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COVID-19
Health Care Provider
      Briefing
Middlesex and London Region
     September 7, 2021

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

         @alexsummers4

Surveillance Report
As of September :
• Over 220.9 million COVID-19 cases and over 4.57 million deaths
  have been reported worldwide
• Over 5.35 billion vaccine doses administered worldwide
• 569,633 cases of this illness confirmed in Ontario, including 9,548
  deaths
• Locally:

Data source: Ontario Ministry of Health (Ministry) Public Health Case and Contact Management Solution (CCM), extracted
2021-09-07. Data current as of the end of day 2021-09-06.

Cases by Reported Date

Data source: Ontario Ministry of Health (Ministry) Public Health Case and Contact Management Solution (CCM), extracted
2021-09-07. Data current as of the end of day 2021-09-06.

Outbreaks
Outbreaks (as of Aug 30, 2021):
•   Congregate Setting = 0
•   LTCH/RH/Hospital = 1
•   Schools/Child Care/Post-secondary = 0
•   Other:
    – A number of workplace outbreaks
    – We continue to see outbreaks among groups
      who are gathering indoors and among those
      who are unvaccinated and vaccinated

Vaccination Status of Cases

Data source: Ontario Ministry of Health (Ministry) Public Health Case and Contact Management Solution (CCM), extracted 2021-09-07.
Data current as of the end of day 2021-09-06.

Variant of Concern (VOC) update

Data source: Ontario Ministry of Health (Ministry) Public Health Case and Contact Management Solution (CCM), extracted 2021-09-07.
Data current as of the end of day 2021-09-06..

COVID-19 Vaccine Update

Data source: Ontario Ministry of Health (Ministry) Public Health Case and Contact Management Solution (CCM), extracted 2021-09-07.
Data current as of the end of day 2021-09-06.

COVID-19 Vaccine Coverage

Data source: Ontario Ministry of Health (Ministry) Public Health Case and Contact Management Solution (CCM), extracted 2021-09-07.
Data current as of the end of day 2021-09-06.

MLHU Recommends Mandatory COVID-19
            Vaccination Policies
• The COVID-19 vaccine is the single most effective public health
  measure to reduce the spread of COVID-19.
• By requiring eligible individuals to be fully vaccinated against COVID-
  19 in order to participate in any in-person activities in the workplace,
  and implementing additional guidelines such as physical distancing,
  remote work and active screening, businesses can reduce the risk of
  COVID-19 transmission, outbreaks and death.
• The Medical Officer of Health issued a letter of recommendation to
  employers and business operators, calling on all businesses to
  implement workplace COVID-19 vaccination policies, requiring all
  employees, volunteers, and contractors who have in-person
  interactions to be vaccinated against COVID-19, with exceptions
  accommodated under exempted medical conditions and other
  protected grounds under the Ontario Human Rights Code

Primer for Mandatory COVID-19
         Vaccination Policies
• Provides guidance on steps that can be
  taken to establish a mandatory COVID-19
  vaccination policy and provides examples of
  relevant policies and procedures.
• Found at
  https://www.healthunit.com/mandatory-
  covid-19-vaccination-policies

Provincial Proof Vaccine Passport
                    Announcement
• In effect September 22, 2021
• Must show COVID-19 vaccine receipts (printed or digital PDFs)
  plus photo ID
• By Oct 22, QR code enhanced COVID-19 vaccine certificate for
  the public and a verification app for businesses will be developed

Provincial Proof Vaccine Passport
                    Announcement
• In effect September 22, 2021
• Must show COVID-19 vaccine receipts (printed or digital PDFs)
  plus photo ID
• By Oct 22, QR code enhanced COVID-19 vaccine certificate for
  the public and a verification app for businesses will be developed

