Hastings Prince Edward Public Health
Online Bulletin for Health Care Providers

March 24, 2023

From:
Dr. Ethan Toumishey
Medical Officer of Health and CEO
Hastings Prince Edward Public Health

News & Updates

World Tuberculosis (TB) Day

Each year on March 24, World TB Day is observed marking the day in 1882 when the bacterium causing TB was discovered, as an effort to help raise awareness about TB and to end the global epidemic.

This year’s slogan 'Yes! We can end TB!', aims to inspire hope and encourage high-level leadership, increased investments, faster uptake of new WHO recommendations, adoption of innovations, accelerated action, and multisectoral collaboration to combat the TB epidemic.

Worldwide, 10.6 million persons were diagnosed with active TB in 2021, 1.6 million of those dying of the disease. Locally, Hastings Prince Edward Public Health (HPEPH) completes case and contact management for an average of 1.6 cases of active TB each year. HPEPH’s Public Health Nurses (PHNs) also provide services to identify, manage, treat and support approximately 49 cases of latent tuberculosis infection per year (based on a five-year average). In 2022, HPEPH’s PHNs received 66 newly reported latent tuberculosis infections (LTBI). Many of these individuals were assessed for LTBI, counselled and offered publicly funded TB preventative treatment as applicable at our TB Clinic in collaboration with our partnered Respirologist.

Local Reporting of TB and Case Follow-up:

As a reminder to our Health Care Partners, diagnoses of TB infection and/or disease must be reported to Public Health under the Health Protection and Promotion Act. This includes:

  • All patients with clinical suspected and lab confirmed cases of TB disease (pulmonary and extra-pulmonary)
  • All patients with LTBI, indicated by a positive tuberculin skin test (TST) or IGRA result, regardless of persons BCG history or plans for preventative therapy/prophylaxis

Important: If you think your patient may have active TB, please call our Communicable Disease intake line 613-966-5500, ext. 349. If you have a patient with positive TST or IGRA result please use our Positive TST Reporting Form. All persons with a positive TST and/or IGRA result should be assessed and counselled for latent TB infection by a health care provider knowledgeable in tuberculosis. Public Health Nurses are able to refer these persons for consultation with a respirology/tuberculosis specialist.

Additional Tuberculosis Information:

TB screening in long-term care homes and retirement homes

Each resident admitted to a long-term care or retirement home must undergo a medical history and physical exam by a physician or nurse practitioner within 90 days prior to admission or 14 days after admission. This assessment should include a symptom review for respiratory TB. A TB skin test is no longer a mandatory requirement. For additional information review our Recommendations for TB screening in LTC and RH Homes.

COVID-19 Assessment Centre (CAC) closing - Belleville location

After three years of providing our region with COVID-19 PCR testing, the Belleville CAC will be closing their doors end of day Friday, March 24. Bancroft CAC will remain open at reduced capacity by appointment only. The CAC operated at North Hastings Hospital in Bancroft will continue to offer PCR testing to eligible individuals for the time being by appointment only. Review Quinte Health COVID-19 for additional information and to book an appointment online.

Persons who are eligible for PCR testing as per current COVID-19 Provincial Testing Guidelines may still receive a publicly funded PCR test for diagnostic purposes at their high-risk setting workplace or residence, or at select pharmacy locations. Additional information on testing locations can be online or by phoning your local pharmacy.

Ontario Health has provided an option for rapid based molecular testing through the ID NOW program. ID NOW has been implemented as an effort to:

  • ensure timely and equitable access to therapeutics to all eligible patients
  • improve timely access to COVID-19 test results in northern, rural, remote and Indigenous communities

Additional information on the ID NOW program is available online. Health care providers interested in an assessment of their site’s eligibility for ID NOW should email: covid19testing@ontariohealth.ca

Long-term care, retirement homes, congregate living settings and hospice specimens

Quinte Health will remain as a drop off option for specimens from LTC, RH, CLS and Hospice to be transported via courier to the Public Health Laboratory.

Instructions for specimen collection and drop off at:

Belleville General Hospital:

  • Collect swab and complete full public health requisition with all patient information including full demographic information with health card number and version code and correct address. Results are only accessible through the online portal if this information is valid, updated, and correct.
  • Place swab in refrigerator if not dropping off right away.
  • Transport swabs in a cooler to Belleville hospital and either drop off at patient registration in the ER. You will not need to leave your cooler, you will be able to just drop off your swabs. Swabs will be transported to the public health lab on the next courier and results will be available on the portal approximately 48-72 hours after swab drop off.
  • Results will not be accessible to Quinte Health staff. If you have issues receiving your results, please call the Public Health Lab Customer Service at 1-877-604-4567.

For Hospice COVID-19 Swabs:

  • Please call Delia Frijters at 613-966-1319, ext. 2289 to arrange the swab.
  • Drop off swab at Belleville hospital according to above procedure.

Prince Edward County Memorial Hospital

  • No change - Follow collection procedure as above and deliver to Picton Hospital Lab for transport to Public Health Lab via Belleville Hospital courier

Trenton Memorial Hospital

  • Specimen drop off is not available at this location.

