The presentation will start shortly - Middlesex-London Health Unit

The presentation will start shortly

COVID-19
Health Care Provider
      Briefing
Middlesex and London Region
       June 15, 2021

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

         @alexsummers4

Surveillance Report
As of June 14th :
• Over 175.8 million COVID-19 cases and over 3.8 million deaths
  have been reported worldwide.
• 540,130 cases of this illness confirmed in Ontario, including 8,961
  deaths
• Local:

Data source: Ontario Ministry of Health (Ministry) Public Health Case and Contact Management Solution (CCM), extracted
2021-06-15. Data current as of the end of day 2021-06-14

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
2021-06-15. Data current as of the end of day 2021-06-14

Outbreaks
Outbreaks:
(as of June 14, 2021)
    – 1 outbreaks active in LTCH/RH/Hospitals
       • University Hospital (8 TU)
   – 1 Congregate setting outbreaks

Schools/Child Care/Post-secondary in Outbreak:
       • No school outbreaks
       • No child care centre outbreaks

COVID-19 Vaccine Update

COVID-19 Vaccine Coverage

Temporary halt to MLHU programs
The Middlesex-London Health Unit will be receiving a 70% increase in its
allocation of COVID-19 vaccine over the next several weeks

This will allow for the acceleration of second dose delivery. Protection against the
new Delta variant first identified in India is much better after two doses (in the
range of 90% after two doses, as opposed to 30-40% after one dose).

In order to meet the challenge of delivering this vaccine as quickly as possible, the
Health Unit needs to temporarily increase its staffing capacity at the mass
immunization clinics immediately.

The Health Unit will be suspending almost all non-COVID-19 programming and
services temporarily between June 17th and July 7th.

Please consider limiting your email correspondence with MLHU staff during this
time, particularly if it can wait until after July 7th.

Vaccine Eligibility Web Page

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

COVID-19 Vaccine Eligibility
Who is currently eligible to get the vaccine?
  ➢ Anyone over age 12

COVID-19 Vaccine Eligibility:
               Second dose schedule
•   Updated shortened interval guidance for MLHU region:
             o Adults aged 80 and over
             o Adults aged 70 and over
             o Individuals who received a first dose on or before April 18
             o Individuals who received first dose of AstraZeneca (8-12
               week interval)– starting June 15

•   Eligible individuals who need to re-book their second dose for a
    shortened-interval appointment:
         ✓ Call the COVID-19 Vaccine Booking Line:
           (226)289-3560 (8:00 a.m. – 7:30 p.m. Monday to Sunday)
         ✓ Visit covidvaccinelm.ca
•   Homebound individuals who received a first dose COVID-19 from the
    mobile clinic team will be contacted directly to arrange a second dose
    appointment.

Second dose information
•   Second dose appointments can be re-booked at a different location
•   Booking multiple second dose appointments online
     o Anyone who used the same email address or cell phone number to
        book a first dose appointment for more than one person can now re-
        book shortened-interval appointments for multiple individuals online
        at www.covidvaccinelm.ca using Gate #4 I need to re-book my
        scheduled second dose, or by calling the Appointment Booking Phone
        Line at 226-289-3560.
•   According to their eligibility, homebound individuals that received a first
    dose COVID-19 from the mobile clinic team will be contacted to arrange a
    second dose appointment.

Vaccine Receipts
• After being vaccinated, individuals can log in to the provincial
  portal to download or print an electronic COVID-19 vaccine
  receipt for each dose received no matter where they were
  vaccinated (e.g., mass vaccination clinic, hospital, pharmacy
  or primary care setting).
   o Individuals will need the following to obtain a vaccination
      receipt;
       ▪ Their green photo health (OHIP) card for the numbers
          on the front AND the back of the card,
           ▪ Please NOTE: Expired cards will be accepted
       ▪ Their date of birth, and
       ▪ Their postal code

Interchangeability of mRNA Vaccines
• Moderna and Pfizer are interchangeable COVID-19 mRNA
  vaccines. This means that individuals can receive either
  vaccine as their second dose, regardless of which vaccine they
  received as their first dose.
• Large shipments of Moderna are anticipated in the next few
  weeks, allowing more people to receive a second dose at a
  shorter interval. At the mass vaccination clinics in Middlesex-
  London, this also means that some people who received
  Pfizer as a first dose may receive Moderna as a second dose,
  or vice versa.

Provincial Updates: AZ Second Dose Guidance
•   Ontario is accelerating the second dose interval of AstraZeneca
    COVID-19 vaccine to eight weeks, with informed consent. Individuals
    can choose between a second dose of AstraZeneca or an mRNA
    vaccine, at an eight to 12-week interval, recognizing that the 12-week
    interval provides higher protection.
•   The 12 week interval is the optimal time to maximize the immune
    response based upon the clinical data and the real-world findings.

•   The only exception is for individuals on active treatment with
    immunosuppressive therapy who may require their second dose at
    an earlier interval because of the timing of their treatment. Ideally,
    these individuals should still receive their second dose at 12 weeks,
    but it is recognized that flexibility is required given the treatment
    regimen.

Post-vaccination COVID-19 positive cases

COVID-19 Projections

New temporary COVID-19
           vaccine fee code
• The Minister of Health has made an Order to temporarily
  list a new fee code for the provision of the COVID-19
  vaccine, as an insured service. The fee code G593 can be
  used on or after March 6, 2021, by physicians who have
  administered the COVID-19 vaccine in settings designated
  by the Ministry of Health to be a COVID-19 Assessment
  Centre

Roadmap to Reopen

Employment Opportunity
• The Middlesex-London Health Unit has issued an immediate
  call for Clinical Supervisors and Managers, as well as
  vaccinators and administrative staff to expand the local
  vaccination effort at mass vaccination clinics and community-
  based mobile clinic sites.
   o For more information, including a list of current
      employment opportunities, position descriptions and to
      access the candidate portal to apply for these positions.

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