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1.
Results of the Big Shot Challenge/défi-échec à la grippe
Influenza Immunization Program for Residents and Staff of Health and
Residential Care Facilities and Organizations Résultats de big shot challenge/ défi-échec à la
grippe, Programme d’immunisation contre la grippe pour les résidents et le
personnel des établissements et organismes de santé et de soins en résidence |
That Council receive this report for information.
Que le Conseil prenne connaissance du présent rapport
à titre d’information.
Documentation
1.
General
Manager, People Services Department report dated 6 March 2002 is immediately
attached (ACS2002-PEO-HEA-0002).
2.
Extract of
Draft Minutes, 04 April 2002, follows the report and includes the voting
record.
3. List of Award Recipients (First time
winners) of the 2001 Big Shot Challenge is at Appendix 1.
Report to / Rapport au:
Health,
Recreation and Social Services Committee /
Comité de la santé, loisirs et services sociaux
and Council / et au Conseil
6 March 2002 / le 6 mars 2002
Submitted by /
Soumis par: Dick Stewart, General
Manager / Directeur Général
Public Health and Long-Term Care /
Santé publique et des soins de longue durée
724-4122, Ext. / poste:
23684, Robert.Cushman@
city.ottawa.on.ca
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Ref No:
ACS2002-PEO-HEA-0002 |
SUBJECT: RESULTS
OF BIG SHOT CHALLENGE/DÉFI-ÉCHEC À LA GRIPPE INFLUENZA IMMUNIZATION PROGRAM FOR RESIDENTS AND STAFF OF HEALTH AND RESIDENTIAL CARE FACILITIES AND ORGANIZATIONS
OBJET: RÉSULTATS DE BIG
SHOT CHALLENGE/DÉFI-ÉCHEC À
LA GRIPPE, PROGRAMME D’IMMUNISATION CONTRE
LA GRIPPE POUR LES RÉSIDENTS ET LE PERSONNEL DES
ÉTABLISSEMENTS ET ORGANISMES DE SANTÉ ET DE SOINS EN RÉSIDENCE
REPORT RECOMMENDATION
That the Health, Recreation
and Social Services Committee recommend Council receive this report for
information.
Que
le Comité de la santé, des loisirs et des services sociaux recommande que le
Conseil prenne connaissance de ce rapport à titre d’information.
In 1999 the Big Shot Challenge/Défi-Échec À La
Grippe partnership was formed between the former Region of Ottawa-Carleton
Health Department, Homes for the Aged in Ottawa-Carleton, Ontario Long-Term
Care Association (Region 2), Ontario Residential Care Association (Region 2)
and the Ottawa-Carleton Community Care Access Centre. It was initiated to help combat the devastating effect influenza
can have on our community’s long-term health and residential care and health
care agencies by improving resident and staff influenza immunization rates. The partnership has been instrumental in
implementing three very successful campaigns involving a total of 114 health
care organizations in 1999, 165 in 2000 and 152 in 2001.
The Big Shot Challenge/Défi-Échec À La Grippe
Campaign goals are to immunize at least 90% of residents in all health and
residential care facilities. In
addition the program aims to immunize at least 70% of full/part-time
employees/patients, contract staff, students doing placement work, volunteers,
health professionals (such as physicians) and emergency service workers coming
into acute care hospitals, homes for the aged, nursing homes, chronic care
facilities/units and retirement residences where care/assistance in the
activities of daily living is provided.
Among the 88 facilities legally designated as homes
for the aged, nursing homes or retirement residences, 92% of residents (93%
last year and 91% the year previously) and 79% of staff (86% last year and 77% the year previously)
were immunized against influenza last fall.
Seven acute care hospitals participated in the challenge for the second
year with 47% of their 16,225 staff being immunized (51% of 15,000 last year). Approximately
the same number of staff was immunized both years. Please see Annexes A and B
for immunization rates by type of facility/organization.
Big Shot Challenge/Défi-Échec À La Grippe plaques
are being awarded to 1 acute care hospital, 7 homes for the aged, (including
the four operated by City of Ottawa), 9 nursing homes, 39 retirement
residences, 14 health care (staffing) agencies, 2 emergency service agencies
and 2 community health centres, health-related associations, etc. Of the 74 award winners, 20 are first time
award recipients (Annex C) and 54 are repeat award recipients (Annex D). Honorable mention for
immunizing 60-69% of staff and 80-89% of residents is made for another 15
participants: one acute care hospital, three nursing homes, seven retirement
residences, three health care agencies and one association (Annex E).