North Hastings Hospital (Bancroft)

  • No change - Follow collection procedure as above and deliver to Bancroft Hospital Lab for transport to Public Health Lab via Hospital courier

UPDATE: COVID-19 measures in long-term care homes

Beginning March 31, Ontario is taking a phased approach to updating COVID-19 measures for people living in, working in or visiting long-term care (LTC) homes. The first phase will include the following changes:

  • Testing of staff, caregivers and visitors who don’t show symptoms (asymptomatic) is no longer required.
  • Masking outdoors is no longer recommended for residents, caregivers and visitors, although wearing a mask outdoors continues to be recommended for staff when they are close to a resident.
  • Daily temperature checks or screening of residents returning from an absence is no longer required.
  • While passive screening requirements for staff, visitors and caregivers continue, the active screening recommendation for visitors and caregivers has been removed.
  • Removing the limit of one caregiver at a time during a COVID-19 outbreak, or when a resident is symptomatic or isolating.
  • Social and physical activities can be held without adjusting for physical distancing.
  • LTC homes that have retained their proof-of-vaccination requirements are strongly recommended to revisit their policies and, while continuing to promote the uptake of boosters, consider permitting entry to visitors and qualified staff, regardless of vaccination status.

Additional information is available in the News Release and the following Updated Guidance Documents:

Current information on COVID-19 specifically for health care providers can be found at hpePublicHealth.ca, Ontario Ministry of Health, and at publichealthontario.ca.

Cluster of varicella cases at Loyalist College

HPEPH and Loyalist Student Health Centre are currently managing a cluster of confirmed and probable cases of varicella (chickenpox) in the Loyalist student population. Faculty and students at Loyalist College have been alerted to the potential exposures. Education has been provided on signs and symptoms of varicella to be aware of, when to to seek medical attention and to update varicella vaccination if susceptible. HPEPH is planning to offer on-site vaccine clinics next week to susceptible individuals who meet publicly funded vaccine eligibility and/or are deemed as susceptible contacts of cases.

We are requesting our health care partners be on alert when assessing patients with varicella compatible signs and symptoms who may have had contact with recent cases.

The following individuals would be considered at risk of developing chickenpox:

  • Individuals without two documented doses of varicella-containing vaccine;
  • No history of lab-confirmed varicella infection;
  • Individuals without laboratory evidence of immunity
  • No self-reported history or health care provider diagnosis of chickenpox

If a person is susceptible and has a significant exposure to chickenpox, signs and symptoms of illness can develop up to 21 days after last exposure. Receiving chickenpox vaccine up to five days after exposure can help prevent chickenpox infection or reduce how severe symptoms are.

As a reminder, confirmed cases of varicella are reportable to Public Health under the Health Protection and Promotion Act for case and contact management. Clinically diagnosed cases without lab confirmation, hospitalization or death are reported as aggregate counts.

For additional information on varicella please review:

NEW PROGRAM: The Nurse Family Partnership® (NFP)

The Healthy Families team at Hastings Prince Edward Public Health (HPEPH) is proud to announce the launch of a new home-visiting program called the Nurse-Family Partnership® (NFP). NFP is a free, voluntary program delivered by a public health nurse who will support young, first-time mothers starting in pregnancy until their child turns two years old. NFP is an evidence-based program that has been rigorously evaluated over the last 40 years and demonstrates significant positive outcomes for program graduates.

The referral process is simple, quick and easy (see referral information below). With each prenatal referral we receive, it gives your patient the chance to benefit from additional support that will result in better health outcomes for both the parent and child. Together, we can change lives.

The three main goals of the program are:

  1. Improve pregnancy outcomes
  2. Improve infant/child health and development
  3. Improve the economic self-sufficiency of the family

A Snapshot of RCT NFP Program Outcomes (not an exclusive list):

  • 67% less likely to experience behavioural and intellectual problems by age six
  • 48% reduction in child abuse and neglect
  • 82% increase in maternal months employed
  • 79% reduction in preterm delivery among women who smoke cigarettes
  • 72% fewer convictions of mothers (measured when the child is 15 years of age)
  • 35% fewer cases of pregnancy-induced hypertension
  • 31% reduction in closely spaced (<6 months) subsequent pregnancies
  • 18% fewer preterm births.

Who can participate in the NFP Program?

NFP participants must be:

  • 24 years of age or younger
  • Less than 28 weeks pregnant
  • Preparing to parent for the first time
  • Experiencing financial hardship and/or limited resources
  • Living in Hastings and Prince Edward Counties

Those who are referred for prenatal support and are not eligible for NFP may be enrolled in our other home-visiting program, Healthy Babies Healthy Children.

How to refer

We’ve worked hard to make our referral process quick and easy for you. There is now one universal form that includes all Healthy Families programs. Once a referral is submitted, a nurse will contact your patient and will determine their eligibility and offer enrolment in the appropriate program. To make a referral, simply fill out the Healthy Families Referral Form here or download a PDF version that will support embedding a convenient form into your EMR.

Promotion material for Home Visiting Programs

If you’re interested in printing a poster and/or rack cards for your office, you can do so by simply downloading the printable files on our website. As part of the promotional launch for this program, we are offering a one-time physical mail out for posters and rack cards as per request. To submit a request for your mail out, please send your contact information and mailing address to this email: FHFax1@hpeph.ca

Contact Information: 

To report communicable diseases:613-966-5500 x349

To report AEFI or DOPHS: Online / Fax: 613-966-1813 or CDCFAX1@hpeph.ca


Hastings Prince Edward Public Health is situated and provides services on the traditional territory of the Anishinaabe, Huron-Wendat and Haudenosaunee people.


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