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COVID-19 Health Care Provider Briefing Middlesex and London Region June 19, 2020
Welcome Presenter: Dr. Alex Summers Associate Medical Officer of Health Middlesex-London Health Unit @alexsummers4
Surveillance Report As of June 18 th , 2020: • Over 8.3 million COVID-19 cases and over 449,000 deaths have been reported worldwide. • 33, 822 cases of this illness confirmed in Ontario, including 2,590 deaths • Local:
Incidence of Cases by Municipality Data source: MLHU COVID-19 Case and Contact Management System, extracted 2020-06-19 at 08:30 EDT. Data current as of the end of day 2020-06-18
Cases by Reported Date Data source : MLHU COVID-19 Case and Contact Management System, extracted 2020-06-19 at 08:30 EDT. Data current as of the end of day 2020-06-18
Cases by Onset Date Data source : MLHU COVID-19 Case and Contact Management System, extracted 2020-06-19 at 08:30 EDT. Data current as of the end of day 2020-06-18 Note : Illness that began in the period denoted by the grey bars may not yet be reported.
Assessment Centres
Grade 7 Immunization Program • The Middlesex-London Health Unit provides grade 7 students attending schools in the region the opportunity to receive immunizations for three vaccine preventable diseases: • Meningococcal-C-ACYW (Menactra) • Hepatitis B • Human Papillomavirus (HPV) • Two clinics are offered at each school to accommodate the two-dose schedule of immunizations for Hepatitis B and HPV. First clinics occur in the fall/winter followed by second clinics in the spring. • The Health Unit was unable to provide spring clinics due to COVID-19 related school closures. Therefore, students missed receiving their second doses of Hepatitis B and HPV vaccines. Those that were absent for fall/winter clinics also missed Meningococcal-C-ACYW vaccine.
Grade 7 Immunization Program Options for Students to Receive Missed Immunizations 1. Booking an appointment with their healthcare provider • HCP offices can order these immunizations from the Health Unit for students who were in Grade 7 during the 2019-2020 school year (born in 2007) • HCPs are required to report administration of doses back to the Health Unit for accountability purposes (complete the form included with each order). This will also help decrease the chance of repeat immunizations. 2. Booking an appointment at the Health Unit’s Immunization Clinic • Families can visit the Health Unit’s website to request an appointment 3. School Immunization Clinics • 2019-2020 grade 7 students will be provided an opportunity to receive missed doses when the Health Unit returns to their school during the next school year • Should you have any questions or concerns, please do not hesitate to contact the Vaccine Preventable Disease Team at 519-663-5317.
Updated COVID-19 Resources COVID-19 Guidance: Acute Care • Updated PPE requirements when completing active screening • If a barrier is not available and cannot maintain a 2 metre distance, use Droplet and Contact precautions which includes wearing PPE. • Managing Visitors section outlines the recommendation to develop and/or revise visitor policies to balance the need to mitigate risks to patients, staff, and visitors. See this new section for more information about what to include in the policies.
Updated COVID-19 Resources COVID-19 Operational Requirements: Health Sector Restart • Updated the action and passive screening • Updated the Human Health Resources section • Updated the Infection Prevention and Control section, information regarding cleaning between patients, in all common areas, and considerations for multi-unit buildings • Updated the Managing Visitors
Face Coverings • New evidence shows that people who wear face masks and those around them are MORE likely to stay apart 2 metres and prevent the spread of COVID-19. • Due to this evidence the Middlesex-London Health Unit is now recommending that individuals wear a non-medical face masks in all public spaces, including retail, food, and commercial establishments. • It is still recommended for health care workers to wear the appropriate personal protective equipment when working with patients.
New Recommendations for LTCH/RH The Ministry of Health and Provincial government have released many changes for Long-Term Care and Retirement homes. Please see the link in the newsletter for more information on the new recommendations.
New directions for Long-Term Care and Retirement Homes • Ontario to resume family visits • Directive #3 for long-term care homes admissions, re-admissions, and short-stay absences • COVID-19 testing for retirement homes
Establishment of a Social Circle • The concept is intended as a way to slowly expand the number of people outside your household that you can come in close contact without physical distancing. • Social circles should consist of no more than 10 individuals • The government has created a step-by-step guide on how to build a social circle. Steps include: • Step 1: Start with your current circle: the people you live with or who regularly come into your household. • Step 2: If your current circle is under 10 people, you can add members to your circle, including another household, family members or friends. • Step 3: Get agreement from everyone that they will join the circle. • Step 4: Keep your social circle safe. Maintain physical distancing with anyone outside of your circle. • Step 5: Be true to your social circle. No one should be part of more than one circle
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
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