Toronto Public Health

The goal of the Health Professionals website is to provide you with timely, accurate, and relevant local public health information. Resources are primarily targeted at physicians and infection control practitioners practising in Toronto.

News and Announcements

Increasing Incidence of Gonorrhea Infections in Toronto

Rising gonorrhea infection rates, in addition to increasing antimicrobial resistance, continue to be of great concern; treatment failures have been reported in several jurisdictions across Ontario, associated with the use of oral cefixime.

Site specific testing of all sexually active individuals is critical in diagnosing gonorrhea infection.

Health care providers in Ontario are encouraged to follow Public Health Ontario's Guidelines for Testing and Treatment of Gonorrhea in Ontario (2013).

More Information

World TB day is March 24th!

World TB Day is held every year on March 24 to create awareness about the global health issue of tuberculosis (TB).  As health care providers, you play an important role in providing TB care and increasing TB awareness within your clinical practice. More information

NOTE: TPH's Associate Medical Officer of Health with the TB program will be presenting "Tuberculosis: Non-adherence to treatment and infection control, why it’s a problem, and what to do about it" at Public Health Ontario Grand Rounds on Tuesday, March 31st. For more information and to register click here

Influenza Update – December 19, 2014

Toronto is currently experiencing a high number of influenza A(H3N2) cases. In addition, a mismatch to the vaccine influenza A/Texas/50/2012 strain has been identified by the United States Centres for Disease Control and Prevention (CDC). To date in Canada, strain characterization suggests a drift.

Recommendations for Health Care Providers:

  1. Continue to offer the influenza vaccine.
  2. Be prepared for an increased demand for health care services and outbreaks.
  3. Follow the AMMI Canada treatment guidelines: The use of antiviral drugs for influenza: A foundation document for practitioners.
  4. Offer antiviral prophylaxis to all staff on outbreak-affected units, regardless of their influenza immunization status, during influenza A outbreaks in long-term care homes and hospitals.
  5. Monitor influenza activity in Toronto.
  6. When caring for people with influenza or influenza-like illness, follow Provincial Infectious Diseases Advisory Committee's Routine Practices and Additional Precautions in all Health Care Settings
  7. Advise patients of infection prevention and control measures.

More information:

Ontario MOHLTC memo: preparing for a busy influenza season

TPH Influenza Information for Health Professionals page

Ebola Information for Health Care Professionals

Clinicians should be reminded that although the risk is extremely low Ebola virus disease (EVD) should be considered in the differential diagnosis of febrile persons who have returned from endemic regions or specific local areas of Ebola-affected countries as identified by the  Public Health Agency of Canada.

For the most up to date information on infection prevention and control, lab testing and initial assessment and management of the returning traveller visit the PHO EVD webpage.

Provincial directives, including the Directive for Primary Care, as well as an EVD Screening Tool for Primary Care Settingscan be found at Ministry of Health and Long Term Care EVD page

Toronto Public Health (TPH) has set up an Ebola Information Line for Health Care Professionals at 416-392-5311. The line is staffed during regular business hours Monday - Friday, 8:30 am to 4:30 pm. After hours, please call 311 and your call will be redirected to the After-hours Manager.