Ministry of Health and Long-Term Care

Guidance on Public Health Measures for the Pandemic H1N1 Influenza Virus in First Nations Communities


This document aims to provide guidance to First Nations communities on public health measures that can be used to control the spread of the H1N1 flu. It provides:

  • Steps that can be taken to stop the spread of flu within households and the community
  • Advice on postponing or continuing with large gatherings

Backgrounder - Ontario's Flu Vaccine Strategy

Ontario will immunize people 65 years of age and older and residents of long-term care homes, with seasonal flu vaccine first. Ontario will offer the rest of the province's population the H1N1 vaccine beginning in November followed by a universal influenza immunization program with the seasonal flu vaccine in the months following. Ontario's decision to take this approach is based on scientific analysis by the province's top immunization experts suggesting that this vaccination sequence strategy will provide the greatest benefit to the population's health.

Addendum to Guidelines for the Prevention and Management of Pandemic (H1N1) 2009 in Schools: Settings where Students Board

Source: MOHLTC Guidance for the Prevention and Management of Pandemic (H1N1) 2009 Influenza Virus in Colleges & Universities, September 2009

Ill Students in Residences

Depending on the size of the residence and logistical feasibility, the institution should try to separate students with ILI in specific rooms or areas (e.g., rooms at one end of the hall, designated wing or floor).

Consider the following when caring for ill students with ILI in residence:

The H1N1 Flu in Ontario: A Report by Ontario’s Chief Medical Officer of Health

On April 23, 2009, I was selected by a committee of the Ontario legislature to become this province's Chief Medical Officer of Health, a position I took up on June 15. Prior to my appointment, I was serving as the Director General of the Centre for Immunization and Respiratory Infectious Diseases at the Public Health Agency of Canada, and my attention had begun to focus on a health issue that was to dominate the world's headlines for the next several months.

H1N1 and Ontario First Nations Communities Presentation

The attached document was used in a joint presentation by Dr. Arlene King and Dr. Valerie Gideon at the Ontario Chief's Assembly on July 9, 2009.

Dr. Arlene King

Chief Medical Officer of Health
Ministry of Health & Long-Term Care
Province of Ontario

Dr. Valerie Gideon

Regional Director - Ontario
First Nations & Inuit Health
Health Canada

Pandemic Guidelines for First Nation Communities - Chapter 20 of the Ontario Pandemic Plan

Ontario Health Plan for an Influenza Pandemic August 2008

20. Guidelines for First Nations Communities

With the exception of a few small outposts that isolated themselves, there was by early 1919 only one place the virus had missed.

The Great Influenza, John M. Barry

There are 134 First Nations communities in Ontario. Of those, 106 are non-isolated (i.e., road access < 90 km to physician services) and 28 are isolated (i.e., regular flights, no year-round road access, good telephone and radio services).

News Release: Four Confirmed Cases of Swine Flu in Ontario

All Four Cases Are Mild And Recovering At Home


Dr. David Williams, Ontario's Acting Chief Medical Officer of Health, says there are four confirmed cases of swine flu in Ontario.

All cases involved travel to Mexico. Laboratory testing has confirmed that the swine flu virus is the same as the one in Mexico and the United States.

Three of the cases are in Durham Region and one is in York Region.

All four cases are considered mild and the individuals are recovering at home.

Treating Pandemic Flu: What Your Health Care Provider Will Need to Know and May Ask You to Do

This fact sheet provides guidelines on what health care providers need to know and may ask you to do during flu pandemic.

Preparing for a Flu Pandemic: Making Individual and Family Plans

This fact sheet provides guidelines to help you and your family plan ahead for a flu pandemic.

What you should know about a flu pandemic (Brochure)

An influenza (flu) pandemic spreads easily and rapidly through many countries and regions of the world.

Talk of an influenza pandemic has occupied the media of late. During the 20th century, the world faced three flu pandemics. The most deadly, the "Spanish Flu" in 1918 and 1919, killed over 20 million people.

Public health experts tell us that another flu pandemic could happen anytime. They also tell us that if we are prepared, we can reduce the number of people who become infected and the number who die.