COVID-19 (2019 Novel Coronavirus)

For more information, please visit the Public Health Agency of Canada’s Coronavirus Disease (COVID-19): Prevention and Risks webpage. 

Symptoms range from mild (like the flu and other common respiratory infections) to severe. Common symptoms of COVID-19 include:

• fever
• new or worsening cough
• shortness of breath
• sore throat
• difficulty swallowing
• loss of sense of smell or taste
• nausea/vomiting, diarrhea, abdominal pain
• nasal congestion or runny nose (without other known cause, such as seasonal allergies)
• fatigue
• headache
• chills
• red eyes

Symptoms in children, older persons and people living with a developmental disability may be atypical (such as unexplained fatigue or falls).

In rare cases, COVID-19 can cause vasculitis in children. This condition can present with persistent fever, abdominal pain, red eyes, nausea, vomiting, diarrhea and rash.

For a full list of symptoms, please refer to the Ontario Ministry of Health website.

Individuals with symptoms (even if mild) associated with COVID-19 are required to self-isolate (external PDF) under a class order issued by the Medical Officer of Health under Section 22 of the Health Protection and Promotion Act (see Self-isolation tab on this webpage).

If you think you have COVID-19 symptoms or have been in close contact with someone who has symptoms associated with COVID-19, refer to the Assessment tab on this webpage for information on assessment and testing.

At this time, there is no specific treatment for COVID-19 and no vaccine. Most people with COVID-19 will recover on their own by:

• drinking plenty of fluids;
• getting rest and sleeping as much as possible; and
• using a humidifier or a hot shower to help with a sore throat or cough.

Health Canada states that there is no definitive evidence that ibuprofen worsens COVID-19 symptoms. Please consult Health Canada’s website(external link).

Consumption of methanol will not protect against COVID-19. Methanol is not meant for human consumption and may lead to adverse effects to human health. Methanol should never be ingested, should not come in contact with skin and vapors should not be inhaled.

• have been diagnosed with COVID-19;
• have the signs and symptoms of COVID-19, have been tested for COVID-19 and are awaiting test results;
• have symptoms (even if mild) associated with COVID-19 or have had such symptoms within the past 14 days;
• have come in close contact with someone diagnosed, suspected to have COVID-19, or with symptoms associated with COVID-19; or 
• have been asked to do so by Halton Region Public Health.

If you fall into any of the categories listed above, you are required to self-isolate under a class order issued by the Medical Officer of Health under Section 22 of the Health Protection and Promotion Act. Refer to our fact sheet to learn how this order impacts you.

Ontario’s Chief Medical Officer of Health is also strongly encouraging the following groups to self-isolate as they are at risk of more severe illnesses related to COVID-19:

• those over the age of 70 years;
• those with a compromised immune system; and
• those with underlying medical conditions.

• All publicly-funded schools will remain closed for the remainder of the 2019-2020 school year.
• Private schools will remain closed under the Province's emergency order. Closures will be re-assessed by the Ontario government in the future.
• Halton Region Public Health has cancelled all school health programs for the 2019-2020 school year. This includes:
  • suspensions and enforcement related to the Immunization of School Pupils Act (ISPA);
  • vaccine education sessions for parents and guardians; and
  • immunization and oral health clinics.
• School health promotion activities performed by public health nurses will continue to be provided to teachers as they implement online learning programs. 

• The Ontario government has ordered the closure of all licensed child care centres, with the exception of emergency child care. To learn about emergency child care for frontline workers, visit our Need Help with the Cost of Child Care? page.
• Licensed child care centres and EarlyON programs remain closed.
• Licensed home child care agencies can choose to remain open or closed at this time.
• The Ontario government introduced an emergency order that prohibits child care providers from charging fees to parents where care is not provided. The order also states that parents will not lose their child care space or be otherwise penalized as a result of fees not being paid during the closure period.

• Summer day camps, both indoor and outdoor, may be permitted in July and August 2020 should current provincial emergency orders be modified or lifted. Overnight camps will not be permitted to operate.
• Summer day camps are required to follow all existing worker health and safety, public health and other relevant requirements to ensure the safety of all staff and participants. To learn more, please see the Provincial guidance for summer day camps.

Municipally run camps

• Check your Local Municipality's recreation webpages for latest updates about summer day camps:
  • City of Burlington
  • Town of Halton Hills
  • Town of Milton
  • Town of Oakville

Privately run camps

• Contact your private day camp provider to determine if they plan to operate this summer and how the program will be modified to ensure the safety of staff and participants.

