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.
Measles Cases in Toronto
Information for Health Professionals:
News and Announcements
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:
- If the student's immunizations ARE up to date:
- Remind the individual to report their immunization(s) to Toronto Public Health
- NOTE: When documenting the vaccines the students received, please provide the brand name (i.e. Adacel®) and the date it was administered.
- If the student's vaccinations ARE NOT up to date:
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:
- Continue to offer the influenza vaccine.
- Be prepared for an increased demand for health care services and outbreaks.
- Follow the AMMI Canada treatment guidelines: The use of antiviral drugs for influenza: A foundation document for practitioners.
- 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.
- Monitor influenza activity in Toronto.
- 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
- Advise patients of infection prevention and control measures.
The updates to the Ontario Schedule are now available online. This immunization program enhancement can be attached to the existing Publicly Funded Immunization Schedules for Ontario (August 2011).
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.
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.
Commonly Used Tools and Resources
- Programs and Services to Help You Help Your Patients (TPH)
- Forms for Health Professionals
- Clinics for your patients
- Treatment Guidelines
- Smoking Cessation
- Breastfeeding Protocols (PDF)