The 2001-2002 influenza season has been moderate and
as of March 4th, there had been 13 confirmed influenza A (probably
Panama strain) outbreaks, two in acute care hospitals and 11 in long-term care
facilities.
If there is an influenza outbreak in a health or
residential care facility, only persons who are immunized or taking anti-viral
medication are allowed to work in the facility (or affected part of very large
facilities).
In the unlikely event that persons insist on working
when they should not, City of Ottawa Public Health staff meet with them and if
necessary use the Ontario Health
Protection and Promotion Act to order them not to work in any health or
residential care facility in the city with an influenza outbreak. The Ministry of Health and Long-Term Care,
the Ontario Hospital Association and the Ontario Medical Association support
the use of such orders.
DISCUSSION
For the third year in a row, the Big Shot Challenge/Défi-Échec À La Grippe has been a real success due to the commitment and creativity of health and residential-care facility management, attending physicians, residents and staff in all health care organizations. City of Ottawa Emergency Medical Services (EMS) is particularly to be commended for achieving 100% staff coverage this year.
This is a good example of the dedication and professionalism of each paramedic in the City of Ottawa to comply with the Ontario Ambulance Act, which requires paramedics to receive an influenza vaccination in the autumn of each year. According to the Chief Medical Officer of Health for the Province of Ontario, Dr. Colin D’Cunha, “the single most effective measure to protect both patients and EMS personnel from the transmission of influenza infection is the annual influenza vaccination. Since ambulance personnel may be exposed to persons infected with the influenza virus, unimmunized EMS personnel may develop influenza and put patients who are under their care at risk for influenza infection”.
This campaign continues to be very successful in
improving senior’s health and mobility while decreasing deaths. The campaign is based on the solid evidence
of the correlation between high influenza immunization rates and fewer flu
outbreaks and deaths. A randomized
study in England has confirmed the value of staff influenza immunization. Immunizing 61% of staff reduced the
influenza death rate in residents by 41%.
Evidence from cohort and randomized controlled trials suggest that each
dose of vaccine yields a 1-2 hour decrease in lost work time, an average cost
saving of approximately $40 per immunized employee.
This past fall, most health and residential care
facilities in the City of Ottawa maintained high levels of average
resident/patient and staff immunization rates.
Further increases are expected next season in order to reduce
influenza-related illness and death among facility residents/patients. Given three years’ success with the Big Shot
Challenge/Défi-Échec À La Grippe, it will be repeated in the fall of 2002.
The Big Shot Challenge/Défi-Échec À La Grippe continues to be a successful partnership model with a strong health promotion focus.
Key strategies included resource development/ distribution, media promotion, advocacy and individual consultation. Aventis Pasteur Limited, the company supplying the vaccine again this year, provided corporate sponsorship for the translation of several flyers into 14 languages.
The new influenza display and banner –“Be a Warrior Against the Flu Bug-Combattez le virus de la grippe!” was used extensively for the promotion of the Big Shot Challenge/Défi-Échec À La Grippe and for the Universal Influenza Immunization Campaign.
FINANCIAL
IMPLICATIONS
The
vaccine was supplied by the Ontario Ministry of Health and Long-Term Care. Individual facilities and physicians
provided additional supplies and arranged for the actual immunizations. Funds
for this program are in the Public Health Branch Operating Budget.
Annex A:
Resident Influenza Immunization Coverage
Annex B:
Staff Influenza Immunization Coverage
Annex C:
First Time Award Recipients
Annex D:
Repeat Award Recipients
Annex E:
Honorable Mention Awards
The
staff of the Public Health and Long-Term Care Branch of the People Services
Department will repeat the expanded Big Shot Challenge/Défi-Échec À La Grippe
Campaign in the fall of 2002.
