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Frequently Asked Questions - COVID-19

There are a lot of questions about COVID-19. We’ve gathered a list of frequently asked questions and answered them below.

 
COVID-19 Vaccination for Children and Youth

It’s okay to have questions about the COVID-19 vaccine for children and youth. We want you to have the best information available when making a decision about your child's vaccination. Please download and read the Ontario Government’s resources below.

Can my child who is between the ages of 5 and 11 receive their seasonal influenza (flu) vaccine at the same time as their COVID-19 vaccine? My child is 11 years old and will be 12 years old when they receive their second dose of COVID-19 vaccine. Which vaccine will they receive for their first dose?
Which COVID-19 vaccine will my child receive? If my child receives the pediatric COVID-19 vaccine (Pfizer-BioNTech Comirnaty 10mcg) for their first dose and the adolescent/adult COVID-19 vaccine (Pfizer-BioNTech Comirnaty 30mcg) for their second dose, will they be considered fully vaccinated?
Vaccinations
I received my first COVID-19 vaccine dose outside London-Middlesex. How do I book my second-dose appointment? What are breakthrough cases?
I'm eligible to re-book my second dose appointment to an earlier date. Do I need to re-book at the same location where I received my first dose? If the government is mandating COVID-19 vaccines for employers, can the Middlesex-London Health Unit assist me in getting an exemption?
I've re-booked my second-dose appointment at a mass vaccination clinic. Do I need to cancel my original second-dose appointment? Who is responsible for creating and enforcing workplace policies for mandatory COVID-19 vaccine?
I had originally booked a second-dose appointment at a mass vacciantion clinic in London-Middlesex but have received an earlier second dose in a different setting (e.g. pharmacy, primary care, different region). Do I need to cancel my original second-dose appointment?

How do I get a medical exemption from receiving the COVID-19 vaccine?

What does it mean to be a "fully vaccinated individual"?

What are exemptions from vaccinations for children and youth?

Do I need to get both doses of the COVID-19 vaccine? Can I get an exemption for COVID-19 vaccine for my child/youth?
I received an mRNA vaccine for my first dose. Will I get the same mRNA vaccine for my second dose? Can adults get exemptions for COVID-19 vaccination in the workplace?
Are mixed vaccine schedules safe and effective? My child is starting university. Can they get an exemption for the COVID-19 vaccine?
Is it okay to mix Moderna and Pfizer vaccines to complete my vaccine series? Can the COVID-19 vaccine be administered at the same time as other vaccines?
Where will my COVID-19 vaccine occur? What is the recommended time interval between the COVID-19 vaccine and other vaccines?
I have already had COVID-19. Should I still get the COVID-19 vaccine? Is it safe to get the COVID-19 vaccine if I'm pregnant or planning to get pregnant?
Is it safe to get the COVID-19 vaccine if I'm breastfeeding? Can I get a third dose of COVID-19 vaccine?
Why should I still get the COVID-19 vaccine if I can still get ill and pass COVID-19 to others? How long should I wait to get a COVID-19 booster dose after having COVID-19?
Vaccine Passports / Enhanced Vaccine Certificates
The Provincial Government has implemented "proof of vaccination" requirements in select settings. What does that mean for me? I was vaccinated outside of Ontario and therefore do not have COVID-19 vaccination receipts from the Ontario Government. What can I use as proof of vaccination?
I did not receive my COVID-19 vaccine receipts after getting vaccinated and I do not have a green Ontario Health Card. How can I get my COVID-19 vaccine receipts?

Are there any exemptions from providing proof-of-vaccination in setting where it is required?

 

I do not own a smart phone. How can I show my COVID-19 vaccine receipts as proof of vaccination? I have a medical exemption from getting the COVID-19 vaccine. How can I still access the places which require proof of vaccination?
About COVID-19
What is a coronavirus? How soon after being exposed to COVID-19 would symptoms occur?
What is COVID-19? How is COVID-19 diagnosed?
What are the symptoms of COVID-19? Is there a treatment for COVID-19?
Can COVID-19 be spread from person-to-person? Is there a vaccine for COVID-19?
  What is a COVID-19 Variant of Concern (VOC)?
Preventing the Spread of COVID-19
What can members of the public do to prevent the spread of COVID-19? Can I wear a face shield instead of a face covering?
Where are face coverings required? Can I gather with other people?
What is a face covering? What is the COVID Alert mobile app?
How do I wear a mask?  
Testing
Where can I find information about COVID-19 testing in London and Middlesex County? Can I use a Rapid Antigen Test instead of getting a PCR test if I have COVID-19 symptoms or have been told that I am a close contact of a positive case?
How many COVID-19 PCR tests are completed each day in Middlesex-London? I have symptoms of COVID-19, took a Rapid Antigen Test, and the results were negative. Can I go to work/school?
I tested positive for, or had symptoms of,  COVID-19. Once I have completed my self-isolation period, do I need a negative COVID-19 test before returning to work and/or provide my employer with a letter when my isolation is over? What do I do if my employer requires one? I do not have COVID-19 symptoms but I have been informed that I am a close contact of a positive case. Can I use a Rapid Antigen Test to see if I have COVID-19?
I tested positive for COVID-19. If I get re-tested after my period of self-isolation, will I still test positive? If so, does that mean I’m still contagious?  
Self-Isolation and Quarantine
What does self-isolating mean? Someone in my household has travelled outside of Canada in the last 14 days and is quarantining in my home. Do other members of my household need to quarantine too?
When should I self-isolate? How do I report someone who is not quarantining after international travel?
How long must I self-isolate? I tested positive for, or had symptoms of, COVID-19. Once I have completed my self-isolation period, do I need a negative COVID-19 test before returning to work and/or provide my employer with a letter when my isolation is over? What do I do if my employer requires one?
What does quarantining mean? I tested positive for COVID-19. If I get re-tested after my period of self-isolation, will I still test positive? If so, does that mean I’m still contagious?
When should I quarantine?  
Travel
I plan on travelling outside of Canada. What do I need to know? How do I report someone who is not quarantining after international travel?
I plan on travelling outside of Ontario to another province or territory in Canada. What do I need to know? Someone in my household has travelled outside of Canada in the last 14 days and is quarantining in my home. Do other members of my household need to quarantine too?
If I recently travelled outside of Canada, what should I do?  
Close Contacts
Someone who tested positive for COVID-19 has informed me that I am a close contact. What should I do? I think I may be a close contact of someone who tested positive for COVID-19 because I visited a facility or location where there was a case. What should I do?
I am a close contact of someone who is a close contact of someone who tested positive for COVID-19. What should I do?  
 

COVID-19 Vaccinations for Children and Youth

Can my child who is between the ages of 5 and 11 receive their seasonal influenza (flu) vaccine at the same time as their COVID-19 vaccine?

