All our clients must make an appointment by telephone before entering one of the CSCE sites. You don’t have an appointment? Call before you show up. Thank you for your collaboration.


CSCE Preventive measures (PDF)


If you have a fever and/or new onset of cough or difficulty breathing AND in the 14 days before symptom onset, you have:

  • been to a COVID-19 impacted area, or
  • you have been in close contact with a confirmed or probable case of COVID-19, or
  • you have been in close contact with a person with acute respiratory illness who has been to a COVID-19 impacted area,

Contact us by phone or call Telehealth Ontario at 1-866-797-0000.

Please note that due to the exceptionally high call volume, the CSCE phone lines may be busy when you call. We sincerely apologize for the inconvenience and thank you for your patience and understanding.


Coronaviruses are a large family of viruses that can cause illnesses ranging from the common cold to more serious respiratory infections like bronchitis, pneumonia or severe acute respiratory syndrome.

Coronaviruses are spread mainly from person to person through close contact, for example, in a household, workplace or health care centre.

Some human coronaviruses spread easily between people, while others do not.

Your risk of severe disease may be higher if you have a weakened immune system. This may be the case for:022

  • older people
  • people with chronic disease (for example, diabetes, cancer, heart, renal or chronic lung disease)

Returning from travel

Anyone who has travelled outside of Canada should:

  • self-isolate for 14 days when they return. People who are self-isolating should not go to work
  • monitor themselves for symptoms of the 2019 novel coronavirus for 14 days after returning to Canada
  • contact their primary care provider or Telehealth Ontario at  1-866-797-0000 if they experience symptoms of the 2019 novel coronavirus

In addition:

  • Workers who have travelled and are part of workplaces that are essential to daily living are able to return to work as long as they do not have symptoms. However, they should self-monitor for a period of 14 days and identify themselves to their employer so that a plan can be put into place to ensure the protection of those workplaces.
  • Children under the age of 16 years who have travelled outside of Canada should also self-isolate for a period of 14 days. Parents should actively monitor their children’s symptoms. Children who are self-isolating should stay at home and avoid social gathering points such as community centres or parks.

Learn about travel advisories related to the 2019 novel coronavirus.

Symptoms and treatment

Symptoms range from mild – like the flu and other common respiratory infections – to severe. The most common symptoms include:

  • fever
  • cough
  • difficulty breathing
  • muscle aches
  • fatigue
  • headache
  • sore throat
  • runny nose

Complications from the 2019 novel coronavirus can include serious conditions, like pneumonia or kidney failure, and in some cases, death.

There are no specific treatments for coronaviruses, and there is no vaccine that protects against coronaviruses. Most people with common human coronavirus illnesses will recover on their own.

You should:

  • drink plenty of fluids
  • get rest and sleep as much as possible
  • try a humidifier or a hot shower to help with a sore throat or cough

If you start to feel symptoms of COVID-19

  • Anyone who begins to feel unwell (fever, new cough or difficulty breathing) should return home and self-isolate immediately.
  • People who are self-isolating should seek clinical assessment over the phone – either by calling their primary care provider’s office or Telehealth Ontario 1-866-797-0000. If you need additional assessment, your primary care provider or Telehealth Ontario will direct you to in-person care options.

If you need immediate medical attention you should call 911 and mention your travel history and symptoms.

How to protect yourself

Coronaviruses are spread mainly from person to person through close contact, for example, in a household, workplace or health care centre.

There is no vaccine available to protect against the 2019 novel coronavirus, but there are actions you can take to help prevent the spread of germs that cause respiratory illnesses.

Everyday actions

Take these everyday steps to reduce exposure to the virus and protect your health:

  • wash your hands often with soap and water or alcohol-based hand sanitizer
  • sneeze and cough into your sleeve
  • avoid touching your eyes, nose or mouth
  • avoid contact with people who are sick
  • stay home if you are sick

Poster: What you need to know to help you and your family stay healthy

Physical distancing

Everyone in Ontario should be practicing physical distancing to reduce their exposure to other people.

Everyone in Ontario should do their best to avoid close contact with people outside of their immediate families. Close contact includes being within two (2) meters of another person.

If you believe you have been exposed to someone with COVID-19 symptoms, you should begin to self-monitor for a period of 14 days. This means that, in addition to physical distancing, you should track how you feel. You should take your temperature daily and log any other symptoms that develop (for example, sore throat, new cough). You can share these records with your primary care provider over the phone if you seek assessment services.

How to self-isolate

Self-isolating means staying at home and avoiding contact with other people to help prevent the spread of disease to others in your home and your community.

All persons over 70 years of age and individuals who are immunocompromised are advised to self-isolate for a period of 14 days. This means that you should only leave your home or see other people for essential reasons. Where possible, you should seek services over the phone or internet or ask for help from friends, family or neighbours with essential errands.

