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Updated October 22, 2020
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Current News & Updates

Date Content
October 9, 2020
  • New: TPH Updates COVID-19 Community Case and Contact Management Process
  • Update: Flu Vaccine Delivery for Toronto Providers
  • Reminder: High-dose TIV Preferred for Adults 65+
  • Reminder: Quadrivalent Inactivated Influenza (QIV) for pregnant patients
  • Update: Public Health Ontario (PHO) Respiratory Virus Testing Update
  • New: Publicly Funded Shingles Vaccine Changing to Shingrix®
  • Update: Ministry of Health COVID-19 Guidelines
  • Update: COVID-19 Screening Guidance for Schools and Child Care
  • New: COVID-19 Back to School Confirmation Form
September 23, 2020
  • New: School Reopening Guidance for Toronto Health Care Providers
  • New: Influenza Vaccination during COVID-19 Pandemic
  • New: Publicly Funded Influenza Vaccines for the 2020/2021 Flu Season
  • New: 2020/2021 Flu Vaccine Delivery and Ordering for Toronto Healthcare Providers
  • Update: COVID-19 Reference Document for Symptoms
August 14, 2020
  • Update: COVID-19 Guidance for the Health Sector
  • New: COVID Alert Exposure Notification App Information for Health Care Providers
August 7, 2020
  • Update: Quick Reference Public Health Guidance on Testing and Clearance
  • Update: PPE for family physicians from the Ministry of Health/Ontario Health
June 27, 2020
  • Update: Glove Use during Routine Immunization
  • Update: COVID-19 Operational Requirements: Health Sector Restart
  • New: Resumption of Visitors to Acute Care Settings Recommended
  • Update: COVID-19 Guidance: Acute Care
  • New: Reopening Long-Term Care and Retirement Homes
  • Update: Guidance for Community Pharmacies and Independent Health Facilities
  • Update: COVID-19 Testing and Clearance
June 1, 2020
  • Update: Ministry of Health COVID-19 Guidance Documents
  • New: Mental Health Support for Patients and Healthcare Providers during COVID-19
May 20, 2020
  • New: Multisystem Inflammatory Vasculitis
  • Update: COVID-19 Provincial Testing Guidance
  • Update: COVID-19 Patient Screening Guidance Document
  • New: NACI Guidelines RE: Interim Guidance on Continuity of Immunization Programs During the COVID-19 Pandemic
April 24, 2020
  • New: Section 22 Class Order – Information for Health Care Providers
  • Update: COVID-19 Testing and Clearance Guidance
  • New: Guidance for Immunization Service Providers During COVID-19
April 17, 2020
  • Update: COVID-19 Guidance for Long-Term Care Homes
  • Update: COVID-19 Testing Guidance
  • Update: COVID-19 Clearance Criteria
  • Reminder: Routine Vaccinations during COVID-19
  • Reminder: Animal Exposures and Rabies Post-Exposure Prophylaxis
  • New: Ontario Government Pharmaceutical and Medical Supply Service Modified Operations During COVID-19 Pandemic
April 2, 2020
  • New: Management of Individuals who have not been Tested for COVID-19
  • New: COVID-19 Isolation Discharge Criteria
  • New: Personal Protective Equipment (PPE) use During the COVID-19 Pandemic
  • Update: COVID-19 Guidance and Recommendations
  • Update: COVID-19 Guidance for Primary Care Providers in a Community Setting
  • New: COVID-19 Guidance & Recommendations for Long-term Care Homes (LTCH)
  • New: Modifying Opioid Agonist Treatment (OAT) to Ensure Access to Care while Following COVID-19 Precautions During Toronto’s Overdose Crisis
  • Reminder: Immunizations for Infants and Children are Essential
March 20, 2020
  • Update: COVID-19 Guidance & Recommendations
  • Update: COVID-19 Infection Prevention and Control (IPAC) Recommendations for Use of Personal Protective Equipment
  • New: Alternative Specimen Collection Kits for COVID-19
