The presentation will start shortly COVID-19 Health Care Provider - - PowerPoint PPT Presentation

The presentation will start shortly

COVID-19 Health Care Provider Briefing

Middlesex and London Region May 8, 2020

Welcome

Presenter:

• Dr. Alex Summers

Associate Medical Officer of Health Middlesex-London Health Unit

Surveillance Report

As of May 8th, 2020:

• Over 3.8 million COVID-19 cases and over

270,000 deaths have been reported worldwide.

• 19,949 cases of this illness confirmed in

Ontario, including 1560 deaths

• Local:

Number of Cases by Municipality

Data source: MLHU COVID-19 Case and Contact Management System, extracted 2020-05-08 at 08:30 EDT. Data current as

• f the end of day 2020-05-07

Municipality

Number of cases Percent of cases (%)

London 405 92.5 Strathroy-Caradoc 17 3.9 Middlesex Centre 7 1.6 Thames Centre 4 0.9 North Middlesex 4 0.9 Southwest Middlesex 1 0.2 Adelaide Metcalfe — Lucan-Biddulph — Newbury —

Total

438 —

Cases by Reported Date

Data source: MLHU COVID-19 Case and Contact Management System, extracted 2020-05-08 at 08:30 EDT. Data current as of the end of day 2020-05-07.

Cases by Reported Date

Data source: MLHU COVID-19 Case and Contact Management System, extracted 2020-05-08 at 08:30 EDT. Data current as of the end of day 2020-05-07

Cases by Onset Date

Data source: MLHU COVID-19 Case and Contact Management System, extracted 2020-05-08 at 08:30 EDT. Data current as of the end of day 2020-05-07. Note: Illness that began in the period denoted by the grey bars may not yet be reported.

Cases by Onset Date

Data source: MLHU COVID-19 Case and Contact Management System, extracted 2020-05-08 at 08:30 EDT. Data current as of the end of day 2020-05-07 Note: Illness that began in the period denoted by the grey bars may not yet be reported.

Provincial Updates

• Further ease of business restrictions starting on May 8th
• Expanding virtual mental health services
• Extending electricity rate relief
• New pandemic pay website

– Temporary pandemic pay is aimed at helping frontline staff and support workers who are experiencing severe challenges and are at heightened risk during the COVID- 19 outbreak. – Eligible employers will be contacted by May 15 – https://www.ontario.ca/page/covid-19-temporary- pandemic-pay

Congregate Settings Update

LTCHs, retirement homes, group homes, and shelters

What is Case and Contact Management?

This Photo by Unknown Author is licensed under CC BY

Case and Contact Management

• Identification of a probable or confirmed

case triggers an investigation to assess:

– Potential exposures – Potential transmission

• Allow for interventions to prevent further

transmission

Public Health Framework

• ‘Containment’: contain and eliminate the spread of virus
• ‘Mitigation & Response’: to decrease morbidity and mortality caused by

COVID-19

• ‘Recovery’: to routinize response to this virus across Ontario

Containment Mitigation & Response Recovery

Who is a Case?

• Individual with disease

– AKA the patient

• Probable vs Confirmed

Who is a Contact?

• Someone with who is at risk of developing

the disease because of exposure to the case

• Not all contacts are equal

– Close contacts have had a high-risk exposure, such as household contacts, HCWs without PPE, etc.

Three Key Questions

• 1. Where did they get it?
• 2. Who can they spread it to?
• 3. What can we do to slow the spread of the

disease?

Incubation Period

• Time from exposure to the causative agent

until the first symptoms develop

• Unique characteristic for each disease
• Estimated incubation period for COVID-19

is 2-14 days, with an average of 5 days

Question #1

Period of Communicability

• Time during which an infectious agent may

be transferred directly or indirectly from an infected person to another

• Estimate period of communicability for

COVID-19 is currently assumed to be 48 hours before the onset of symptoms to 14 days after

Question #2

Isolation vs. Quarantine

• Isolation

– Isolation separates sick people with a contagious disease from people who are not sick

• Quarantine

– Quarantine separates and restricts the movement of people who were exposed to a contagious disease to see if they become sick

Question #3

Who needs to self-isolate?

• Symptomatic people!
• Any individual with COVID-19-like

symptoms should self-isolate

Question #3

Discharging from self-isolation

• Must be no longer contagious
• Different discharge criteria exist for

different circumstances

– See guidance document

Question #3

Who needs to quarantine for COVID-19?

• Asymptomatic people!
• Any individual who has a high-risk exposure

– Close-contact to a suspected or confirmed COVID-19 case – Recent travel to an international destination

Question #3

Discharging from quarantine

• Individuals who have a high-risk exposure

to a suspected or confirmed COVID-19 case should quarantine for 14 days from the exposure

Question #3

COVID-19 Briefing Webinars

• The MLHU is hosting twice weekly briefing

webinars for healthcare providers.

• Held on Tuesdays and Fridays from 12:00 p.m. to

12:30 p.m.

• Please send your questions to

healthcareproviders@mlhu.on.ca

Questions?

Ask using chat function now, or after the webinar at: healthcareproviders@mlhu.on.ca