**REGARDING 3RD DOSE – NEW INFORMATION AS OF SEPTEMBER 20TH FROM HALTON REGION PUBLIC HEALTH:

QUICK FACTS

  • Ontario has expanded eligibility for third doses of the COVID-19 vaccine to additional groups at highest risk
    of serious illness from the virus. The physician referral form for third doses will be updated today and can
    receive their third dose at a Community Clinic as of September 18, 2021. Third doses can also be received
    at participating pharmacies and primary care clinics.
  • Eligible people can receive their third dose at a recommended interval of eight weeks following their
    second dose (minimum 28 days), but should discuss the best timing with their specialist.
  • Ontario’s COVID-19 Guidance for Individuals Vaccinated outside of Ontario/Canada has been updated to
    allow one additional dose of an mRNA vaccine to people who received either a complete or incomplete
    dose of a COVID-19 vaccine not authorized for use by Health Canada.
  • Physicians can sign up their practices now to provide COVID-19 vaccines, even if they don’t wish to
    vaccinate immediately. This will avoid delay when you choose to start vaccinating once public health clinics
    are closed and more eligibility is announced. Email doctors@halton.ca to start the onboarding process.

ELIGIBLE POPULATIONS FOR THIRD DOSE OF COVID-19 VACCINE

  • Those undergoing active treatment for solid tumors;
  • Those who are in receipt of chimeric antigen receptor (CAR)-T-cell therapy;
  • Those with moderate/severe primary immunodeficiency (e.g., DiGeorge syndrome, Wiskott-Aldrich
    syndrome);
  • Stage 3 or advanced untreated HIV infection and those with acquired immunodeficiency syndrome;
  • Those undergoing active treatment with the following categories of immunosuppressive therapies: anti-B
    cell therapies (monoclonal antibodies targeting CD19, CD20 and CD22), high-dose systemic
    corticosteroids, alkylating agents, antimetabolites, or tumor-necrosis factor (TNF) inhibitors and other
    biologic agents that are significantly immunosuppressive;
  • Transplant recipients (including solid organ transplant and hematopoietic stem cell transplants);
  • Patients with hematological cancers (examples include lymphoma, myeloma, leukemia) on active treatment
    (chemotherapy, targeted therapies, immunotherapy);
  • Recipients of an anti-CD20 agent (e.g. rituximab, ocrelizumab, ofatumumab); and
  • Additionally, Halton Region’s mobile teams are providing third doses to residents of long-term care and
    high-risk retirement homes. The Province has identified the settings and not all retirement homes are
    eligible at this time.

VACCINE ELIGIBILITY FOR THOSE WHO RECEIVED COVID-19 VACCINE NOT AUTHORIZED BY
HEALTH CANADA

  • The province has updated guidance for Individuals who have received a complete one or two-dose series
    of a COVID-19 vaccine that is not authorized for use by Health Canada. These individuals should now be
    offered one additional dose of an mRNA vaccine.

    • Minimum interval between preceding dose and additional dose should be 28 days.
    • If the individual has already received three doses of a non-Health Canada authorized COVID-19
      vaccine at the appropriate interval, no additional doses should be offered at this time
  • Individuals who have proof of immunization and have received an incomplete series of a non-Health
    Canada authorized vaccine, should receive one additional dose of an mRNA vaccine.

    • Minimum interval between preceding dose and additional dose should be 28 days.
  • Residents who received COVID-19 vaccine outside of the Province can report this to Halton Region
    Public Health by going online and selecting the “Report an Out of Province Vaccination” tab.

**REGARDING 2ND DOSE – NEW INFORMATION AS OF JUNE 18TH – FROM THE HALTON WEBSITE:

 

More ways to get vaccinated!

It remains critically important for everyone 12+ to get vaccinated with two doses of the COVID-19 vaccine as soon as possible. This is key to protecting you, your family and our community…and getting back to normal.

There are many ways to get your first or second dose of COVID-19 vaccine:

Halton accelerating second doses for more residents starting today!

