Haliburton Office

191 Highland Street
Haliburton ON K0M 1S0
Toll-free: 1-866-888-4577

The Health Unit’s programs and services are developed under the guidance of the Ontario Public Health Standards: Requirements for Programs, Services and Accountability (OPHS). The Standards are published by the Ministry of Health and Long-Term Care and include Protocols and Guidelines that define specific requirements for programs and services.

Port Hope Office

200 Rose Glen Road
Port Hope ON L1A 3V6
Toll-free: 1-866-888-4577

The Health Unit’s programs and services are developed under the guidance of the Ontario Public Health Standards: Requirements for Programs, Services and Accountability (OPHS). The Standards are published by the Ministry of Health and Long-Term Care and include Protocols and Guidelines that define specific requirements for programs and services.

Lindsay Office

108 Angeline Street South
Lindsay ON K9V 3L5
Toll-free: 1-866-888-4577

The Health Unit’s programs and services are developed under the guidance of the Ontario Public Health Standards: Requirements for Programs, Services and Accountability (OPHS). The Standards are published by the Ministry of Health and Long-Term Care and include Protocols and Guidelines that define specific requirements for programs and services.

Office Locations

Haliburton Office

191 Highland Street
Haliburton ON K0M 1S0

Lindsay Office

108 Angeline Street South
Lindsay ON K9V 3L5

Port Hope Office

200 Rose Glen Road
Port Hope ON L1A 3V6

The Health Unit’s programs and services are developed under the guidance of the Ontario Public Health Standards: Requirements for Programs, Services and Accountability (OPHS). The Standards are published by the Ministry of Health and Long-Term Care and include Protocols and Guidelines that define specific requirements for programs and services.

Media Release – 2019-nCoV

Thursday, January 30, 2020

Working together to prevent spread of seasonal illness and novel coronavirus

Healthcare partners in our community, including the health unit, hospitals, primary care providers, and Emergency Medicine Services, are working with each other and with the Ministry of Health to ensure residents are protected from the potential spread of the 2019-Novel Coronavirus (2019-nCoV).

“The Health Unit has always worked with our local hospitals regarding the implementation of infection prevention and control measures and case and contact management related to reportable diseases,” says Dr. Lynn Noseworthy, Medical Officer of Health for the HKPR District Health Unit. “With the introduction of the novel coronavirus, and Ontario’s identification of it as a new reportable disease, we have heightened our communication to ensure we continue to share the information and resources needed to protect the public’s health.”

At this time of year, there are many respiratory viruses and other illnesses circulating in our community, and the steps to protect yourself from those illnesses are also effective protection against 2019-nCoV.

What is the 2019-nCoV?

Coronaviruses are a large group of viruses.  They can cause diseases ranging from the common cold to more severe illnesses such as Severe Acute Respiratory Syndrome (SARS) and Middle East Respiratory Syndrome (MERS).  Human coronaviruses are common throughout the world.  In rare cases, animal coronaviruses can evolve and infect people and then spread between people.  This was the case with SARS and MERS and with the 2019-nCoV novel coronavirus that originated in Wuhan, Hubei Province, China.

How are local healthcare partners prepared?

Although the risk continues to be low, staff from the Haliburton, Kawartha, Pine Ridge District Health Unit, Northumberland Hills Hospital, Ross Memorial Hospital, Campbellford Memorial Hospital, Haliburton Highlands Health Services and primary care partners have implemented precautionary measures required to ensure the safety of patients, visitors, and health care workers, including thorough symptom and travel screenings. As a reportable disease, healthcare partners are now required to report a suspected case of the novel coronavirus to their local medical officer of health. If a suspected case of novel coronavirus was to be identified in this area, the Health Unit would work with the Ministry of Health, Public Health Ontario Laboratory, and local hospitals in the management of the case and potential contacts.

Where can you find the most reliable and up-to-date information?

It’s important to check credible sources of information about 2019-nCoV, including daily updates on:

The Health Unit is monitoring the situation and sharing information with its partners and the public through its website. Residents with questions can visit the Health Unit’s website at hkpr.on.ca or call 1-866-888-4577.

Flu Season

A number of respiratory illnesses, including some common coronaviruses, are circulating at this time of year and it is peak flu season. Most people with common coronavirus illness will recover on their own. Your health care provider may recommend steps you can take to relieve symptoms.

