2018/19 Flu Shot Rates in Healthcare Facilities

Below is the 2017/18 annual reports of influenza immunization rates among healthcare workers in the following Toronto healthcare facilities: acute care hospitals, chronic care/rehabilitation hospitals, and long-term care homes.

Past flu shot rates in healthcare facilities from 2008/2009 to 2017/18 flu seasons

2018/19 Rates: Acute Care Facility Healthcare Workers

2018/19 Influenza Season: Influenza Immunization Rates for Healthcare Workers of Toronto Acute Care Facilities (reporting date as of December 15, 2018).

Acute Care Facilities	Total Staff	Number of Staff Immunized	Staff Coverage Rate* (%)
Casey House	198	53	27
Humber River Hospital – Wilson Site	5,413	1,723	32
North York General Hospital /Humber River Reactivation Care Centre	4,486	2,251	50
Scarborough Health Network – Birchmount Hospital	1,219	635	52
Scarborough Health Network – Centenary Hospital	2,246	730	33
Scarborough Health Network – General Hospital	2,369	1,027	43
Sinai Health System – Mount Sinai Hospital	5,277	2,938	56
Sunnybrook Health Sciences Centre	9,954	6,881	69
The Hospital for Sick Children (SickKids)	7,986	4,051	51
Michael Garron Hospital	3,224	1,295	40
Trillium Health Partners – Queensway Site	11,698	5,598	48
Unity Health Toronto – St. Joseph’s Health Centre	2,603	1,320	51
Unity Health Toronto – St. Michael’s Hospital	5,471	2,466	45
University Health Network – Princess Margaret Hospital	3,492	1,746	50
University Health Network – Toronto General Hospital	10,437	4,540	43
University Health Network – Toronto Western Hospital	3,878	1,972	51
William Osler Health System, Etobicoke General Hospital	2,219	610	27
Women’s College Hospital	1,247	456	37

*Influenza immunization rate based on the number of immunized staff of total number of staff at the healthcare facility.

2018/19 Rates: Complex Continuing Care/Rehabilitation Facility Healthcare Workers

2018/19 Influenza Season: Influenza Immunization Rates for Healthcare Workers of Toronto Complex Continuing Care/Rehabilitation Facilities (reporting date as of December 15, 2018).

Complex Continuing Care/Rehabilitation Facilities	Total Staff	Number of Staff Immunized	Staff Coverage Rate* (%)
Baycrest Health Sciences	1,471	863	59
Centre for Addiction and Mental Health – College Site	1,415	540	38
Centre for Addiction and Mental Health – Queen Site	3,115	1,100	35
Holland Bloorview Kids Rehabilitation Hospital	1,179	885	75
McCall Centre for Continuing Care	179	171	96
Runnymede Healthcare Centre	511	446	87
Sinai Health System – Bridgepoint Active Healthcare	1,339	643	48
Sunnybrook Health Sciences Centre – Holland Orthopaedic & Arthritic Centre	392	262	67
Sunnybrook Health Sciences Centre – St. John’s Rehabilitation Hospital	728	569	78
The Salvation Army – Toronto Grace Health Centre	245	178	73
Toronto Rehabilitation Institute – Bickle Centre	431	153	35
Toronto Rehabilitation Institute – Lyndhurst Centre	300	153	51
Toronto Rehabilitation Institute – Rumsey Centre	105	56	53
Toronto Rehabilitation Institute – University Centre	1,337	550	41
Unity Health Toronto – Providence Healthcare	1,049	620	59
West Park Healthcare Centre	1,052	705	67

*Influenza immunization rate based on the number of immunized staff of total number of staff at the healthcare facility

2018/19 Rates: Long-Term Care Homes Facility Healthcare Workers

2018/19 Influenza Season: Influenza Immunization Rates for Healthcare Workers of Toronto Long-Term Care Homes (LTCHs) (reporting date as of December 15, 2018).

