We are taking precautions at the Middlesex Hospital Alliance (MHA) to ensure the safety of our patients, families, caregivers and staff during the COVID-19 pandemic. Updates will be shared frequently to ensure everyone has the information required to remain safe.

Please visit the Province of Ontario’s dedicated COVID-19 webpage  to help educate yourself about COVID-19, including how you can protect yourself and what to do if you suspect you may be at risk.  Please select from the menu below:

COVID-19 Information

What are the symptoms of COVID-19?

Symptoms of COVID-19, which is the disease caused by the 2019 novel coronavirus, range from mild — like the flu and other common respiratory infections — to severe.

The most common symptoms of COVID-19 include:

  • fever (feeling hot to the touch, a temperature of 37.8 degrees Celsius or higher)
  • chills
  • cough that’s new or worsening (continuous, more than usual)
  • barking cough, making a whistling noise when breathing (croup)
  • shortness of breath (out of breath, unable to breathe deeply)
  • sore throat
  • difficulty swallowing
  • runny, stuffy or congested nose (not related to seasonal allergies or other known causes or conditions)
  • lost sense of taste or smell
  • pink eye (conjunctivitis)
  • headache that’s unusual or long lasting
  • digestive issues (nausea/vomiting, diarrhea, stomach pain)
  • muscle aches
  • extreme tiredness that is unusual (fatigue, lack of energy)
  • falling down often
  • for young children and infants: sluggishness or lack of appetite

How can I protect myself?

COVID-19 is spread mainly from person to person through close physical contact.

Handwashing is your best defense against a range of illnesses, including COVID-19. Wash your hands often to help prevent exposure to, and transmission of, illness.

Other usual health precautions that can help you protect yourself against COVID-19 and other illnesses:

  • Avoid contact with people who are sick
  • Stay home if you are unwell
  • Cough/sneeze into a tissue or into your sleeve or arm (immediately wash your hands after)
  • Don’t touch your face
  • Clean your hands before eating/drinking
  • Clean frequently touched objects and surfaces, like bathroom sinks, kitchen counters, etc.

Visitation Policy during COVID

Given the Continued Spread of COVID-19 in the Community, MHA has approved a change to our Visitor Policy. 

Effective April 12, 2021, the REVISED Policy  allows for  PREAPPROVED ESSENTIAL visitors only. 

The following essential visit request process is for non COVID‐19 inpatients who would greatly benefit from an in person visit:

  1. All essential visit requests are for patients who have a 3 day length of stay or longer for in patients. For ICU and palliative patients essential visit requests can be made upon admission. All visit requests must be approved by the unit manager.
    1. If a patient is awaiting COVID testing results, visitation will wait until the test is determined to be negative.
  2. Essential visitors will be approved in advance and their information will be documented in the patient record and at the screening desk at each site.
  3. Visitors will be screened upon entry to the hospital.
  4. Hand hygiene will be reviewed with each patient visit
  5. Visitors MUST wear the medical mask provided to them and this MUST be worn at ALL times while visiting the patient.
  6. Visitors will NOT be permitted to eat or drink during their visit
  7. Visits will be with the same individual.
  8. If able, the patient should wear an approved mask during the visit
  9. If visiting a patient in a multi‐bed room, the curtain must be drawn around the bedsides of all patients and the visitor will stay within the bed space of the patient they’re visiting.
  10. Visits will be restricted to a one hour visit per day and this must be scheduled in advance. Maximum 2 per week (can be reviewed at the discretion of the Patient Care Manager and the patient care team). The Patient Care Manager, in collaboration with the patient care team, will determine the length and location of the visit.

Designated visitors who do not follow these guidelines will be asked to leave. Thank you for your continued support to keep our patients, staff and physicians safe.

If you have any questions about the visiting hours policy, please ask a member of your care team.

Women in labor 1 designated support person For duration of stay
Palliative 1 designated family member/visitor Daily visit for duration of stay
Surgery/Medicine admitted patients 1 designated family member/visitor One visit per day for duration of stay
Emergency Department, when deemed necessary 1 accompanying family member/support person For ED stay only
Pediatric Patient ( under age 18) 1 designated family member For duration of stay

Guidelines for Visitors

  • Please wash your hands or use the available liquid sanitizer when entering and exiting the hospital.
  • Do not visit if you are ill or have been in contact with a person with a contagious illness (e.g. respiratory illness with fever, colds, chicken pox, flu)
  • Help us maintain a Scent Free environment. Please do not bring strongly scented flowers or use heavily scented body products (e.g. perfumes, lotion) when visiting.
  • Do not bring latex balloons.
  • The Hospital is a Smoke Free Environment. Anyone wishing to smoke will be required to leave the Hospital property.

Active Screening

Access into the hospital is limited to the following entrances:

Strathroy Middlesex General Hospital: the Main entrance and Emergency, the Emergency remains open 24/7.

Four Counties Health Services:  Emergency, the Emergency remains open 24/7.

Screeners actively screen all patients, approved visitors, and staff upon entry at all entrances by asking questions about:

  • Symptoms (fever, cough, difficulty breathing, sore throat, muscle aches, diarrhea, abdominal pain)
  • Travel history
  • Contact with a confirmed or probable COVID-19 patient
  • Contact with person with acute respiratory illness who has travelled in the past 14 days

Visitors who fail the screen are not permitted to enter.

