MHO Updates
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​Library of MHO Updates for Physicians

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In this issue...
5/17/2021MHO Update - May 17, 2021
Rabies Post Exposure Prophylaxis (RPEP) in the Emergency Department
8/31/2020PHO Notice - August 31, 2020
PHO Notice to Report Multi-system Inflammatory Syndrome in Children and Adolescents (MIS-C)
8/28/2020MHO Alert - August 28, 2020
Testing Asymptomatic Individuals for COVID-19
7/23/2020MHO Alert - July 23, 2020
Update: Rabies Post Exposure Prophylaxis (RPEP) in the Emergency Department

Includes information on assessing wound, administering vaccine, and documentation and referral processes.
4/24/2020MHO Alert - April 24, 2020
Guidance for COVID-19 Testing by Nucleic Acid Tests (NATs)

Please note that the situation continues to evolve rapidly and the criteria for screening and testing may change.
4/7/2020MHO Alert - April 7, 2020
Update: COVID-19 Assessment and Testing Guidance
3/16/2020MHO Alert - March 16, 2020
Update: COVID-19 Assessment and Testing Guidance
Please note that the situation continues to evolve rapidly and the criteria for screening and testing may change.
3/13/2020MHO Alert - March 13, 2020
Update: COVID-19 Assessment and Testing Guidance
Please note that the situation continues to evolve rapidly and the criteria for screening and testing may change.
2/28/2020MHO Alert - February 28, 2020
Updated: COVID-19 (Novel Coronavirus) Assessment and Testing Guidance
2/12/2020MHO Alert - February 12, 2020
Updated: Novel Coronavirus (COVID-19) Screening and Testing
2/6/2020MHO Alert - February 6, 2020
Updated: Novel Coronavirus (2019-nCoV) Screening and Testing
1/27/2020MHO Alert - January 27, 2020
Updated: Guidance for Assessment of Potential Novel Coronavirus (includes: Novel Coronavirus; MHO and CD Unit contact information; Patients under investigation; Swab Collection)
1/24/2020MHO Alert - January 24, 2020
Guidance for Assessment of Potential Novel Coronavirus
1/17/2020MHO Alert - January 17, 2020
2019-nCov Outbreak: Clinical Presentation; Transmission; Reporting of Suspect Cases; Patient Testing; Infection Control; Travel Advice for Patients
12/16/2019MHO Update - December 16, 2019
Real time, interactive drinking water advisory map at Drinking Water for Everyone; Requirements of BC’s new Vaccine Status Reporting Regulation; Syphilis Outbreak and Screening in Pregnancy; Reporting of Pulmonary Illness associated with
10/1/2019MHO Update - October 1, 2019
New Reporting Requirements for Severe Pulmonary Disease Associated with Vaping or Dabbing; Influenza Vaccine Campaign Update #1;Immediately Notifiable Communicable Diseases
10/1/20192019-10 MHO Update Vaping, Influenza and Communicable Diseases
The US Centers for Disease Control and Prevention (US CDC) has received reports of over 530 possible cases of severe pulmonary disease and 7 deaths associated with vaping1 or dabbing2, which are dispersed in 38 states.
8/29/2019MHO Alert - Aug. 29, 2019
A case of Trichinella infection has been confirmed in a Penticton resident who consumed ground bear meat distributed by local community organizations between June 1, 2019 and August 19, 2019.