At this time, the National Advisory Committee on Immunization (NACI) recommends that children who are between the ages of 5 and 11 years old should wait to receive the COVID-19 vaccine until at least 14 days before or after any other vaccine, including the flu vaccine. This is a precautionary measure.

Read the National Advisory Committee on Immunization (NACI) recommendation and summary.


Which COVID-19 vaccine will my child receive?

Currently in Middlesex-London all children and youth between the ages of 5 and 17 will receive a formulation of the Pfizer-BioNTech Comirnaty COVID-19 vaccine.

Children who are between the ages of 5 and 11 years old will receive the pediatric formulation which is 10mcg. The child must be 5 years old or older on the day of their appointment in order to receive the vaccine.

Youth who are 12 years of age and older will receive the formulation authorized by Health Canada for adolescents and adults which is 30mcg.

Please note that the formulation an individual receives, whether the pediatric vaccine (10mcg) or the adolescent/adult vaccine (30mcg), is based upon the individual’s age, and not their size.


My child is 11 years old and will be 12 years old when they receive their second dose of COVID-19 vaccine. Which vaccine will they receive for their first dose?

With Health Canada’s approval of the Pfizer-BioNTech Comirnaty vaccine for children between the ages of 5 and 11, children who are 11 years old will now receive the pediatric Pfizer-BioNTech COVID-19 vaccine (10 mcg) instead of the Pfizer-BioNTech COVID-19 vaccine (30 mcg) authorized for adolescents and adults 12 years of age and older, even if they are turning 12 by the end of this year.

If a child is 12 years old at the time of their second dose of COVID-19 vaccine, they will receive the Pfizer-BioNTech Comirnaty COVID-19 vaccine (30 mcg) authorized for adolescents and adults 12 years of age and older.

Please note that the formulation an individual receives, whether the pediatric vaccine (10mcg) or the adolescent/adult vaccine (30mcg), is based upon the individual’s age, and not their size.

The Middlesex-London Health Unit recommends that everyone who is eligible to receive the COVID-19 vaccine do so soon after they become eligible. Children who are 11 years of age but will be turning 12 soon are not advised to wait until they are 12 in order to receive the vaccine authorized for adolescents and adults. The vaccine authorized for children 5 to 11 years of age is safe, effective, and shown to produce a good immune response, similar to the response seen in young adults 16 to 25 years of age who receive the adolescent/adult formulation of the vaccine.

Read the National Advisory Committee on Immunization (NACI) recommendation and summary.

For more information on the COVID-19 vaccine in children and youth, please visit: https://www.healthunit.com/covid-19-vaccine-children-and-youth


If my child receives the pediatric COVID-19 vaccine (Pfizer-BioNTech Comirnaty 10mcg) for their first dose and the adolescent/adult COVID-19 vaccine (Pfizer-BioNTech Comirnaty 30mcg) for their second dose, will they be considered fully vaccinated?

Yes. According to the National Advisory Committee on Immunization (NACI): “Children who receive the pediatric formulation of the Pfizer-BioNTech COVID-19 vaccine (10 mcg) for their first dose who turn 12 by the time of their second dose may receive the adolescent/adult formulation of the Pfizer-BioNTech COVID-19 vaccine (30 mcg) to complete their primary series. If a child who has turned 12 by the time of their second dose receives the pediatric formulation (10 mcg), their series should still be considered valid and complete.”


Vaccinations

I received my first COVID-19 vaccine dose outside London-Middlesex. How do I book my second-dose appointment?

If you received your first COVID-19 vaccine dose outside of London-Middlesex, you can book your second dose appointment at covidvaccinelm.ca using Gate #1: Book/re-book an appointment, then option #2: Book or re-book a second dose. You can also book by calling 226-289-3560. Please note, you will need to have the following information ready in order to book your second-dose appointment:

  • The date you received your first dose
  • The location you received your first dose (in Ontario or outside of Ontario)
  • The type of vaccine you received (Pfizer, Moderna, Oxford-AstraZeneca/COVISHIELD, etc.)

Learn more if you received your COVID-19 vaccinations outside of Ontario or Canada.


I'm eligible to re-book my second dose appointment to an earlier date. Do I need to re-book at the same location where I received my first dose?

No, you can book your second dose at any mass vaccination clinic in London and Middlesex County or pop-up clinic in Middlesex-London. Learn more → 

If you received your first dose at a mass vaccination clinic and choose to receive your second dose somewhere else (e.g. at a pharmacy or primary care clinic), please ensure you cancel your original second-dose appointment at the mass vaccination clinic.

Learn how to cancel a COVID-19 vaccination appointment.


I've re-booked my second-dose appointment at a mass vaccination clinic. How do I cancel my original second-dose appointment?

To cancel a COVID-19 vaccine appointment there are three options:
1) Online: www.covidvaccinelm.ca - Use option 2: Cancel an appointment.

2) Email: covidcancel@mlhu.on.ca and provide the following information:

  • First and last name of the person holding the appointment
  • Email address OR cell phone number used to book the appointment
  • Date, time and location of appointment needing to be cancelled
    *Provide the above information for each person/appointment being cancelled

3) Phone: Call 226-289-3560 (9:00 a.m. to 5:00 p.m., seven days a week)

Learn more about booking and cancelling COVID-19 vaccination appointments here.


I had originally booked a second-dose appointment at a mass vacciantion clinic in London-Middlesex but have received an earlier second dose in a different setting (e.g. pharmacy, primary care, different region). Do I need to cancel my original second-dose appointment?

Yes, it is very important that you cancel your original second-dose appointment so that your appointment time can be given to someone else. Please see the question above for instructions on how to cancel a COVID-19 vaccine appointment at a mass vaccination clinic in London and Middlesex County, or visit: www.healthunit.com/covid-19-vaccine-eligibility


What does it mean to be a "fully vaccinated individual"?

In order to be considered "fully vaccinated" in Ontario 14 days must have passed after an individual has received either:

  • the second dose of a COVID-19 vaccine which requires two doses to be considered a "complete vaccine series"; or
    • Two-dose vaccines include: Pfizer-BioNTech Comirnaty, Moderna Spikevax, and AstraZeneca
      • With vaccine interchangeability, a complete vaccine series can consist of a different COVID-19 vaccine for the first dose than for the second dose. For example, receiving Pfizer for a first dose and Moderna for the second dose is considered a "complete vaccine series."
  • the first dose of a COVID-19 vaccine which requires a single dose to be considered a "complete vaccine series"; or 
    • Janssen (Johnson and Johnson) is the only COVID-19 vaccine approved by Health Canada for use in Canada that requires a single dose.
  • One or two doses of a COVID-19 vaccine not authorized by Health Canada, followed by one dose of a COVID-19 mRNA vaccine authorized by Health Canada (i.e. Pfizer or Moderna); or 
  • Three doses of a COVID-19 vaccine not authorized by Health Canada

Learn more →


Do I need to get both doses of the COVID-19 vaccine?

