To reduce the spread of all respiratory viruses, including COVID-19, anyone who feels sick should stay home. Find out if you are eligible for COVID-19 treatment, continue to follow public health measures and stay up-to-date with your vaccinations for the best protection.

 

If you have symptoms of any respiratory viral infection, take the Ontario Ministry of Health’s COVID-19 Self-Assessment for recommendations on what to do next. For more information, visit the Provincial website.

Stay home until you have no fever and symptoms are improving for at least 24 hours (or 48 hours for gastrointestinal symptoms such as vomiting and/or diarrhea).

If you have COVID-19 or other respiratory virus symptoms and you are at a higher risk of severe illness, you may seek COVID-19 testing  and treatment, if eligible. You can take a Rapid Antigen Test if you have one. COVID-19 treatment must be taken within the first 5-7 days from the start of your symptoms.

COVID-19 and other respiratory viruses, such as the flu, share some common symptoms.

Clinical Assessment Centres are able to assess, test and provide treatment options to eligible individuals with COVID-19, cough, cold and flu symptoms. Some centres can also assess children.

COVID-19 specific symptoms can vary from person-to-person and may take up to 14 days after a COVID-19 exposure to appear.

If you have ONE or more of the symptoms of COVID-19 (new or worsening) below, assume that you may have the virus and are contagious. Seek testing and treatment if eligible:

  • Fever (37.8˚ C or higher) and/or chills
  • Cough
  • Shortness of breath or trouble breathing
  • Decreased or loss of taste or smell

If you have TWO or more of the symptoms of COVID-19 (new or worsening) below, assume that you may have the virus and are contagious. Seek testing and treatment if eligible:

  • Runny nose or nasal congestion
  • Headache
  • Extreme fatigue or tiredness
  • Sore throat
  • Muscle aches or joint pain
  • Gastrointestinal symptoms (such as vomiting or diarrhea)

Other symptoms that may be associated with COVID-19 include:

  • Abdominal pain
  • Conjunctivitis (pink eye)
  • Decreased or lack of appetite

Rarely, children can get an inflammatory condition that impacts the blood vessels, called vasculitis. It can present with prolonged fever, abdominal pain, red eyes, nausea, vomiting, diarrhea, and rash. It needs medical attention.

If you have any of the symptoms above, you should stay home (self-isolate) while you are sick. Stay home until you have no fever and your symptoms are improving for at least 24 hours (or 48 hours if you have gastrointestinal symptoms such as vomiting and/or diarrhea).

If you likely have COVID-19 based on the symptoms above, notify your close contacts. You should also:

  • After isolating, wear a well-fitted, high quality mask when out in public for 10 days from when your symptoms started.
  • Avoid non-essential visits to vulnerable individuals (e.g. seniors) and highest risk settings (e.g., hospitals, long-term care) for 10 days from when your symptoms started.
  • Follow this advice whether you have tested for COVID-19 or not.
  • Make sure you know if you are eligible for COVID-19 treatments and how to get tested and access treatment if you are eligible.

For more information, visit our What To Do If You Have COVID-19 webpage.

If it is unlikely that you have COVID-19 based on the symptoms above, you should still stay home while you are sick.

If your symptoms feel worse than a common cold, call your health care practitioner or Health811 by calling 811.

If you have ANY of the following signs of severe illness, you should seek immediate medical attention:

  • Shortness of breath
  • Chest pain
  • Weakness
  • Lethargy or drowsiness
  • Dizziness

If you do not feel well enough to take personal transport, call 911:

The following infants and children should also be assessed in the emergency department:

  • Infants under 3 months of age with fever or trouble breathing or appear unwell
  • Children and infants over 3 months of age with any of the following:
    • Fever longer than 7 days
    • Fast breathing or trouble breathing
    • Bluish skin colour
    • Not drinking enough fluids
    • Not waking up or not interacting
    • Being so irritable that the child does not want to be held
    • Fever with a rash
    • Constant vomiting
    • Immune compromised with a fever
Rarely, children can get an inflammatory condition that impacts the blood vessels, called vasculitis. It can present with prolonged fever, abdominal pain, red eyes, nausea, vomiting, diarrhea, and rash. It needs medical attention.

Before going for in-person medical care, tell them that you likely have COVID-19.

If your child has any of the symptoms listed above (even if mild) they should take the COVID-19 & Respiratory Viruses Screening Questionnaire or the Ontario Ministry of Health school and child care screening to find out what to do next.

Learn more about what to do if your child has COVID-19 symptoms.

Long COVID, or post-COVID-19 condition (PCC), is when someone has symptoms and/or health problems three or more months after a COVID-19 infection that cannot be explained by anything else. Even though they may have COVID-19 symptoms, people with long COVID no longer have the virus and cannot spread it to others.

As of June 2023, 3.5 million Canadian adults (almost 12 per cent) report having symptoms three months or more after their original COVID-19 infection.

Long COVID can be serious. Over 20 per cent of adults in Canada with long COVID say their symptoms impact their ability to do daily activities. Almost 80 per cent say they experienced symptoms for six months or more, and almost half say that they experienced symptoms for over a year and missed about 20 days of work or school.

People at Higher Risk

Anyone who gets COVID-19 can get long COVID. We do not know why some people with COVID-19 get long COVID, while others do not. Long COVID is more common in adults, particularly women and adults with pre-existing health conditions, but children can also get it.

There is a higher chance of getting long COVID if you got very sick with COVID-19 and needed to go to the hospital. However, even people with a mild or moderate COVID-19 illness can get long COVID, as well as people who had no symptoms. The risk of long COVID can also increase anytime you get another COVID-19 infection.

If You Think You Have Long COVID

Talk with a health care provider who can assess you and review your symptoms.

Symptoms

There are a wide range of symptoms of long COVID. Symptoms can be different for everyone, especially between adults and children. The symptoms can also change over time. Common symptoms include:

  • Feeling tired
  • Trouble sleeping
  • Trouble breathing
  • Cough
  • Headaches
  • Changes in mood
  • Muscle and joint pain or weakness
  • Fast or irregular heartbeat
  • Menstrual cycle changes
  • Stomach pain, diarrhea
  • Loss of taste and/or smell
  • Skin rashes
  • Difficulty with memory, thinking or concentration (“brain fog”, or children having new difficulties learning at school)

People with long COVID may continue to have their original symptoms or get new symptoms which can change or get worse. If you have long COVID, you can get COVID-19 again. Get tested if you have new symptoms of an infection and are eligible. There is currently no specific treatment for long COVID, but a health care provider can give you advice and support on how to manage your symptoms.

Preventing Long COVID

The best way to prevent long COVID is by not getting a COVID-19 infection. It may be difficult to prevent all infections, but there are things you can do to lower the risk of infection.

You can lower your risk by getting vaccinated. Studies show that people who are vaccinated with two or more doses are less likely to get long COVID and that getting vaccinated continues to protect people even after having a COVID-19 infection.

Newer research is showing that antiviral treatment taken at the beginning of a COVID-19 infection may also lower the risk of getting long COVID. Find out if you are eligible for treatment.

Following public health measures, such as wearing a mask, especially if you or people around you are at higher risk or have a health condition, continues to protect against COVID-19 and prevent long COVID.

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