The best way to protect yourself and others from circulating respiratory illnesses:

  • Get your flu shot
  • Wash your hands frequently and thoroughly with soap and water, or use an alcohol-based hand sanitizer
  • Cover your mouth and nose when you cough or sneeze with a tissue, then throw the tissue in the trash and wash your hands
  • Cough or sneeze into your sleeve or arm if you don’t have a tissue
  • Stay home if you or a family member are ill. Avoid visiting people in the hospital or long-term care homes if you are ill.
What to do if feeling ill, with recent travel history to China

Be prepared to identify your travel history and/or potential contact history with novel coronavirus so that paramedics and/or the health care provider are appropriately prepared to assist you.

  • Call your local health unit or health care provider if you become sick with a cough and fever AND have returned from Hubei province in China in the past 14 days or have had close contact with an ill person who is either under investigation for novel coronavirus or is a confirmed case.
  • If you have severe respiratory symptoms, call 911 and explain both your travel history and symptoms to arrange swift and safe transport.

“The health and safety of our patients, residents, clients, staff, volunteers, and community as a whole is a key focus for us, and we continue to work collaboratively with the Health Unit as well as our local and regional health service provider partners to ensure health and safety remain a top priority,” says Carolyn Plummer, CEO of Haliburton Highlands Health Services.

Varouj Eskedjian, CEO of Campbellford Memorial Hospital, added “the heightened awareness and screening measures put in place for the novel coronavirus along with having hospital staff ensuring best infection control measures are practised every day, will help protect staff, patients and the public from influenza and coronavirus.”

For media inquiries, contact:

Chandra Tremblay, Manager, Corporate Services; Communication and IT Services, Haliburton, Kawartha, Pine Ridge District Health Unit. 1-866-888-4577, ext. 1212 ctremblay@hkpr.on.ca

Amanda Carvalho, Communications and Public Affairs Officer Ross Memorial Hospital. 705-328-4548 acarvalho@rmh.org

Jennifer Gillard, Senior Director, Public Affairs and Strategic Partnerships, Northumberland Hills Hospital. 905-377-7757 jgillard@nhh.ca

Carolyn Plummer, President & CEO, Haliburton Highlands Health Services. 705-457-2527 cplummer@hhhs.ca

Varouj Eskedjian, President & CEO, Campbellford Memorial Hospital. 705-653-1140 veskedjian@cmh.ca

Immunization Requirements for Daycare

Within a daycare environment, infectious diseases can spread easily from child to child, or between children and staff. Immunization is an extremely effective way to prevent children and staff from become ill from diseases and suffering further complications that could arise.

Parents and/or guardians are required to provide their child’s immunization record or valid exemption to the daycare during registration.

The local Medical Officer of Health requires children attending daycare to be immunized against measles, mumps, rubella, Haemophilus influeunza b (Hib), diphtheria, tetanus, pertussis, polio, meningococcal disease and varicella (Chickenpox), according to the Ontario schedule.

The Health Unit works in partnership with day nursery operators to ensure all children and staff in their facilities are protected from vaccine preventable diseases. Effective assessment of immunization status and management of outbreaks requires ongoing monitoring.

To learn more about immunization requirements, contact the Health Unit at 1-866-888-4577, ext. 1507.

Breastfeeding After the First Six Months

Breastfeeding babies up to two years of age and beyond, with the addition of appropriate complementary foods, is recommended by Health Canada.

There are a number of benefits of breastfeeding baby beyond six months of age, including:

  • supports ongoing growth and development of your baby’s brain, gut, and other organs
  • continues to reduce childhood illness and infections, as children are commonly exposed to illnesses through other children and at daycare
  • promotes ongoing attachment between mother and baby
  • helps children become more independent and secure
  • reduces the risk of obesity and diabetes
  • decreases mother’s risk of breast and ovarian cancer
  • saves the family money

Breast Changes After Six Months

After breastfeeding for six months, a mother’s breasts may feel and appear softer, smaller and less full – this is normal! Mothers will continue to produce enough milk for their baby. As well, breastfeeding intervals may become shorter – this means that baby has learned to take the amount of milk needed in a short period of time.

Infant Teething While Breastfeeding

Just because baby is teething, doesn’t mean it is time to wean. When baby is breastfeeding correctly, it will not be painful for the mother. If mothers have questions or concerns about baby biting while breastfeeding, they can contact the Health Unit to speak with a Family Health Nurse.

Nursing Strike

A nursing strike happens when a baby or toddler who has been breastfeeding well suddenly refuses to breastfed. This is not the same as weaning, as weaning typically happens over a gradual period of weeks or months. Nursing strikes can happen for a variety of reasons, including a mother changing her deodorant, soap, or perfume, a mother being under stress, or a baby has an illness or injury that makes breastfeeding uncomfortable (ear infection, stuffy nose, thrush). Other reasons may be a recent change to the breastfeeding pattern, baby has sore gums from teething, or mother frightened the baby when she reacted strongly to being bitten while breastfeeding.