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Homes for the
Aged, Nursing Homes, Retirement Residences, Emergency Service Organizations,
Service Providers, Hospitals, Community Health Centres and Health-related
Associations
Ottawa, 2001/2002
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2001 BIG SHOT CHALLENGE/DÉFI-ÉCHEC À LA GRIPPE
FIRST TIME AWARD RECIPIENTS
Barrhaven Manor
Belcourt Manor
Canada Care Medical Incorporated
Canadian Mental Health Association
Elmsmere Residence
Emergency Medical Services
Empress Kanata Seniors Residence
Kilian Residence
Kimberlane/Alexander House
Longfields Manor
Ontario Provincial Police
Palisades Retirement Residence
Para-Med Home Health Care (Orleans)
Presland Residence
Respircare
Retire-At-Home Services
Rideau Gardens Retirement Home
Sterling Place
The Peter D. Clark Long-Term Care Centre
Villa Orleans
2001 BIG SHOT CHALLENGE/DÉFI-ÉCHEC À LA GRIPPE
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Bearbrook
Court Retirement Residence Billings
Lodge Blackburn Villa Bradson
Home Health Care Camilla Gardens Carleton Lodge Central Health Services Centre d’Accueil Champlain Colonel By Retirement Home Communicare
Therapy Inc. Cumberland Lodge Elmwood Lodge Extendicare
Laurier Manor Extendicare
Medex Extendicare
New Orchard Lodge Extendicare Starwood Extendicare West End
Villa GEM
Health Care Services inc. Glebe Centre
Incorporated Golden Care Home Services Hillel
Lodge Hunt
Club Manor Island Lodge Kanata
Retirement Residence Landmark
Court Lynnwood Park Retirement
Lodge McLeod
Retirement Home Nepean
Senior’s Home Support New
Edinburgh Square Ogilvie Villa Retirement Home Orchard
View Living Centre Osgoode Care Centre Para-Med
Home Health Care (Ottawa) Parklane
Residence Rest Home Queensway
Carleton Hospital Queenswood
Villa Retirement Home |
Richmond
Dementia Care Home Rideau
Place Retirement Home Riverpark
Place Retirement Residence Rothwell
Heights Lodge Sarsfield Colonial Home Senior
Services Centre (Rideau Township) St.
Joseph’s Manor St.
Patrick’s Home of Ottawa Inc. Steff
Kim Lodge Stittsville
Villa Retirement Home The Arthritis Society The
Edinburgh Thorncliffe
Place Retirement Home Unitarian
House Vital Aire Villa Marconi Wabano
Centre for Aboriginal Health Wymering Manor |
2001 BIG SHOT CHALLENGE/DÉFI-ÉCHEC À LA GRIPPE
HONOURABLE
MENTION AWARDS
Carlingview
Manor
Children’s
Hospital of Eastern Ontario
Continental
Health Care Services Inc.
Duford Residence
Hampton Lodge
Kaymar
Rehabilitation
Madonna
Nursing Home
Maison Accueil-Sagesse
Mont St-Joseph Convent
Residence
St-Marie
Rockwood
Residence
Stillwater
Creek Retirement Home
Villa Marguerite
We
Care Home Health Services
Health, recreation and Social Services
Committee
Report 22
Extract of Draft Minute 22
4 April 2002
RESULTS OF THE BIG SHOT CHALLENGE/DÉFI-ÉCHEC À LA GRIPPE: INFLUENZA
IMMUNIZATION PROGRAM FOR RESIDENTS AND STAFF OF LONG TERM CARE FACILITIES
RÉSULTATS DE BIG SHOT CHALLENGE/DÉFI-ÉCHEC
À LA GRIPPE: PROGRAMME D’IMMUNISATION CONTRE LA GRIPPE POUR LES RÉSIDENTS ET LE
PERSONNEL DES ÉTABLISSEMENTS ET ORGANISMES DE SANTÉ ET DE SOINS EN RÉSIDENCE
ACS2002-PEO-HEA-0002
The Committee Chair, A.
Munter, said there is a direct link between the hearings on Medicare led by
former Saskatchewan Premier Roy Romanow and the immunization program being
acknowledged by the Committee. He
pointed out that, in Canada, only two dollars out of one hundred go towards
prevention programs, and the success of the Big Shot Challenge, with its 40%
decrease in fatalities due to influenza, illustrates that many more such
initiatives need to be undertaken.
The Medical Officer of
Health and Long Term Care, Dr. Rob Cushman, called immunization the major
medical achievement of the 20th century. He described the Big Shot Challenge as an effort to move the
institutions towards more of a community approach to health and
prevention. Dr. Cushman noted that 92%
of residents and 79% of staff in the 88 facilities legally designated as homes
for the aged, nursing homes or retirement residences were immunized: this,
coupled with a community immunization increase of 50% contributed to fewer flu
outbreaks and deaths. All four
long-term care facilities managed by the City of Ottawa achieved their goals,
including the new Peter D. Clark Centre in its first year of
operation.
