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The presentation will start shortly

COVID-19
Health Care Provider
      Briefing
Middlesex and London Region
      August 10, 2021

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

COVID-19 Testing
• Rapid POC Antigen Testing (RAT) is not recommended for
  individuals with symptoms or known contact with a
  COVID-19 case
   – Rapid POC Antigen Testing is recommended for asymptomatic
     individuals only

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

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