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COVID-19
Health Care Provider
      Briefing
Middlesex and London Region
      October 12, 2021

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

         @alexsummers4

Surveillance Report
As of October 11th :
• Over 237.3 million COVID-19 cases and over 4.8 million deaths
  have been reported worldwide
• Over 6.3 billion vaccine doses administered worldwide
• 591,866 cases of this illness confirmed in Ontario, including 9,790
  deaths
• Locally:

Data source: Ontario Ministry of Health (Ministry) Public Health Case and Contact Management Solution (CCM), extracted
2021-10-12. Data current as of the end of day 2021-10-11.
.

Cases by Reported Date

Data source: Ontario Ministry of Health (Ministry) Public Health Case and Contact Management Solution (CCM), extracted
2021-10-12. Data current as of the end of day 2021-10-11.

COVID-19 Outbreaks
COVID-19 Outbreaks (as of October 11th , 2021):
•   Congregate Setting = 1
•   LTCH/RH/Hospital = 1
•   Schools/Child Care/Post-secondary = 4
•   Other:
    – A number of cases in school settings
    – A number of workplace outbreaks
    – We continue to see outbreaks among groups
      who are gathering indoors and among those
      who are unvaccinated and vaccinated

Vaccination Status of Cases
Cases by vaccination status (past 6 weeks)

                                                      Ever hospitalized by vaccination status (past 6 weeks)

Vaccination status of recent deaths (past 6 weeks)

     Data source: Ontario Ministry of Health (Ministry) Public Health Case and Contact Management Solution (CCM), extracted 2021-10-12.
     Data current as of the end of day 2021-10-11.

COVID-19 Vaccine Update

Data source: Ontario Ministry of Health (Ministry) Public Health Case and Contact Management Solution
(CCM), extracted 2021-10-12. Data current as of the end of day 2021-10-11.

COVID-19 Vaccine Coverage

Data source: Ontario Ministry of Health (Ministry) Public Health Case and Contact Management Solution (CCM), extracted 2021-10-12.
Data current as of the end of day 2021-10-11.

Variant of Concern (VOC) update

Data source: Ontario Ministry of Health (Ministry) Public Health Case and Contact Management Solution (CCM), extracted 2021-10-12.
Data current as of the end of day 2021-10-11.

COVID-19 Vaccine Coverage

Data source: Ontario Ministry of Health (Ministry) Public Health Case and Contact Management Solution (CCM), extracted 2021-10-12.
Data current as of the end of day 2021-10-11.

COVID-19 Third Dose Recommendations
The Ministry of Health has updated its
recommendations for third doses of the COVID-19
vaccine.
• The updates include:
  – a full list of immunosuppressant medications
    eligible for third doses, and
  – an expanded list of long-term care and other
    congregate settings to reflect NACI’s
    recommendations on third doses.

Targeted COVID-19 Rapid Antigen Screening
• Ontario announced improving access to COVID-19 rapid antigen
  screening by making it available to students where risk of
  transmission is high
• The program will support access to voluntary, rapid
  asymptomatic screening for unvaccinated children / students

Targeted COVID-19 Rapid Antigen Screening
• COVID-19 rapid antigen screening for childcare / school age
  children will proceed as follows:
   – Where local public health identifies schools / childcare centres
      that would benefit from screening, rapid antigen screening
      tests will be made available. Parents will be able to choose if
      their unvaccinated asymptomatic children will participate
   – Unvaccinated children participating can conduct the rapid
      antigen screening at home with instructions
   – Children who receive a positive result must seek a PCR test at a
      local assessment centre and isolate until the result is known
   – Children who receive a negative rapid antigen test result will
      be able to continue in-person learning

Letter of Instruction – Proof of Vaccination
        to enter sport and recreation facilities
• Huron Perth Public Health, the Middlesex-London Health Unit and
  Southwestern Public Health announced additional proof of vaccination
  requirements for recreational facilities used for organized sports.
• Proof of COVID-19 vaccination will now be required for anyone over the age
  of 12 who enters an indoor area of a sports or recreational fitness facility to
  participate in, coach, officiate, or watch organized sport.
• The requirement will come into effect on October 31st.
• due to the nature of sport and fitness activities, which can create
  opportunities for COVID-19 to spread more easily.
• It was also made in part because everyone 12 years of age and older is
  currently eligible to receive the vaccine.

