Infection Control | Hastings Prince Edward Public Health

Infection Control

Infection Control

Infection Prevention and Control Lapse Disclosures

The Ministry of Health and Long  Term Care has directed all public health units to publicly disclose more detailed information on non-routine infection prevention and control (IPAC) lapse investigations where they are identified. An IPAC lapse is a departure from infection prevention and control standards. The result could be infectious disease transmission to patients or staff through exposure to blood or body fluids.  An example would be medical equipment that is improperly cleaned and can spread infections from one patient to another. Information about IPAC investigations in HPEPH can be found on our Infection Prevention and Control Lapse Reporting Page. HPEPH encourages Health Care Providers to review IPAC best practices and resources listed below.

Resources and Best Practices

Best Practices for Infection Prevention and Control Program in Ontario in all Health Care Settings

CPSO's Guidelines for Infection Prevention and Control in Clinical Practice

Infection Prevention and Control Best Practices for Long Term Care, Home and Community Care including Health Care Offices and Ambulatory Clinics

Public Health Ontario's Just Clean Your Hands Campaign

Infection Control in Institutional Settings

In accordance with the Health Protection and Promotion Act and the Ontario Public Health Standards, Public Health inspectors and nurses work closely with long-term care homes, retirement homes, hospitals, and other institutional settings to prevent or reduce the burden of infectious diseases of public health importance. 

Outbreak Management

Outbreaks occur when the usual incidence of disease in a long-term care or retirement home is exceeded at any given time.  Early identification of an outbreak is essential since the implementation of precautions and therapeutic interventions can prevent the spread of infection and decrease the morbidity and mortality of a very frail, compromised population.

Outbreak Management Quick Reference Guide

For a list of open outbreaks in Hastings and Prince Edward Counties, click here

Related Links:

Admission, Transfer and Return Algorithm for use During Outbreaks

A Guide to the Control of Gastroenteritis Outbreaks in Long-Term Care Homes

A Guide to the Control of Respiratory Infection Outbreaks in Long-Term Care Homes

Best Practice Documents - Provincial Infectious Disease Advisory Committee (PIDAC)

Food Premises Regulation

Laboratory Services (Public Health Ontario Laboratory)                           

Labstracts (Public Health Ontario Laboratory)                           

Retirement Homes Regulatory Authority

TB Screening in Long-Term Care and Retirement Homes

The regulations in the Long-Term Care Homes Act, 2007 and the Retirement Homes Act, 2010 set out requirements with respect to screening for TB.  Each resident admitted to the home must be screened for tuberculosis within 14 days of admission unless the resident has already been screened at some time in the 90 days prior to admission and the documented results of the screening are available to the licensee.

The Canadian TB Standards (7th Edition), 2013 – Chapter 15 - provides a summary of recommendations for TB screening and infection prevention and control measures in non-hospital settings.

Note that a TB screening test is not recommended for residents who are over 65 years of age. As people age, the test may become increasingly unreliable and difficult to interpret. In addition, if an elderly individual does convert to a positive result following a TB exposure, prophylaxis is often not possible.

Related Links:

Active TB Screening Checklist for Clinicians

Canadian Tuberculosis Standards,  7th Edition 2013

Frequently Asked Questions

Positive Tuberculin Skin Test Report Form

Recommendations for Tuberculosis (TB) Screening in Long Term Care and Retirement Homes

Tuberculosis Fact Sheet

Tuberculosis Information for Health Care Providers 5th Edition

Tuberculosis (TB) Skin Test – Mantoux:  A Guide for Health-Care Providers

Mandatory Blood Testing Act

Hastings Prince Edward Public Health is required to follow the Mandatory Blood Testing Act (2006) of Ontario.

The Act permits anyone that may have come into contact with blood or body fluids of another person, as a result of being a victim of crime, an emergency service worker, or Good Samaritan (emergency first aid provider), to have the blood of the other person tested. The sample is tested for HIV, Hepatitis B and Hepatitis C.

Applicant Report Form

Consent & Capacity Review Board

Physician Report Form

Reportable Diseases

Hastings Prince Edward Public Health’s Reportable Disease List outlines the communicable diseases that must be reported by physicians, laboratories, administrators of hospitals, schools, and institutions to the local Medical Officer of Health (as stated in Ontario Regulation 559/91 under the Health Protection and Promotion Act and the timelines for reporting.

Reportable diseases can be reported to Hastings Prince Edward Public Health by filling out the Reportable Disease Notification Form and faxing it to (613) 966-1813. Patient consent is not required for reporting this information. The Personal Health Information Protection Act explicitly allows health care providers to disclose information to the local Medical Officer of Health for purposes outlined under the Health Protection and Promotion Act.

To see 2015 case counts of reportable diseases in Hastings & Prince Edward Counties, along with a 5-year average, click here.