Long-Term Care Homes (LTCHs)	Total Staff	Number of Staff Immunized	Staff Coverage Rate* (%)
Altamont Care Community	229	104	45
Belmont House	326	233	71
Bendale Acres	333	200	60
Carefree Lodge	212	135	64
Castleview Wychwood Towers	740	593	80
Cedarvale Terrace	256	216	84
Chartwell Gibson Long Term Care	277	207	75
Chartwell Trilogy Long Term Care	242	222	92
Chartwell Westbury Long Term Care	278	236	85
Chartwell White Eagle Long Term Care	89	55	62
Cheltenham Care Community	204	145	71
Chester Village	290	234	81
Copernicus Lodge	511	194	38
Craiglee Nursing Home	191	185	97
Cummer Lodge	615	443	72
Deerwood Creek Care Community	239	196	82
Dom Lipa	108	85	79
Downsview Long Term Care Centre	340	121	36
Eatonville Care Centre	358	305	85
Ehatare Nursing Home	52	44	85
Elm Grove Living Centre	149	136	91
Extendicare Bayview	240	228	95
Extendicare Guildwood	233	109	47
Extendicare Rouge Valley	237	201	85
Extendicare Scarborough	260	213	82
Fairview Nursing Home	159	98	62
Fieldstone Commons Care Community	291	265	91
Fountain View Care Community	220	205	93
Fudger House	303	280	92
Garden Court Nursing Home	49	39	80
Harmony Hills Care Community	260	202	78
Hawthorne Place Care Centre	251	212	84
Hellenic Care for Seniors (Toronto)	106	92	87
Hellenic Home – Scarborough	184	120	65
Humber Valley Terrace	211	112	53
Ina Grafton Gage Home	159	145	91
Isabel and Arthur Meighen Manor	261	227	87
Ivan Franko Home (Etobicoke)	123	19	15
Kennedy Lodge	368	337	92
Kipling Acres	544	329	60
Labdara Lithuanian Nursing Home	159	15	9
Lakeshore Lodge	241	198	82
Lakeside Long Term Care Centre	212	176	83
Main Street Terrace	178	163	92
Maynard Nursing Home	112	100	89
McCall Centre LTC Interim Unit	18	16	89
Midland Gardens Care Community	362	234	65
Mon Sheong Home for the Aged	123	121	98
Mon Sheong Scarborough Long Term Care Centre	220	216	98
Nisbet Lodge	147	105	71
Norfinch Care Community	199	111	56
North Park Nursing Home	114	96	84
North York General Hospital – Seniors Health Centre	245	89	36
Norwood Nursing Home	80	69	86
Rockcliffe Care Community	208	183	88
Rose of Sharon Korean Long Term Care	90	89	99
Seven Oaks	336	170	51
Shepherd Lodge	404	156	39
Sherbourne Place (The Rekai Centre)	159	108	68
St. Clair O’Connor Community Nursing Home	67	61	91
St. George Care Community	270	153	57
Sunnybrook Veterans’ Centre	849	739	87
Suomi-Koti Toronto Nursing Home	122	56	46
Tendercare Living Centre	292	276	95
The Heritage Nursing Home	243	108	44
The Jewish home for the Aged	1,258	795	63
The Kensington Gardens	543	481	89
The O’Neill Centre	212	149	70
The Village of Humber Heights	237	64	27
The Wexford	282	258	91
Thompson House	194	174	90
Tony Stacey Centre for Veterans’ Care	139	114	82
True Davidson Acres	419	127	30
Ukrainian Canadian Care Centre	290	122	42
Unity Health Toronto – Houses of Providence	470	176	37
Valleyview Residence	349	102	29
Vermont Square	194	94	48
Villa Colombo	515	411	80
Wellesley Central Place	141	133	94
Wesburn Manor	283	151	53
West Park Long Term Care Centre	238	84	35
Weston Terrace Care Community	299	168	56
Westside	252	218	87
Yee Hong Centre – Scarborough Finch	347	336	97
Yee Hong Centre – Scarborough McNicoll	271	267	99
Harold and Grace Baker Centre†

*Influenza immunization rate based on the number of immunized staff of total number of staff at the healthcare facility.
†Institution did not submit 2018/19 seasonal influenza immunization data to Toronto Public Health.