7/18/2019MHO Update - July 18, 2019
Rabies and Animal Exposures
5/27/2019MHO Update - May 27, 2019
Measles Testing Post-Immunization and
Post MMR Rash
3/29/2019MHO Update - March 29, 2019
Late Season Influenza Activity; Consideration for Empiric Antiviral Treatment
2/19/2019MHO Update - February 19, 2019
Measles Update
1/31/2019MHO Update - January 31, 2019
Influenza Update;Flu Vaccinations;Measles Outbreak;Measles Vaccinations;Testing Guide Quick;Reference For
Communicable Diseases;HIV PEP & PrEP Education
11/22/2018MHO Update - November 22, 2018
Influenza Update; Fluzone HD Update; Acute Flaccid Mylelitis
(AFM); Parotitis and Influenza
9/14/2018MHO Update - September 14, 2018
Measles Update
8/15/2018MHO Update - August 15, 2018
Revised Case Report Form Partner Notification; gbMSM Roadshow; Physician Education Opportunity; HIV PrEP; HIV PEP
6/15/2018MHO Update - June 15, 2018
Ticks and Lyme Disease; Rabies Information; IH Having a Baby Website Refresh
5/25/2018MHO Alert - May 25, 2018
Ebola Disease Outbreak in the Democratic Republic of Congo - Action and Advice; Background on EVD; Suggested Resources
3/28/2018MHO Update - March 28, 2018
Management of Opioid Use Disorders; HIV Pre Exposure; Prophylaxis (PrEP) HIV Post Exposure Prophylaxis (PEP); HIV Prevention Education; Active Play; Fostering Healthy Eating
Habits; National Immunization Awareness Week (NIAW); Pertussis
2/14/2018MHO Update - February 14, 2018
Meningococcal Outbreak Over
12/29/2017MHO Update - December 29, 2017
Update on Invasive Meningococcal disease in the Okanagan Region
12/21/2017MHO Alert - December 21, 2017
Update on Meningococcal disease in the Okanagan
12/14/2017MHO Alert - December 14, 2017
Meningococcal disease in the Okanagan
11/17/2017MHO Alert - November 17, 2017
Meningococcal Disease Update
11/9/2017MHO Alert - November 9, 2017
Meningococcal Disease
11/2/2017MHO Update - November 2, 2017
Influenza Season 2017-2018 Update; Adverse Reaction Following Immunization (AEFI); Serological Testing for Workers and Students in Healthcare Professions; STOP HIV Survey Reminder for Primary Care Providers; Update on Overdose Public Health Emergency
9/27/2017MHO Update - September 27, 2017
Hantavirus Pulmonary Syndrome (HPS); Influenza Immunization Program; STOP HIV Survey
9/1/2017MHO Alert - September 1, 2017
Hepatitis A Alert for Residents of British Columbia
8/3/2017MHO Alert - August 3, 2017
Relapsing Fever Due to Borrelia Hermsii; Clinical Symptoms,  Testing, Treatment and Recommendations
7/28/2017MHO Alert - July 28, 2017
Increased Pertussis Activity in South Okanagan
7/24/2017MHO Update - July 24, 2017
Do You Know Your Patients HIV Status?; Online Addiction Medicine Diploma Program; Information on the Number of HIV Tests You are Doing at Your Practice; Interactive Immunization
5/24/2017MHO Update - May 24, 2017
Zoonotic Diseases; Invasive Group A Streptococcal Disease; HPV immunization for boys; Ordering measles serology, what’s your purpose? Immunity vs. diagnosis; Testing for lead in drinking water at schools
3/9/2017MHO Update - March 2017
Call for Physician Support; Mumps; Palliative First Nation Patients; Infection Reflection Newsletter
12/14/2016MHO Update - December 14, 2016
Update on Overdose Public Health Emergency in BC; Reminder Rotavirus Vaccine; Pertussis Activity Continues in IH; Call for Physicians to Support Response to the BC Public Health Emergency
10/13/2016MHO Update - October 13, 2016
Influenza Season; Enterovirus D-68; BC West Nile Surveillance; PHN's to Screen for Perinatal Depression
7/18/2016MHO Update - July 18, 2016
Overdose Public Health Emergency; BC Update on Sexually Transmitted Infections; Foodborne Illness Detection; Heightened Pertussis Activity Continues in IH
5/19/2016MHO Update - May 19, 2016
On Demand HIV Test Program; Quadrivalent Meningococcal Conjugate Vaccine for Grade 9 Students; GetCheckedOnline; Pearls for Immunization Practice; Online Learning Module: Trans Rights Toolkit; Infection Prevention and Control Newsletter
2/1/2016MHO Update February 1, 2016
Zika Virus Guidance; Influenza Update; Pertussis Update; Refugee Health Planning within IH; HPV vaccine Program for Males Launched in BC; Infection Reflections; Staffing Announcement
9/23/2015MHO Update September 23, 2015
Fall Influenza Immunization Update; Adverse Reactions (AEFI); Resources for Immunizers; Pneumococcal Vaccine; Vaccine Order Form; Vaccine Usage Reporting Form
8/6/2015MHO Alert - August 6, 2015
Alert - Pertussis on the rise
7/6/2015MHO Update July 6, 2015
Air quality and wildfires; Locally-acquired cyclosporiasis; Update on MERS-CoV; Update on Ebola
5/28/2015MHO Update May 28, 2015
Outbreak of Salmonella
5/8/2015MHO Update May 8, 2015
