Information related to pH1N1 is changing regularly. We recommend that you consult with your local Public Health Unit regularly for updated news on this issue.

Below are some links to helpful information related to the assessment, treatment and management of pH1N1. We will post new links and information here as things progress.

1

Assessment

MOHLTC Self-Assessment Tools (pages 11-13)
www.health.gov.on.ca/en/ccom/flu/h1n1/pro/docs/ambulatory_guidance.pdf

2

Treatment

MOHLTC Ambulatory Care Settings Clinical Management Algorithm (pages 14-15)
www.health.gov.on.ca/en/ccom/flu/h1n1/pro/docs/ambulatory_guidance.pdf
Antiviral dosing
www.healthunit.com/h1n1info - go to Treatment and Testing Guidelines

3

Office Management

Checklist for physician offices
www.bcmj.org/pandemic-influenza-and-physician-offices-figure?size=_original
Signage in different languages
www.toronto.ca/health/cdc/h1n1/multilingual_resources.htm
Office management and infection control (includes diagrams on waiting room configuration and proper use of PPE)
http://www.health.gov.bc.ca/pandemic/response/clinical.html - go to Guidelines for Pandemic Influenza-related Office Management and Infection Control for Private Physicians

4

pH1N1 vaccine dosing

Printable chart of PHAC H1N1 vaccine dosing recommendations
www.phac-aspc.gc.ca/alert-alerte/h1n1/vacc/recommendation-recommandation-eng.php
UPDATED
Nov. 12

5

General information

Public Health Agency of Canada - Guidance H1N1 Flu Virus
www.phac-aspc.gc.ca/alert-alerte/h1n1/guidance_lignesdirectrices-eng.php#11
College of Family Physicians of Canada: Pandemic H1N1: Fast facts for front-line clinicians
www.cfpc.ca/local/files/Communications/flu/H1N1_FastFact_Engl.pdf

6

Key provincial resources

Below is a list of provincial resources for health care professionals dealing with pH1N1. Where it is available we have included information on changes to billing schedules.

ALBERTA
Alberta Health Services H1N1 Information for Health Care Professionals
www.albertahealthservices.ca/660.asp

As of October 30, 2009, there is a new health service code – 03.01AD Telephone advice to patient or agent regarding H1N1 virus – under the Schedule of Medical Benefits. It can be used by any and all physicians. It is an excellent opportunity to provide optimal service by advising and assisting patients without unnecessarily exposing staff or other patients to infection. For further information visit: www.albertadoctors.org/PresLet/Index

A Coordination Centre has been established to assist in addressing H1N1 response issues in a timely manner. The Centre can be reached toll free at 1-877-228-3031, or by e-mail at [email protected].

BRITISH COLUMBIA

The volume of influenza-like-illness cases continues to rise in British Columbia and as a result the temporary fee PG13700-GP Office Visit for H1N1 has been declared effective by the Provincial Health Officer as of October 19, 2009. This fee is available to general practitioners to diagnose and treat patients with suspected or active H1N1 symptoms and is not subject to daily volume discount rules. PG13700 – GP Office Visit for H1N1 complements the other temporary fee PG13705 Telephone Advice Regarding H1N1, available to both GPs and Specialists, which became effective October 1, 2009. For more information, see the following website:

Provincial Health Officer’s H1N1 Site for the Physicians of B.C.
www.hls.gov.bc.ca/pho/physh1n1.html

This website also offers a subscription service that provides email alerts regarding emerging issues and updates related to H1N1. Sign up to receive these as soon as they come out.

MANITOBA
Manitoba Health – H1N1 Flu Resources for the Health Sector
www.gov.mb.ca/health/publichealth/sri/index.html

NEW BRUNSWICK
New Brunswick Ministry of Health – Information for healthcare clinicians and allied health professionals www.gnb.ca/0053/h1n1/audience_professionals-e.asp

NEWFOUNDLAND AND LABRADOR
Government of Newfoundland and Labrador – Information on H1N1 for Health Professionals www.health.gov.nl.ca/health/hsi/healthpro_info.htm

NORTHWEST TERRITORIES
NWT Health & Social Services - H1N1 Flu Resources for Health Professionals
www.hlthss.gov.nt.ca/english/ser vices/communicable_disease_control_ program/h1n1/h1n1_resources_health_professionals.htm

NOVA SCOTIA
Department of Health Promotion and Protection - H1N1 information for Health Care Professionals
www.gov.ns.ca/hpp/h1n1/health-care-professionals.asp

The usual MSI billing codes for influenza immunization, including fee trays, will apply for both H1N1 and seasonal flu vaccines but physicians will need to provide their own supplies.

NUNAVUT
Department of Health – H1N1 FluVirus Updates
www.gov.nu.ca/h1n1/

ONTARIO
Ministry of Health and Long-Term Care’s H1N1 site for Healthcare Professionals
www.health.gov.on.ca/en/ccom/flu/h1n1/pro

PEI
PEI Department of Health H1N1 Flu Virus Website – Information for Healthcare Professionals www.gov.pe.ca/flu/index.php3?number=1029533&lang=E

QUEBEC
Public Health Branch of the Quebec Ministry of Health and Social Services
www.pandemiequebec.gouv.qc.ca

SASKATCHEWAN
Government of Saskatchewan – H1N1 FluVirus Information for Health Providers
www.health.gov.sk.ca/influenza-update-health-providers

YUKON

Yukon Health & Social Services H1N1 Information for Healthcare Providers
www.hss.gov.yk.ca/programs/health_officer/h1n1_health_care_providers/