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.

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News and Announcements

 

ExpandInterim Guidance on the Management of Syphilis Cases in Toronto

Toronto Public Health was notified by the Ministry of Health and Long Term Care (MOHLTC) on April 28, 2016 that due to production delays at Pfizer Canada, there will be a national shortage of Bicillin expected to last until July 2016. 

In order to meet expected demand using Ontario's current supply of Bicillin, the MOHLTC has developed a document entitled Interim Guidance on the Management of Syphilis Cases in Ontario During Bicillin Production Delay. Health care providers managing patients with syphilis are requested to begin following the interim guidance document immediately

Health care providers with questions about the treatment of syphilis or the interim guidance document can call the Sexually Transmitted Infections Case Management Program at 338-2373.

ExpandUPDATE: MERS-CoV (April, 2016)

  • The MOHLTC has revised the MERSCoV case definition for a Person Under Investigation to be more specific regarding travel history and exposure to health care settings and camels or camel products. More information.
  • Physicians should continue to be alert for patients presenting with signs and symptoms consistent with acute respiratory infections (ARIs). 
  • Persons under investigation for respiratory infections of epidemiologic significance, such as travel-related acute respiratory infections like MERS-CoV, must be immediately referred to the emergency department (ED) of an acute care hospital for investigation.  It is advisable to notify the ED prior to patient arrival.

For more information:

ExpandSyrian Refugee Crisis – Information for Health Professionals

The Ministry of Health and Long-Term Care is working with federal, provincial and health system partners to support Syrian refugee resettlement in Ontario

What Toronto health care providers need to know:

1. Clinics have been established in Toronto to provide comprehensive medical services to newly arrived Syrian refugees. More information, including clinic dates and locations.

2. There are a variety of services available to help connect Syrian refugees with the health care they need. More information including contact info for Medavie Blue Cross (Interim Federal Health Plan), and various helplines.

3. The multi-lingual Refugee HealthLine (1-866-286-4770 (toll-free)) has been established to connect refugees to health care providers for transitional health care and services.

4. Providers who have come forward to provide care to refugees should be encouraged to contact the Refugee HealthLine (1-866-286-4770 (toll-free)) as soon as possible to register their availability.

Resources for Health Care Providers:
• College of Family Physicians of Canada – Refugee Health Care Resource
• CMAJ guidelines "Caring for a Newly Arrived Syrian Refugee Family"

ExpandEbola 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