This Version Posted: April 14, 2020
made pursuant to Section 22 (5.0.1) of the Health Protection and Promotion Act
Date: April 14, 2020
TO: All persons residing in or present in Haliburton County, City of Kawartha Lakes and Northumberland County who:
(a) are identified as a person diagnosed with COVID-19;
(b) have the signs and symptoms of COVID-19, have been tested for COVID-19 and are awaiting the results of their test;
(c) otherwise have reasonable grounds to believe they have symptoms of COVID-19; or
(d) are a close contact of a person identified in (a), (b) or (c).
I, Dr. A. Lynn Noseworthy, Medical Officer of Health for the Haliburton, Kawartha, Pine Ridge District Health Unit (HKPR District Health Unit), order you to take the following actions, effective 12:00 pm (noon) on April 14, 2020:
- Isolate yourself without delay in accordance with instructions provided by the HKPR District Health Unit. This includes remaining in your home or isolation facility. Do not go outside, unless on to a private balcony or enclosed yard where you can avoid close contact with others. You must not have any visitors into your home except as permitted by HKPR District Health Unit.
- Remain in isolation until the expiry of a 14-day period that begins on the day on which you first show symptoms, are tested, or are diagnosed with COVID-19, whichever is earliest, or on the last day of close contact, unless otherwise instructed by HKPR District Health Unit in accordance with the current Ministry of Health guidelines as amended: health.gov.on.ca/en/pro/programs/publichealth/coronavirus/docs/2019_testing_clearing_cases_guidance.pdf
- During the self-isolation period, conduct yourself in such a manner as not to expose another person to infection or potential infection from COVID-19 by following infection control instructions on the HKPR District Health Unit website, located at: hkpr.on.ca or given to you by the HKPR District Health Unit or any other staff of a healthcare facility to which you may seek or receive treatment.
- Keep away from vulnerable persons. Follow any further instructions provided by the HKPR District Health Unit pertaining to COVID- 19 and the terms and conditions of this Order. In particular, you should seek clinical assessment over the phone – either by calling your primary care provider’s office or Telehealth Ontario 1-866-797-0000. If you need additional assessment, your primary care provider or Telehealth Ontario will direct you to in-person care options.
- Seek prompt medical attention if your illness is worsening (e.g. difficulty breathing) by calling 911 and telling them of your COVID-19 related diagnosis or symptoms.
- The requirements of this Order are subject to necessary modifications for the following persons or class of persons:
- a person or class of persons who, in the opinion of the Medical Officer of Health is asymptomatic and provides an essential service, for the limited purpose of providing that essential service;
- a person receiving essential medical services or treatments, whether or not related to COVID-19; or
- where a person’s isolation, in the opinion of the HKPR District Health Unit, would not be in the public interest.
THE REASONS for this ORDER are that:
- COVID-19 has been designated as communicable under Ontario Regulation 135/18 as amended. COVID-19 has been declared a pandemic by the World Health Organization. The Province of Ontario, the City of Kawartha Lakes and Haliburton County have declared emergencies under the Emergency Management and Civil Protection Act as a result of the pandemic.
- COVID-19 is now present in Haliburton County, the City of Kawartha Lakes and Northumberland County and therefore poses a risk to the health of the residents through community transmission. The COVID-19 virus is spread from an infected person to a close contact by direct contact or when respiratory secretions from the infected person enter the eyes, nose or mouth of another person.
- To contain the spread of COVID-19, individuals experiencing symptoms consistent with COVID-19 or who are infected with COVID-19, as well as their close contacts, are required to isolate themselves from other people until they are no longer infectious or potentially infectious. Isolation ensures that these people will not spread their infection to others.
I am of the opinion, on reasonable and probable grounds that:
(a) a communicable disease exists or may exist or there is an immediate risk of an outbreak of a communicable disease in the health unit served by me;
(b) the communicable disease presents a risk to the health of persons in the health unit served by me; and
(c) the requirements specified in this Order are necessary in order to decrease or eliminate the risk to health presented by the communicable disease.
I am also of the opinion that the delivery of notice of this Order to each and every member of the class is likely to cause a delay that could significantly increase the risk to the health of any person residing in the HKPR District Health Unit area, so notice shall be provided through the public media and the internet via posting on HKPR District Health Unit’s website: hkpr.on.ca.
The following definitions apply to this Order:
“close contact” means you are caring for or living in the same household with someone who has COVID-19 or have otherwise been identified as a close contact by the HKPR District Health Unit.
“Haliburton, Kawartha Pine Ridge District Health Unit” or “HKPR District Health Unit” means the Medical Officer of Health or HKPR District Health Unit staff acting under the direction of the Medical Officer of Health.
“vulnerable person” includes a person who (i) has an underlying medical condition; (ii) has a compromised immune system from a medical condition or treatment; (iii) is 65 years of age or older; or (iv) is reliant upon a homeless shelter or other congregate living setting.
TAKE NOTICE THAT each member of the class is entitled to a hearing by the Health Services Appeal and Review Board if the member has delivered to me, at the address below, and to the Health Services Appeal and Review Board (HSARB), by e-mail to email@example.com or faxed to the HSARB at 416-327-8524., notice in writing, requesting a hearing within 15 days after publication of this Order or otherwise in accordance with applicable law.
AND TAKE FURTHER NOTICE THAT although a hearing may be requested this Order takes effect when it is delivered to a member of the class or brought to the attention of a member of the class.
FAILURE to comply with this Order is an offence for which you may be liable, on conviction, to a fine of not more than $5,000.00 for every day or part of each day on which the offence occurs or continues.
A. Lynn Noseworthy, MD, MHSc, FRCPC
Medical Officer of Health, Haliburton, Kawartha, Pine Ridge District Health Unit
200 Rose Glen Road
Port Hope, Ontario L1A 3V6
This Order shall be posted on the HKPR District Health Unit website: hkpr.on.ca
Inquiries about this Order should be directed to the HKPR District Health Unit at 1-866-888-4577 ext. 5020