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COVID-19
Community Stakeholder
      Briefing
 Middlesex and London Region
         July 6, 2021

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

         @alexsummers4

Surveillance Report
As of July 5th :
• Over 183.7 million COVID-19 cases and over 3.98 million deaths
   have been reported worldwide.
• Over 2.9 billion vaccine doses administered worldwide
• 546,217 cases of this illness confirmed in Ontario, including 9,224
   deaths
• Local:

Data source: Ontario Ministry of Health (Ministry) Public Health Case and Contact Management Solution (CCM), extracted
2021-07-6. Data current as of the end of day 2021-07-5.

Cases by Reported Date

Data source: Ontario Ministry of Health (Ministry) Public Health Case and Contact Management Solution (CCM), extracted
2021-07-6. Data current as of the end of day 2021-07-5.

Variant of Concern (VOC) update

Delta Variant
• Since July 6th, MLHU has reported a total of 25
  Delta variant positive cases.
• Delta is already the dominant variant in Ontario
  and anticipate it will become so in the region soon
  ➢ What makes the Delta variant different?

Outbreaks
Outbreaks (as of July 6, 2021):
   –   Child Care = 0
   –   Schools = 0
   –   Post-secondary = 0
   –   Congregate Setting = 0
   –   LTCH/RH/Hospital = 0

COVID-19 Vaccine Update

COVID-19 Vaccine Coverage

COVID-19 Vaccine Eligibility:
Accelerated second doses for all individuals 12+
• Shortened interval guidance as of June 28th:
      o NEW – ALL individuals who received a first dose of an
         mRNA vaccine are now eligible to re-book their
         second dose appointment at the 28-day shortened
         interval (12+)
      o All individuals who received a first dose of
         AstraZeneca vaccine are eligible to re-book their
         second dose appointment at an 8 to 12 week interval

• Individuals cannot receive a second dose at a shorter
  interval than 28 days for mRNA vaccine or 8 weeks for a viral
  vector vaccine.

COVID-19 Receipts
You can get your COVID-19 receipt online - directly from the
province!

If you did not receive an email receipt for your first or second
dose or have misplaced your receipt, access it at:
https://covid19.ontariohealth.ca/

To access your receipt, you will need:
• Health card information (green photo OHIP cards only)
• Date of birth
• Postal code

Guidance for Those Vaccinated
       Outside of Ontario/Canada
New guidance available on MLHU’s website:
https://www.healthunit.com/reporting-covid-19-vaccines-to-mlhu

• Currently, records for COVID-19 vaccination cannot be
  submitted through ICON or online to MLHU (i.e. via email)
• MLHU is working on a process for people to submit COVID-19
  vaccine records electronically for assessment and entry into
  COVAXon.

Delta Variant Increase
• Increased incidence in Middlesex-London, presumed to
  soon to be the dominant strain in our region
• To ensure maximum protection against COVID-19 and the
  Delta variant, Ontarians should should complete their
  vaccination series as soon as they can
• PHAC has noted the following about the Delta variant;
      •   Transmissibility is high
      •   Disease severity is unknown
      •   Immunity and re-infection in convalescent patients is low
      •   Vaccine effectiveness is moderate and better after a
          completed series, and
      •   Surveillance programs have a moderate risk of not detecting
          cases.

AEFI Update

• mRNA vaccines and myocarditis
  – (NACI) updated guidance includes;
     • For an informed consent prior to mRNA vaccination
       include discussion about the very rare risk of
       myocarditis and/or pericarditis following
       immunization.
     • As a precaution, individuals who experienced
       myocarditis and/or pericarditis after a first dose of an
       mRNA vaccine should wait to get their second dose
       until more information becomes available.

Roadmap to Reopen
Moving through the steps:
The Province will remain in each step for at least 21 days.
Consideration for moving to Step 2 will include:
• evaluation of vaccination rates
• positive trends in other key public health and health system
  indicators

Step 2 Key Messages
• Keep it outdoors as much as possible
• Only gather indoors if absolutely necessary; if indoors
  within the gathering limit (5 people), ensure everyone
  you are indoors with is fully vaccinated
• Families with children under 12 (not yet eligible to be
  vaccinated):
   • Keep it outdoors
   • Stick to close contact with your immediate
     household only
   • Mask if you absolutely must be indoors with
     people who are not part of your household

Day Camp Guidance
               Outdoor activities are strongly encouraged!
     Indoor sport and recreational fitness activities are not permitted
              during Step 2 of Ontario’s Roadmap to Reopen
•   Must run for a minimum of 1 week (consecutive days), with consistent cohorts
    for the duration of each camp session for up to 2 weeks. i.e , if the camp runs
    for 1 week, the same cohort must be maintained for the full week. If the camp
    runs for 2 weeks, the same cohort must be maintained for both weeks.
•   Day Camps must comply with sector-related requirements that are identified in
    O. Reg. 263/20. For example, if a day camp is music-oriented, the camp must
    comply with the requirements in the regulation which are related to music.

•   All staff and campers should be encouraged to receive COVID-19 vaccinations
    (as per eligibility criteria).
•   Practice physical distancing, cleaning and sanitizing, hand hygiene and masking
    as much as possible.

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?