What steps are Middlesex Hospital Alliance taking to keep patients, visitors and staff safe?

MHA has coordinated prevention activities to align with recommendations from Public Health Ontario, Ontario Ministry of Health, Ontario Health and Regional Pandemic Advisory Boards. These include;

  • Controlled entry points and perimeter screening to assess for the presence of COVID-19 symptoms and identified exposure risks for everyone who enters our facilities.
  • Increased hand hygiene stations
  • Adoption of masking/facial covering policy
  • Placement of physical barriers, e.g. PlexiglasTM , stanchions
  • Enhanced signage to promote hand hygiene, masking, and physical distancing
  • Incorporated alternative ways to provide care in a safe manner, e.g. virtual or remote appointments
  • Updated visitor policies
  • Adhered to a slow and measured resumption of services

Universal Masking

Middlesex Hospital Alliance requires all outpatients, visitors, caregivers to wear a mask for the duration of your time at both of our hospital sites.

Why are patients and care partners being asked to wear masks at Middlesex Hospital Alliance?

Physical distancing, or staying more than two metres (six feet) apart from others is the most important strategy to prevent the spread of COVID-19 from person to person. Some people who have COVID-19 may not have symptoms but can still spread the virus without knowing. Because we cannot guarantee physical distancing at all times, we require all patients and care partners wear a mask upon entry so we can keep everyone safe.

What type of mask is allowed?

All patients and visitors will be provided with a Level 1 mask upon entry to the hospital. Outside masks (including cloth masks) are not permitted. If you are wearing a mask from home, you will be provided a paper bag to store your mask until you leave.

When should I wear a mask?

Please leave your mask on the entire time you are inside the hospital. If you need to take it off to eat or drink, or as part of your medical appointment, first wash your hands and then remove your mask carefully, without touching your face

Do inpatients have to wear masks?

Inpatients are not required to wear masks, unless they have COVID-19 or are suspected of having COVID-19.

What if I refuse to wear a mask?

You will not be allowed within any MHA hospital site to visit or provide assistance for your loved one if you refuse to wear a mask.

You will not be allowed to attend any scheduled procedures if you refuse to wear a mask.

You will be asked to leave by our MHA screening staff.

COVID Vaccination

For information on COVID-19 Vaccination eligibility and  information on booking system  please visit the Middlesex-London Health Unit website:



Preparing for your Surgery

Ensuring the safety of our patients and staff is a top priority. We recognize the added stress of the COVID-19 Pandemic may have you feeling more anxious about your upcoming surgery or procedure.

Please be assured that our routine diligent infection prevention measures are still in place as well as additional pandemic measures in accordance with recommendations to hospitals by the Ontario Ministry of Health.

Please refer to the Having Surgey During a Pandemic Infection Prevention Guide

Pre-admission/pre-anaesthesiology appointments

Some patients may require additional assessment. Be assured, this does not mean your surgery will not take place. It’s recognized that patients who have infection at the time of their surgery are at greater risk of developing complications during their health care journey. You may be require an in-person or remote assessment by our pre-admission nursing staff or anaesthesiology physicians. Your safety is very important to us. Please provide us with thorough and accurate information.


It is recommended that patients adopt a period of self-isolation prior to their surgical procedure to prevent exposure to the virus. Ideally, your period of self-isolation should last for 14 days prior to your surgical procedure.

Please refer to Public Health Ontario Fact Sheet on Self-Isolation formation.  

You will be notified by your physician’s office or hospital staff if testing for COVID-19 is required prior to your surgical procedure. Please arrange testing through a COVID-19 Assessment Centre.

To ensure the health and safety of all staff, physicians and patients at MHA, please follow the guidance provided when preparing for your surgery and on the date of your procedure.




Preparing for your Outpatient visit

Although outpatient services are returning, restrictions to the number of people in areas of the hospital is limited. Please help us all stay safe.

  • If you are able to come to your appointment unattended, please do so. One support person is permitted for the following reasons;
    • To assist with a physical or cognitive impairment
    • If they are a parent/guardian accompanying a minor
    • If they are a designated driver for an appointment in which the patient is receiving sedation or medication in which operating a vehicle is not recommended
    • If they are supporting a person for a scheduled elective surgical procedure
  • Exceptions must be requested and will be assessed on a case by case basis in consultation with your health care provider prior to the day of your appointment.
  • Please ensure you arrive for your appointment at the time provided. If you are early, you may be asked to wait before you are able to enter the facility.
  • On arrival, you (and your support person) will be asked questions about symptoms you may be experiencing or exposures to the virus you may have had. These questions may be asked at multiple points during your visit.
  • Everyone must perform hand hygiene when entering and prior to exiting the facility
  • Facial protection that adequately covers the nose and mouth is required by everyone entering the building. If you choose not to wear facial protection, your elective outpatient appointment will be rescheduled or cancelled.
  • Waiting room space is limited due to physical distancing requirements. If you are a support person meeting the requirements above, waiting space will be provided. Additional persons may be requested to find an alternative waiting location external to the hospital building.
  • Follow signs and practice physical distancing

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