PHO notice: Primary care providers to report suspected incidences of MIS-C

The following message was sent to all primary care providers on behalf of Dr. Bonnie Henry, provincial health officer.

I have received reports of children and adolescents in British Columbia presenting with a syndrome that could have been COVID-19 associated Multi-system Inflammatory Syndrome (MIS-C). While no case has been linked to COVID-19, it is important that we track this closely to inform parents and clinicians about this syndrome in B.C.

Therefore, I am hereby providing notice of a duty to report each suspected incidence of MIS-C and information about each incidence to the medical health officer in your regional health authority.

Read the official notice here.

The following is a description of MIS-C and the information to be reported.

Incidences of people with Multi-system Inflammatory Syndrome in Children and Adolescents (MIS-C) are to be promptly reported to the medical health officer and include any cases with onset since January 1, 2020.

Patients to be reported are children and adolescents 0-19 years of age with fever ≥ 3 days AND two of the following:

  • Acute gastrointestinal symptoms (abdominal pain, vomiting, diarrhea)
  • Rash or bilateral non-purulent conjunctivitis or muco-cutaneous inflammation signs (oral, hands or feet)
  • Hypotension or shock
  • Features of myocardial dysfunction, or pericarditis, or valvulitis, or coronary abnormalities (ECHO findings or elevated Troponin/BNP/NT-proBNP)
  • Evidence of coagulopathy (abnormal PT, PTT, elevated d-dimer)
    • and Elevated markers of inflammation such as ESR, C-reactive protein, or procalcitonin
    • and No other obvious microbial cause of inflammation, including bacterial sepsis, staphylococcal or streptococcal shock syndromes, or no alternative plausible obvious diagnosis

Such people should be tested for evidence of SARS-CoV-2 infection (positive PCR test or serology) for confirmation purposes.

The information to be reported about each incidence includes:

  1. First name
  2. Last name
  3. Personal Health Number
  4. Phone number
  5. Sex
  6. Date of Birth
  7. Age (in years)
  8. Date of symptoms onset
  9. Health care facility contact (i.e. name of hospital or clinic at which patient was assessed/admitted)
  10. Name and contact information of reporting health professional

Thank you for your continued support of measures to prevent and manage COVID-19 in B.C.

Bonnie Henry, MD, MPH, FRCPC

Provincial Health Officer

Office of the PHO

Ministry of Health