If you think your child needs a referral to a specialist, please book an appointment to see your pediatrician who will need to assess the concern and send the correct information on the referral.
Most community specialists offices will take 2 - 4 weeks to respond with an appointment, hospitals often take a lot longer. We will contact you with the details of your initial appointment. Once you have this information, you can then contact the specialists office if you need to make changes to your appointment. If you are concerned that you haven't heard back, please contact us and we will follow up for you.
If the childs condition worsens while you are waitng for an appointment, please notify us, or, in the case of an emergency go directly to your nearest Emergency Department.
Note: Most specialists will charge you for a missed appointment, be sure to notify them if you are unable to attend.
If you need an immunization record for school or daycare, it will take a week to process and we can mail it or you can pick it up at the office. We cannot fax, email it OR send it to a third party (Daycare,School etc..)
We have fielded many questions about the measles vaccine, here are some answers that may help.
Toronto Public Health Recommendations:
All Ontarians regardless of date of birth, are eligible for two doses of publicly funded measles-containing vaccine.
Infants & Children NOT travelling
- Give one dose of MMR vaccine on or after the childs first birthday
- Give the 2nd dose as MMRV vaccine at age 4-6 years
- If possible give the 2nd dose as MMRV closer to age 4 than age 6
Infants and children travelling to areas where measles is circulating including North America
- Infants: MMR vaccine can be given to infants age 6 -12 months of age. Two additional doses of measles containing vaccine will be required after the first birthday for full protection
- Preschoolers: Consider giving the 2nd dose of MMR vaccine earlier than age 4 - 6 years
- Ideally, give the measles vaccine at least 2 weeks before travel
Born in 1970 or later
- If unknown status, do not delay. Give two doses of MMR vaccine at least 28 days apart
- If only one dose of MMR has been received, give the 2nd dose of MMR vaccine at least 28 days afer the first dose
- If two doses have been administered, consider the person fully immunized
If you need MMR vaccine, please walk in Monday - Friday from 10am - 4pm and ask for the nurse who will administer the MMR for you.
If you think your child has measles or has been in contact with measles, please call or message ahead. DO NOT come to the office until you receive a call back, we can arrange for the patient to see the doctor without exposing others.
We will post information here as public health keeps us informed. Thank You
There remain more questions than answers, but here are a few common questions.
1) How dangerous is H1N1 infection?
Children and adults with H1N1 infection are generally ill (fever, sore throat, cough, aches) for 3-5 days. The vast majority of people fully recover. In some cases, there are complications that lead to hospitalization, and in very rare cases the illness can be very serious or fatal. Children with significant underlying medical conditions are at higher risk of complications. The good news is that the H1N1 virus does NOT seem to be much more serious than the seasonal flu which comes every year. The bad news is that because it is a new strain of flu, and the vast majority of people have no immunity to it, many more people than usual will become ill this year.
2) Do we recommend the vaccine?
Yes. In the past, flu shots have been only variably effective at preventing influenza. Some years, the shot is a good "match" to the influenza strains, and the shot is effective. In other years less so. This year, the H1N1 is included in the flu vaccine
3) Is the vaccine safe?
Every year, the flu shot is manufactured and tested relatively quickly (because the strains of flu change every year). This year is really not that different. While it is true that there is not a lot of data, there is no indication of unusual harm or serious side-effects to the flu shot this year compared to other years.
5) When can my child get the shot?
We are holding regular flu vaccination clinics for all of our patients; the frequency of these clinics is based on vaccine availability. We will NOT be able to immunize parents/adults. Stay tuned to this site for dates/times, which are posted on the home page.
7) What is the bottom line?
The final decision to immunize your child or not involves is a personal one, and involves a balance of risks. The reason we have recommended the H1N1 vaccine is that we believe that any risks to giving the vaccine are outweighed by the benefits. There are theoretical risks to giving any vaccine (for example, side effects that are not known until the vaccine becomes widely used), but this is more than countered by the fact that there are small but real risks of serious illness from H1N1 influenza.
Links to more information
H1N1 in children
H1N1 general information