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COVID-19
Health Care Provider
      Briefing
Middlesex and London Region
       April 16, 2021

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

         @alexsummers4

Surveillance Report
As of April 16th , 2021:
• Over 138.4 million COVID-19 cases and over 2.97 million deaths
  have been reported worldwide.
• 403,571 cases of this illness confirmed in Ontario, including 7,639
  deaths
• Local:

Data source: Ontario Ministry of Health (Ministry) Public Health Case and Contact Management Solution (CCM), extracted
2021-04-16. Data current as of the end of day 2021-04-15.

Variant of Concern (VOC) update

Cases by Reported Date

Data source: Ontario Ministry of Health (Ministry) Public Health Case and Contact Management Solution
(CCM), extracted 2021-04-16. Data current as of the end of day 2021-04-15.

Cases by Onset Date

Data source: Ontario Ministry of Health (Ministry) Public Health Case and Contact Management Solution
(CCM), extracted 2021-04-16. Data current as of the end of day 2021-04-15.

Outbreaks
Outbreaks:
(as of April 15, 2021)
    – 2 outbreaks active in LTCH/RH/Hospitals
    – 9 outbreaks in congregate settings

Schools/Child Care/Post-secondary in Outbreak:
        • 6 school outbreaks
        • 2 child care centre outbreaks
        • 8 student residence outbreaks at Western/Huron College:
          Kings-Commons, Perth Hall, Essex Hall, Delaware Hall, Elgin
          Hall, Medway-Sydenham, Saugeen-Maitland, Ontario Hall
Three post-secondary student community outbreaks (off-campus)

Variant of Concern (VOC) update
•   As of April 8th , a total of 24,995 variant of concern cases have been
    reported across Canada, including 23,611 involving B.1.1.7 variants, 1,039
    P.1 variants and 345 B.1.351 variants.
•   Although B.1.1.7, which is now confirmed in all provinces and two
    territories, continues to account for the majority of variants of concern in
    Canada and has likely replaced the original virus in some areas, there has
    been a concerning rise in P.1 cases in recent weeks.
•   Early evidence suggests that the P.1 variant may reduce the effectiveness of
    vaccines, making it even more important to control its spread.
•   P.1 (Brazil variant) reported in Middlesex-London region for the first time on
    April 14th (travel-related)

Provincial Update:
    Ontario moves schools to remote learning following spring break

•    On April 12th, the Ontario government, in consultation with the CMOH
     announced that elementary and secondary schools will move to remote
     learning following April break.
•    In-person learning will continue for children with special-education needs
     who require additional support that cannot be accommodating remotely.
•    This move is in response to the rapid increase in COVID-19 cases, the
     increasing risk posted to the public by COVID-19 variants and the spike in
     hospital admissions.
•    Childcare for non-school aged children will remain open, before and after
     school programs will be closed and free emergency childcare for school-aged
     children of eligible health care and frontline workers will be provided.

COVID-19 Vaccine Update

• Doses administered April 5 to April 11: 14,895
• As of April 15, over 116,000 vaccines have been
  administered (this total includes both first and
  second doses)

Vaccine Coverage for
           Middlesex-London
Age group   April 3 - Coverage %: At least one dose   April 10 - Coverage %: At least one dose

  12-17                      0.4                                        0.5
  18-29                      7.4                                        8.3
  30-39                      9.5                                       10.4
  40-49                     10.7                                       11.7
  50-59                     11.2                                       13.2
  60-64                      13                                        16.2
  65-69                      9.4                                       14.4
  70-74                      16                                        34.1
  75-79                     45.1                                       73.6
 80-119                     68.4                                       70.4

Vaccine Eligibility Web Page

www.healthunit.com/covid-19-vaccine-eligibility

COVID-19 Vaccine Eligibility
Eligible for booking a first-dose appointment as
of April 13:
  • Adults 60 years of age and older

➢ All previous eligible groups can still continue to
  book an appointment

COVID-19 Vaccine Eligibility
Additional eligible groups as of April 14th,

➢ Education staff who provide direct supports to students with
  complex special needs are defined as those who support
  students who meet one or more of the following criteria:
   • who require support with activities of daily living, including
     health and safety measures
   • are unable to wear masks for medical reasons
   • have complex medical needs
   • cannot be accommodated through remote learning
➢ Immediate household/family members of Indigenous people
  who themselves are not Indigenous are also eligible to receive
  the vaccine.