• Assessment and testing is available for the following populations: 
  • all people with at least one symptom of COVID-19, even for mild symptoms;
  • people who are concerned that they have been exposed to COVID-19 (for example, are contacts of or may have been exposed to a confirmed or suspected case); and
  • people who are at risk of exposure to COVID-19 through their employment, including essential workers (for example, health care workers, grocery store employees, etc.).
• Refer to the COVID-19 Provincial Testing Guidance on the Ministry of Health Website (external PDF).

• It is now mandatory for all travellers returning to Canada to self-isolate for 14-days from return. If symptoms develop, they are to remain in self-isolation for 14 days from when symptoms began. 
• Returning travelers who are considered “essential workers” at their place of employment may be able to return to work earlier and should consult their employer’s policy for further direction regarding returning to work. They should continue to follow self-isolation guidelines outside of work.

Refer to the Public Health Agency of Canada’s website (external link) for more information on the requirements of travellers returning to Canada

• If you have access to testing supplies (nasopharyngeal swabs) AND appropriate personal protective equipment for droplet precautions (gown, gloves, surgical mask, eye protection), you can perform COVID-19 testing in your clinic.
• Anyone with symptoms compatible with COVID-19 can be assessed and tested. (Refer to the Ministry of Health’s Provincial Testing Guidance (external PDF)).
• N95 respirators are NOT required for COVID-19 testing.
• If you are testing someone in your clinic, you must report this to Halton Region Public Health by calling 311.
• If you are not able to perform COVID-19 testing at your clinic:
  • Refer patients who live in Oakville, Milton or Halton Hills to call 905-203-7963 to book an appointment at a Halton Healthcare Assessment Centre.
  • Refer patients who live in Burlington to call 905-632-3737, ext. 6550, to book an appointment at Joseph Brant Hospital COVID-19 Assessment Clinic.

• If you have any questions or concerns about your PPE supply, you may contact the Ministry’s Health Care Provider Hotline at 1-866-212-2272 or by email at emergencymanagement.moh@ontario.ca. Halton Region Public Health does not have access to PPE for primary care physicians.
• Please consult the COVID-19 memo from March 19, 2020 (PDF file) to find a list of alternative specimen collection kits that can be used to collect specimens for COVID-19 testing.
• ​If you have any extra swabs in your office, please consider supporting COVID-19 testing by sharing them with the assessment centre at your local hospital.

• On May 26, Ontario set out requirements for health care providers to follow as they gradually restart deferred, non-essential and elective services. Health care providers must comply with the requirements identified in COVID-19 Operational Requirements: Health Sector Restart (May 26, 2020 or as current) (external PDF), including infection prevention and control and prioritization measures.
• Physicians should conduct both passive screening (signage (PDF file)) and active screening (ask screening questions (PDF file)) for COVID-19 before providing in-person care for patients.
• If an in-person visit is offered, patients should use the provincial self-assessment tool (external link) prior to their visit and wear their own cloth mask to the office/clinic.
• IPhysicians should continue to provide medical care that is urgent or essential for patients’ needs, as well as restarting deferred and non-essential services.
• IRefer to the Ministry of Health’s COVID-19 Guidance: Primary Care Providers in a Community Setting (external PDF) for guidance on virtual and in-person care.
• Please see Considerations for Family Physicians: In-person visits when phone/video isn’t enough (external PDF), a resource from the Ontario College of Family Physicians.
• Timely immunization is considered essential care and should be provided to patients as per the Ontario Immunization Schedule, especially for children up to 2 years of age. 
• Please see Considerations for In-Person Visits (PDF file), a resource from the Ontario College of Family Physicians. 

Patients without OHIP coverage are still eligible to access COVID-19 services.

• Updated guidance (PDF file) from the Ontario Ministry of Health outlines that health care providers must consider which services, including deferred and non-essential, should continue to be provided remotely and which services can safely resume in-person with appropriate and sufficient PPE.
• The Province has implemented provincial rate and billing code changes to allow for virtual care for patients, including physician services (PDF file), nursing, physiotherapy, occupational therapy, social work and dietetics.
• Please see the memo and guidance document attached to the March 20, 2020 Physician Update.

For the most recent physician communications from the Halton Region Medical Officer of Health on COVID-19 and links to physician directives and guidance documents, please visit our Information for Physicians page.