Starting Monday, June 28, all residents who have received their first dose of COVID-19 vaccine will be able to reschedule to receive their second dose at an earlier date, at a minimum 28-day interval, through Halton’s online booking system. Also starting Monday, anyone booking a first dose appointment will receive their second dose at a minimum 28-day interval. Individuals who received the AstraZeneca vaccine for their first dose will continue to receive their second dose at an interval of 8 weeks of more, as per Provincial direction.

To reschedule for an earlier appointment starting Monday, please select the “Reschedule your appointment” button at halton.ca/COVIDvaccines.

 

Starting Friday, June 18, individuals who received their first dose on or before May 30 will be able to reschedule their second dose appointment at a shortened interval through Halton’s online booking system.

While residents have the option to select their vaccine type at the time of booking, appointments are dependent on supply and Halton Region cannot guarantee that the same vaccine received for the first dose will be administered for the second dose. All Health Canada approved vaccines are safe to interchange and an effective option to gain protection from COVID-19 and variants of concern as soon as possible. Residents who have received the AstraZeneca vaccine will continue to be able to reschedule their second dose at an interval of eight weeks or more, as per Provincial direction.

If you are eligible to reschedule for an earlier appointment, please select the “Reschedule your appointment” button:

**New as of April 16, 2021)** Regarding: Attestation (exemption) forms to confirm vaccine eligibility not required.

 

The Ministry of Health has communicated to all 34 public health units that attestation forms and doctors’ notes are not required to confirm vaccine eligibility. This is in response to OMA advocating to the government that attestation forms and doctors’ notes to confirm eligibility (for example, to confirm eligible health condition) are a barrier to vaccination and an inappropriate use of health- care resources.

Only individuals who belong to groups listed below must complete an exception form (PDF file) with their primary health care provider prior to booking a vaccine appointment at Halton Healthcare.

Highest-Risk health conditions include:

– Organ transplant recipients

– Hematopoietic stem cell transplant recipients

– Haematological malignancy diagnosed <1 year

High-Risk health conditions include:

– Other treatments causing immunosuppression (e.g., chemotherapy, immunity- weakening medications)

Individuals who have an autoimmune condition or immunodeficiency condition and are receiving any of the following treatments must speak with their health care provider before getting the COVID-19 vaccine:

– stem cell therapy

– CAR-T therapy

– chemotherapy

– immune checkpoint inhibitors

– monoclonal antibodies (e.g., rituximab) and other targeted agents (e.g., CD4/6 inhibitors, PARP  inhibitors etc.)

For the most up to date information regarding COVID-19 vaccines in the Halton Region, please click the following link: Halton – COVID-19 Vaccines

WE DO NOT HAVE THE COVID-19 VACCINE IN THE OFFICE, WE CANNOT ADVISE PATIENTS ON WHICH VACCINE TO OBTAIN. WE RECOMMEND YOU OBTAIN THE FIRST VACCINE YOU ARE ELIGIBLE FOR. REFER TO THE HALTON PUBLIC HEALTH WEBSITE FOR DAILY UPDATES.

**If you are pregnant or breastfeeding and have questions regarding the COVID-19 vaccine, please click HERE

 

**UPDATE FROM HALTON’S PUBLIC HEALTH WEBSITE REGARDING VACCINATIONS FOR CHILDREN AGES 12-17 AS OF MAY 18**

Halton Region has updated its COVID-19 vaccination plan to align with the Province’s direction to expand eligibility and vaccinate youth 12 to 17 years of age by the end of August 2021.

Halton Region Public Health is working with local school boards on a youth vaccination program. Information on clinic locations and when the booking system will be updated to offer appointments for all 12 to 17 year olds will be shared as the details of the program are confirmed. The program will be dependent on vaccine supply.