2014/15 to 2018/19 Rates: Acute Care Facility Healthcare Workers

Healthcare Workers of Toronto Acute Care Facilities – Median Rates and by Season (including Ontario Median Rates).

Influenza Season	Toronto N†	Toronto Median Rate (Range)	Ontario Median Rate
2014/15	21	63% (29% to 79%)	61%
2015/16	18	52% (26% to 71%)	53%
2016/17	18	51% (30% to 68%)	53%
2017/18	18	50% (36% to 71%)	54%
2018/19	18	46% (27% to 69%)	53%

*Immunization rate based on the number of immunized staff of total number of staff at the healthcare facility.
†Count of institutions submitting rates to TPH for December 15, 2018

2014/15 to 2018/19 Rates: Complex Continuing Care/Rehab Facility Healthcare Workers

2014/15 to 2018/19 Influenza Seasons: Influenza Immunization Rates* for Healthcare Workers of Toronto Complex Continuing Care/Rehabilitation Facilities – Median Rates and by Season (including Ontario Median Rates).

Influenza Season	Toronto N†	Toronto Median Rate (Range)	Ontario Median Rate
2014/15	15	70% (32% to 93%)	61%
2015/16	15	64% (36% to 95%)	53%
2016/17	15	63% (45% to 89%)	53%
2017/18	16	63% (30% to 94%)	53%
2018/19	16	59% (35% to 96%)	53%

*Immunization rate based on the number of immunized staff of total number of staff at the healthcare facility.
†Count of institutions submitting rates to TPH for December 15, 2018.

2014/15 to 2018/19 Rates: Long-Term Care Homes Healthcare Workers

2014/15 to 2018/19 Influenza Seasons: Influenza Immunization Rates* for Healthcare Workers of Toronto Long-Term Care Homes – Median Rates and by Season (including Ontario Median Rates).

Influenza Season	Toronto N†	Toronto Median Rate (Range)	Ontario Median Rate
2014/15	86	79% (13% to 100%)	76%
2015/16	85	76% (19% to 100%)	73%
2016/17	85	80% (18% to 99%)	72%
2017/18	86	79% (14% to 99%)	73%
2018/19	85	80% (9% to 99%)	73%

*Immunization rate based on the number of immunized staff of total number of staff at the healthcare facility.
†Count of institutions submitting rates to TPH for December 15, 2018

Background

Influenza is a highly contagious acute viral infection of the respiratory tract that causes annual outbreaks and periodic worldwide epidemics. The National Advisory Committee on Immunization (NACI) estimates that each year, 10-20 per cent of the population is infected with influenza. Further, NACI estimates that in Canada, an average of 12,200 hospitalizations and 3,500 deaths due to influenza occur annually.

Influenza transmission and outbreaks in hospitals and LTCHs are well documented and result in significant patient/resident morbidity and mortality. The increased risk of severe influenza to patients/residents in these facilities is related to their advanced age and/or underlying health problems. Healthcare workers can acquire influenza from patients/residents and the community and can transmit infection to patients/residents, other healthcare workers and their family members.

Annual influenza vaccination is recognized as the best tool for prevention of influenza currently available. Numerous public health agencies and professional associations, such as NACI, the Ontario Provincial Infectious Diseases Advisory Committee, and the United States Centers for Disease Control and Prevention recommend that all healthcare workers be vaccinated each year.

Responsibilities of Healthcare Facilities

Since 1999, The Ministry of Health and Long-Term Care has required long-term care homes to report influenza immunization coverage rates to their local Medical Officer of Health.
Since 2000, under the Influenza Surveillance Protocol for Ontario Hospitals, hospitals are to report healthcare worker influenza immunization rates to their local Medical Officer of Health.
Beginning in 2012, the reporting date for hospitals and LTCHs was extended by the Ontario Ministry of Health and Long-Term Care (MOHLTC) from November 15 to December 15.