When self-isolating you should:

Stay home

  • do not use public transportation, taxis or rideshares
  • do not go to work, school or other public places
  • your health care provider will tell you when it is safe to leave

Cover your coughs and sneezes

  • cover your mouth and nose with a tissue when you cough or sneeze
  • cough or sneeze into your upper sleeve or elbow, not your hand
  • throw used tissues in a lined waste basket, and wash your hands. Lining the wastebasket with a plastic bag makes waste disposal easier and safer.
  • after emptying the wastebasket wash your hands

Wash your hands

  • wash your hands often with soap and water
  • dry your hands with a paper towel, or with your own cloth towel that no one else shares
  • use an alcohol-based hand sanitizer if soap and water are not available

Poster: How to self-isolate.

For more information and latest news:

March 26, 2020 – In response to growing concerns over COVID-19 in Eastern Ontario, the United Counties of Stormont, Dundas and Glengarry (SD&G), the United Counties of Prescott and Russell (UCPR) and the City of Cornwall have declared a state of emergency today as of 4:00 PM in an effort to slow the spread of this highly contagious virus.

Although there have only been four confirmed cases of COVID-19 within the combined jurisdictions to date, there are over 300 tests with results still pending. Public health authorities fear the virus is now spreading on two fronts: through the community from one individual to another, as well as area residents returning from their travels abroad.

“Over 50 percent of cases in Canada are not linked to individuals who have travelled abroad or been in contact with people who did,” says Dr. Paul Roumeliotis, Medical Officer of Health at the Eastern Ontario Health Unit (EOHU). “This means there is now community spread of COVID-19 across the country, and our area will be no exception.”

The increasing threat of COVID-19 points to the importance of physical distancing as a measure to counter its spread. The public is therefore being asked to stay home as much as possible and to avoid all non-essential outings. When going out for absolute essentials like groceries and medication, everyone must maintain a minimum distance of 2 metres (6 feet) from one another.

The Warden of the United Counties of SD&G, Frank Prevost, states that while residents shouldn’t panic about the state of emergency, they should take public health advisories very seriously. “I want residents to understand that we have taken this measure to enable us to access additional resources to respond to COVID-19.”

Pierre Leroux, Warden of the United Counties of Prescott and Russell, echoes Mr. Prevost’s message. “While the situation regarding COVID-19 is still manageable in our area, declaring a state of emergency will allow the redeployment of county resources, such as personnel and equipment, to where we need them most.”

“Declaring a state of emergency is not a decision we took lightly, but it was the right decision to make,” says Bernadette Clement, Mayor of the City of Cornwall. “This will help us to come together more effectively to care for the most vulnerable among us, to deploy needed action quickly, and to efficiently coordinate preventive measures.”

Mandatory 14-day quarantine for returning travellers

Authorities at all levels of government are reminding residents that a 14-day quarantine is now mandatory for all Canadians returning from travel outside of the country. Returning travellers must go straight home upon their return to the country, and rely on help from family, friends, their municipality and local agencies for anything they need.

For more information about COVID-19, please consult, Ontario’s website at, where you’ll find a self-assessment tool, and the federal government’s website at

Source: Eastern Ontario Health Unit (EOHU)

In order to minimize the risk of COVID-19 spreading and as a preventive measure, ALL CSCE GROUPS ARE CANCELED until further notice.

Thank you for your understanding.


March is Nutrition Month and this year, Canadian dietitians are talking about how healthy eating is about so much More than Food! For dietitians, it’s not just about considering what Canadians eat, but how they eat – how to enjoy food, the importance of eating meals together and how to cook more often by involving others in the planning and preparation of meals. Nutrition Month is the perfect time for Canadians to learn more about how food impacts their health and to connect with a dietitian.

More than Food

Nearly 30 per cent of Canadians said they began eating healthier in 2019 in order to improve their overall health, according to a ProdegeMR study. However, dietitians know that easy access to highly processed foods, loss of food skills and other factors have impacted eating habits. The amount of money Canadians spend on highly processed foods has increased significantly in recent years and according to Statistics Canada, Canadian households spend about 30 per cent of their food budget on restaurant meals. To help address these challenges, dietitians across Canada will focus on the habits that support healthy eating this Nutrition Month, such as cooking with others and planning ahead.

“As dietitians, we know food is an important part of healthy eating, but it’s only the beginning. Personally, I see first-hand that many Canadians struggle with “how” to eat in our fast-paced world,” says Amy Yiu, dietitian and Nutrition Month spokesperson. “When I meet with clients, we talk about more than food and health; we talk about things like why their culture and food traditions matter, how cooking at home can help them reduce food waste and how to notice when they are hungry and full.”