How to Get Baby Back to the Breast

  • be patient and remember that the baby is not rejecting the mother
  • get extra help with household chores and older children
  • relax and concentrate on making breastfeeding a pleasant experience
  • comfort the baby by cuddling, stroking, and providing skin-to-skin contact
  • offer the breast when baby is sleepy or asleep
  • breastfeed in a quiet room with the lights dimmed
  • try rocking or walking while breastfeeding
  • expressing breastmilk to keep your milk supply up
  • stimulate the let-down reflex and get milk flowing before offering the breast
  • feed baby expressed milk with a cup, eye-dropper, syringe or spoon
  • seek medical attention if an illness or injury seems to have caused the strike
  • get help – Family Health nurses at the Health Unit can answer questions about feeding baby


Skin-to-Skin… Important for ALL Babies

The first hours of snuggling skin-to-skin help you and your baby bond and get to know each other. Hold your baby belly-down on your chest or tummy immediately after birth. Keep cuddling skin-to-skin as often as possible in the months after birth. The benefits for bonding and breastfeeding continue long after that. Safe skin-to-skin is also better for babies born prematurely or by Caesarean birth.

Safe skin-to-skin is easy. Here’s how:

  • Take off your baby’s blankets and clothing. Leave diaper on
  • Move clothing away from your chest and tummy
  • Choose a safe sleeping or resting area where you can sit in a semi reclined position
  • Hold your baby, facing you, against your chest and/or tummy
  • Make sure your baby can easily breathe by nose and mouth and can easily lift their head and turn from side to side
  • Make sure baby’s arms are not curled under his/her body
  • You can put a blanket over you and your baby
  • Enjoy the closeness and bonding with your baby

If you haven’t held your baby skin-to-skin yet, start now! It’s not too late.

Benefits of Holding your Baby Skin-to-Skin


  • Breastfeed better
  • Cry less and are calmer
  • Stay warmer
  • Enjoy more comfort from you
  • Have better blood sugar levels
  • Are protected by some of your good bacteria


  • Breastfeed more easily
  • Learn when your baby is getting hungry
  • Bond more with your baby
  • Gain confidence and satisfaction caring for your baby


  • Your baby is more likely to have a successful first breastfeed
  • Your baby may breastfeed sooner and longer
  • You will make more breast milk
  • Helps your baby breastfeed when sleepy

Families and Skin-to-skin: Your family members can also spend skin-to-skin time with your baby. If you have a partner, plan safe skin-to-skin time together with your baby. It’s a great way for you and your partner to spend time together and bond with your baby.

To learn more, call the Health Unit at 1-866-888-4577 and speak with a Healthy Families nurse.

Cue-Based Feeding

Cue-based feeding means watching your baby to know when they are hungry and when they have had enough food. It’s important to follow your baby’s lead and watch for early signs (cues) that your baby is hungry. Remember to be flexible – it is normal for feeding patterns to change from day-to-day. Every baby is unique and you should not compare your baby’s feeding schedule to others or base it on the clock.

Knowing When Your Baby is Hungry

Babies show early signs of being hungry. Some early signs your baby is ready to eat:

  • rapid eye movement during light sleep
  • turning head side-to-side
  • wiggling, moving arms and legs
  • hand to mouth movements
  • sucking sounds and movements
  • soft cooing or sighing sounds

Crying is a late hunger sign and it is best to recognize the cues and feed your baby before they start to cry.

Signs Your Baby May Be Full
  • sucking actions slow down
  • losing interest or letting go of nipple
  • rooting will stop
  • turning head away

To learn more about cue-based feeding, call the Health Unit toll-free at 1-866-888-4577 and speak with a Family Health Nurse.

Additional Resources:

Baby Feeding Cues – Queensland Government

Getting Off to a Good Start with Breastfeeding

Breastfeeding is a learning experience for both baby and mother. It takes patience and practice, but it’s worth it!

Helping Your Baby to Breastfeed

Additional Resources:

Ten Valuable Tips for Successful Breastfeeding – Health Canada

To learn more about breastfeeding, call the Health Unit toll-free at 1-866-888-4577 and speak with a Family Health Nurse.

Making an Informed Decision: How to Feed Your Baby

This is one of the most important decisions you will make as a parent. The information on this website will help you make an informed decision. It is important to start breastfeeding shortly after birth as it may be challenging if you decide to start later. Also, if you stop breastfeeding at any time, it may be difficult to restart.