To ensure alignment with the Province’s updated plan to vaccinate youth, Halton Region will be changing eligibility in the vaccination schedule to open appointments to all residents 18+ (instead of 16+ as originally planned) on Wednesday, May 19. Residents aged 12 to 17 will book their vaccine appointments through the youth vaccination program (those aged 16 and 17 who have already booked their first dose appointments rescheduled and will be contacted). Residents who are 18 years old and returning to high school in September 2021 are encouraged to get vaccinated through the youth vaccination program in order to receive their second dose by the end of August.

CURRENT ELIGIBILITY FOR HALTON  AS OF June 3, 2021

From the Halton Public Health Website

Who is currently eligible?

Please read the information below carefully. Halton Region Public Health is following the eligibility criteria outlined by the Province. Unless otherwise specified, individuals must be 18 years of age or older (born in or before 2003) to be eligible for vaccination at this time. You must be a part of an eligible group to be vaccinated. Booking an appointment does not guarantee that you will get a vaccine. Halton Region Public Health is unable to provide any exceptions. All appointments are dependent on vaccine supply.

  • Individuals with health conditions and one caregiver
  • Group 1 – Essential workers who cannot work from home (as identified by the Province)
  • All health care workers who live or work in Halton and cannot work from home
  • Adults receiving chronic home care (through a Local Health Integration Network or home care agency)
  • Adults 18+
  • Indigenous Peoples 12+ (including First Nations, Métis and Inuit populations, and household members)
  • Residents at long-term care and retirement homes
  • Staff and designated essential caregivers in all long-term care homes or regulated retirement homes
  • Staff, residents and designated essential care givers of eligible congregate care settings or assisted living facilities.
  • Youth 12 to 17

Who is eligible for a shortened dose interval?

On May 28, the Province announced plans to further accelerate second dose appointments(external link), starting with individuals 80+. Information on when additional groups will be eligible to reschedule second dose appointments, as directed by the Province(external link), will be announced as vaccine supplies are confirmed. Thank you for your patience as we work to implement this direction.

Based on provincial direction, the following groups are currently eligible to receive their second dose as early(external link) as 28 days after they received their first dose:

  • Halton residents 80 years of age and older
  • highest-priority health care workers(external link) (refer to “All health care workers who live or work in Halton and cannot work from home” above for more details)
  • all Indigenous Peoples (and household members)
  • designated essential caregivers of those living in seniors congregate settings
  • individuals with the following health conditions or treatments (your physician must complete a medical exemptions form(PDF file), or sign a letter indicating that you have one of the conditions listed and are eligible for a shortened interval):
    • Solid organ transplant recipients
    • Hematopoietic stem cell transplant recipients
    • Malignant hematologic disorders receiving active treatment (examples: chemotherapy, targeted therapies, immunotherapy), excluding individuals receiving solely hormonal therapy or radiation therapy
    • Malignant non-hematologic solid tumors receiving active treatment (examples: chemotherapy, targeted therapies, immunotherapy), excluding individuals receiving solely receiving solely hormonal therapy or radiation therapy
    • Individuals undergoing hemodialysis or peritoneal dialysis
    • Individuals receiving treatment with an anti-CD20 agent (examples: rituximab, ocrelizumab, ofatumumab)
  • If you already received your first dose and have a second dose appointment booked 16 weeks after the first dose, if eligible for a shortened interval you can reschedule your second dose appointment to a shorter interval through our online booking system (subject to appointment availability and vaccine supply). You may be able to book your second dose appointment through a participating pharmacy(external link), but should call ahead to confirm availability and eligibility.
  • If you are eligible for a shortened dose but received your first dose as part of a group receiving their second dose at a 16 week interval (for example, you are a paramedic and received your first dose as a Group 1- Essential Worker) you will need to reschedule your second dose appointment under a different eligibility group. This feature is not yet available, but is coming soon.

How to reschedule an appointment

To reschedule your second dose appointment online, you will require the email address that you used when you first booked your appointments. If you did not provide an email address at that time, please call 311 and someone will assist you.

