guidelines: – Highlights are on the PaLM website – Expansion of eligible group: Symptomatic community/ambulatory patients, based on clinical judgement – New eligible group: Asymptomatic cancer patients commencing immunosuppressive therapy, and throughout therapy at the discretion of the care provider – Clarification of asymptomatic testing for newborns – Enhanced Surveillance programs continue to be expanded by the CMOH

Provincial Updates Plan to resume scheduled surgeries and procedures • Hospitals assess their readiness and begin planning for the gradual resumption of scheduled surgeries and procedures • Maintain capacity to respond to COVID-19 • Timelines will vary from hospital to hospital and be conditional on approval • Measured Approach to Planning for Surgeries and Procedures During the COVID-19 Pandemic: • A stable number of COVID-19 cases; • A stable supply of personal protective equipment; • A stable supply of medications; • An adequate capacity of inpatient and intensive care unit beds; • An adequate capacity of health human resources; and • The availability of post-acute care outside the hospital that would be required to support patients after discharge • Measured and responsible approach • Prioritizes the health and safety of patients and health care workers • Maintain plans to support long-term care homes in their region.

PHO Series “What we know so far about…..Coronavirus Disease 2019” Series • Brief overview of published and unpublished reports • Found through ongoing scans of published literature, scientific listservs, and media reports Topics: • Symptoms • Wearing Masks in Public • Use of Non-Steroidal Anti-inflammatory Drugs • Reuse of Personal Protective Equipment • Asymptomatic Infection and Asymptomatic Transmission • The Period of Communicability • Routes of Transmission • Zoonotic Origins • Infection in Children • The Risks to Health Care Workers • Fecal-Oral Transmission • Bloodborne Transmission • Clinical Severity • The Incubation Period

COVID-19 Briefing Webinars • The MLHU is hosting twice weekly briefing webinars for healthcare providers. • Held on Tuesdays and Fridays from 12:00 p.m. to 12:30 p.m. • Please send your questions to healthcareproviders@mlhu.on.ca

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