June 24, 2026 From: Dr. Atiba Nelson, MD, MPH, CCFP, FRCPC; Associate Medical Officer of Health In this issue: Candida auris colonization reporting Key messages The Ontario Ministry of Health is enhancing provincial surveillance for Candida auris (C. auris). While C. auris infection is already a disease of public health significance, this update expands surveillance to include C. auris colonization. From July 1 to December 31, 2026, public health units are required to report all cases of C. auris colonization to the Ministry of Health and Public Health Ontario. Health system partners are asked to support this effort by voluntarily reporting newly identified colonization cases to their local […]

From:Dr. Hetal Patel, MD, MPH, CCFP, FRCPC, Associate Medical Officer of Health Key messages Reminder: Immunization of School Pupils Act (ISPA) Suspension orders are being mailed to high school students in Grades 11 and 12 who have not submitted updated immunization records as outlined in the Immunization of School Pupils Act (ISPA). These orders are being issued from March through May 2026. Immunization requirements align with the Publicly Funded Immunization Schedules in Ontario. The minimum age and spacing between doses must be followed to meet the ISPA requirements. If a student presents with a suspension order Vaccines received out of […]

William Osler Health System is pleased to announce the launch of the Shoulder Rapid Access Clinic (RAC). The Shoulder RAC has been developed to improve timely access to assessment and management for patients presenting with shoulder conditions. The clinic will provide an early, standardized pathway of care, supporting efficient clinical decision-making, improved patient flow, and enhanced patient experience. This initiative reflects Osler’s ongoing commitment to delivering high-quality, patient-centered care while optimizing clinical resources across the organization. The clinic will operate from the existing Musculoskeletal (MSK) RAC location at Brampton Civic Hospital. The referral pathway will remain unchanged and will continue […]

Exercise and pharmacologic stress testing with myocardial perfusion imaging play crucial roles in diagnosing and managing coronary artery disease (CAD).  Perfusion abnormalities in CAD are readily detectable BEFORE electrical changes on EKG, structural changes on stress echocardiogram or clinical symptoms are manifested.  Please consider referring patients requiring a cardiac perfusion scan to Osler’s Diagnostic Imaging nuclear cardiology program. The benefits of referring to Osler’s Nuclear Medicine for cardiac perfusion include: See the below requisition for your records and/or EMR. 

Highlights Current Respiratory Illness Status through May: Current situation in Peel:  Vaccine Updates

Beginning in late June 2025, PPH will be sending letters to Peel students in grades 3 to 11 who are not up to date with their measles vaccinations, according to Peel’s records. Parents/students will be instructed to either update their vaccine record (if they have had two doses of measles vaccine) or visit their primary care clinic or walk-in clinic to get vaccinated. If a student brings you a letter: 1. Check the student’s immunization records: 2. Remind parents to report the child’s immunizations online or by calling 905-799-7700 or 1-888-919-7800 (toll-free). NOTE: Vaccines received outside Ontario are valid if there is written proof […]

Please review the attached memo and measles fact sheet/FAQ document from Dr. Kieran Moore, Chief Medical Officer of Health. Questions can be directed to your local public health unit or to [email protected]. Thank you for your continued efforts to support the response to the measles outbreak in Ontario.

June is Pride Month – a time to reaffirm Toronto’s commitment to visibility, inclusion and equity for Two-Spirit, Lesbian, Gay, Bisexual, Transgender, Queer and Questioning (2SLGBTQ+) residents and communities.  Many people from these communities face significant barriers when accessing health care and, specifically, gay, bisexual, and men who have sex with men (gbMSM) may be at increased risk for various vaccine-preventable diseases (e.g. mpox, hepatitis A & B, HPV), HIV and other STIs.  View the attached guidance to support comprehensive healthcare for gbMSM.