Hastings Prince Edward Public Health Online Bulletin for Health Care Providers June 30, 2021 From: Dr. Piotr Oglaza Medical Officer of Health Hastings Prince Edward Public Health | COVID-19 Vaccine News & Updates | Local COVID-19 Vaccine Coverage Update As of June 28, 2021, 75% of Hastings Prince Edward (HPE) residents over the age of 12 (or 112,366 individuals) have received their first dose of COVID-19 vaccine. Currently, 28% of area residents (42,255 individuals) have received their second dose. | Primary Care Access to COVID-19 Vaccine Reports Beginning mid-July 2021, primary care providers who are part of a patient enrollment model (PEM) will be provided with an online tool to help identify patients in their practice that have received a COVID-19 vaccine, including vaccine type/brand and date(s) received. A ONE® ID account is required to access the report. Applicable PEMs include FHO, FHG, FHN, or CCM. To ensure you have access to these reports when they become available: - Ensure your ONE® ID account is set up:
- Once the online tool is up and running, use it to proactively identify and reach out to patients who may need your help in getting a COVID-19 vaccine.
Questions regarding access to the upcoming Primary Care Vaccination Reports can be submitted to: OHQO_PrimaryCare@ontariohealth.ca | Out of Province/Country COVID-19 Vaccine Reporting Individuals who received their first dose of COVID-19 vaccination in a different province/out of Canada, or received a second dose out of province/Country, can now submit COVID-19 immunization records for out of Ontario vaccination through HPEPH’S COVID-19 Immunization Records for Out of Ontario Vaccination online form. This process will ensure their vaccinations are appropriately documented in COVAX and they can register for their second dose if applicable. | Vaccine interchangeability: Second Dose Guidance for Mixed mRNA Schedules On June 17, 2021, the National Advisory Committee on Immunization (NACI) released updated guidance on first and second doses of COVID-19 vaccines authorized for use in Canada. NACI recommends the following: - If mRNA COVID-19 vaccine received for first dose
- If available, the same mRNA COVID-19 vaccine product should be offered for the second dose in a vaccine series. When the same mRNA COVID-19 vaccine product is not readily available another mRNA COVID-19 vaccine product recommended for use in that age group should be offered to complete the vaccine series (current guidance does not require further doses).
- If viral vector AstraZeneca/COVISHIELD COVID-19 vaccine received for first dose
- NACI now recommends that the second dose be an mRNA COVID-19 vaccine to complete the series. This recommendation is based on emerging evidence of a potentially increased immune response from this mixed vaccine schedule and to lower the potential risk of Vaccine-Induced Immune Thrombotic Thrombocytopenia (VITT) associated with viral vector vaccines.
- Individuals may still prefer and opt to complete their vaccine series with AstraZeneca, if available.
Note: Individuals who received two doses of AstraZeneca COVID-19 vaccine are considered protected, and do not need to restart the vaccine series with another product. In order to ensure optimal protection as soon as possible, healthcare providers should continue to encourage all patients to get a second dose of COVID-19 vaccine as soon as they become eligible. Related Resources: | Continued Acceleration of Second COVID-19 Vaccine Doses As of Monday June 28, 2021, all remaining Ontarians who have received their first dose became eligible to book an accelerated second dose appointment, respecting the recommended intervals. The current minimum intervals for vaccine booking are 28 days if PfizerBioNTech/Moderna was received for first dose and minimum 8 weeks if Oxford-AstraZeneca COVISHIELD was received as first dose. Note: As per current provincial guidance, all individuals ages 12-17 must have minimum vaccine interval of 8 weeks between doses. Additional vaccine eligibility and booking information can be found on HPEPH’s COVID-19 Vaccine Booking and Eligibility web page. | Walk-in Vaccine Clinics for Youth Ages 12-17 Years HPE youth ages 12-17 can now walk in to HPEPH community clinics in Picton, Bancroft and Belleville (Loyalist College only) to receive their first dose of COVID-19 vaccine. No appointments necessary. Clinics that are accepting walk in appointments are listed at hpePublicHealth.ca/vaccine-booking/ | Professional Development Opportunity | Back-to-School Psychological Considerations Queen’s University is hosting an online learning series for healthcare professionals and educators to support children and youth with adjusting to a “new normal” in the fall as in-person classes are expected to resume. Series schedule and topics: - Thursday, August 26, 4:00 PM - 5:30 PM EST - Return to Classroom: Challenges and considerations
- Wednesday, September 1 - 4:00 PM - 5:30 PM EST - ADHD diagnosis in the landscape of COVID
- Thursday, September 9 - 4:00 PM - 5:30 PM EST - Supporting children, adolescents, and young adults as they resume the "new normal"
For more information and registration, please visit https://healthsci.queensu.ca/opdes/programs/backtoschool. | COVID-19 News, Resources & Guidance Document Updates | New & Updated COVID-19 Vaccine Resources and Guidance Documents - COVID-19 Vaccine Administration Errors and Deviations Guidance: This guidance document is intended to assist healthcare providers by providing them with suggested actions to take after an inadvertent immunization error has occurred to support consistent and optimal management of these incidents. (June 23, 2021)
- Reports of myocarditis/pericarditis after COVID-19 vaccination FAQ for health-care providers (source: Sick Kids)
- Pfizer BioNTech and Moderna COVID-19 Vaccine Administration documents. (Updated June 18, 2021)
- Vaccine Storage and Handling Guidance Document (V6.1, Updated June 24, 2021) includes updated guidance for:
- AstraZeneca and COVISHIELD vaccines including accessing additional doses and the transport of these vaccines
- vaccine vial and packaging disposal (including marking/tearing vial labels after use/product viability)
- corrected information about the storage of Moderna vaccine
- Vaccine Clinical Advisory Group’s Recommendations on Exceptions to Extended Dose Intervals for COVID-19 Vaccines document. Updates include information for individuals about to experience imminent immunosuppression due to specific treatment or therapy. (Updated June 21, 2021)
- COVID-19 Vaccine Information Sheet and COVID-19 Vaccine Information Sheet for Youth (Age 12-17). Both documents include new information on myocarditis and pericarditis following vaccination. (Updated June 22, 2021)
- Vaccination in Pregnancy & Breastfeeding Patient Decision-Making Tool (Updated June 22, 2021)
- Vaccine Hesitancy Resources for Healthcare Providers including the CARD (Comfort, Ask, Relax, Distract) system
- Vaccinated Against COVID-19? What Does it Mean to Me?: a new infographic created by the Public Health Agency of Canada. Please note – Provincial regulations about mask use, distancing, etc. continue to remain in effect until updated.
- The Ministry of Health has several patient-facing documents available in a range of languages on their website.
| HPEPH is offering services by appointment only. We remain dedicated to protecting our community by providing local HCPs and community members with new information as it becomes available. Current information on COVID-19 specifically for health care providers can be found at hpePublicHealth.ca, Ontario Ministry of Health and at publichealthontario.ca. | | Contact Information: To give us your comments: hart.sara@hpeph.ca To report communicable diseases:613-966-5500 x349 To report AEFI or DOPHS: Online / Fax: 613-966-1813 or CDCFAX1@hpeph.ca You have received this email at from Hastings Prince Edward Public Health as a result of a request you have made or due to a service/subscription that you are registered for. While you may discontinue your subscription to this mailing at any time by pressing the unsubscribe button below, please note that this bulletin will be used to provide important updates about infectious and communicable disease. | | | | |