30 March 2020 – Directive issued for health care providers, replacing March 12 directive

Type of Intervention: Advisory, Regulation
Sectors Involved: Health
Level of Jurisdiction: Ontario
Lead People/Agency: Ontario Ministry of Health and Long-Term Care, Chief Medical Officer of Health Dr. David Williams

Overview: Directive provided for health care providers and health care entities by the Chief Medical Officer of Health for Ontario (“COVID-19 Directive #1 for Health Care Providers and Health Care Entities”) was issued under Section 77.7 of the Health Protection and Promotion Act (HPPA). Intends to inform health care providers and entities on the province’s required precautions they must take. Includes: point of care assessments prior to patient interaction, contact and droplet precautions with all suspected, presumed, or confirmed cases, airborne precautions when partaking in aerosol-generating medical procedures for patients with suspected or confirmed COVID-19. Requires providers and entities to review and adopt updated (March 25, 2020) “Infection Prevention and Control Recommendations for Use of Personal Protective Equipment for Care of Individuals with Suspect or Confirmed COVID-19”.
Full details here: http://www.health.gov.on.ca/en/pro/programs/publichealth/coronavirus/docs/directives/health_care_providers_HPPA.pdf

Other links: 1
Type of Justification: Advice of INTERNAL government advisory committee or group, Advice of EXTERNAL expert advisor or advisory committee
Source of Evidence or Justification: World Health Organisation, Sub-national, provincial governmental organization (Public Health Ontario)
Evidence/Justification: Cites WHO’s declaration of COVID-19 as a pandemic virus (March 11, 2020), “specific scientific recommendations by WHO on infection prevention and control measures for COVID-19”, and “technical guidance” by Public Health Ontario (March 10, 2020).
Policy developed with regard to recommendations provided by Public Health Ontario and the WHO on droplet and contact spread, need to provide adequate supply of PPE to ensure worker health and safety during medical procedures where COVID-19 may become airborne, ensuring adequate supply of PPE for the duration of COVID-19.