AZ Update
•   On April 14th, Health Canada provided an update on the safety of the AZ
    vaccine, noting that after a thorough, independent assessment of the current
    data, the very rare events of blood clots associated with low levels of blood
    platelets following immunization may be linked to the use of the vaccine and
    as a result, has updated warnings in the product information to inform
    Canadians of the possible side effects.
•   Based on the review of available data from Europe, the UK and AstraZeneca,
    no specific risk factors have been identified and Health Canada is not
    restricting the use of the vaccine in any specific populations at this time.
•   Health Canada’s Chief Medical Advisor still recommends getting whatever
    vaccine is available – there is a very low risk that some patients could
    develop blood clotting; the benefits of this vaccine outweigh any risks.

See: www.canada.ca/en/health-canada/news/2021/04/health-canada-provides-update-
on-safety-review-of-astrazeneca-and-covishield-covid-19-vaccines.html for more
information.

AstraZeneca Update

COVID-19 Vaccination Clinics
• Continuing work to look at plans to operationalize activity at
  Earl Nichols Arena and Citi Plaza vaccination sites.
• Stress-test conducted at NLOCC on Monday

COVID-19 Vaccine Update
•   Additional pharmacy locations to administer COVID-19 vaccine in Middlesex-
    London announced over the weekend (about 45 new pharmacy locations in the
    region)
•   A number of participating pharmacies are located in the County (Strathroy,
    Dorchester, Arva, Parkhill, Komoka, Ilderton, Lucan) as well as a First Nations site
    located in Muncey.
•   Pharmacies will offer the Oxford Astra-Zeneca vaccine to adults 55 years of age
    and older.
•   Call the pharmacy directly to an book appointment.
•   Visit https://covid-19.ontario.ca/vaccine-locations for pharmacy locations and
    contact information.

•   Vaccination pilot for primary care in London and Middlesex County began on
    Thursday, April 8th
•   As of April 13th, 479 doses of AZ have been administered through pilot primary
    care clinics

COVID-19 Support
•   Isolated, low-income seniors or persons living with a physical disability, who do
    not have family or community supports and who needs help getting essentials
    such as groceries or medicine during the pandemic, can access the Ontario
    Community Support program. This service is available until March 2022.
•   To access the service visit www.ontariocommunitysupport.ca, or call 211, 1-
    877-330-3213, or 1-888-340-1001

MLHU website www.healthunit.com/covid-19-prevent-the-spread
Also provides links to supports and resources in the community:

Still no flu in Middlesex-London!
 As of April 14th, there have been no laboratory-
confirmed influenza cases identified in Middlesex-
    London since the beginning of this year’s
     surveillance season (August 30th, 2020)

Help Support Regional HIV/AIDS Connection
           A Taste for Life April 19th to 25th!
•   Regional HIV/AIDS Connection (RHAC) is once again running A Taste For Life, their
    annual campaign to support people living with HIV - and they need our help!
•   With the effects of COVID-19 on the restaurant industry, RHAC is asking us to support
    local restaurants by ordering take out - but they still need support to help keep
    providing care to folks in our community.

     Please consider donating to support people in our community living with HIV:
    Dine at home and donate online https://www.hivaidsconnection.ca/atasteforlife

•   Between Monday, April 19th to Sunday, April 25th, set a date, order some take out, and
    enjoy a dinner date with your household or host a Zoom party with friends!
•   Details here: https://www.hivaidsconnection.ca/atasteforlife

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