Coronavirus: Middlesex-London health unit plans to go yellow – London

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After reporting nearly 100 cases in four days, the Middlesex-London Health Unit’s medical officer of health expects the province to reclassify the region soon under its new COVID-19 determination system.The region recorded its highest number of cases per day on Sunday with 37 new cases, breaking a record set just two days earlier on Friday of 27 cases. In addition, 13 cases were reported on Saturday and 20 on Monday.

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“I certainly anticipate the province will take a close look at our numbers and it’s hard to see how the counted case we have would not qualify for the (yellow) protection level,” Dr. Chris Mackie said Monday.

“But again, it’s a decision that comes up on a weekly basis at this point, not on a daily basis. So, something would likely go into effect later this week or maybe the weekend, but we also don’t know for sure.

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The decision is based, in part, on five different epidemiological criteria:

  • The incidence rate, which corresponds to the number of people infected per 100,000 inhabitants;
  • Positivity rate, i.e. the number of tests that come back positive;
  • The reproduction number, which Mackie described as “how do your cases this week compare to your cases last week?”;
  • The number and severity of COVID-19 outbreaks;
  • The level of community transmission, which refers to cases where the source of infection is undetermined.

However, it is not clear exactly what data the province is looking at and when.

“If you were using data a week old, you would have missed out on all those record days. But if you are able to use the most recent data, then it becomes clear that we are in a fairly high level of propagation compared to where we were two weeks ago, ”he said.

“From our perspective, we meet the criteria and we expect the province to do this later.”

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Mackie added that there was no “clear picture of a single point of case in the community. ”

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“These really come from across the community: taxi drivers, restaurant workers, people who do Uber, long-haul truckers, anyone with significant public exposure or travel risk generally seems at higher risk. “, did he declare.

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“But beyond that, roughly a third of the cases are among those where family members have tested positive – (it’s) very difficult to stop the spread of this disease in a home. The other source, we have about a third of the cases that are unexplained, it’s approximate and obviously changing from day to day. All this to say that it is something that is very widely distributed.

If London and Middlesex County were upgraded to the yellow or provincial protection level, the region would see “enhanced measures” in addition to the standard measures in place across the province, which include limits on the size of gatherings and requirements. for the use of face coverings, for example.


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The strengthened measures would include requiring restaurants and bars to close before midnight, requiring contact details of all seated customers, limiting the volume of music so that it is not louder than the volume of a conversation and other measures.

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Measures for sports and recreation include increasing the space between people to 3 meters “for areas of a sports or recreational facility where there are weights / weight machines and exercise classes / fitness ”, and the limitation of leisure programs to 10 people per room indoors and 25 outdoors. The measures are quite similar to an order under section 22 that the health unit issued in late October.

Full details of the new multi-tiered framework for the province can be viewed online.

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Mackie added on Monday that he did not plan “at this point” to issue additional orders locally.

“We have a framework that will be very useful, I think, across the province. (There are) unanswered questions about the exact impact of the framework over the long term, but at this point I think it’s a really useful document and we’re definitely beside and behind this framework.

Mayor Ed Holder called on everyone to take the public health guidelines seriously, suggesting that much of the transmission occurs outside of workplaces and public spaces.

“All Londoners, regardless of their age, need to be careful. They have to follow the health protocols in these private residences, because it’s not just a young person’s problem, ”he said Monday.

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According to Holder, regulators have had nearly 3,000 interactions with individuals and businesses since the provincial decrees and a city masking by-law came into effect, but only two charges have been laid.

“It’s not because of a reluctance to issue fines or bring charges, we are way beyond the point of education. Rather, it’s because compliance has been exceptionally high and essentially universal, ”Holder said.

“Despite this, it is clear that too many people do not follow the rules and do not follow the health protocols when they are in private residences.”

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