Importance of Breastfeeding

Breast milk, or human milk, is naturally made for babies. It is all that a baby needs for the first six months and continues to be important for up to two years and beyond. Babies can start foods at approximately six months of age.

Birth Control and Breastfeeding


10 Great Reasons to Breastfeed Your Baby – Public Health Agency of Canada

For more information about feeding your baby, contact a Family Health Nurse at the Health Unit toll-free at 1-866-888-4577.

Immunizations – A little pain but a lot of gain

Let’s be honest – no one likes to watch their children get immunized. The needle can sometimes cause babies and children some anxiety and pain and that’s tough for parents to watch. But as parents or caregivers, we need to do what’s best for our little ones and that means making sure they are immunized again serious diseases. So, what’s a parent to do when their little one is due to be immunized?

Give one of the following tips a try to see if you can lessen the pain of the needle:

Check your state of mind:

  • Try to stay calm, use your normal speaking voice and be positive before, during and after the vaccination. This will help your baby to stay calm.
  • Children see and feel what their parents are doing and often do the same. If you are nervous, you can take a few slow deep breaths to calm yourself. Breathe so your belly expands, not your chest. You can do this while holding your child.

Distract your child:

  • Taking your child’s focus away from the needle can reduce their pain.
  • Hold your child close and distract them with singing or talking. For babies, breastfeeding is an ideal way to comfort them and keep them busy. If you are not breastfeeding, try giving them a soother. Allow baby to suck (breastfeeding or soother) before, during and after the vaccination.
  • Add rocking your child back and forth after the vaccination.You may choose to distract an older child with toys such as bubbles, pop-up books rattles, or smartphones. If toys do not work, hold your child close and distract with singing or talking. Add rocking your child back and forth after the vaccination.

Will these tips eliminate the pain? Probably not but helping your child through the experience will make both you and your child feel better.

Birth Control and Breastfeeding

There are many birth control methods that are reliable and do not affect breastfeeding. It’s important to research which method is right for you and your partner.

Only you will know when you are ready to have sex again after the birth of your baby. Generally, you can have sex again when you have stopped bleeding and have recovered from the birth.

Be sure to talk to your healthcare provider and make sure you have chosen a type of birth control that is safe for breastfeeding moms.


Lactational Amenorrhea Method (LAM)

  • Short-term birth control (first six months after deliver)
  • Positive effect on breastfeeding
  • 98% reliable if used correctly. Key is to breastfeed often, both day and night, to delay the return of your period and suppress your fertility.
  • To use this method, must answer “no” to all three questions. If you answer “yes” to one question, you should use another birth control method.
    • Has your period returned? (a period is two days of bleeding in a row that occurs eight weeks after the date of delivery)
    • Are there long periods without breastfeeding (longer than four hours in the day and six hours at night)?
    • Is your baby more than six months old?

Barrier Method

  • No effect on breastfeeding
  • Condoms (male and female) are widely available, inexpensive and you do not need a prescription.
  • Most reliable if used with spermicides. Spermicides need to be inserted into the vagina ahead of time

Intrauterine Devices

  • No adverse effects on breastmilk supply if supply is well established
  • Need to be seen by a health care provider for access to Intrauterine Device and Intrauterine System

Hormonal Method

  • Taking hormones can decrease milk supply, and newborns may have difficulty removing hormones from their system
  • The pill, patch and Estrogen and Progestin vagina ring are only available with a prescription from a health care provider

Natural Family Planning

  • There is no impact on breastfeeding
  • The goal of natural family planning is to learn when you are ovulating and avoid sex during fertile times

To learn more about safe birth control methods and breastfeeding, call the Health Unit at 1-866-888-4577, ext. 5003.

Soothers and Pacifiers

It’s important to know all the facts so you can make an informed decision about giving your infant a soother. Know the facts about soothers.

Still have questions? Call the Health Unit at 1-866-888-4577, ext. 5003 to speak with a Family Health Nurse.

Risks of Using a Soother:

  • Soothers can interfere with successful breastfeeding. It can decrease the time a baby spends sucking at the breast, which can affect mom’s milk supply.
  • A soother is not nutritious and can impact a baby’s growth if it is used to replace breastfeeding.
  • A baby could develop a preference to the soother and refuse to breastfeed, making exclusive breastfeeding more difficult.
  • Using a soother can interfere with exclusive breastfeeding, it can make the Lactation Amenorrhea Method (LAM) an ineffective choice of contraception.
  • If not cleaned properly, soothers can carry germs.
  • If not used properly, soothers can be a choking hazard.
  • Ear infections and dental problems are more common with soother use and can be related to abnormal oral muscle function.
  • Overusing a soother can affect your child’s ability to learn to talk and can Lead to teeth problems.

