Toronto Public Health

Welcome to our website for Toronto Health Professionals. Our goal 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.

We welcome your feedback. Email us at with your suggestions on how to improve our site.

News and Announcements

Viral Haemorrhagic Fever: Update for Clinicians

Clinicians should be reminded that although the risk is extremely low, viral hemorrhagic fever (VHF) 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 and Liberia). Additional information on clinical features and diagnostic testing for VHF are included in the Update for Clinicians, from the Ontario Minsitry of Health and Long-Term Care (MOHLTC).

Early Administration of Immunizations for Travel Protection

Early administration of routine childhood immunizations may be given to protect children travelling to countries with high activity levels of vaccine preventable diseases. For more information.

Changes to Ontario’s Reportable Disease List

Recently a number of amendments have been made to Ontario’s list of reportable diseases.

Two diseases have been added:

  • Acute Flaccid Paralysis in children less that 15 years old, and
  • Paralytic Shellfish Poisoning.

For additional information on Acute Flaccid Paralysis (AFP)

For additional information on Paralytic Shellfish Poisoning (PSP): 


Confirmed cases of Chikungunya in the Caribbean

There have been confirmed cases of Chikungunya on the Caribbean islands of Saint Martin/Saint Maarten, Guadeloupe, Martinique, Saint-Barthélemy and the British Virgin Islands. This is the first time that local transmission of Chikungunya has been detected in the region of the Americas.  Clinicians should be on the alert for sporadic cases of Chikungunya virus in patients who present with fever and arthralgia after a stay on an affected Caribbean island. A travel health notice has been issued by the Public Health Agency of Canada (PHAC). Additional information on the cases and a fact sheet for clinicians is available on the Pan American Health Organization’s website.


Breastfeeding E-Learning Modules

Toronto Public Health has recently updated and revised the Breastfeeding Protocols for Health Care Providers and created e-learning modules to support the provision of evidence-based practices that promote, protect, and support effective breastfeeding.

Learn more about how to use the e-learning modules.

December 2013 issue of Communiqué is available (PDF)

The new issue of Communiqué, Toronto Public Health's newsletter for physicians, has important information on infection prevention and control, HPV catch-up clinics for high school females, pneumococcal vaccine for adults and new Canadian tuberculosis standards.  

Special Insert (PDF): Pneumococcal Vaccines Chart: Recommendations for Adults


Canadians are increasingly travelling to rabies-endemic regions


Resources for health professionals on the Middle East Respiratory Syndrome Coronavirus

Lyme Disease
Lyme disease in humans is caused by three species of Borrelia bacteria


Breastfeeding Protocols
Effective breastfeeding for the families of healthy term infants

Vaccine Alerts
Stay current with changes to the publicly funded vaccine schedule in Ontario


Bed bugs
Learn about the rise in bed bug infestations in