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COVID-19
Health Care Provider
      Briefing
Middlesex and London Region
       May 28, 2021

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

         @alexsummers4

Surveillance Report
As of May 28th:
• Over 169 million COVID-19 cases and over 3.5 million deaths have
  been reported worldwide.
• 535,087 cases of this illness confirmed in Ontario, including 8,678
  deaths
• Local:

Data source: Ontario Ministry of Health (Ministry) Public Health Case and Contact Management Solution (CCM), extracted
2021-05-28. Data current as of the end of day 2021-05-27

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
2021-05-28. Data current as of the end of day 2021-05-27

Outbreaks
Outbreaks:
(as of May 27, 2021)
    – 3 outbreaks active in LTCH/RH/Hospitals
    – 1 Congregate setting outbreak

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

COVID-19 Vaccine Update

COVID-19 Vaccine Coverage

COVID-19 Vaccine Updates
• Individuals who received a first dose of the Oxford AstraZeneca/
  COVISHIELD COVID-19 vaccine should receive a second dose of a
  COVID-19 vaccine for optimal protection.
• In Ontario, these individuals have the following two options for their
  second COVID-19 vaccine dose;
    o Receive a second Oxford AstraZeneca/COVIDSHIELD COVID-19 vaccine
      dose 12 weeks following their first dose, or
    o Receive an mRNA vaccine (Pfizer-BioNTech or Moderna) for their second
      dose 16 weeks following their first dose, providing an mRNA vaccine is
      not contraindicated for them.
• The Middlesex London Health Unit (MLHU) has placed a pause on the
  redeployment of the Moderna vaccine to healthcare providers due to
  supply constraints.
• Healthcare providers should still submit their COVID-19 vaccine orders
  to the MLHU.

Vaccine Eligibility Web Page

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

COVID-19 Vaccine Eligibility

COVID-19 Vaccine Eligibility
Who is currently eligible to get the vaccine?
     ➢ Adults 18+
     ➢ Youth between the ages of 12 and 17 years old:
        • Must book at North London Optimist Community Centre, Earl
           Nichols Arena, Western Fair Agriplex, St. Thomas Memorial
           Arena or Woodstock Goff Hall

•   Pfizer – individuals must be 12 at the time of vaccination, as per
    product monograph
• Moderna – individuals must be 18 at the time of vaccination, as per
  product monograph

Should my Child get the COVID-19 Vaccine?
• Children and youth are at risk from COVID-19 and are at risk of passing it to
  loved ones, friends and family who may be at risk of dying.
• Getting the vaccine is safe and effective and can reduce the risk of your
  child developing COVID-19 or make their symptoms milder.
• The long-term impacts of youth getting vaccinated will be:
    • Preventing COVID-19 cases, hospitalizations and deaths
    • Helping to reopen society so we can get back to work, school, and
       spending time with friends, family and loved ones.

COVID-19 Vaccine and Youth
• Pfizer is the only COVID vaccine that has been approved for use in children
  to date.
• It is very effective – possibly even more so in kids than adults.
• Pediatric data to date indicates that Pfizer may be 100% effective in
  preventing COVID infection in children.

COVID-19 Vaccine and Youth: Side effects
• Side effects for kids who receive the Pfizer vaccine are about the same as
  those for adults.
• Side effects usually peak on day 2 after vaccination, and go away by day 4,
  and include the following:
    • Pain on the arm, where the shot was given
    • Fatigue
    • Headache
    • Chills
    • Muscle pain
    • Fever
    • Joint pain
• These side effects while uncomfortable, mean the vaccine is working! They
  are good and indicate that the body is having a strong immune response!
• Existing data strongly points to no long-term side effects of the Pfizer mRNA
  vaccine.

COVID-19 Vaccine and
              Allergic Reactions in Youth
• If child has had an allergic reaction to mRNA vaccines, or any of their
  components, do not get them vaccinated.
• Any previous history of anaphylaxis to other vaccines or injectables
  require assessment by an allergist.
• If child has a history of severe allergic reactions not related to
  vaccines or injectable medications, they can still get the vaccine.
• COVID-19 vaccines should not be given at the same time as other
  vaccines.
• If child has had other vaccines, wait at least 14 days after the
  administration of another vaccine before getting the COVID-19
  vaccine.

• MLHU and SWPH will be hosting
  Virtual Town Hall meetings for parents
  and guardians of children between the
  ages of 12 and 17 to provide an update
  about COVID-19, the vaccine rollout
  and how both will affect schools across
  the region, as well as provide an
  opportunity for parents and guardians
  to have their questions about the
  vaccine answered.

• Thames Valley District School Board &
  Conseil Scolaire Viamonde: Tuesday,
  June 1, from 7:00 p.m. to 8:00 p.m.

• London District Catholic School Board,
  the Conseil Scolaire Providence or
  private schools: Wednesday, June 2,
  from 7:00 p.m. to 8:00 p.m.

COVID-19 Vaccine Eligibility:
               Second dose schedule
• Breaking News -
         •   Updated shortened interval guidance:
              o May 31 – Adults aged 80 and over
              o June 14 – Adults aged 70 and over
              o August 9 – Youth aged 12-25

•   Eligible individuals who need to re-book their second dose for a
    shortened-interval appointment:
     ✓ Must call the COVID-19 Vaccine Booking Line: (226)289-3560 (8:00
         a.m. – 7:30 p.m. Monday to Sunday)

     Updates coming soon to the online booking tool!
        • The public will soon be able to book / reschedule a second-dose
           appointment online (through covidvaccinelm.ca)

COVID Vaccine Mobile Clinic and
                Distribution Update
•   Examining supports required to increase
    mobile teams
•   Distribution of COVID vaccine to primary
    care, additional LTC facilities and hospitals
    continues
•   Community clinic running today, May 28th
    and 29th from 10 a.m. to 4 p.m. in
    Dorchester
•   Bhutanese Community clinic running June
    5th/6th in Kipps lane area, in partnership
    with LIHC and CCLC
•   2nd dose clinic scheduled at N’Amerind
    Friendship Centre June 11th

LTC and RH Update
• Ministry of Long-Term Care has updated Directive #3, as well as the
  ministry’s visitor policy and guidance document to set out the
  following:
    o A maximum of two general visitors at a time per resident in addition to
      two essential caregiver(s).
    o General visitors need to be actively screened upon arrival and should not
      proceed beyond entry points / areas in homes.
    o General visitors do not need to undergo a rapid antigen test as their visit
      will be outdoors.
    o General visitors need to maintain physical distancing and wear masks and
      every effort should be made to ensure different groups of visitors are
      also physically distanced.

• For more information please visit the Middlesex-London Health Unit’s
  website

COVID-19 Resources
• Healthcare providers requesting MLHU developed COVID-
  19 vaccine print resources can email us at :
  healthcareproviders@mlhu.on.ca
• The Ministry of Health updated its COVID-19 Provincial
  Testing Guidance and COVID-19 Quick Reference Public
  Health Guidance on Testing and Clearance documents, and
  some changes include;
    o The preferred and acceptable specimen types for laboratory-based
      COVID-19 molecular testing was updated.
    o The list of Targeted Testing Groups was updated and included
    o For clearance testing in hospitals to discontinue precautions for
      admitted patients
o Please note: Serological testing cannot be used for test-based clearance, and
  test-based clearance should not be used to reduce the duration of isolation.

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