Yes. For vaccines that need two-doses, a maximum immune response occurs seven to 14 days after the second dose of the vaccine. This maximum immune response will protect you against severe COVID-19 outcomes including hospitalization and death.

There are significant amounts of COVID-19 variants of concern in our region and protection against some of these variants occurs only after the second dose.

The Ministry of Health states: “Long-term protection against COVID-19 is not achieved until after the second dose of vaccine is received for two dose vaccines.”


I received an mRNA vaccine for my first dose. Will I get the same mRNA vaccine for my second dose?

The National Advisory Committee on Immunization (NACI) has determined that the mRNA vaccines (Pfizer and Moderna) are interchangeable. This means that receiving a different mRNA COVID-19 vaccine for your second or booster/third dose than for your first dose is safe and effective for protecting against COVID-19.

If supply allows, and the mass vaccination clinic you attend has the same vaccine as your previous dose(s) available, you will be able to receive the same vaccine for your next dose.


Are mixed vaccine schedules safe and effective?

Receiving an mRNA vaccine (Pfizer-BioNTech or Moderna) after receiving AstraZeneca for your first dose

The National Advisory Committee on Immunization (NACI) now recommends that “an mRNA vaccine is now preferred as the second dose for individuals who received a first dose of the AstraZeneca/COVISHIELD vaccine.” This is based upon studies that suggest a better immune response, including against variants of concern, when the mRNA Pfizer-BioNTech vaccine is provided as the second shot. Since the Pfizer and Moderna vaccines are considered interchangeable, the second dose can also be of Moderna. Furthermore, evidence continues to support this mixed vaccine schedule is safe.

Receiving different mRNA vaccines for your doses

The practice of mixing similar vaccines from different manufacturers for different doses (known as a heterologous vaccine schedule) is not new, is used when vaccine supply or programs change, and is consistent with the guidance of the National Advisory Committee on Immunization (NACI).

Basic foundational vaccine principles inform that similar vaccines from different manufacturers are interchangeable when they:

  • are authorized for the same purpose
  • are authorized for the same populations
  • have similar schedules
  • have similar, or produce similar, types of antigens
  • have similar vaccine safety profiles
  • provide similar immune response and protection

Pfizer and Moderna meet all these criteria and are essentially the same vaccine, just produced by a different manufacturer. Therefore, there is no reason to believe that mixing mRNA COVID-19 vaccines will result in any decrease in safety or immune response. Due to this, NACI has declared the two mRNA vaccines to be interchangeable. Results from ongoing studies, including Canadian data, is also closely monitored by NACI to ensure ongoing safety and to make any updated recommendations.

More Information


Is it okay to mix Moderna and Pfizer vaccines to complete my vaccine series?

Yes. Pfizer and Moderna are essentially different brands of the same vaccine, and you will have the same protection against COVID-19 regardless of what you get for your first or second dose.

The interchangeability of mRNA vaccines has been supported by experts at both the Public Health Agency of Canada and the National Advisory Committee on Immunization. Interchangeability means that you can receive either the Pfizer or Moderna mRNA vaccine as your second dose, regardless of the type of vaccine you received for your first dose. Learn more →


Where will my vaccination occur?

Vaccinations are delivered in London and Middlesex County in three ways:

Mobile /  Pop-Up Clinics

Pop-up Vaccination Clinics are being held around London and Middlesex County by the Middlesex-London Health Unit and Middlesex-London EMS.

See the schedule →

Vaccination Clinics

 For clinic information, please visit: https://covidvaccinelm.ca/Location

Pharmacies

Select pharmacies will be offering the vaccine to individuals born in 2009 or earlier For a list of participating pharmacies, please visit: COVID-19 pharmacy vaccine locations. Book directly through the pharmacy, either through calling them or using their online booking system, if available.


I have already had COVID-19. Should I still get the COVID-19 vaccine?

Yes, even if you’ve already had and recovered from COVID-19, it is still important for you to get a complete COVID-19 vaccine series, regardless of how severe your illness was. With the emergence of COVID-19 variants it isn’t clear whether having already had COVID-19 will provide adequate immunity against future infections. What we know is that having a complete COVID-19 vaccine series provides excellent protection against the novel coronavirus and its variants. 


Is it safe to get the COVID-19 vaccine if I'm pregnant or planning to get pregnant?

Yes, it is safe to get the COVID-19 vaccine if you're pregnant or planning a pregnancy. It is recommended that pregnant individuals (in any stage of their pregnancy) be vaccinted as soon as possible.

For more information, check out the Ministry of Health's Vaccination in Pregnancy & Breastfeeding Patient Decision-Making Tool or speak with your primary care provider.


Is it safe to get the COVID-19 vaccine if I'm breastfeeding?

Yes. There is no risk of the virus being transmitted through breast milk as none of the COVID-19 vaccines contain any live virus. The vaccine will help a mother to build antibodies that can be passed through breast milk to the baby to help protect them against COVID-19. 

For more information, check out the Ministry of Health's Vaccination in Pregnancy & Breastfeeding Patient Decision-Making Tool or speak with your primary care provider.


Why should I still get the COVID-19 vaccine if I can still get ill and pass COVID-19 to others?

Although not perfect, the COVID-19 vaccine still reduces the chance you will get COVID-19, and will dramatically reduce the chance that you will require hospitalization or die from COVID-19. The vaccine is the single most effective way to protect yourself and those around you.


What are breakthrough cases?

A breakthrough case of COVID-19 is someone who gets COVID-19 even though they have been fully vaccinated. As the case counts of COVID-19 increase, it is expected that more breakthrough cases will occur. Individuals who are considered breakthrough cases become less sick than individuals with COVID-19 who were not vaccinated, and are much less likely to require hospitalization or die. Therefore, getting vaccinated is still very important to protect yourself and others from severe illness.


If the government is mandating COVID-19 vaccines for employers, can the Middlesex-London Health Unit assist me in getting an exemption?

The Ontario government has mandated that certain high-risk workplaces have a COVID-19 vaccination policy which will require proof of vaccination or alternative such as medical exemptions or education attestations with regular testing. The workplace is responsible for these policies; the Middlesex-London Health Unit does not provide exemptions. See Directive 6 and resource guide. If employees have concerns about the COVID-19 vaccination policy, they should speak with their employer and/or primary care provider.


Who is responsible for creating and enforcing workplace policies for mandatory COVID-19 vaccine?