If you have made an informed decision to use a soother, here are some tips to consider:

  • Wait until your baby is breastfeeding well and your milk supply is established (around four to six weeks) before offering a soother. If you feel you need to introduce a soother at an earlier stage, talk to your health care provider.
  • Always make sure your baby is not hungry, tired, or cold before giving a soother.
  • Avoid using a soother to delay you baby’s feedings. Always follow your baby’s feeding cues.
  • Sterilize the soother by boiling it in water for two minutes before the first use. Allow it to completely cool down before giving it to your baby. After each use, wash it with hot, soapy water. Don’t “clean” the soother by sucking on it yourself as it can spread germs from you to your child, including bacteria that can lead to tooth decay.
  • Always make sure the soother is not damaged and is free of cracks. Throw it out if it is damaged. Soothers should be replaced every two months.
  • Never let your baby or child chew on a soother. It could become damaged and cause choking and death.
  • Do not tie anything around your baby’s neck, this can cause strangulation and death. Clips with short ribbons attached to them are safe to use and are available where you buy soothers.
  • Don’t make your own soother out of bottle nipples, caps, or other materials. This can cause choking and death.
  • Children should not crawl or walk with a soother in their mouth.
  • Soothers should never be dipped in anything sweet. This can lead to tooth decay. Also, using honey can lead to botulism, which is a type of food poisoning.
  • Sometimes premature or sick babies like to suck for comfort. Talk with your health care provider or lactation consultant for help.

Managing Your Child’s Pain During Immunization

Immunizations protect your child from serious disease, but they can also cause discomfort. This can cause stress and anxiety for some children and their parents, who may then delay or avoid vaccinations. This then means that those children are not protected from serious diseases.

Parents play an important role in supporting their children during immunizations. Below are some tips you can use to help reduce the stress, anxiety and pain when it comes to immunizations in children under the age of three years.

What you can do:

Breastfeed your child

  • If you are breastfeeding your baby, start to breastfeed your baby before vaccination. Make sure you have a good latch. Then continue breastfeeding during and after the vaccination.
  • Breastfeeding during vaccination is safe for babies, even newborns. There is no evidence that babies will choke or associate their mother with pain.

Hold your child

  • Position your child upright and hold your child close before, during and after the needle. This helps your child to feel secure and to stay still.
What you can give

Topical anesthetic

  • In Canada, you can buy topical anesthetics to reduce the pain from vaccination without a prescription: EMLATM (lidocaine-prilocaine), AmetopTM (tetracaine), or MaxileneTM (lidocaine).
  • They are safe for babies, even newborns.
  • Apply them at home or at the clinic before vaccination. For more information about numbing creams and patches for immunizations. Click Here for More Information

For more tips on reducing the pain of immunization for children, call the Health Unit at 1-866-888-4577, ext. 5003 and speak with one of our Healthy Families nurses.

Babies and Sleep

Sleep is important for your baby’s growth and development, especially for their rapidly developing brain. Each baby’s sleep pattern will be different, depending on their personality and temperament.

In general, you can expect to see some of the following changes during the first year of life:

Babies less than three months of age:

  • normally sleep between 14 to 17 hours during a 24-hour period,
  • usually wake every two to three hours to feed,
  • have irregular sleep patterns and may sleep at any time of the day or night, and
  • spend a lot of time in active sleep and may move, grunt and twitch during sleep. This may cause a baby to wake up not long after they fall asleep, just before moving into quiet sleep.

Babies three to six months:

  • normally sleep 12 to 16 hours during a 24-hour period, including naps,
  • continue to wake frequently to feed,
  • may have a more regular sleep pattern, with more time spent in quiet sleep, and
  • may begin to stay awake longer during the day and sleep for longer stretches at night.

Babies six to 12 months:

  • normally sleep 12 to 16 hours during a 24-hour period, including naps,
  • may still wake during the night to feed,
  • may develop a more regular sleep routine, and
  • may transition from many short naps to fewer, longer naps.

Infants have shorter sleep cycles than adults (about 60 minutes), and they may wake up as they move from one sleep cycle to the next.

Still have questions about your baby’s sleep? Call one of our Healthy Families nurses at 1-866-888-4577, ext. 5003.

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