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Welcome Presenter: Dr. Alex Summers Associate Medical Officer of Health Middlesex-London Health Unit @alexsummers4
Surveillance Report As of January 19th 2020: • Over 93.9 million COVID-19 cases and over 2 million deaths have been reported worldwide. • 240,364 cases of this illness confirmed in Ontario, including 5,433 deaths • Local:
Cases by Reported Date Data source: MLHU COVID-19 Case and Contact Management System, extracted 2021-01-19 at 08:30 EDT. Data current as of the end of day 2021-01-18
Cases by Onset Date Data source: MLHU COVID-19 Case and Contact Management System, extracted 2021-01-19 at 08:30 EDT. Data current as of the end of day 2021-01-18
Outbreaks/Schools • Outbreaks: – 14 outbreaks active in long-term care or retirement homes – 2 outbreaks at Victoria Hospital – 1 outbreak at University Hospital – 1 outbreak at Strathroy Hospital – Real Canadian Superstore Oakridge, and EMDC • School update:
UK Variant - a local individual previously diagnosed with COVID-19 has been identified to be confirmed to have the U.K. variant of COVID-19. - The person, whose illness has resolved, is in their 80s and has no history of travel outside of Canada. - have not been advised of any other laboratory-confirmed COVID- 19 U.K. variant cases in the London or Middlesex County. - The COVID-19 U.K. variant was first identified in Kent, United Kingdom on September 20, 2020; Ontario’s first case of the variant strain was identified in Durham Region on December 26, 2020. “This is the first indication that the COVID-19 U.K. variant is present in London and Middlesex County. Data from the UK indicates that it may spread up to 50% more easily than other variants”
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 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 • Pfizer temporarily decreased delivery of vaccine to Canada • 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
Resources Resources this week, many more linked in e- newsletter • A practitioner's guide to the principles of COVID-19 vaccine communications: Principles for building trust (Immunize Canada and Center for Public Interest Communications) • COVID-19 Vaccine Questions and Answers for Healthcare Providers Consult the guide(CanVax) • Updates on COVID-19 resources and tools specific to First Nations, Inuit and Métis peoples and communities (National Collaborating Centre for Indigenous Health)
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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