  • New: COVID-19 Recommendations for Long-Term Care and Retirement Homes
  • New: Toronto COVID-19 Assessment Centres
  • Update: Recommendations for Returning Travellers
  • New: Scale back of TPH Programs
  • New: Routine Provincial Cancer Screening Program Change
March 6, 2020
  • Update: Lab Testing for COVID-19 & Other Respiratory Viruses
  • Reminder: Appropriate Use of Eye Protection
  • Reminder: Advice for Returning Travellers
February 27, 2020
  • Reminder: OGPMSS Year-End Inventory Shutdown
  • New: Addressing Vaccine Hesitancy
February 14, 2020
  • Update: Ontario Ministry of Health COVID-19 Guidance Documents for Various Health Care Sectors
  • Update: Testing for COVID-19
  • New: Ontario Ministry of Health COVID-19 Guidance Documents for Independent Health Facilities, Pharmacies and Laboratories
February 8, 2020
  • Update: 2019-nCoV Case Definition
  • Update: Ontario Ministry of Health – Question and Answers – Personal Protective Equipment Supply – 2019 Novel Coronavirus
  • New: Public Health Agency of Canada (PHAC) Preliminary Infection Prevention and Control Guidance for 2019-nCoV
February 2, 2020
  • Update: Ontario Ministry of Health 2019-nCoV Guidance Documents for Various Health Care Sectors
January 29, 2020
  • New: 2019-nCoV Guidance for Primary Care Providers in a Community Setting
  • Update: 2019-nCoV Person Under Investigation Definition
  • Update: Travel Advisory for China and Hubei Province
January 24, 2020
  • New: Diseases caused by novel coronaviruses are now reportable to the Medical Officer of Health
  • New: 2019-nCoV testing guidelines from Public Health Ontario
  • New: Guidance from the Ministry of Health on precautions for acute care settings: contact, droplet and airborne
January 17, 2020
  • New: Advisory Committee Statement on Zika Virus Prevention and Treatment
January 9, 2020
  • Update: Discontinuing Rabies Immunoglobulin Sparing Protocol
January 8, 2020
  • New: Cluster of Pneumonia Cases in Wuhan, China
Date Content
December 9, 2019
  • Reminder: Influenza Vaccine Administration
  • New: Hepatitis B Vaccine Packaging
  • Reminder: Ontario Government Pharmaceutical and Medical Supplies Service (OGMPSS) Holiday Closure
November 29, 2019
  • Update: Vaccine Hesitancy – Strategies to Support Primary Care Providers
  • New: Etizolam Implicated in Several Overdose Deaths in Toronto
  • Update: High Dose Influenza Vaccine Now Available
  • New: Indicate Chickenpox or Shingles on General Lab Test Requisition Form for Varicella
November 14, 2019
  • Update: Influenza HD-TIV Shipments
  • Reminder: Register now for vaccine hesitancy: Strategies to Support Primary Care Providers
October 24, 2019
  • New: Register now for vaccine hesitancy: Strategies to Support Primary Care Providers
October 7, 2019
  • Update: Changes in Ontario cessation supports – Smokers Helpline and Telehealth
  • New: Expert Panel Q&A on Vaping Webinar
September 25, 2019
  • New: Publicly Funded Influenza Vaccines for 2019/2020 for Toronto
  • New: 2019/2020 Flu Vaccine Delivery for Toronto Healthcare Providers
  • Update: 2019/2020 Influenza Season – Lab-Confirmed Cases in Toronto
September 9, 2019
  • New: Health Canada warns of potential risk of pulmonary illness associated with vaping products
  • Update: Interim Rabies Immune Globulin-sparing Measures
August 21, 2019
  • New: Interim Rabies Immune Globulin-sparing Measure*

*August 22, 2019 update: A minor revision in the protocol states that if there are multiple wounds, each wound should be locally infiltrated with a portion of the rabies immune globulin (RabIg) using a separate needle and syringe. RabIg can be diluted in a diluent permitted by the specific product labelling in order to provide the full amount of RabIg required for thorough infiltration of all wounds.

