English: Dr. Kieran Moore

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  • 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

    Lyme Disease in KFLA: Health Care Professional Communication StrategyObjectivesFaculty/Presenter DisclosureDisclosure of Commercial SupportKFLA: Where is it?Lyme Disease: Why an Action PlanSlide Number 7Slide Number 8Slide Number 9Slide Number 10Epidemiological DATA: Bi-weekly reports/NewslettersSlide Number 12Slide Number 13Slide Number 14Key MessagesIxodes Scapularis-Black Legged TickSlide Number 17Slide Number 18Expanding-5 cm or greaterSlide Number 20Key Messages-REPORTABLEKey MesagesKey MesagesKey MesagesSlide Number 25Slide Number 26Prevention strategies: LandscapingSlide Number 28Slide Number 29Slide Number 30Slide Number 31Slide Number 32Knowledge DisseminationWhat action have we taken?Knowledge DisseminationPublic Health OntarioCanadian Family Physician Vol 58, May 2012Review:Objectives