Provincial Proof of Vaccination Policy
• Settings requiring proof of vaccination:
   – Restaurants and bars (excluding outdoor patios, delivery,
     takeout)
   – Nightclubs (including outdoor areas of the establishment)
   – Meeting and event spaces (e.g. banquet halls,
     conference/convention centres)
   – Facilities used for sports and fitness activities and personal
     fitness training, such as gyms, fitness and recreational
     facilities with the exception of youth recreational sport
   – Sporting events
   – Casinos, bingo halls and gaming establishments
   – Concerts, music festivals, theatres, cinemas
   – Strip clubs, bathhouses, sex clubs
   – Racing venues (e.g. horse racing)
• Outdoor settings excluded

COVID-19 symptoms list updated
• Most common symptoms of COVID-19 that require self-isolation and
  testing
     o   Fever
     o   Chills
     o   Cough
     o   Shortness of breath
     o   Decrease or loss of smell or taste
•   Other Symptoms of COVID-19 in Adults (18 years old and older)
     o   Muscle aches
     o   Extreme tiredness, lethargy, or malaise
•   Other Symptoms of COVID-19 in Children (younger than 18 years old)
     o   Digestive issues like nausea/vomiting, diarrhea
• Other Symptoms of COVID-19 (if develop in high-risk contacts)
     o   Sore throat
     o   Runny nose
     o   Stuffy nose
     o   Abdominal pain
     o   Headache
     o   Pink eye
     o   Decreased or lack of appetite

COVID-19 symptoms list updated
• Runny nose and sore throat were removed from the list of common
  symptoms of COVID-19.
• Although individuals with only these symptoms do not have to self-isolate
  and get tested for COVID-19 unless they are a high-risk contact, clinicians
  can still order COVID-19 tests for these patients with these symptoms, and
  assessments centres will still test these individuals.
• Continue to ensure that all high-risk contacts (regardless of vaccination
  status) are aware that they need to self-isolate and test immediately if they
  develop ANY symptom of COVID-19, including mild, non-specific
  symptoms.
• Continue to ensure that all high-risk contacts should be wearing a mask
  and self-monitoring for 10 days following exposure.

COVID-19 testing
• If you develop any symptoms of COVID-19, please self-
  isolate and take the following steps:
   1. Take the COVID-19 Self-Assessment or contact your health care provider
   2. Follow the directions provided by the COVID-19 Self-Assessment or your
      health care provider
   3. If you are directed to get tested for COVID-19, book an appointment at
      the COVID-19 Assessment Centre in London or alternative testing site
      (e.g. My Health, testing centres at Western University and Fanshawe
      College).
• An appointment is required to get tested at the COVID-19
  Assessment Centre in London.

COVID-19 Mass Vaccination Clinics
• Earl Nichols Recreation Centre
       o Now closed
• North London Optimist Community Centre
       o Now closed
• The Western Fair District Agriplex
       o New hours: Thursday to Monday, from 11:00 a.m. to 6:00 p.m.
• Caradoc Community Centre in Mount Brydges
       o Continues to operate Tuesday to Saturday 9:00 a.m.to 3:00 p.m.

COVID-19 Vaccine Walk-in Pop-up Clinics
                      • For anyone who was born in
                        2009 or earlier who would
                        like to receive their first or
                        second dose of COVID-19
                        vaccine.
                      • No appointments are needed
                      • New dates and locations for
                        mobile and pop-up clinics
                        continue to be created –
                        check our website for
                        updates

Science Advisory Table

Science Advisory Table

Science Advisory Table

IPAC Key Principles
• Public Health Ontario released a Summary of Infection Prevention and
  Control Key Principles for Clinical Office Practice
• To support primary care providers, specialist clinics, community
  health centres, urgent care and walk-in clinics, family health teams,
  and other community clinics
• For healthcare workers to prevent the spread of acute respiratory
  illnesses and other communicable infections as these settings are
  increasing or resuming their in-person care.
• The document provides IPAC best practices and resources for clinical
  office practices with added information on ARI assessments and
  COVID-19 testing and vaccination.
• The main areas of focus are:
    o   Planning and Preparedness
    o   Office Space
    o   Patient Care Management
    o   Occupational Health and Safety

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