  • Reminder: Risk Assessment for Bat Exposures
August 16, 2019
  • New: Locally-acquired cyclosporiasis
  • Update: Implications of the Southern Hemisphere influenza season
August 13, 2019
  • Alert: First Case of Locally Acquired West Nile Virus 2019 Confirmed
August 2, 2019
  • New: Rabies Post-Exposure Prophylaxis Shortages
  • New: Changes to Formulations of Rabies Immune Globulin in Ontario
July 24, 2019
  • Update: Ebola Virus Disease Outbreak in the Democratic Republic of Congo
July 2, 2019
  • Alert: Carfentanil increase in Ontario
  • New: Online Referral Available for HBHC Home Visiting Program
June 25, 2019
  • New: Measles Information for Clinicians
  • New: HPV4 Replaced with HPV9
  • New: Interim Use of Engerix-B® Vaccine for Renal Dialysis Patients
  • New: Health Canada Issues Gentian Violet Warning
  • New: Closure of Motherisk Helplines
June 3, 2019
  • Update: Ongoing outbreak of XDR S. Typhi in Pakistan
  • Reminder: 18-month Well Baby Visit – Role of the Physician
May 16, 2019
  • Update: Lyme Disease 2019
  • Update: Recommendation for Prevention of Sexual Transmission of Zika Virus
  • New: TPH’s 2019 CME Event – We Need Your Input
May 13, 2019
  • New: Measles Case Confirmed in Toronto
April 26, 2019
  • New: Online Animal Exposure Reporting Tool
  • Survey: Inform TPH’s New Dental Project
  • Reminder: MMR Vaccine Recommendations
March 29, 2019
  •  New: Measles Case Confirmed in Toronto
March 13, 2019
  • New: Extensively Drug-Resistant Typhoid Fever in Pakistan (correction)
March 8, 2019
  • Alert: Limited Supply of Shingles Vaccine
March 5, 2019
  • New: Potential Measles Exposure in Toronto
February 6, 2019
  • New: Potential Measles Exposure at Pearson International Airport
January 28, 2019
  • New: HIV Pre Exposure Prophylaxis (PrEP) Online CME Module
  • Update: Influenza Vaccine Supply
  • New: Ongoing National Shortage of Erythromycin Ophthalmic Ointment
Date Content
December 21, 2018
  • New: Potential Measles Exposures in Toronto
  • Update: NACI recommendation for measles post-exposure prophylaxis
  • New: Health Quality Ontario Individualized Primary Care Reports
December 5, 2018
  • Update: Spotlight on Substance Use & Addiction in Primary Care CME Event
  • New: Hepatitis Vaccine Shortages on Private Market
  • Reminder: OGPMSS Holiday Closure & Delivery Schedule Update
  • New: Td POLIO (Td-IPV) is No Longer Available
November 16, 2018
  • Reminder: Register for Spotlight on Substance Use & Addiction in Primary Care: Opioids, Cannabis, Alcohol & Smoking
  • Update: Ontario Gonorrhea Testing and Treatment Guide (2nd Edition)
  • Reminder: Visual Screening during Well-Child Visits
October 26, 2018
  • New: Acute Flaccid Paralysis Cases in Ontario, Including Toronto
  • Update: 2018-2019 Influenza Season – Lab-Confirmed Cases in Toronto
  • New: Register Now for Spotlight on Substance Use & Addiction in Primary Care: Opioids, Cannabis, Alcohol & Smoking
  • New: Influenza Vaccine FAQ for Health Care Providers
October 19, 2018
  • Update: Order Additional Influenza Vaccine Now
October 15, 2018
  • Update: HD-TIV Influenza Vaccine for Adults, 65+
  • New: Changes to OGPMSS Vaccine Delivery Schedule
  • Save the Date: Spotlight on Substance Use & Addiction in Primary Care
September 28, 2018
  • Alert: Listeria Investigation in Toronto
September 21, 2018
  • New: 2018-2019 Seasonal Influenza Vaccines
  • New: FASD Prevalence Rates Higher than Previous Estimates
September 18, 2018
  • New: Non-medical Cannabis Legalization and Regulation – Recommendations for Health Care Providers