Physician Vaccines; Cefixime Shortage Resolved; Smoke-free Environment; Measles Update
3/25/2015MHO Update March 25, 2015
Referring Pregnant Women to Healthy From the Start; Immunization Infographic; One-Time HPV Cervarix® Vaccine Program; Acting Chief Medical Health Officer
2/10/2015MHO Update February 10, 2015
Health Alert: Measles Update
1/5/2015MHO Update - January 5, 2015
Physicians Survey; Current Influenza Activity; School Anaphylaxis
10/27/2014Provincial Health Officer Update - October 27, 2014
Guidance for Clinical Staff in Primary Care Settings
10/17/2014MHO Update October 17, 2014
Update on Ebola Virus Disease with Algorithms for Assessment of Potential EVD in Acute & Community Settings (also includes Situation Update, Interior Health Status, Action & Advice, Background on EVD, Treatment, Suggested Resources)
9/17/2014MHO Update September 17, 2014
Enterovirus D68; Pertussis
9/8/2014MHO Update September 8, 2014
Influenza Update; Adverse Reaction; Resources; Pneumococcal Vaccine
7/1/2014MHO Update - July 2014
Methadone Workshop; Pertussis Cases; Enterics Update; Water Safety
7/1/2014MHO Alert - July 2014
Ebola Alert
6/1/2014MHO Update - June 2014
Measles Update
5/1/2014MHO Update - May 2014
Measles Update; Adult Vaccines; HPV; Childhood Immunizations; BC Healthy Connections Project; Electronic Cigarettes; Ticks and Lyme Disease; Bats and Rabies; Mosquitoes and West Nile Virus (WNv)
3/1/2014MHO Update March 2014
Measles Update
2/4/2014MHO Update - February 4, 2014
Epidemiology; Influenza Vaccine; Expanded Antiviral Coverage; Infection Control; Enhanced Surveillance
1/1/2014MHO Update January 2014
Change to Metha-done Formulation; Healthy From the Start Expands IH Wide; Glucagon Administration Training for Schools; Maternal Codeine Use in Breastfeeding
12/6/2013MHO Update December 6, 2013
Influenza Updates - Vaccine Dosages for Children; Agriflu; FluMist; Influenza Control Program - Physician Resources; Current Influenza and Respiratory Virus Circulation
11/1/2013MHO Update November 2013
Mumps Testing, Symptoms and Duration
10/1/2013MHO Update October 2013
Stop HIV/Aides in IHA; Healthcare Worker Influenza Immunization; IH Oseltamivir Pre-Printed Orders Revision; New Single Dose Auto-Injector School Anaphlaxis Product
9/1/2013MHO Update September 2013
Fall 2013 Influenza Immunization Update: Ordering Vaccine; Adverse Reactions Following Immunizations; Resources for Immunizers; Pneumococcal Vaccine
5/1/2013MHO Update May 2013
IH Stop HIV/AIDS Program; Physician Interest in Delivering Child Immunizations; Ticks & Lyme Disease; Bats & Rabies; Mosquitoes & West Nile Virus
3/1/2013MHO Update March 2013
Pharmacist Access to Publicly Funded Vaccines in BC; Testing for Hep C; TB in IH; Changes to IH TST Practices
12/1/2012MHO Update December 2012
Physician Survey; Winter Influenza Season
10/31/2012MHO Update October 31, 2012
Health Canada Annoucement: Agriflu and Fluad influenza vaccines authorized for use in Canada
10/27/2012MHO Update October 27, 2012
Health Canada Announcement Suspending Distribution: Do Not Use Agriflu or Fluad Vaccines
10/8/2012MHO Update October 9, 2012
Prescription Opioid Overdose Deaths of Persons with Chronic Pain in the Interior Health Region
10/1/2012MHO Update October 2012
Health Staff & Physicians Human Infections with Novel Coronavirus; Updated IH Guidelines for Respiratory Outbreaks in Residential Care; Family Physician Servey - Routine Childhood Immunizations
9/1/2012MHO Update September 2012
Fall 2012 Influenza Vaccine Update
8/1/2012MHO Update Aug 2012
Pertussis Activity in Interior Health
7/1/2012MHO Update July 2012
Gastrointestinal illness associated with mountain parks; Ensure routine pertussis immunizations are up to date; HPV vaccine still available; New Prenatal Registry; Unassisted childbirths
5/1/2012MHO Update May 2012
Domperidone & Breastfeeding; 2012 Bugs and Drugs Antimicrobial Reference Guide; Ticks, Lyme Disease & Tick Paralysis; Bats & Rabies; Mosquitoes & West Nile Virus (WNv); Mice & Hantavirus Pulmonary Syndrome (HPS)
4/1/2012MHO Update April 2012
Public Health & Primary Care; Cervarix; Cleft Lip/Palate Team Clinics; After Hours Palliative Nursing Service
1/1/2012MHO Update January 2012
Hep A Vaccine in Aboriginal Persons; Change in the Varicella Vaccine Schedule; Closure of Interior Health STI Clinics; Ecstasy Alert; Respiratory Illness in IH
Drug Alert_Poster Cranbrook Feb 5


As a step towards reconciliation, Interior Health acknowledges the land that we live, work, and play on as the traditional territories of the Dakelh Dene, Ktunaxa, Nlaka’pamux, Secwepemc, St’at’imc, Syilx and Tsilhqot’in peoples. It is with humility that we continue to strengthen our relationships with the First Nation, Métis, and Inuit peoples of the interior.
MoH     PCQO