Recent public health data from Ottawa and Toronto schools reveals that over 50% of students in certain grades lack current immunization records, highlighting deficiencies in the existing system hindering efforts to improve vaccination rates.
Toronto Public Health reports sending out 60,000 notifications during the summer to students in Grades 2 to 5 without updated records in compliance with the Immunization of School Pupils Act, which mandates vaccination against nine diseases for school attendance.
As of the latest update, approximately 54% of students in Toronto, totaling 50,000, remain non-compliant and risk suspension if their records are not rectified promptly.
In a similar scenario, Ottawa’s public health authorities state that as of October 12, more than 16,000 students in Grades 2 and 12 have outdated immunization records, representing over two-thirds of children in these age groups.
In Ontario, the responsibility lies with parents to submit immunization records, with public health units issuing reminders to households that have not complied or applied for exemptions. Each year, local health units select student cohorts for verification.
Schools in Ontario are starting to issue suspensions to some of the thousands of students who aren’t fully vaccinated, as the spread of measles continues.
Toronto Public Health reports that in certain grades, only 25% of students have updated vaccination records, with elementary students being particularly affected.
Experts in public health note that the high volume of students receiving notifications signifies challenges in the complex process, often involving tracking down physical records from medical providers, leading to incomplete data for health officials.
“The current process is far from ideal and falls short of our expectations,” stated Dr. Michelle Murti, Toronto’s Medical Officer of Health, during a recent interview.
Decline in Vaccination Rates
This issue arises at a critical juncture for Canada, as vaccination rates decline amid online misinformation, with the country facing the risk of losing its measles-free status due to a prolonged outbreak infecting over 5,000 individuals in the past year.
To retain its measles elimination status, Canada must exhibit vaccination rates of 95% or higher and robust surveillance capabilities following evaluations by the Pan American Health Organization later this year.
Dr. Murti and other health professionals advocate for a centralized vaccination registry to streamline data collection, a longstanding request from healthcare providers to improve record-keeping efficiency.
Ontario’s Chief Medical Officer, Dr. Kieran Moore, echoed these sentiments, emphasizing the challenge of integrating data from diverse healthcare systems and the ongoing development of a digital tool to grant individuals access to their vaccination history.
“We’ve been advocating for a solution to this issue for years,” Dr. Murti emphasized.