Making nutrition a key part of overall health

Almost six in 10 Canadians are managing at least one chronic disease through food and diet as reported in the Tracking Nutrition Trends Survey in 2018; many more are looking to improve their health more generally. Dietitians work alongside family doctors, pharmacists, nurses and in the community to support Canadian families to make healthy food decisions.

“Dietitians are an essential resource for Canadians looking for support in making nutrition a key part of their overall health. Our studies have shown that nearly 70 per cent of Canadians understand that dietitians are a high-quality and regulated source of nutrition information,” said Nathalie Savoie, CEO of Dietitians of Canada. “This Nutrition Month, we want to help Canadians understand the positive impact a dietitian can have on their lives – an impact that is about so much more than just food! For example, dietitians are required to stay on top of emerging research skills and techniques so they can recommend innovative treatments, services and tools to their clients and patients.”

Throughout March, dietitians will inspire their communities and workplaces through events and on social media to share healthy eating habits that go beyond food.

Find recipes, articles and more at:

December 17, 2019 – The Centre de santé communautaire de l’Estrie (CSCE) is happy to announce its partnership with Doctor Priscille Cyr, surgeon at the Hawkesbury and District General Hospital (HGH). Starting January 31, 2020, Doctor Cyr will be providing pre-surgical consultations once a month at the CSCE in Limoges, located at 601 Limoges Road, Unit 201.

It should be noted that surgeries will not be performed at the CSCE in Limoges but rather at the HGH.

Common health issues that may be treated by the surgeon:

  • Inguinal, umbilical, incisional hernias, etc. (open and laparoscopic surgeries)
  • Gastrointestinal surgeries, including colorectal cancers (open and laparoscopic surgeries)
  • Breast surgeries, including breast cancer
  • Laparoscopic cholecystectomy
  • Skin cancer, including melanomas
  • Perianal disease (hemorrhoids, fistulas, fissures, etc.)
  • Sinuses (pilonidal cysts)
  • Colonoscopies and gastroscopies (with sedation provided by the HGH anesthetists)
  • Minor surgeries

A medical referral is required. Please fax medical referrals to the following number: 613-557-2084.

Centre de santé communautaire de l’Estrie – Limoges
Telephone: 613-557-2210 | Fax: 613-557-2084

December 11, 2019 – The cost of nutritious food in the United Counties of Stormont, Dundas and Glengarry, and Prescott-Russell and the City of Cornwall has increased by 9% in 2019 compared to 2018. A survey on the local cost of healthy groceries by the Eastern Ontario Health Unit (EOHU) determined that it now costs $919 per month to feed a family of four.

“These costs keep increasing every year, and because of the cost of housing and inadequate income, many people and families are struggling every month to meet the needs of their household,” says Nikolas Hotte, Manager of the Chronic Disease Prevention program at the EOHU.

Food insecurity is defined as not having enough money to buy food

Data shows that in Eastern Ontario, one in seven households fit this description. “Food insecurity is a serious public health problem that impacts physical, mental and social health,” says Dr. Paul Roumeliotis, Medical Officer of Health at the EOHU. To learn more about food insecurity, visit the “No Money for Food is… Cent$less” website.

Every year, the EOHU along with all health units in Ontario, completes the costing of 67 food items to estimate the basic cost of healthy eating for individuals and households. The data collected in the Nutritious Food Basket survey is used to monitor both the affordability and accessibility of foods by comparing the cost of a nutritious food basket to individual and household incomes.

Source: Eastern Ontario Health Unit (EOHU)

IMPORTANT MESSAGE: Please note that due to a current shortage of flu vaccines, some of our flu vaccination clinics have been canceled. We are sorry for this inconvenience and hope you understand that this situation is out of our control.

It’s flu season!

Vaccination is the best defense against the spread of flu. Get vaccinated!

Every fall, the Centre de santé offers seasonal flu vaccination clinics.

Flu is a serious infection that can result in severe complications. Nobody is safe from the flu. Your best means of defense against the flu is vaccination.

Vaccination is provided free of charge.

Alexandria (by appointment only – 613 525-5544) 

Bourget (by appointment only – 613 487-1802)

Cornwall (information – 613 937-2683)


Crysler (by appointment only – 613 987-2683)

Embrun (by appointment only – 613 443-3888)

Limoges (by appointment only – 613 557-2210)

Getting vaccinated against the flu means protecting yourself!

For more details about the flu, please go to the MOHLTC Website and learn about the virus and recognize the symptoms.


November 2019 marks the second year of a two-year theme dedicated to “The Family and Diabetes”. The tagline for the campaign this year is “Diabetes: Protect your Family”. The aims of the campaign are to raise awareness of the impact that diabetes has on the family and to promote the role of the family in the management, care, prevention and education of the condition.

What is diabetes?