It is up to the workplace to set and enforce COVID-19 vaccine-related policies. The Middlesex-London Health Unit can provide guidance to workplaces in creating and implementing those policies, but the Health Unit is not responsible for mandating or enforcing these policies. As such, the Middlesex-London Health Unit does not change or override employers’ policies.

For more information on developing a Mandatory COVID-19 Vaccination Policies, visit: www.healthunit.com/mandatory-covid-19-vaccination-policies 


How do I get a medical exemption from receiving the COVID-19 vaccine?

If you are eligible for a medical exemption, please contact your health care provider.  

Please note: A medical exemption must be complete and supplied by a physician (designated as "MD") or by a registered nurse in the extended class (designated as "Registered Nurse (Extended Class)", "RN(EC)", "Nurse Practitioner" or "NP").


What are exemptions from vaccinations for children and youth?

In Ontario, children are required by law under the Child and Early Years Act, 2014 (children under 4 years old attending licensed childcare) and Immunization of School Pupils Act (those aged 4-17 attending school) to be up to date on certain vaccinations based on the Ontario publicly funded schedule in order to attend licensed childcare or school. If children cannot get their vaccinations either due to risk of serious illness or ideological reasons, parents can follow the exemption process available at: www.healthunit.com/immunization-record-review

At this time, the COVID-19 vaccine is not currently a required vaccine under the Child and Early Years Act, 2014 or Immunization of School Pupils Act. Students who are not immunized against COVID-19 do not require an exemption at this time.


Can I get an exemption for COVID-19 vaccine for my child/youth?

COVID-19 vaccines are not currently a required vaccine under the mandatory for school or daycare attendance under the Child and Early Years Act, 2014 or Immunization of School Pupils Act. Exemptions are required only for vaccines specified under these laws. If this information changes, it will be available on the Health Unit website.


Can adults get exemptions for COVID-19 vaccination in the workplace?

The Middlesex-London Health Unit cannot provide COVID-19 vaccination exemptions. Employees should speak with their employer and/or primary care provider as individual institutions or employers/workplaces may have policies related to mandatory vaccinations.


My child is starting university. Can they get an exemption for the COVID-19 vaccine?

Policies related to COVID-19 vaccinations set out by institutions, such as universities or colleges, are created and enforced by the institution itself. Universities dictate their COVID-19 policies and the Middlesex-London Health Unit does not overturn or provide exclusions to those policies. If a student has concerns about the COVID-19 vaccination, they should speak with their institution’s student health services and/or their primary care provider.


Can the COVID-19 vaccine be administered at the same time as other vaccines?

Yes, the COVID-19 vaccine may be administered at the same time as, or any time before or after, any other vaccines, including the influenza (flu) vaccine for individuals 12 years of age or older.

This is a change from previous guidance from the National Advisory Committee on Immunization (NACI) which was updated September 28, 2021. Learn more →

Children who are between the ages of 5 and 11 years old should wait 14 days before or after receiving any other vaccines to receive their COVID-19 vaccine.


What is the recommended time interval between the COVID-19 vaccine and other vaccines?

The COVID-19 vaccine may be administered at the same time as, or any time before or after, any other vaccines, including the influenza (flu) vaccine for individual 12 years of age or older.

This is a change from previous guidance from the National Advisory Committee on Immunization (NACI) which was updated September 28, 2021. Learn more →

Children who are between the ages of 5 and 11 years old should wait 14 days before or after receiving any other vaccines to receive their COVID-19 vaccine.


Can I get a third dose of COVID-19 vaccine?

At this time, third doses of COVID-19 vaccine are only available to individuals who meet specific criteria in order to provide sufficient protection against COVID-19. Learn more →

Booster doses are also available to individuals 18 years of age and older. Learn more →


How long should I wait to get a COVID-19 booster dose after having COVID-19?

Individuals who have been diagnosed with COVID-19 or are experiencing COVID-19-like symptoms should defer vaccination until their isolation period is over and their symptoms have resolved.  Learn more about self-isolation requirements with COVID-19 →


Vaccine Passports / Enhanced Vaccine Certificates

The Provincial Government has implemented "proof of vaccination" requirements in select settings. What does that mean for me?

Members of the Public

Individuals 12 years of age and older are required to show proof that they are fully vaccinated in order to access certain high-risk settings, including:

  • Restaurants and bars (excluding outdoor patios, as well as delivery and takeout);
  • Nightclubs (including outdoor areas of the establishment);
  • Meeting and event spaces, such as banquet halls and conference/convention centres;
  • Facilities used for sports and fitness activities and personal fitness training, such as gyms, fitness and recreational facilities with the exception of youth recreational sport;
  • Sporting events;
  • Casinos, bingo halls and gaming establishments;
  • Concerts, music festivals, theatres and cinemas;
  • Strip clubs, bathhouses and sex clubs;
  • Racing venues (e.g., horse racing).

The Middlesex-London Health Unit also issued a Letter of Instruction requiring youth aged 12 to 17 to also show proof of vaccination in facilities used for sports and fitness activities and personal fitness training, such as gyms, fitness and recreational facilities. Learn more →

To show proof of vaccination status, individuals need to show their enhanced vaccine certificate with QR code which proves you are fully vaccinated. The QR code can be used digitally or by printing a paper copy. The enhanced certificate with QR code can be downloaded at covid-19.ontario.ca/get-proof. A piece of identification that includes your name and date of birth is also required. The identification does not need to be photo identification, but the name and date of birth on the piece of identification must match the name and date of birth on the vaccine receipt exactly.

Accepted forms of identification must include the holder's name and date of birth and can include:

  • birth certificate
  • driver's licence
  • government (Ontario or other) issued identification card, such as a health card
  • passport
  • citizenship card
  • permanent resident card
  • Indian Status Card or Indigenous Membership Card

For information on how to access your COVID-19 vaccine, please visit: https://www.healthunit.com/covid-19-vaccine#vaccine-receipt.  Your COVID-19 vaccine receipt can be printed or a digital PDF shown on your phone or other smart device.

Businesses and Organizations

Businesses and organizations which require proof of vaccination are required to use the Verify Ontario app to verify enhanced vaccine certificates with QR code. The app is available for iOS and Android devices. Learn more →

Businesses and organizations which will require proof of vaccination under O. Reg. 263/20: Rules for Areas in Step 2 should review the following documents:


I did not receive my COVID-19 vaccine receipts after getting vaccinated and I do not have a green Ontario Health Card. How can I get my COVID-19 vaccine receipts?

If you did not receive your COVID-19 vaccine receipts by email after receiving your COVID-19 vaccine dose(s), and you either do not have a green Ontario Health Card or did not present it at the time of your vaccination, please call 226-289-3560 (9:00 a.m. to 5:00 p.m., Monday to Sunday) for assistance with receiving your COVID-19 vaccine receipt(s).