  • Reminder: Encourage Patients to Exclusively Breastfeed until Six Months
  • New: OGPMSS Toronto Client Vaccine Order Form
  • Update: Herpes Zoster Vaccines NACI Statement Now Available Online
  • Reminder: Toronto Public Health’s West Nile Virus Bulletin
August 22, 2018
  • Update: TPH’s 2018 CME Event – Substance Use & Addictions
  • New: Long Acting Reversible Contraceptives as First Line Contraception for Youth
  • Update: Rotarix No Longer Available from OGP
 July 27, 2018
  • Alert: Toronto’s First Human Case of West Nile Virus for 2018 Confirmed
  • New: Rotavirus Vaccine Changes
  • New: Locally-acquired Cyclospora Infections in Ontario
 June 22, 2018
  • Update: Paused Implementation of Immunization Reporting Change
  • New: National Advisory Committee on Immunization (NACI) Recommendation on Herpes Zoster Vaccines
  • New: Canadian Association for the Study of the Liver (CASL) Guidelines for Hepatitis C Testing and Management
June 15, 2018
  • Updated:  Reporting Requirements for Immunizations
June 12, 2018
  • New: Confirmed Hepatitis A Infection in a Toronto Food Handler
  • Update: Increase in Non-Travel Related Hepatitis A Cases
  • New: Pride Month in Toronto – What Health Care Providers Need to Know
  • Update: TPH’s STI Treatment Reference Guide
June 5, 2018
  • Alert: Measles Case Confirmed in Toronto
May 29, 2018
  • New: Increase in Infant Botulism Cases in Ontario and Canada
  • New: Immunization Reporting Requirements
  • Reminder: Monitor Child Development in Preschool Patients
May 17, 2018
  • Lyme Disease 2018
May 8, 2018
  • Alert:  Measles Case Confirmed in Toronto
May 4, 2018
  • New: Changes to Ontario Reportable Diseases – Effective May 1, 2018
  • New: Canine Influenza Virus (CIV) Information for Health Care Providers
  • New: Leaking Vaccine Syringe – Potential Risk of Underdosing
April 19, 2018
  • Reminder: Risk of Blood-borne Virus Transmission with Blood Glucose Monitoring Equipment
  • New: Pediatric Dental Health Screening Guide for Health Care Providers
April 4, 2018
  • Update: Listeria Outbreak
  • Update: Implementing the 2017 Ontario Perinatal Record – TPH Programs to Support Your Patients
  • New: Reproductive, Family and Child Health Web page for Health Professionals
March 21, 2018
  • Listeria Monocytogenes – Clinical and Food Testing Guidelines for Foodborne Illness Outbreaks (PHO)
  • Alert: Confirmed Cases of Listeria Infection in Toronto
March 13, 2018
  • New: TPH’s 2018 CME Event – We Need Your Input
  • New: NACI Statement – Immunization in Pregnancy with Tdap Vaccine
  • Update: OGPMSS temporary closure for year-end inventory
  • New: Case of Mycobacterium chimaera in Toronto
  • Reminder: Human papillomavirus vaccine is free for MSM up to 26 years of age
February 9, 2018 
  • Update: Influenza Vaccine Effectiveness – A Clinician’s Guide for the Current Season
  • Update: Provincial HIV/HTLV lab test requisition form
February 1, 2018
  • Update: Give QIV influenza vaccine to all unvaccinated individuals for the rest of the 2017-2018 season
  • Update: Increase in Hepatitis A cases among Men who have sex with Men
January 24, 2018
  • New: Changes to Vaccine Ordering Through TPH
Date Content
December 22, 2017
  • New: Alternative Treatment of N. gonorrhoeae
  • New: Reprocessing Resource Update
  • Alert: 2017-2018 Influenza Vaccine
  • Update: HIV and STIs and BBIs, Oh My! CME Event
December 1, 2017
  • New: World AIDS Day & Canadian Guidelines for HIV PrEP & PEP.
November 30, 2017
  • Update: Influenza Vaccine Supply
  • Seve the date: HIV and STIs and BBIs, Oh My! Additional Session.