Federal Vaccination Requirements
                  for Travel
Effective October 30, 2021
• Employers in federally regulated air, rail, and marine transportation
   sectors are required to establish vaccination policies for their
   organizations
• Air passengers departing from Canadian airports, travellers on VIA
   Rail and Rocky Mountaineer trains, and travellers on non-essential
   passenger vessels on voyages of 24 hours or more, such as cruise
   ships, will need to be vaccinated

Provincial Wedding/Funeral
        Vaccination Requirements
Reminder: Effective October 12, 2021, people
attending wedding and funeral receptions at
meeting or event spaces will be required to show
proof of vaccination to gain entry
• For the period between September 22 and October 12, 2021
  individuals could instead provide a negative rapid antigen
  COVID-19 test from no more than 48 hours before as an
  alternative to proof of vaccination

Capacity limits lifted in select settings
Capacity limits have been lifted to allow 100 per cent
capacity in the following settings:
   • Concert venues, theatres and cinemas;
   • Spectator areas of facilities for sports and recreational
     fitness (would not include gyms, personal training);
   • Meeting and event spaces (indoor meeting and event
     spaces will still need to limit capacity to the number that
     can maintain physical distancing);
   • Horseracing tracks, car racing tracks, and other similar
     venues; and
   • Commercial film and television productions with studio
     audiences.

Letter of Instruction for
          Sports/Recreational Facilities
Effective 12:01AM on October 31, 2021, owners/operators of facilities
where organized sports are practised/played must:
• Require each person 12+ who attends the indoor facility for
   participating in organized sports; coaching, officiating, volunteering;
   or spectating to show ID and proof of full vaccination
• Develop and implement mandatory vaccination policies for facility
   staff, contractors/sub-contractors, and volunteers
• Comply with all other requirements under the Reopening Ontario
   Act

Additional COVID-19 Preventive
              Measures for LTCHs
• Mandatory COVID-19 vaccinations for all in-home staff, support
  workers, students and volunteers by November 15, 2021, unless
  valid medical exemption
• Newly hired staff required be fully vaccinated before beginning work,
  unless valid medical exemption
• Random testing of fully vaccinated individuals including staff,
  caregivers and visitors

COVID-19 Mass Vaccination Clinics

Operating hours for both mass clinic locations
will remain the same:

• Western Fair Agriplex:
     Thursday to Monday, 11AM-7PM

• Caradoc Community Centre (Mount Brydges):
      Tuesday – Wednesday 9AM-3PM

COVID-19 Vaccine Mobile & Pop-up Clinics
• Almost 30,000 doses have been given at 277
  mobile clinics as of October 8!
• 1st dose school clinics almost complete,
  heading into 2nd dose school clinics as of
  October 14
• Over 800 doses have been administered to
  students during school and to the public at
  after-school clinics so far
   – 58% first doses
• The Homebound Program is starting to receive
  more requests. Doses are being provided to
  eligible individuals in their homes.

Vaccine Receipts and
            Out of Province Records
• All clients at MLHU clinics now receive a paper copy of their
  receipt at the clinic

• Out of province and out of country vaccination record
  submissions to the MLHU online portal remain very high

• Phone lines have been very active with clients calling to request
  their vaccine receipt. Clients can be directed to the Agriplex for
  in-person assistance (if required) from Thursdays to Mondays
  1PM – 5PM

Questions?
• Ask using chat function now, or after the
  webinar at:
  healthcareproviders@mlhu.on.ca
• For urgent matters please call the Health
  Unit’s main line at 519-663-5317.
• For more information
  www.healthunit.com/healthcare-
  providers