Alternatively, to have a enhanced vaccine certificate with QR code emailed or mailed to you, call the Provincial Vaccine Contact Centre at 1-833-943-3900.


I do not own a smart phone. How can I show my COVID-19 vaccine receipts as proof of vaccination?

When showing proof of vaccination to gain access to a high-risk setting, you can show either a printed or digital PDF copy of your enhanced vaccine certificate with QR code. If you do not own a phone or other smart device which can show a digital version of your vaccine certificate, you can print the vaccine certificate which shows you've received a full vaccine series and show it along with your identification as proof of vaccination. If you do not have a printer, you can visit your local library branch or ask a trusted friend or organization to help print a copy.  Alternatively, to have a enhanced vaccine certificate with QR code emailed or mailed to you, call the Provincial Vaccine Contact Centre at 1-833-943-3900.


I was vaccinated outside of Ontario and therefore do not have COVID-19 vaccination receipts from the Ontario Government. Do I still need to provide proof-of-vaccination?

Yes, individuals who were vaccinated outside of the province must still provide proof of vaccination to enter settings requiring it.

Ontario Residents Vaccinated Outside of Province

If you received one or both doses of a COVID-19 vaccine outside of Ontario, and you reside within London and Middlesex County, please submit proof of your COVID-19 vaccinations to the Middlesex-London Health Unit by following the instructions here: https://www.healthunit.com/reporting-covid-19-vaccines-to-mlhu.

Upon submitting proof of your COVID-19 vaccinations to the Middlesex-London Health Unit, you will be able to access a document which serves as proof that your doses have been recognized in Ontario through the online Provincial portal, provided you have a green Ontario Health Card and know your date of birth and postal code. If you cannot access it online through the Provincial portal, please call 226-289-3560 (9:00 a.m. to 5:00 p.m., Monday to Sunday) for assistance with receiving your COVID-19 vaccine receipt(s).


Are there any exemptions from providing proof-of-vaccination in setting where it is required?

The following are exemptions for having to provide proof-of-vaccination where it is required:

  • Children under the age 12
  • Patrons with a medical exemption who have an enhanced certificate with QR code. Learn more →

I have a medical exemption from receiving the COVID-19 vaccine. How can I still access the places which require proof of vaccination?

If you are unable to receive the COVID-19 vaccine due to a medical exemption, you can access premises requiring proof-of-vaccination by displaying an enhanced certificate with QR code.  To obtain an enhanced certificate with QR code, you will be required to ask an Ontario physician or registered nurse in the extended class to submit your exemption directly to the local public health unit.

Once your exemption is reviewed by the public health unit, you will be able to access your enhanced certificate with QR code through the COVID-19 vaccination portal: https://covid-19.ontario.ca/book-vaccine/.


About COVID-19

What is a coronavirus?

Coronaviruses make up a large family of viruses that circulate in both humans and other animals. Human coronaviruses are common and are usually associated with mild illness, similar to the common cold, and can spread easily between people. There are some coronaviruses that have spread from animals to humans, which have caused more severe illness in humans, such as Severe Acute Respiratory Syndrome (SARS) and Middle East Respiratory Syndrome (MERS).

The risk of developing severe disease from the 2019 novel coronavirus may be higher if you have a weakened immune system. This may be the case for:

  • older people, and
  • anyone with chronic disease such as diabetes, cancer, heart, renal or chronic lung disease.

What is COVID-19?

On December 31, 2019, health authorities in China identified a new (or novel) coronavirus (referred to as 2019-nCoV), after several reported cases of pneumonia in Wuhan, China. On February 11th, 2020, the World Health Organization (WHO) officially named the new illness COVID-19, where COVI stands for coronavirus, D stands for disease and 19 represents 2019, the year it was first identified in people.

It is believed that COVID-19 originated in another animal. It is the seventh strain of coronavirus.


What are the symptoms of COVID-19?

If you are a student or staff member screening for symptoms prior to going to school or child care, please complete the COVID-19 School and Child Care Screening Tool

If you are not a student or staff member of a school or child care setting and you think you have symptoms of COVID-19, take the COVID-19 self-assessment to help determine next steps.

For full symptom details, please review: COVID-19 Reference Document for Symptoms

Symptoms of COVID-19

Most Common Symptoms of COVID-19 that Require Immediate Self-isolation and, If Eligible, COVID-19 Testing

Fever (temperature of 37.8°C/100.0°F or greater)

Chills

Cough that's new or worsening (e.g. continuous, more than usual if chronic cough)

Not related to other known causes or conditions for which current symptoms do not represent a flare-up/exacerbation related to infection (e.g. COPD)

Barking Cough, making a whistling noise when breathing (Croup)

Not related to other known causes or conditions

Shortness of breath (dyspnea, out of breath, unable to breathe deeply)

Not related to other known causes or conditions (e.g. asthma)

Decrease or loss of smell or taste (new olfactory or taste disorder)

Not related to other known causes of conditions (e.g. seasonal allergies, neurological disorders)

Two or More of the Following Symptoms of COVID-19 Require Immediate Self-Isolation and, if Eligible, COVID-19 Testing

Muscle aches or joint painthat are unusual or long lasting

Not related to other known causes or conditions (e.g. sudden injury, fibromyalgia)

Extreme tiredness, lethagry, or malaise that is unusual (Fatigue, lack of energy, generally feeling unwell)

Not related to other known causes or conditions (e.g. depression, insomnia, thyroid dysfunction)

Nausea/vomiting/diarrhea
Not related to other known causes or conditions 

Sore throat (painful / difficulty swallowing)
Not related to other known causes or conditions 

Runny nose
Not related to other known causes or conditions (e.g. returning inside from the cold)

Stuffy nose
Not related to other known causes or conditions (e.g. seasonal allergies)

Headache that is new and persistent, unusual, unexplained, or long-lasting
Not related to other konwn causes or conditions (e.g. tension-type headaches, chronic migraines)

Other Symptoms That May Be Associated with COVID-19 and Should Be Monitored

Abdominal pain that is persistent or ongoing
Not related to other known causes or conditions (e.g. menstrual cramps, GERD)

Pink eye
Not related to other known causes or conditions

Decreased or lack of appetite
For young children and not related to other known causes or conditions

Anyone with severe respiratory illness, or a medical emergency should call 9-1-1 immediately. Advise them of your symptoms.

Signs of severe respiratory illness include:

  • Severe difficulty breathing (struggling for each breath, can only speak in single words)
  • Severe chest pain (constant tightness or crushing sensation)
  • Feeling confused or unsure of where you are
  • Losing consciousness

Can COVID-19 be spread from person-to-person?