November 21, 2017
  • Update: Influenza Vaccine Delivery Delays and Temporary Use of QIV for Adults
  • Update: Mumps Outbreak Continues in Toronto
October 31, 2017
  • Update: 2017-2018 Influenza Season – Lab-Confirmed Cases
  • Update: HIV PrEP
  • Update: “HIV and STIs and BBIs, Oh My!” CME Event
  • Reminder: Influenza Vaccines by Age Groups
October 16, 2017
  • Update: Avian influenza A(H7N9) virus
  • Update: Middle East Respiratory Coronavirus (MERS- CoV)
  • New: Product Replacement Pediacel®
September 28, 2017
  • New: Hepatitis A Increase in MSM in Toronto
  • New: Register Now For “HIV, and STI’s and BBI’s, Oh My!”
  • Update: 2017-2018 Seasonal Influenza (Flu) Vaccines
  • New: Blastomycosis Cases Occurring in the Manitoulin District
  • Update: School Suspensions for Elementary Students without Up-to-date Immunization Records
  • Reminder: Clinics to Help Your Patients Quit Smoking
September 7, 2017
  • Update: Ontario’s Publicly funded HPV Immunization Program
August 25, 2017
  • Update: Increase in Locally-Acquired Lyme Disease Cases
  • Alert: Toronto’s First Human Case of West Nile Virus for 2017 Confirmed
  • Update: 2017 Ontario Perinatal Record
  • Reminder: September is FASD Awareness Month – Role of the Health Care Provider
July 28, 2017

  • New: TPH’s 2017 CME Event – We Need Your Input
  • Update: Eliminate Hepatitis – Role of the Health Care Provider
  • New: OHIP+ Children and Youth Pharmacare Program
July 17, 2017
  • New: Cyclosporiasis Investigation
  • Update: Lyme Disease 2017
  • New: Opioid-Related Harm in Toronto
June 29, 2017
  • New: Hepatitis A Investigation in Toronto
June 26, 2017
  • New: Hepatitis A Outbreaks Among MSM in Europe, Chile and New York City
  • Update: Toronto’s Mumps Outbreak Continues
  • Correction: HPV Vaccine Eligibility Clarification
June 2, 2017
  • Reminder: Expedited Partner Therapy for Chlamydia
  • Reminder: Preconception Health Care Tool to Screen for Potential Adverse Pregnancy Outcomes
  • Update: Hepatitis B Vaccine Recommendations
  • Update: HPV-0 Vaccine (Gardasil®9) 2-dose Recommendations®
May 10, 2017
  • Update:  Rabies Info for Health Professionals
  • Update: TPH Declares  Measles Outbreak Over
April 27, 2017
  • New: Hepatitis C Virus (HCV) Screening Guidelines for Adults
March 30, 2017
  • New: Introducing Dr. Eileen de Villa, Toronto’s New Medical Officer of Health
  • Alert: Measles Cases Confirmed in Toronto
March 9, 2017
  • Update: Recommendations on the Prevention and Treatment of Zika Virus for Canadian health care professionals
  • Update: Mumps Outbreak – Cases in School-Aged Children
  • New: Toronto Seniors Helpline 416-217-2077
  • Reminder: Group A Streptococcus Infections in Homeless Individuals
February 22, 2017
  • Update: Mumps Virus Continues to Circulate in Toronto
February 21, 2017
  • Alert: Botulism Risk with Baby Food Recall
February 9, 2017
  • Alert: Mumps cases among young adults in Toronto
January 31, 2017
  • Reminder: Hepatitis A Virus (HAV)
  • Update: Meningococcal Vaccine for High School Students
  • New: CME Accredited Event March 22, 201
January 13, 2017
  • Update: 2016-2017 Influenza Season
  • Reminder: Screening for Hepatitis B
  • New: Pharmacists Now Able to Provide 13 Additional Vaccines
Date Content
December 2, 2016
  • Update: Low Stock of Tdap-IPV and Shingles Vaccines
  • Reminder: Influenza Vaccination
  • Reminder: Glucometer Use and Bloodborne Disease Transmission
October 20, 2016
  • Update: School Suspensions for Elementary Students without Updated Immunization Records
