Hastings Prince Edward Public Health
Online Bulletin for Health Care Providers

June 26, 2020

Dr. Alexa Caturay
Acting Medical Officer of Health
Hastings Prince Edward Public Health

MOHLTC: COVID-19 Health Sector Guidance Documents

The Ministry of Health continues to provide updated COVID-19 guidance that is tailored to various health care services including, but not limited to, Primary Care Providers, Pharmacies, Long-term Care Homes and Acute Care Settings. It is important to stay up to date with the most recent Health Sector Resources, so we ask that you continue to check the Ministry website regularly for updates that are applicable to your health care setting.

Most recently, the Ministry has released updated guidance for Testing and Clearance of patients, with updates to management and clearance of asymptomatic cases and work self-isolation in non-health care settings. Additional updates have been released this week for Management of Cases and Contacts of COVID-19 and guidance for Community Pharmacies and Independent Health Facilities.


HPE Public Health Service Reopening

In alignment with the province’s phased approach to re-open services, we are gradually resuming in-person services. For a complete listing of services available at this time, please visit the COVID-19 Response Service Interruptions page on our website.


Immunization Services

We strongly encourage local Health Care Providers to continue/resume offering immunizations within their practice settings, especially childhood immunizations, to promote adherence to the Ontario Immunization Schedule and continuity of individual and community health protection from vaccine preventable diseases.

If your practice setting is unable to offer childhood immunizations at this time, patients under the age of 18 years old can be referred to HPE Public Health to make an appointment for one of our Immunization Clinics. Appointments are available two days a week and can be scheduled by calling 613-966-5500/1-800-267-2803, ext. 221.


Grade 7 Immunization Update

HPEPH provides immunizations to grade 7 students attending schools in the region for three vaccine preventable diseases:

  1. Meningococcal-C-ACYW (Menactra)
  2. Hepatitis B
  3. Human Papillomavirus (HPV)

Each year, two clinics are held at each school, to accommodate the two-dose schedule of immunizations for Hepatitis B and HPV. The first clinics occur in the fall/winter followed by second clinics in the spring.

HPEPH was unable to provide spring clinics this year, due to COVID-19 related school closures. Therefore, students missed receiving their second doses of Hepatitis B and HPV vaccines. Students who were absent for fall/winter clinics also missed the Meningococcal-C-ACYW vaccine.

Please note: An interruption/delay in the completion of a multi-dose vaccination series does not require the series be restarted. While optimal protection against these diseases may not be obtained until the vaccination series are completed, delays between doses do not result in a reduction of the final level of protection.


Options for Students to Receive Missed Immunizations

HPEPH nurses are calling students who consented to the Grade 7 Immunization Program to offer the following three options:

1. Book an appointment at the HPEPH’s Immunization Clinic

2. Book an appointment with their healthcare provider

HCP offices can order these vaccines online or via fax for students who were in Grade 7 during the 2019-2020 school year (born in 2007).

Parents/students are required to report all immunizations back to HPEPH for accountability purposes, thereby decreasing the chance of repeat immunizations. Please encourage your patients to do so by referring them to one of our reporting options.


See the table below that outlines the adequate spacing between doses:

Immunization (Brand Name)

Number of Doses Needed


Required for School Attendance?

Meningococcal-C-ACYW (Menactra)

One dose (full vial, 0.5mL)

Grade 7 (age 12)


Hepatitis B
(Engerix Adult)

Two 1mL doses
(Adult dose)

24 weeks apart
(when given between ages 11-15)


Human Papillomavirus (Gardasil 9)

Two doses (full vial, 0.5mL per dose)*

24 weeks apart
(when first dose is given before age 15)


 *three doses of HPV vaccine are advised (given at zero, two and six months) if a student is immunocompromised


3. School Immunization Clinics 

If feasible, 2019-2020 grade 7 students will be provided an opportunity to receive missed doses when the Health Unit returns to their school during the next school year. We encourage parents and students to seek these immunizations sooner to reduce delays in completing these immunization series, as it is uncertain how schools will be functioning in the fall of 2020 and thus we can not guarantee further interruptions will not occur.

Reminder - Public Health Teleconference for Primary Care Professionals

Dr. Alexa Caturay, Acting Medical Officer of Health, will be holding another teleconference for Primary Care Professionals on Thursday July 2, 11:30 am – 12:00 pm. These teleconferences provide Public Health Updates specifically for Family Physicians and Nurse Practitioners in Hastings and Prince Edward region.

Topics being discussed during this teleconference include resuming in-person services, PPE and Infection Prevention and Control (IPAC) in offices.

To join the teleconference: Dial 1-855-453-6962, Conference ID: 6292448#.

You are welcome to send us your questions in advance using this survey or ask us live on the day of teleconference. Thank you in advance for your participation and feedback.


HPEPH is gradually reopening to the public and are presently 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: kkhani@hpeph.ca

To report communicable diseases:613-966-5500 x349

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

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