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COVID-19
Health Care Provider
      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 15th 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
January 12, 2021, the Government of Ontario has declared a second
Provincial Emergency. 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 14, 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 park

Additional 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-framework

COVID-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 appointments

Addressing Vaccine Hesitancy

Addressing Vaccine Hesitancy

Healthcare Provider Outreach
                Visits
• The Middlesex-London Health Unit’s Healthcare Provider
  Outreach Team can offer virtual annual office visits with a
  Public Health Nurse through the Microsoft Teams software.
   o These visits are brief (generally 10-15 mins) and will
     focus on;
       ▪ determining the needs of healthcare providers in
         London and Middlesex County, and
       ▪ updating your office contact information
• Follow the link in the e-newsletter to request an
  appointment with a member of the Healthcare Provider
  Outreach Team

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)

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