Coronaviruses can spread when the droplets due to cough or a sneeze from an infected person are breathed in deeply by anyone who is in close proximity to the infected person; similar to how the flu and other respiratory illnesses are spread.

There is evidence of human-to-human transmission of this virus; and while some viruses are highly contagious, other viruses are less so. It’s not yet clear how easily COVID-19 spreads from person-to-person.


How soon after being exposed to COVID-19 would symptoms occur?

The World Health Organization advises that symptoms may appear in as few as two days, or as long as 10 to 14 days, after being exposed to someone with COVID-19. This time period is subject to change and may be updated as new information becomes available.


How is COVID-19 diagnosed?

Coronavirus infections are diagnosed based on laboratory tests performed by healthcare providers. Testing typically involves taking a swab of a person's nose.

If you think you might have COVID-19, visit London's COVID-19 Assessment Centres for more information on next steps.


Is there a treatment for COVID-19?

Currently, there is no specific antiviral treatment for COVID-19 approved for use in Canada. If you experience severe symptoms such as chest pains or shortness of breath, call 9-1-1 or visit your nearest Emergency Department.


Is there a vaccine for COVID-19?

The following COVID-19 vaccines have been approved by Health Canada:

  • Pfizer-BioNTech Comirnaty
  • Moderna Spikevax
  • Oxford AstraZeneca
    On May 11, 2021, the Government of Ontario paused administration of the Oxford AstraZeneca vaccine. Learn more →
  • Janssen

Learn more →


What is a COVID-19 Variant of Concern (VOC)?

Generally-speaking, viruses mutate over time. This can result in different variants, or strains, of the virus. This may affect how easily it is passed from one person to another, its severity and symptoms, and how it responds to prevention strategies, treatment and vaccines.

SARS-CoV-2, the virus which causes COVID-19, has been found to be mutating and several strains have been detected. Some of these appear to spread more easily between people. These new strains of the virus are called variants of concern, or VOCs, and starting May, 2021 are labelled using letters of the Greek alphabet (alpha, beta, gamma, etc.).

Research into these variants of concern is ongoing. We continue to learn more about how easily they spread, the severity of illness they can cause, whether they may lead to increased hospitalizations, and how effective current vaccines are against them. As this research continues, it is very important to continue following the public health measures that have been shown to prevent the spread of COVID-19: maintain a physical distance of two metres from other people, don’t gather with others, wear a mask, stay home except for essential reasons, and wash your hands frequently with soap and water, or an alcohol-based hand sanitizer.

The latest variant of concern is labelled “Omicron” and was first identified on November 9, 2021 and designated a variant of concern by the World Health Organization on November 26, 2021. Research is ongoing into the Omicron variant, including how easily it spreads, the severity of illness it can cause, and the effectiveness of the vaccines against it. What is known is it carries the highest number of novel mutations compared to other VOCs.


What can members of the public do to prevent the spread of COVID-19?

  • Get vaccinated if you are 5 years of age or older. Learn more about how to book a vaccine appointment. 
  • Maintain physical distancing (6 feet / 2 metres) from anyone outside your household
  • Wear a mask / face covering in all indoor public spaces, such as businesses, facilities and workplaces, and anywhere else where physical distancing cannot be maintained
  • Self-isolate if you have any symptoms of COVID-19, even mild. Use the Self-Assessment Tool to determine if you should self-isolate.
  • Get tested, if eligible.
  • Wash your hands frequently with soap and water for at least 15-20 seconds or use a waterless hand sanitizer with at least 60 percent alcohol content
  • Cover coughs and/or sneezes with your sleeve or cough into your elbow
  • Clean and disinfect high-touch areas frequently

Where are face coverings required?

Face coverings are mandated in all public indoor settings within Ontario, such as businesses, facilities, and workplaces with limited exemptions, as per provincial legislation and regulations


What is a face covering?

A face covering can be a non-medical mask, medical mask, or a respirator. A respirator worn in the community doesn’t need to formally fit tested as is required in some occupational settings. Learn more →

Non-medical masks can be purchased or home-made and are typically made out of breathable fabric. The effectiveness of non-medical masks in preventing the spread of COVID-19 can vary based on many factors like material, construction, fit and proper use.

Some non-medical masks can help prevent the spread of COVID-19 similarly to medical masks if they:

  • fit securely to the head with ties or ear loops
  • have multiple layers, including at least 2 layers of breathable tightly woven fabric, such as cotton AND have an effective middle filter layer
  • maintain their shape after washing and drying
  • are large enough to completely and comfortably cover the nose and mouth without gaping
  • are comfortable and do not require frequent adjustments

In general, while non-medical masks can help prevent the spread of COVID-19, medical masks and respirators provide better protection. No matter which type of mask you choose, proper fit is a key factor in its effectiveness. Learn more →

NOTE: Face shields do not replace face coverings. Face shields may provide an additional layer of protection, but they should not be used in place of face coverings.


How do I wear a mask?

Make sure to properly wear, fit, remove, and clean or discard your mask / face covering. For more details, see the Public Health Agency of Canada's COVID-19: How to safely use a non-medical mask or face covering (do's and don'ts list) or watch the Government of Canada's video. The Government of Ontario also has instructions for Face coverings and face masks.

Make sure your mask is fitting properly
Remember: Before touching your mask, be sure to wash your hands with soap and water for at least 15-20 seconds. If soap and water aren't available, use a hand sanitizer containing at least 60% alcohol.

When your mask or face covering is on, check to make sure:

  • It completely covers your nose, mouth and chin. If it doesn't, try a larger size.
  • There are no gaps between your face and the mask. Check the top, sides, and bottom of your mask. If there are any gaps or air leaks, adjust it. If gaps and leaks persist, try a smaller size or a differently-shaped mask.

Improve your mask's fit so it’s snug and has no gaps:

  • Adjust the ties or ear loops. Tie knots in the ear loops and tuck in the sides of the mask so it lies flat.
  • Adjust the wire nosepiece if your mask has one.
  • Consider keeping facial hair shaved or short.
  • Use a mask fitter or brace to help provide a snug fit.
  • Layer a well-fitting non-medical mask over a disposable mask to help push the edges of the disposable mask closer to your face. Make sure that you can still breathe easily while wearing.

Learn more →

The use of a non-medical mask or other face covering will not protect you from getting COVID-19, but it may reduce the spread of your infectious respiratory droplets, should you be unknowingly infected.


Can I wear a face shield instead of a face covering?

Face shields do not replace face coverings. Face shields may provide an additional layer of protection, but they should not be used in place of face coverings.

In settings where employees will be within two metres of someone not wearing a mask, eye protection such as a face shield or goggles are also required, as per provincial legislation and regulations.

