The views expressed in the presentations are that of the author and do not necessarily reflect the views of the Government of Canada. Presentations are shared in the original format received from the presenter. Presentations given at the Conference to Develop a Federal Framework on Lyme Disease are the property of the author, unless otherwise cited. If you reference the author's work, you must give the author credit by naming the author and their work as well as the place and date it was presented. For more information, contact the Lyme Disease Conference Secretariat at maladie_lyme_disease@phac-aspc.gc.ca

1. Lyme Disease in KFLA: Health
Care Professional
Communication Strategy
Dr Kieran Moore MD FCFP(EM)
DTM&H MPH FRCPC, Associate
Medical Officer of Health

2. 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

3. 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

4. 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.
•

5. KFLA: Where is it?

6. 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

11. EPIDEMIOLOGICAL DATA: BI-
WEEKLY REPORTS/NEWSLETTERS

15. Key Messages
• KFL&A ( SE Ontario ) is a high-risk area for
blacklegged ticks and Lyme disease

16. Ixodes Scapularis-Black Legged Tick

19. Expanding-5 cm or greater

21. 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

22. 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

23. 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

24. 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

27. Prevention strategies: Landscaping

33. 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

34. 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

35. Knowledge Dissemination
• Link to Provincial resources: PHO
• https://www.publichealthontario.ca/en/Brows
eByTopic/InfectiousDiseases/Pages/IDLanding
Pages/Lyme-Disease.aspx

36. Public Health Ontario

37. Canadian Family Physician Vol 58,
May 2012

38. 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