Dr. Cushman praised the
enormous cooperation received from community partners such as the Ontario Long
Term Care Association, the Ontario Residential Care Association and the
Ottawa-Carleton Community Care Access Centre.
He highlighted the fact that the City of Ottawa Paramedics reached 100%
coverage for the first time, and he congratulated Tony Di Monte, Director,
Emergency Medical Services and Zabrina Mok, a staff representative, for this
achievement.
At this point, Chair Munter
called upon a number of his colleagues and representatives from the partner
agencies to present awards to fifteen facilities that are first time winners in
the Big Shot Challenge. The complete
list of award recipients is held on file with the Committee Coordinator.
Chair Munter acknowledged
the contributions made by Dr. Edward Ellis, an expert in communicable diseases
formerly with the regional Health Department and presently working with as
Chief, Quarantine, Travel and Migration Health, Office of Public Health
Security, Centre for Emergency Preparedness and Response, Health Canada. Dr. Cushman praised Dr. Ellis for the
remarkable work he performed and for the quality counselling he provided while
employed by the regional Health Department.
The Committee then considered the report recommendation:
That the Health, Recreation and Social Services Committee recommend
Council receive this report for information.
RECEIVED
2001 BIG SHOT
CHALLENGE Award Recipients (1st time
winners) by Presenter
Recipient |
Name Of
Recipients |
Presenter/Councillor |
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Emergency
Medical Services – City of Ottawa (ESW) |
Anthony
DiMonte, Director Zabrina
Mok, Medic |
Alex
Munter |
|
Ontario
Provincial Police (ESW) |
Staff
Sgt. Penny Barager |
Dr.
Robert Cushman |
|
Peter
D. Clark Long-Term Care Centre (HA) – 9 Meridian Place |
(Marilyn
Muldoon, Clinical Resources Nurse) |
Dr.
Robert Cushman |
|
Barrhaven
Manor (RR) – 110 Berrigan Drive |
Michelle
Vessey, DOC |
Dr. Robert Cushman |
|
Retire-At-Home
Services (SP) - 1704 Carling Ave. |
Shirley
Gillis, Human Resources Johathan
Martin |
Dr.
Robert Cushman |
|
Villa
Orleans (RR) – 6419 Lumberman Way |
Marcelle
Belec, Administrator |
1
– Herb Kreling |
|
Longfields
Manor (NH) – 330 Beatrice Drive |
Monique Patterson, DOC |
Martha
Wheeler, President of Ontario Long-Term Care Association (Region 2) |
|
Sterling
Place (RR) – 2716 Richmond Road |
Judy
Bermister, DOC |
7
- Alex Cullen |
|
Respircare
(SP) – 1000 Thomas Spratt Place |
Christine
Mathurin, RN |
10 – Diane Deans |
|
Elmsmere
Residence (RR) –889 Elmsmere Road |
Judy
Lefebvre, Office Supervisor |
12 – Jacklyn Brown – President of ORCA
(Region 2) |
|
Rideau
Gardens Retirement Home (RR) – 240 Friel Street |
Allison
Tucker, DOC |
12
– Jacklyn Brown – President of ORCA (Region 2) |
|
Palisades
Retirement Residence (RR) – 480 Metcalfe Street |
Joan
Kuiack, Head of Marketing |
Jacklyn
Brown, President of ORCA (Region 2) |
|
Canada
Care Medical Incorporated (SP) – 1644 Bank St. |
Allison
Meloche, President |
17
– Clive Doucet |
|
ParaMed Home Health Care (Orléans) (SP)
– 201- 260 Centrum Blvd. |
Claire
Gonthier, Branch Manager |
Lyne
Delorme, Manager of Client Services,OCCAC |
|
Kimberlane/Alexander
House (RR) – 716 Edison Ave. |
Barbara
Campbell, Manager |
4
– Alex Munter |
|
Empress
Kanata Seniors Residence (RR) – 170 McGibbon Dr. |
Stacey
McCormack, DOC |
4
– Alex Munter |
|
Kilian
Residence (RR) – 27 Weaver Cres. |
Diane
Juhasz, Director of Nursing |
4 - Alex Munter |
RR
– Retirement Residence
SP
– Service Provider
NH
– Nursing Home
HA
– Home for the Aged
ESW – Emergency
Service Workers