Face coverings, like cloth masks, must fit securely to the head and be large enough to completely and comfortably cover the mouth, nose and chin without gapping. Learn more →


Can I gather with other people?

Effective Wednesday, January 5, 2022, gathering limits are:

  • Outdoor social gatherings and organized public events - maximum of 10 people
  • Indoor social gatherings - maximum 5 people

What is the COVID Alert mobile app?

The COVID Alert mobile app is an exposure notification app. Exposure notifications are alerts that you can receive on your cell phone that let you know you've been exposed to someone who has tested positive for COVID-19.

The COVID Alert app is completely voluntary. If you download the app onto your phone, your phone exchanges randomized codes, through Bluetooth, with other phones nearby that also have the app. To operate the app, download it from the app store (App Store or Google Play), allow notifications, and have Bluetooth turned on. The app will run in the background, using minimal data and battery power.

A notification will appear on your screen if:

  • within that past 14 days you were within two metres of an app user for more than 15 minutes who has since tested positive for COVID-19, or
  • you were in contact with a user who has since tested positive during their more infectious days (usually two days before symptoms started)

The app will then provide you with the latest public health advice and resources and recommend next steps.

If you receive a notification from the COVID Alert mobile app, follow the directions the app provides.

The app does not collect or share any personal information such as name, phone number, location, or testing status. The data is encrypted and personal information is never collected or stored. Data on a user's phone is stored for up to 14 days, after which it is destroyed.

For more information, visit https://covid-19.ontario.ca/covidalert


Testing

Where can I find information about COVID-19 testing in London and Middlesex County?

For information about COVID-19 PCR and Rapid Antigen Testing in London and Middlesex County visit: www.healthunit.com/covid-19-concerns.


How many COVID-19 PCR tests are completed each day in Middlesex-London?

For a daily update of the number of people seen at the London Assessment Centres, please see Summary of COVID-19 Cases in Middlesex-London and click on the "Testing" tab. These numbers do not include tests completed by others in the health care sector including hospitals, long-term care homes, and emergency medical personnel.


I tested positive for, or had symptoms of, COVID-19. Once I have completed my self-isolation period, do I need a negative COVID-19 test before returning to work and/or provide my employer with a letter when my isolation is over? What do I do if my employer requires one?

Clearance tests (i.e. a negative COVID-19 test) are not required to return to work once an individual who has COVID-19 has completed their period of self-isolation. Once an individual’s self-isolation period is complete, they are able to leave self-isolation and resume their normal daily tasks as long as they do not have a fever and their symptoms have been improving for at least 24 hours. Learn more about requirements for quarantining and self-isolation.

Employers are also encouraged to not require a letter from employees confirming they have completed their self-isolation period. The Middlesex-London Health Unit will not provide such a letter.


I tested positive for COVID-19. If I get re-tested after my period of self-isolation, will I still test positive? If so, does that mean I’m still contagious?

The self-isolation period for COVID-19 is based on the longest estimate of how long a person is contagious. Once a person completes their period of self-isolation they are no longer considered contagious. They may, however, continue to test positive for COVID-19 after their period of self-isolation. Public health will determine whether or not the positive test is an indication of a new infection and next steps.


Can I use a Rapid Antigen Test instead of getting a PCR test if I have COVID-19 symptoms or have been told that I am a close contact of a positive case?

At this time, most individuals do not need to get tested.  If you develop symptoms of COVID-19, presume you have COVID-19 and follow the self-isolation requirements.

If you are eligible for testing, or have been directed to get tested for COVID-19, book an appointment to get a COVID-19 PCR test.


I have symptoms of COVID-19, took a Rapid Antigen Test, and the results were negative. Can I go to work/school? 

No, if you have symptoms of COVID-19 you should presume you have COVID-19 and follow the self-isolation requirements for individuals with COVID-19.


I do not have COVID-19 symptoms but I have been informed that I am a close contact of a positive case. Can I use a Rapid Antigen Test to see if I have COVID-19? 

No, if you have been informed that you are a close contact of someone who has tested positive for COVID-19, or you believe you may have been exposed to COVID-19, and you do not live with the individual with COVID-19, you should follow the requirements for close contacts

If you live with the individual who has tested positive for COVID-19 or who has COVID-19-like symptoms, you must self-isolate for the same duration as that individual.


Self-Isolation and Quarantine

What does self-isolating mean?

Self-isolation separates sick individuals with a contagious disease, like COVID-19, from people who are not sick to prevent the disease from spreading.

Self-isolation requires an individual to:

  • stay home, unless you need to get tested or require emergency medical care
    • do not use public transportation, taxis, or rideshares
  • avoid contact with others
    • do not have visitors unless they are essential 
    • stay in a separate room from others in your home, as much as possible, make sure shared rooms have good airflow, and use a separate bathroom if you have one
  • maintain physical distance
    • keep at least two metres distance and wear a mask if you are in a room with anyone else
    • others in a room with you should also wear a mask

Learn more →


When should I self-isolate?

You should self-isolate if:

  • you develop COVID-19-like symptoms.
  • you are contacted by the Health Unit and told to self-isolate
  • you receive a notification from the COVID Alert mobile app and the app advises you to self-isolate
  • you have been tested for COVID-19 and are waiting for results
  • you have tested positive for COVID-19 on either a PCR test or a Rapid Antigen Test (RAT)
  • you live with someone who has tested positive for COVID-19 or has COVID-19-like symptoms

Learn more →


For how long must I self-isolate? 

For information about how long your self-isolation period should last, please visit Self-Isolation Requirements


What does quarantining mean?

Quarantine separates and restricts the movement of people who do not have symptoms, but were exposed to a contagious disease, like COVID-19, to see if they develop symptoms. It is an important step to prevent the spread.

Quarantining requires an individual to:

  • stay home, unless you need to get tested or require emergency medical care
    • do not use public transportation, taxis, or rideshares
  • avoid contact with others
    • do not have visitors, even if you are outdoors
    • avoid contact with others in your household
  • maintain physical distance
    • keep at least two metres distance and wear a mask if you are in a room with anyone else
    • others in a room with you should also wear a mask
  • if staying in a hotel, do not use shared spaces such as lobbies, courtyards, restaurants, gyms or pools
  • avoid quarantining at home if you cannot separate from those living with you (e.g. a communal living setting, student dormitory with shared common spaces, shared small apartment, etc.)
  • monitor yourself for symptoms
    • take and record your temperature daily

Learn more →


When should I quarantine?

You must quarantine for 14 days if:


Someone in my household has travelled outside of Canada in the last 14 days and is quarantining in my home. Do other members of my household need to quarantine too?

