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COVID-19
Community Stakeholder
      Briefing
 Middlesex and London Region
         July 21, 2020

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

         @alexsummers4

Surveillance Report
As of July 20th , 2020:
• Over 14.7 million COVID-19 cases and over
  610,000 deaths have been reported
  worldwide.
• 39,553 cases of this illness confirmed in
  Ontario, including 2,795 deaths
• Local:

Cases by Municipality

Data source: MLHU COVID-19 Case and Contact Management System, extracted 2020-07-21 at 08:30 EDT. Data current as
of the end of day 2020-07-20

Cases by Reported Date

Data source: MLHU COVID-19 Case and Contact Management System, extracted 2020-07-21 at 08:30 EDT. Data current as of the end of day 2020-07-20

Cases by Onset Date

Data source: MLHU COVID-19 Case and Contact Management System, extracted 2020-07-21 at 08:30 EDT. Data current as of the end of day 2020-07-20
Note: Illness that began in the period denoted by the grey bars may not yet be reported.

Assessment Centres

Phase 2, Stage 3: reopening
Starts: Friday, July 17th at 12:01 a.m.
Nearly ALL businesses and public spaces can reopen except:
   – Amusement parks and water parks
   – Buffet-style food services
   – Dancing at restaurants/bars, other than by performers hired by
     the establishment
   – Overnight stays at camps for children
   – Private karaoke rooms
   – Prolonged or deliberate contact while playing sports
   – Saunas, steam rooms, bath houses, and oxygen bars
   – Table games at casinos and gaming establishments.

Phase 2, Stage 3: reopening
Restrictions in Stage 3
• Social circles remain max 10 people
• Indoor gatherings max 50 people
• Outdoor gatherings max 100 people
• Employees (performers and crews) DON’T count towards
  limits
• Physical distancing 2 metres from those outside
  household or social circle remains
• Religious indoor gatherings remain restricted to 30% of
  the capacity of a room

Phase 2, Stage 3: reopening
Ontario’s has >170 health and safety guidance resources
covering a wide range of workplaces on their website.

If unable to open/operate people can submit a reopening
proposal to obtain help from the Ontario government.

Phase 2, Stage 3: reopening
          Social Circles                        Social Gatherings
•   You can have close contact with
    those in your social circle (hug,   •   You must maintain a physical
    handshake, be within 2 metres of        distance of 2 metres from others at
    each other).                            the gathering unless they are in
                                            your social circle.
•   You can belong to only one circle
    consisting of the same people.      •   You can gather with different groups
                                            of up to 50 people indoors and up
•   The maximum number of people            to 100 people outdoors.
    allowed in a social circle is 10.

MOH’s Instruction under EMCPA
• Instruction under Ontario’s Emergency
  Management and Civil Protection Act
• Requires operators of all enclosed public spaces
  implement public health measures including
  requiring the public to wear face coverings at all
  times while on their premises
• Came into effect on July 18th
• FAQ on healthunit.com

Section 22 Class Order - HPPA
• Staff and customers of higher risk businesses
  include mask use when in prolonged close contact
• Issued on July 7th , in effect July 20th
• Includes:
   o   Hair Salons and nail salons
   o   Other personal service settings
   o   Public transit
   o   Cars for hire

Exemptions
• Children under 12
• People with medical condition or disability inhibiting their
  ability to wear a face covering
• People unable to apply or remove a face covering without
  assistance
• People with accommodations under the Ontario Human
  Rights Code or AODA
• Staff or Agents of the operator of an enclosed public space
  who are in an area of the premises that is designated for
  them and not accessible to the public, or separated by a
  physical barrier

Long Term Care Updates
• Ontario government announced redesigned
  funding model
  • Building of additional, modern LTCHs, focus on air conditioning
  • Investing 1.75 billion over 5 years
• LTCH updated guidance
  •   Surveillance for LTCH staff will continue
  •   Outdoor visits do not require testing
  •   Indoor visits require attestation
  •   On-site contractors also require testing
  •   LTCHs are responsible for the tests, although Assessment Centres
      will be utilized

Retirement Home Updates
• Retirement Home updated guidance
  • Essential and non-essential visitors do not need a test
  • RH residents are permitted to go outside of the home
  • Personal Care Service Providers who provide services
    to residents are permitted to resume operations

MLHU Info and Contact
• Weekly webinars held on Tuesdays at 12:30 p.m.
  to 1:00 p.m.

• Please send your questions to covid@mlhu.on.ca

• Monday to Sunday, 8:00 a.m. - 7:00 p.m.
  – Hotline model
  – Call 519-663-5317
• www.healthunit.com

Questions?