Diabetes is a chronic disease in which the body either cannot produce insulin or cannot properly use the insulin it produces. Insulin is a hormone that controls the amount of glucose (sugar) in the blood. Diabetes leads to high blood sugar levels, which can damage organs, blood vessels and nerves. The body needs insulin to use sugar as an energy source.

At this time, researchers do not yet know how to prevent type 1 diabetes. However, type 2 diabetes can be delayed or prevented. If you have risk factors for type 2 diabetes, there are things you can do to reduce your risk of developing diabetes. Better food choices, regular exercise, and maintaining a healthy weight will help.

November 14th

The International Diabetes Federation (IDF) and the World Health Organization (WHO) started World Diabetes Day in 1991 in response to the escalating health threat posed by diabetes. It has since grown to become a globally celebrated event and an official United Nations (UN) awareness day. It is now the world’s largest diabetes awareness campaign.

Detecting diabetes early involves the family

Preventing type 2 diabetes involves the family

Caring for my diabetes involves my family

Diabetes facts and figures

CSCE Diabetes Education Program

The Centre de santé communautaire de l’Estrie’s (CSCE) Diabetes Education Program allows all people with diabetes or prediabetes to learn the skills they need to take an active role in managing their condition daily. The Diabetes Education Program team is made up of a dietitian and a nurse whose mandate is to teach people with diabetes to take charge of their health and manage their disease. To do this, one group session along with personalized follow-ups are offered on topics. The program is available at our Alexandria, Bourget, Cornwall and Embrun locations.

To know more about Diabetes, visit or

Octobre 28, 2019 – The grand opening of Place 649, a new building in Embrun where the Centre de santé communautaire de l’Estrie (CSCE) is now housed, took place on Thursday, October 24th. The event, including a cocktail buffet and music, brought together around 250 people from Embrun and surrounding area.

Place 649 is an establishment that brings together five businesses and organizations from Eastern Ontario: Centre de santé communautaire de l’Estrie (CSCE), Dental Clinic Embrun Smiles Family Dentistry, The Co-operators | Insurance and Investment Company, Notre Dame Pharmacy and Robillard Hearing Centre.

“It is with pride and eagerness that Place 649 opens its doors to the public,” says Philippe Ryan, consultant/owner of the building and the Co-operators agency. This is an opportunity to visit our offices, and to network with members of the business and rural community in Eastern Ontario.”

Mayor of the Township of Russell, Pierre Leroux, said: “We are pleased to welcome the new businesses in Place 649. The rapid growth of the Township of Russell offers new opportunities for entrepreneurs and creates new options for our residents. It’s a great success for the whole community, congratulations!”

The CSCE put the people and the community at the center

“The Centre de santé crew is very happy to be a partner in this building and provide health care programs and services such as primary care, mental health, aging at home, diabetes education, health promotion, nutrition and community health for the Embrun and area population,” says Marc Bisson, CSCE Executive Director. Our model of health and wellbeing put the people and the community at the center, to help identify and address social determinants of health and build healthier individual and communities.”

Place 649 partners: Centre de santé communautaire de l’Estrie (CSCE), The Co-operators Insurance and Investment Company, Robillard Hearing Centre, Notre Dame Pharmacy and Dental Clinic Embrun Smiles Family Dentistry.


The Embrun CSCE team is very excited about this new location.


Click here to see more pictures

Place 649 opening in the news

Managing high blood pressure can reduce your risk of heart attack by 25%, stroke by 40% and heart failure by 50%.

What is hypertension?

Hypertension or high blood pressure is where blood flows through your veins at a higher pressure than normal. Hypertension affects one in five people and can lead to damage to the arteries and complications such as stroke and heart disease.

Controllable risk factors: diet, inactivity, overweight/obese, smoking, alcohol intake, stress…

Uncontrolled hypertension can increase the risk of: stroke, heart attack, heart failure, kidney disease, blindness, diabetes, aneurysms…

How can a dietitian help you better manage and prevent high blood pressure levels?

Registered Dietitians are food and nutrition experts who transform the science of nutrition and best available evidence into practical solutions for living a healthy life. They can provide guidance in managing and preventing high blood pressure through:

All of which are tailored to your needs and goals. These services are offered at no cost and on an ongoing basis at an unrestricted frequency to provide adequate support.

Take the first step in reducing your risk today… Schedule an appointment with the dietitian!

Click here for more information about our nutrition services. 

Avis à nos clients / Notice to Clients

Tous nos clients doivent obtenir un rendez-vous par téléphone avant d’entrer dans l’un des sites du CSCE. Vous n’avez pas de rendez-vous?  Téléphonez avant de vous présenter. Merci de votre collaboration.


All our clients must make an appointment by telephone before entering one of the CSCE sites. You don’t have an appointment? Call before you show up. Thank you for your collaboration.