Lyme Disease in KFLA: Health Care Professional

Communication Strategy Dr Kieran Moore MD FCFP(EM) DTM&H MPH FRCPC, Associate

Medical Officer of Health

Objectives

• Quickly describe the incidence of Lyme disease in SE Ontario-Frame the discussion

• Describe some of the key contents of communication strategy with health care professionals

• Describe the methods of the strategy • Describe how we need to be persistent and

consistent and evaluate effectiveness

Faculty/Presenter Disclosure

• Faculty: Dr Kieran Michael Moore

• Relationships with commercial interests: – Grants/Research Support: Government, Peer reviewed – Speakers Bureau/Honoraria: None – Consulting Fees: Government – Other: Salaried Employee of KFLA Public Health

Disclosure of Commercial Support • This program has received financial support from KFLA Public Health in

the form of salary support • This program has received in-kind support from no other organisation.

• Potential for conflict(s) of interest: I am presenting on the

KFLA Action Plan on Lyme Disease based on the PHAC Action Plan. I am not supporting any commercial product.

•

KFLA: Where is it?

Lyme Disease: Why an Action Plan Incidence of Lyme Disease (confirmed and probables) in the Kingston, Frontenac,

Lennox and Addington region and Ontario, 2006-2015

EPIDEMIOLOGICAL DATA: BI-WEEKLY REPORTS/NEWSLETTERS

Key Messages

• KFL&A ( SE Ontario ) is a high-risk area for blacklegged ticks and Lyme disease

Ixodes Scapularis-Black Legged Tick

Expanding-5 cm or greater

Key Messages-REPORTABLE

• Erythema migrans is a clinical diagnosis and does not require laboratory evidence or recollection of a tick bite to initiate antibiotic treatment.7,11 Other presentations of Lyme disease are not sufficiently distinctive to allow diagnosis in the absence of laboratory evidence.11

Key Mesages

• Follow the IDSA Practice Guidelines of the Treatment of Lyme Disease. 11 An abbreviated adaptation of these guidelines is available in the Anti-infective Guidelines for Community-acquired Infections (“Orange Book”) by the Anti-infective Review Panel12

Key Mesages

• False-negative test results may occur when testing for Lyme disease is completed too early in the disease process. Diagnostic testing is appropriate for people who have a history of tick exposure and symptoms of early disseminated or late Lyme disease infection

Key Mesages • A partnership between KFL&A Public Health and the local Public Health Ontario Laboratory exists to provide assistance with interpretation of test results and consultation with a medical microbiologist

Prevention strategies: Landscaping

Knowledge Dissemination

• Attend Emergency and Family medicine Academic rounds annually

• Yearly community HCW conference • Infectious disease Physicians Conference • Healthy Directions newsletter • Bi weekly surveillance reports • Fax/Email through Ontario Medical

Association

What action have we taken?

• Basic education on ticks, pathogenicity • Algorithm for prophylaxis by primary care and

Emergency partners-education and dissemination-since 2011

• Consistent Education-to high risk, population based communication strategy-radio, print, TV

• Alert to Primary Care provider-consistent and persistent

• 24/7/365 on call for consultation

Knowledge Dissemination

• Link to Provincial resources: PHO • https://www.publichealthontario.ca/en/Brows

eByTopic/InfectiousDiseases/Pages/IDLandingPages/Lyme-Disease.aspx

Public Health Ontario

Canadian Family Physician Vol 58, May 2012

Review:Objectives

• Quickly describe the incidence of Lyme disease in SE Ontario-Frame the discussion

• Describe some of the key contents of communication strategy with health care professionals

• Describe the methods of the strategy • Describe how we need to be persistent and

consistent and evaluate effectiveness