If the returning traveller can effectively isolate away from others in the household, other household members who work at, or attend a childcare centre or elementary or secondary school may proceed. If the returning traveller cannot isolate from household members, all members of the household should quarantine (unless fully vaccinated).

Follow the COVID-19 School and Child Care Screening. Household members continue to self-monitor for symptoms and should symptoms develop, self-isolate and get tested for COVID-19.

Please note: Quarantining or self-isolation for fully vaccinated and asymptomatic individuals who are close contacts may still be required at the discretion of the Middlesex-London Health Unit.


How do I report someone who is not quarantining after international travel?

All travellers returning from outside Canada must quarantine for 14 days under a quarantine order from the Public Health Agency of Canada, unless they meet exemption criteria due to vaccination status or other exemption criteria. The federal government enforces this by following up and conducting spot checks to verify compliance.

To report non-compliance, contact local police. For London Police, the non-emergency phone number is 519-661-5670 or use the online reporting system. In Middlesex County, call the OPP non-emergency line at 1-888-310-1122 or submit a report at opp.ca/reporting.


I tested positive for, or had symptoms of, COVID-19. Once I have completed my self-isolation period, do I need a negative COVID-19 test before returning to work and/or provide my employer with a letter when my isolation is over? What do I do if my employer requires one?

Clearance tests (i.e. a negative COVID-19 test) are not required to return to work once an individual who has COVID-19 has completed their period of self-isolation. Once an individual’s self-isolation period is complete, they are able to leave self-isolation and resume their normal daily tasks as long as they do not have a fever and their symptoms have been improving for at least 24 hours. Learn more about requirements for quarantining and self-isolation.

Employers are also encouraged to not require a letter from employees confirming they have completed their self-isolation period. The Middlesex-London Health Unit will not provide such a letter.


I tested positive for COVID-19. If I get re-tested after my period of self-isolation, will I still test positive? If so, does that mean I’m still contagious?

The self-isolation period for COVID-19 is based on the longest estimate of how long a person is contagious. Once a person completes their period of self-isolation they are no longer considered contagious. They may, however, continue to test positive for COVID-19 after their period of self-isolation. Public health will determine whether or not the positive test is an indication of a new infection and next steps.


Travel

I plan on travelling outside of Canada. What do I need to know?

First and foremost, at this time it is strongly recommended that you avoid non-essential travel.

Other countries may require proof of a negative laboratory test result for COVID-19 prior to travelling there. Effective Friday, January 15, London's COVID-19 Assessment Centres will no longer be conducting tests for international travelling purposes. This is in compliance with a change in testing criteria from the Province of Ontario.  Individuals requiring testing for international travel clearance should consult their travel carrier for the most up-to-date information. For information on accessing a COVID-19 test in Middlesex-London for the purposes of international travel, visit: covidtestinglm.ca/london-locations-covid-19-testing-for-international-travel/.

Other countries may require proof-of-vaccination prior to entering.  It is important to note that each country decides what proof of vaccination is required, what types of vaccines they accept, and what number of doses they require.  You could be considered fully vaccinated in Canada, but not considered fully vaccinated in another country.  Always check the requirements of your destination country before travelling. Learn more →

For information about travel requirements for entering Canada, please visit: COVID-19: Entering Canada requirements checklist.

For information about travel restrictions, exemptions, and advice visit: https://www.canada.ca/en/public-health/services/diseases/2019-novel-coronavirus-infection/latest-travel-health-advice.html

For information about your safety and security outside of Canada during COVID-19, visit: https://travel.gc.ca/travelling/health-safety/covid-19-security


I plan on travelling outside of Ontario to another province or territory in Canada. What do I need to know?

First and foremost, at this time it is strongly recommended that you should avoid non-essential travel.

Some provinces and territories have additional travel restrictions, for example, prohibiting non-essential travel into the province, limiting access to certain regions within the province, or mandatory quarantines. Please refer to the list of provincial and territorial websites for more information.


If I recently travelled outside of Canada, what should I do?

On March 25, 2020, the Government of Canada announced an Emergency Order under the Quarantine Act which requires people entering Canada to quarantine for 14 days and take a COVID-19 PCR test on day 8 of their return. If, while in quarantine symptoms develop, you must self-isolate and get tested for COVID-19.

Some travel restrictions, incuding mandatory 14-day quarantine, are eased for individuals who are fully vaccinated and entering Canada. Learn more →

Due to the Omicron variant, in the coming days, all fully vaccinated travellers arriving by air from departure points other than the United States will undergo a COVID-19 test upon arrival and be required to quarantine while they await the results. Learn more →

For more details, see Coronavirus disease (COVID-19): Travel restrictions, exemptions and advice from the Government of Canada.

You can also check to see if your flight, cruise, or attended mass gathering had a confirmed case which may help you to better assess your risk of exposure.


How do I report someone who is not quarantining after international travel?

All travellers returning from outside of Canada must quarantine for 14 days under a quarantine order from the Public Health Agency of Canada, unless they meet exemption criteria due to vaccination status or other exemption criteria. The federal government enforces this by following up and conducting spot checks to verify compliance.

To report non-compliance, contact local police. For London Police, the non-emergency phone number is 519-661-5670 or use the online reporting system. In Middlesex County, call the OPP non-emergency line at 1-888-310-1122 or submit a report at opp.ca/reporting.


Someone in my household has travelled outside of Canada in the last 14 days and is quarantining in my home. Do other members of the household need to quarantine too?

If the returning traveller can effectively isolate away from others in the household, other household members who work at, or attend a childcare centre or elementary or secondary school may proceed. If the returning traveller cannot isolate from household members, all members of the household should quarantine (unless fully vaccinated). Household members continue to self-monitor for symptoms and should symptoms develop, self-isolate and get tested for COVID-19.

Please note: Quarantining or self-isolation for fully vaccinated and asymptomatic individuals who are close contacts may still be required at the discretion of the Middlesex-London Health Unit.


Close Contacts

Someone who tested positive for COVID-19 has informed me that I am a close contact. What should I do?

Learn more about the requirements for close contacts →


I am a close contact of someone who is a close contact of someone who tested positive for COVID-19. What should I do?

If you do not have symptoms of COVID-19:

  • If you do not live in the same household as someone who has tested positive for COVID-19 or who has COVID-19-like symptoms, you do not need to self-isolate. Monitor yourself for symptoms and if symptoms develop, self-isolate immediately, presume you have COVID-19, and follow the self-isolation requirements for individuals with COVID-19.

If you have symptoms of COVID-19:


I think I may be a close contact of someone who tested positive for COVID-19 because I visited a facility or location where there was a case. What should I do?

If you do not have symptoms of COVID-19:

If you have symptoms of COVID-19:


 
Date of creation: January 27, 2020
Last modified on: January 17, 2022