  Reschedule your second dose appointment now
Use the latest version of Chrome, Safari, Firefox or Microsoft Edge (windows 10 only)

  1. Select the Reschedule your second dose appointment button above. This will open the Vaccine Appointment View/Reschedule/Cancel tool.
  2. Enter either:
    1. the 7-digit confirmation number you received when booking your appointment and your date of birth; or
    2. your date of birth, last name and postal code.
  3. Select the Next button. This will display the details of your active appointments, such as location, date, time and confirmation numbers.
  4. Scroll down to the Reschedule or cancel your appointments section, and click the Send me an invitation to reschedule or cancel my appointments button. This will send an email to the email address originally used to book your appointments. If you did not provide an email to schedule your appointments, please call 311 and provide an email to include with your appointment.
  5. Go to the email mailbox originally used to book the appointments. You should have received a message from Halton Region Public Health.
  6. Select the Manage my appointments button in the email. This will open the Manage Appointments screen giving you the option to select a new appointment date and time.
  7. Select the Reschedule Now button. Your new appointment is now booked and your previous appointment will be cancelled. Note: Your new appointment will not be booked until you select a new appointment date and time and click on the Reschedule Now button.
  8. You will receive an email confirming your new appointments.

Please note: Your existing appointment will not be cancelled until you select a new appointment location, date and time and then select the Finish button.

Parents of children aged 12-17 please click here to view a letter from the MOH detailing how to get your child vaccinated with both doses by August 2021

Clinics are by appointment only (please no walk-ins) and must be booked online through Halton Region’s
booking system at halton.ca/COVID19vaccines or by phone through 311 if assistance is required. Please do not
call clinic locations directly; bookings can only be made through Halton Region. Residents are reminded that parking is free at Oakville Trafalgar Memorial Hospital and Joseph Brant Hospital for those with scheduled appointments at these clinics

 

For Peel Region:

For Peel Region, the following groups are currently eligible to book appointments (New information as of April 30th is in BOLD):

  • Child care workers in the following groups are currently eligible to book a COVID-19 appointment:
    • Licensees, employees, and students (18 years or older) on an educational placement who interact directly with children in licensed child care centres, and in authorized recreation and skill building programs.
    • Licensed home child care and in-home service providers, employees of a home child care agency and students (18 years or older) on an educational placement who interact directly with children in a licensed home child care setting.

    In the coming weeks, eligibility will be expanded to child care workers in unlicensed child care settings in Ontario.

  • Residents who are 40 years or older can book an appointment for the AstraZeneca COVID-19 vaccine at select pharmacies across Peel
  • Residents 18 years or older that live in hot spot communities
  • Education workers in hot spot communities
  • Education staff supporting students with complex special needs
  • Adults 45 years or older living in hot spot communities
  • People with highest and high-risk health conditions
  • Adult recipients of home care
  • Active health care workers and health-affiliated workers
  • Adults 55 years or older
  • Indigenous adults: First Nations, Inuit, and Métis adults and their household members who are 18 years or older

**Please refer to the FULL LIST of CURRENT priority groups to confirm your eligibility and for specific booking instructions by clicking HERE

 

For further information regarding clinic locations and booking procedures in Halton and Peel, please see below.

 

**Important Information Regarding the AstraZeneca Vaccine** Halton Region Public Health is NOT part of the provincial AstraZeneca pilot for primary care or pharmacies.

 

Dear patients

We know you are hoping to get your COVID-19 vaccine as soon as possible and are seeking the latest information. Here is what we know now (March 12, 2021).

AstraZeneca Vaccine **updates in BOLD as of April 6th, 2021**
We have not received the AstraZeneca COVID vaccine in our clinic.  The Astra Zeneca vaccine is being offered only to people aged 55 and over as of the day of vaccination. Do not get this vaccine if you are under 55 years of age. It is available in pharmacies and some family doctors’ offices in certain health regions. We will let you know as soon as possible when the vaccine becomes available to us. Please do not call us to try to book an appointment or to enquire as to whether we have received the vaccine or not. We need to keep our phone lines free for patients with immediate medical needs.

Vaccines for patients over 80 (born in 1941 or earlier):
If you are 80 or older and do not live in a care home, your local public health unit will have details about vaccinations in your area.

