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EMErging infEC TiOUs rEsPiraTOry DisEasE rOaDMaPiniTiaL HEaLTH sysTEM rEsPOnsE aC TiOns TO a nOvEL infEC TiOUs rEsPiraTOry DisEasE
Before a case is officially confirmed 1–2 hours after confirmation 24 hours after confirmation 48 hours after confirmation
Heal
th ca
re p
rovi
der (
HCP)
/ he
alth
orga
niza
tion
No
Publ
ic He
alth
Uni
t (PH
U)M
inist
ry Em
erge
ncy O
pera
tions
Cent
re (M
EOC)
Publ
ic He
alth
Ont
ario
(PHO
)
No
Yes
No
Yes
review scientific & technical information
Min
istry
of H
ealth
and
Long
-Term
Care
(MOH
LTC)
CMOH – Chief Medical Officer of HealthESD – Enhanced Surveillance DirectiveHLOs – Health Liaison Organizations
(e.g., health system associations, unions and regulatory bodies; LHINs)
IPAC & OHS – infection prevention & control and occupational health & safety
LHIN – Local Health Integration NetworkMOL – Ministry of LabourOFMEM – Office of the Fire Marshal and
Emergency Management
OMAF – Ministry of Agriculture and FoodPHA – Public Health AlertPHAC – Public Health Agency of CanadaPHOL – Public Health Ontario LaboratoryPUI – person under investigationNML – National Microbiology Laboratory
Health coordination teleconference
Health coordination teleconference
Health coordination teleconference
Conduct case & contact management as per MOHLTC recommendations
Start END
NML confirmation?
END – notify HCP,
PHU, MOHLTC
END – notify HCP,
PHU, MOHLTC
Coordinate health system
communications
Send MOHLTC and CMOH statements
to PHUs
Conduct PHU teleconference
Conduct health stakeholder
teleconference
Send MOHLTC and CMOH statements
to HLOs
Conduct media technical briefing
Conduct MOHLTC press conference
Coordinate public
communications
Report case data to PHAC
Activate MEOC
Notify PHAC, OFMEM, MOL,
and OMAFRevise MOHLTC website materials as required
Implement communication strategy
Implement communication strategy
Implement communication strategy
Report case & contact data as per
ESD and/or PHA
General actions
Legend
2014-03-28
Health coordination group
Public communication activities
Health system communication activities
Public & health system communication activities
Health coordination teleconference
•HCP • Health
organization•PHU• LHIN•MEOC•PHAC •MOL •OMAF
Send samples to PHOL for testing as per MOHLTC
recommendations
Notify PHU
Notify HCP
Notify PHU
Notify CMOH
Notify CMOH
Notify PHU
Notify HCP
Update recommendations,
as needed
Respond to scientific & technical questions
Issue ESD and/or PHA
Yes
Patient meets PUI definition?
PHOL confirmation?
Issue MOHLTC & CMOH statements
Publish MOHLTC website materials
Implement IPAC & OHS measures and treat case as per MOHLTC recommendations
Collaborate with PHU on case & contact management
Health coordination teleconference
Health coordination teleconference
Health coordination teleconference
Min
istry
of H
ealth
and
Long
-Term
Care
(MOH
LTC)
Min
istry
Emer
genc
y Ope
ratio
ns Ce
ntre
(MEO
C)
Conduct case & contact management as per MOHLTC recommendations
Publ
ic He
alth
Ont
ario
(PHO
)Pu
blic
Heal
th U
nit (
PHU)
Before a case is officially confirmed 1–2 hours after confirmation 24 hours after confirmation 48 hours after confirmation
Start ENDNo
No
Yes
NML confirmation?
END – notify HCP,
PHU, MOHLTC
END – notify HCP,
PHU, MOHLTC
Coordinate health system
communications
Send MOHLTC and CMOH statements
to PHUs
Conduct PHU teleconference
Conduct health stakeholder
teleconference
Send MOHLTC and CMOH statements
to HLOs
Conduct media technical briefing
Conduct MOHLTC press conference
Coordinate public
communications
Report case data to PHAC
Activate MEOC
Notify PHAC, OFMEM, MOL,
and OMAFRevise MOHLTC website materials as required
Implement communication strategy
Implement communication strategy
Implement communication strategy
Report case & contact data as per
ESD and/or PHA
No
Yes
General actions
Legend
2014-03-28
Health coordination group
Public communication activities
Health system communication activities
Public & health system communication activities
Health coordination teleconference
•HCP •Health
organization•PHU• LHIN•MEOC•PHAC •MOL •OMAF
Send samples to PHOL for testing as per MOHLTC
recommendations
Notify PHU
Notify HCP
Notify PHU
Notify CMOH
Notify CMOH
Notify PHU
Notify HCP
Update recommendations,
as needed
Respond to scientific & technical questions
Issue ESD and/or PHA
review scientific & technical information
Yes
Patient meets PUI definition?
PHOL confirmation?
Heal
th ca
re p
rovi
der (
HCP)
/ he
alth
orga
niza
tion
Issue MOHLTC & CMOH statements
CMOH – Chief Medical Officer of HealthESD – Enhanced Surveillance DirectiveHLOs – Health Liaison Organizations
(e.g., health system associations, unions and regulatory bodies; LHINs)
IPAC & OHS – infection prevention & control and occupational health & safety
LHIN – Local Health Integration NetworkMOL – Ministry of LabourOFMEM – Office of the Fire Marshal and
Emergency Management
OMAF – Ministry of Agriculture and FoodPHA – Public Health AlertPHAC – Public Health Agency of CanadaPHOL – Public Health Ontario LaboratoryPUI – person under investigationNML – National Microbiology Laboratory
Publish MOHLTC website materials
Implement IPAC & OHS measures and treat case as per MOHLTC recommendations
Collaborate with PHU on case & contact management
