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Welcome Presenter: Dr. Alex Summers Associate Medical Officer of Health Middlesex-London Health Unit @alexsummers4
Surveillance Report As of August 10th: • Over 202.6 million COVID-19 cases and over 4.29 million deaths have been reported worldwide • Over 4 billion vaccine doses administered worldwide • 552,804 cases of this illness confirmed in Ontario, including 9,407 deaths • Locally: Data source: Ontario Ministry of Health (Ministry) Public Health Case and Contact Management Solution (CCM), extracted 2021-08-10. Data current as of the end of day 2021-08-09.
Cases by Reported Date Data source: Ontario Ministry of Health (Ministry) Public Health Case and Contact Management Solution (CCM), extracted 2021-08-10. Data current as of the end of day 2021-08-09.
Outbreaks Outbreaks (as of Aug 10, 2021): • Congregate Setting = 2 • LTCH/RH/Hospital = 0 • Schools/Child Care/Post-secondary = 0 – Continue to see outbreaks among groups who are gathering indoors and among those who are unvaccinated
NEW! Vaccination Status on the Data Dashboard Fully vaccinated: 14 or more days after receiving final dose of vaccine Partially vaccinated: 14 or more days receiving first dose Not yet protected from vaccination: less than 14 days after receiving first dose Not vaccinated: no dose received Data source: Ontario Ministry of Health (Ministry) Public Health Case and Contact Management Solution (CCM), extracted 2021-08-10. Data current as of the end of day 2021-08-09.
Variant of Concern (VOC) update Data source: Ontario Ministry of Health (Ministry) Public Health Case and Contact Management Solution (CCM), extracted 2021-08-10. Data current as of the end of day 2021-08-09.
Delta Variant • We continue to see the Delta variant reported in our region. • The best protection against severe outcomes associated with the Delta variant is …
COVID-19 Vaccine Update Data source: Ontario Ministry of Health (Ministry) Public Health Case and Contact Management Solution (CCM), extracted 2021-08-10. Data current as of the end of day 2021-08-09.
COVID-19 Vaccine Coverage Data source: Ontario Ministry of Health (Ministry) Public Health Case and Contact Management Solution (CCM), extracted 2021-08-10. Data current as of the end of day 2021-08-09.
Abundance of Moderna • Since July 1st, MLHU has administered more than 81,000 doses of Moderna vaccine • Number of vaccinations have declined in the past 2 weeks • Excess of 21,300 doses of thawed Moderna vaccine • Must be used by August 12th • Highlighting the interchangeability of the mRNA vaccines is key
COVID-19 Fixed Vaccination Clinics • Appointments continue to be low at one third capacity • Walk-in options for 1st and 2nd doses of vaccine continue at all four mass clinics (until 1 hour before closing) - 25% first doses • Earl Nichols and NLOCC are now operating with shorter hours, utilizing just one shift of immunizers and PAs five days a week from 8:30-3:30 • Mt Brydges to move to reduced hours August 17th with the Agriplex to follow on September 2nd • Team members are beginning to transition to mobile and pop-up clinics
COVID-19 Vaccine Mobile Clinics • On Tuesday last week, the Mobile Team gave its 10,000th dose since June 21. o This was a huge milestone and the team is now aiming for 15,000! • In August there are 1-4 clinics a day in schools, parks, shelters, housing complexes, churches and at special events. There are some great collaborative relationships we are leveraging with city and community groups, allowing expansion of vaccine delivery. o Coming soon: Masonville Mall, London Air Show and Pride events!
COVID-19 Vaccine Distribution • Vaccine orders are slowing down from community partners creating challenges when opening a vial • Single dose syringes options are being used with LTCH and RHs and being explored with HCPs and other agencies. • Homebound visits requests continue to be fulfilled in collaboration with EMS and the LHIN
Quarantine Guidance for Fully Vaccinated Individuals www.healthunit.com/covid-19-prevent-the- spread#quarantine-requirements-for-households
NEW Roadmap Exit Step • The Ontario government has given some details of what exiting the roadmap will look like for the province: o Continued masking for publicly accessible indoor spaces o Capacity limits lifted o Physical distancing or plexiglass continues in public spaces o Active or passive screening as directed by the Office of the Chief Medical Officer of Health or other public health official o Safety plans required by businesses
NEW Roadmap Exit Step • Ontario will remain in Step Three until 80% of the eligible population aged 12 and over has received one dose of a COVID- 19 vaccine, and 75% have received their second, with no public health unit having less than 70% of their eligible population aged 12 and over fully vaccinated.
Out of Province/Out of Country COVID-19 Vaccine Reporting Individuals who received one OR both doses of COVID-19 vaccine outside of Ontario OR Canada can now submit their vaccine records to MLHU online! www.healthunit.com/reporting-covid-19-vaccines-to-mlhu
Back-to-School Guidance The Ontario government released its back-to-school plan for September. There are no details on how COVID-19 outbreaks will be managed, or when a classroom or school will be shut down, but general guidance was provided: • Returning to the classroom full-time, with remote learning as an option • Staff and students Grade 1 and up must wear masks indoors • Self-screening will be required before coming into the school • Team sports, field trips, and extracurricular activities will resume • Assemblies, physical education classes, music programs, and recess are allowed • Students will be allowed in shared spaces including libraries and cafeterias • Secondary students are to have no more than two courses at a time
Recall: Frozen Mango due to Hepatitis A • Canadian Food Inspection Agency issued a recall on July 30, 2021 • Hepatitis A outbreak declared on July 31, 2021 with cases in Quebec and Nova Scotia • 4 brands of frozen mangoes recalled
Recall: Frozen Mango due to Hepatitis A Recalled Products: • 2kg bags of Nature’s Touch frozen mangoes with best before date of November 9, 2022 • 600g packages of Compliments Mango Mania with best before dates of November 10, 2022 and December 18, 2022 • 600g packages of Irresistibles Mango Chunks with best before date of November 10, 2022 • 600g packages of President’s Choice Mango Chunks with best before dates of November 6, 2022 and November 10, 2022
Frozen Mangoes & Hepatitis A • Anyone who may have any of the recalled product should not eat it and dispose of it • If someone may have consumed recalled product within the past 2 weeks, they should get a hepatitis A vaccination • If someone may have consumed recalled product within the past 50 days, but prior to the past 2 weeks, they should monitor themselves for symptoms and contact their primary care provider
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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