Provincial online system
Eligible residents can now register for appointments starting on March 17.

For more information about COVID vaccines visit the Ministry of Health website: https://covid-19.ontario.ca/covid-19-vaccines-ontario

Please be assured that we will let you know if we have any vaccine and if you are eligible to receive it from us. Please take the first vaccine offered to you.

Regards

Lakeshore Medical Group

 

 

Halton Vaccination Locations:

LOCATION OF IMMUNIZATION CLINIC FOR OAKVILLE:   St. Volodymyr Cultural Centre, 1280 Dundas Street West, Oakville

LOCATION OF IMMUNIZATION CLINIC FOR BURLINGTON: Compass Point Bible Church, 1500 Kerns Road, Burlington

LOCATION OF IMMUNIZATION CLINIC FOR MILTON: FirstOntario Arts Centre Milton, 1010 Main Street East, Milton

LOCATION OF IMMUNIZATION CLINIC FOR GEORGETOWN: Gellert Community Centre, 10241 Eighth Line, Georgetown

 

Peel Vaccination Locations:

 

LOCATION OF IMMUNIZATION CLINIC FOR MISSISUAGUA: 7120 Hurontario Street, Mississauga

LOCATION OF IMMUNIZATION CLINIC FOR BRAMPTON: 10 Peel Centre Drive, Brampton

 

**Please Note** 

Additional community clinics in Brampton, Caledon and Mississauga will be launched between February and April. Locations include:

 

For more up-to-date information regarding which clinics have been opened, please click HERE

 

 

 

Answering Patient Questions about COVID-19 Vaccines

January 11, 2021

 Dear Patients,

2020 has brought such fear and changes to the way we live our lives. But as 2021 dawns, there is hope – vaccines are on their way.

As you all know, the first vaccines are being given to higher-risk people and healthcare workers. But we look forward to when you all will have access to the vaccine. We do not yet know the place or the timing and we will communicate this when we do.

Some questions have arisen that we wanted to answer at this stage – please see below, and you can find more detail here.

  • Appropriate steps taken – The vaccines were developed was so fast because it was a top priority for everyone in the field and billions of dollars from governments and companies around the world were spent on getting it developed. The scientific world cooperated in ways they had not before. The bureaucratic process was super-fast because of the importance of getting this
  • New technology – mRNA has been used for cancer treatments for upwards of 30 years, but this is the first vaccine using the There are two vaccines made this way (Pfizer and Moderna) and another one (Oxford) that is coming later is made with an older technology (like the effective Ebola vaccine). More information is available here.
  • Effectiveness – In clinical studies, very few people got COVID-19 within 12 days of getting the first dose of the Pfizer This result is similar to the Moderna vaccine, which is the other COVID-19 vaccine now approved for use in Canada.
  • Allergies – People with allergies to any of the ingredients in the vaccine should not receive We will discuss any serious allergies or other health conditions you may have before you receive the vaccine.
  • Pregnancy and children less than 16 years old – None of the vaccine trials included these populations, so at this time the vaccine is not recommended routinely for these groups

 

Pregnancy and children less than 16 years old (continued)

For pregnant or breastfeeding individuals who are at high risk of infection and/or morbidity from COVID-19, the various national societies for obstetricians have stated that “the documented risk of not getting the COVID-19 vaccine outweighs the theorized and undescribed risk of being vaccinated during pregnancy or while breastfeeding and vaccination should be offered.”

*****

Our office has remained accessible to you, by phone, by video or in person as it was deemed necessary. We thank you for your understanding as we help you in your health in these different ways.

Thank you all for what you have done to keep yourselves, your loved ones, and your communities safe. Thank you to those frontline workers who have faced fears and yet continued to provide the services that we have needed to function.

We look forward to when the vaccine allows us to return to a life that is more connected. In the meantime –

Wear a mask, keep your distance, wash your hands. AND be calm, be safe, be kind.

 

Warmly,

 

The Physicians and Staff of Lakeshore Medical Group