  • Update: Resurgence of Syphilis and Lymphogranuloma Venereum in Toronto
  • Update: Flu Nasal Spray versus Injection Vaccine for Kids
October 6, 2016
  • Update: 2016-2017 Seasonal Influenza (Flu) Vaccines
September 21, 2016
  • Reminder: Ontario’s Enhanced 18-Month Well-Baby Visit
  • New: Enterovirus D68 (EV-D68) and Acute Flaccid Paralysis (AFP) Surveillance
  • New: 2016-2017 Influenza Season – First Lab Confirmed Cases
September 14, 2016
  • MERS-CoV & the 2016 Hajj
September 9, 2016
  • Alert: Toronto’s First Human Case of West Nile Virus for 2016 Confirmed
  • New: Publicly-funded HPV-4 (Gardasil®) vaccine now available for MSM up to 26 years of age
  • New: Shingles Vaccine to be Added to Ontario’s Publicly Funded Immunization Schedule for Persons 65 to 70 Years of Age
  • Reminder: Fetal Alcohol Spectrum Disorder
 August 22, 2016
  • Zika virus infection in travellers returning from the 2016 Olympics and Paralympics in Brazil
  • Update: Availability of Bicillin L-A For Treatment of Syphilis
August 12, 2016
  • Update:  Travel Health Notice regarding precautions for travel to countries where Zika virus is circulating
  • Update: Ebola Virus Disease (EVD) Directives Rescinded
July 13, 2016
  • Update: Lyme Disease Testing, Diagnosis & Treatment in Ontario
  • Update: Things That Bite: Rabies, Lyme Disease, Zika, etc.
  • New: Test TPH Pediatric Dental Health Screening Tool
June 16, 2016
  • Alert: Recall due to Listeria monocytogenes- Neilson brand Partly Skimmed Chocolate Milk
  • New: Truvada approved by Health Canada for pre-exposure propholaxis (PreP) of HIV Infection
  • Update: New sessions added for Things That Bite: Rabies, Lyme Disease, Zika, etc.
  • Request:  Complete Activity for Chance to Win $200.00
May 27, 2016
  • Request: Tell Us What You Think About Communiqué
  • Reminder: Infection Prevention and Control (IPAC) Complaint Investigations – Sterilizers in Community Office Settings
  • Reminder: Infant Hearing Screening
May 5, 2016
  • New: Interim Guidance on the Management of Syphilis Cases in Toronto
  • New: Ontario Expanding HPV Vaccine Program to Include Boys
  • New: Register Now for TPH’s Things That Bite: Rabies, Lyme Disease, Zika etc. CME* Accredited Event
April 28, 2016
  • Update: Zika Virus Travel Health Notice
  • New: Temporary change of DTaP-IPV-Hib vaccine packaging
April 22, 2016
  • Update: Costco Food Product Recall Associated with Hepatitis A Cases
April 20, 2016
  • Alert: Costco Food Product Recall Associated with Hepatitis A Cases
April 8, 2016
  • Reminder: Meningococcal Vaccines Required for School Attendance Should be Administered On Time
March 11, 2016
  • Reminder: Hepatitis A Virus in Toronto
  • Reminder: Order Free Menactra® Vaccine for High School Students
  • Reminder: March 24 is World TB Day
  • New: Reprocessing in Community Health Care Settings Online Course
February 11, 2016
  • Update: Zika Virus Infection Information
  • Reminder: Syrian Refugee Healthline
February 5, 2016
  • New: Recall Due to Possible Listeria Monocytogenes Contamination
  • Update: 2015-16 Influenza Season
  • New: Resources to Assist Patients Experiencing Postpartum Adjustment Difficulty or Perinatal Mood Disorder
January 28, 2016
  • New: Zika Virus Infection Information
  • New: Rabies in Ontario
  • New: Rabies and Animal Bites/Exposures Webpage for Health
  • New: Lead in Consumer Products
January 25, 2016
  • New: Immunization Information Notice Letters to Students