Toronto Public Health
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Enteroviruses are very common viruses that are more prevalent in the summer and fall months. Enterovirus D68 (EV-D68) is a specific enterovirus that causes respiratory illness. Symptoms range from a mild cold-like illness with coughing and wheezing to severe infections that require hospitalization. In Ontario, among confirmed cases of EV-D68, several cases of Acute Flaccid Paralysis (AFP) are being investigated. All cases of AFP, regardless of age, are reportable to the local Medical Officer of Health and should be tested for EV-D68.
For more information:
- PHO Tabular Summary of Public Health Surveillance and Lab Testing for AFP and EV-D68
- Public Health Ontario EV-D68 webpage
- PHO Letter to Health Care Providers RE: Public health surveillance and laboratory testing for Enterovirus D68 and Acute Flaccid Paralysis (Oct. 10, 2014)
- MOHLTC memorandum (Oct. 6, 2014)
Clinicians should be reminded that although the risk is extremely low, viral hemorrhagic fevers (VHF), including 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 a country where VHF cases have recently occurred (e.g., West African countries including Guinea, Sierra Leone, Nigeria and Liberia). Public Health Ontario has recently updated their VHF page. Please refer to the following documents for information on the clinical features of VHF and the collection of laboratory specimens: Update for Clinicians and VHF laboratory test information.
The Ontario MOHLTC has issued a memorandum reminding health workers, health sector employers and other health system partners about the Hajj 2014 and Middle East respiratory syndrome coronavirus (MERS-CoV).
The Hajj 2014 is taking place this year between approximately October 2 - 7 in the Kingdom of Saudi Arabia. On August 15, the Public Health Agency of Canada (PHAC) issued a travel health notice related to the Hajj 2014.
Menigococcal vaccine is now mandatory for high school students. Students who did not receive the vaccine in grade 7 or 8, can now get a catch-up dose through a Toronto Public Health clinic or their health care provider. See eligibility for vaccine ordering through the Menactra® vaccine batch order form (PDF)
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