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COVID-19
Community Stakeholder
      Briefing
 Middlesex and London Region
       January 19, 2021
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Welcome
          Presenter:
    Dr. Alex Summers
Associate Medical Officer of Health
  Middlesex-London Health Unit

         @alexsummers4
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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:
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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
Questions?
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