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

Vaccine Letters to High School Patients - January, 2015

Following the recent changes to the Immunization for School Pupils Act (ISPA), over 60,000 letters have been sent to high school students in Toronto who have not received and/or reported the required vaccinations for school entry. Many of these students may be your patients.

 Health Care Provider's Role: 

  1. If the student's immunizations ARE up to date:
  2. If the student's vaccinations ARE NOT up to date:

More information about immunization and vaccines.

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.