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COVID-19
Community Stakeholder
Briefing
Middlesex and London Region
January 15, 2021
Welcome
Presenter:
Dr. Alex Summers
Associate Medical Officer of Health
Middlesex-London Health Unit
@alexsummers4
Surveillance Report As of January 14th 2020: • Over 91.4 million COVID-19 cases and over 1.97 million deaths have been reported worldwide. • 228,310 cases of this illness confirmed in Ontario, including 5,189 deaths • Local:
Cases by Reported Date Data source: MLHU COVID-19 Case and Contact Management System, extracted 2021-01-15 at 08:30 EDT. Data current as of the end of day 2021-01-14
Cases by Onset Date Data source: MLHU COVID-19 Case and Contact Management System, extracted 2021-01-15 at 08:30 EDT. Data current as of the end of day 2021-01-14
Outbreaks/Schools
• Outbreaks:
– 15 outbreaks active in long-term care or retirement
homes
– 2 outbreaks at Victoria Hospital
• School update:Provincial Modelling Shared January 12th Source: Science Table COVID-19 Advisory for Ontario, Science Advisory and Modelling Consensus Tables, January 12, 2021 https://covid19-sciencetable.ca/sciencebrief/update-on-covid-19-projections-presentation-5/
Provincial Modelling Shared January 12th
Middlesex-London
Source: Science Table COVID-19 Advisory for Ontario, Science Advisory and Modelling Consensus Tables, January 12, 2021
https://covid19-sciencetable.ca/sciencebrief/update-on-covid-19-projections-presentation-5/Provincial Stay-at-home orders The Government of Ontario has declared a second Provincial Emergency, issued under s 7.0.1 (1) of the Emergency Management and Civil Protection Act (EMPCA). This followed the COVID-19 Advisory for Ontario Science Table’s update on COVID-19 Projections. • A notable key finding was that the new variant, SARS CoV 2 (B117) in Ontario, could drive much higher case counts, ICU occupancy and mortality with a doubling time for cases dropping to 10 days by March.
Provincial Stay-at-home orders
• The following enhanced public health measures
came into effect on January 13, 2021 at 12:01 a.m.
– Outdoor public gatherings and social gatherings are restricted to
five people
– Individuals are required to wear a mask or face covering while
indoors and are recommended to wear them outdoors when
unable to maintain a 2 meter distance from others.
– All non-essential retail stores, including hardware stores, alcohol
retailers, and those offering curbside pickup or delivery, must open
no earlier than 7:00 a.m. and close no later than 8:00 p.m.
– This does not apply to pharmacies, gas stations, convenience
stores, or stores that primarily sell food such as restaurants
offering takeout or delivery.Provincial Stay-at-home orders
– Non-essential construction like below-grade construction has been
restricted, while survey construction may continue.
– Provincial offences officers, Ontario Provincial Police, local police
forces, bylaw officers, and provincial workplace inspectors have
the authority to perform the following;
• issue a ticket and or fine to individuals who do not comply with the
stay-at-home-order,
• issue a ticket and or fine to those not wearing a mask or face covering
in indoors public
• issue a ticket and or fine to retail operators and companies who do
not enforce requirements under orders under the Reopening Ontario
(A Flexible Response to COVID-19) Act (ROA) or EMPCA.
• temporarily close a premise and disperse individuals who are in
contravention of gathering limits, and
• disperse people who are gathering, regardless whether a premise has
been closed or remains open such as a parkAdditional Information Available on MLHU Website
• Additional public health restrictions under the State of Emergency, Stay-at-
Home Order, gathering limits, Do’s & Don’ts to prevent the spread of
COVID-19
https://www.healthunit.com/covid-19-response-frameworkCOVID-19 Vaccine Update
Local progress
• Phase 1 with prioritization for long-term care and high-risk
retirement home residents, staff, and essential caregivers.
The goal is to vaccinate all long-term care and high-risk
retirement home residents as soon as possible.
– Due to the scarceness of COVID-19 vaccine supply,
previously infected COVID-19 cases are not eligible to
receive the vaccine at this.
– Eligibility will be reviewed weekly and will be
dependent on vaccine supply and Provincial direction.
– Please see the MLHU’s COVID-19 vaccine web page for
further updates.Local progress
• Forward deployment of Pfizer to Chelsea Park
LTCH/RH Wednesday
➢Approximately 268 vaccines given by MLHU’s team
• Cumulative total of 8173 vaccines administered
to date at the Agriplex (as of Jan 14/21)
• Prioritization
• Given the current supply that exists and is
forecasted, in order to forward deploy the vaccine
to LTCH homes, the Agriplex is currently closed to
new appointmentsmRNA vaccines • SARS-CoV-2 virus is covered with proteins, which look like spikes • mRNA vaccines provide your body the instructions to make the spike protein of the virus • When your body makes the protein, your body’s immune system recognizes it as something that isn’t supposed to be there • Your body will make antibodies specifically targeting the protein, which will help your body recognize more rapidly if the real virus ever showed up
The vaccine does not
interact with or change
your DNA!Pfizer trial
• Over 36,000 people participated
– Half got a placebo and half got the vaccine
– There were 162 cases in the group that got the
placebo vs. only 8 cases in the group that got
the vaccine
– This means the vaccine was ~95% effective at
preventing symptomatic COVID-19Moderna trial
• Over 28,000 people participated
– Half got a placebo and half got the vaccine
– There were 185 cases in the group that got the
placebo vs. only 11 cases in the group that got
the vaccine
– This means the vaccine was ~94% effective at
preventing symptomatic COVID-19Moderna vs. Pfizer?
• Both are really good at preventing COVID-
19
• Stability
– Pfizer is stored in ultra-low freezers (-60 to -80
degrees C); stable for 5 days in the fridge
– Moderna is stored in low freezers (-20 degrees
C); stable for 30 days in the fridgeModerna and Pfizer side effects • Common side effects (more than 1 in 10 people) – Injection site pain, fatigue, chills, fever • Severe side effects were very rare • No vaccine-related deaths • Side effects more common with second dose
Questions re: eligibility • “Who can get it?” is a different question than ‘who can get it now?” • Scarcity of the vaccine means that some people who will eventually get the vaccine are not getting it now
Eligibility criteria of note • Pregnancy • Breastfeeding • Immunosuppression • Allergies to non-vaccines • Previous COVID-19 cases
Previous COVID-19 cases • Individuals with previously PCR-confirmed COVID-19 can still receive the vaccine • However, given the scarce supply and the assumption over some immunity, in order to maximize impact we are not currently vaccinating those who are previously positive
Addressing Vaccine Hesitancy
Addressing Vaccine Hesitancy
Resources Resources this week, many more linked in e- newsletter • New: Guidance for Prioritizing Health Care Workers for COVID-19 Vaccination (Ministry of Ontario) • New: COVID-19 Vaccination Recommendations for Special Populations (Ministry of Health) • New: COVID-19 Vaccines for Ontario Factsheet (Government of Ontario) • Updated: Adverse Events Following Immunization (AEFIs) for COVID-19 in Ontario: December 13, 2020 to January 9, 2021 (Public Health Ontario)
MLHU Info and Contact • Weekly webinars held on Tuesdays at 12:30 p.m. to 1:00 p.m. • Please send your questions to health@mlhu.on.ca • www.healthunit.com
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