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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.
•
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
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
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
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
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