Ottawa's children's hospital is bringing back masking and visitor restrictions as flu activity rises earlier than usual this fall.

CHEO announced on Nov. 2 that it has reinstated public health measures in response to increased respiratory illness activity in the community. Flu season typically peaks in December, but the hospital said it has already seen an uptick in influenza during October.

Under the new rules, anyone coming to CHEO or its community sites must wear a mask in all waiting areas and during all clinical interactions with patients and families, according to a CHEO news release.

Visitor limits return

The hospital is also capping the number of caregivers who can accompany a patient to appointments at two. General visitors will not be permitted, including siblings under 12 years old, in line with CHEO's viral season visitor policy.

CHEO warns that viral season can bring a "triple threat" for children and youth — seasonal influenza, COVID-19 and respiratory syncytial virus, or RSV, circulating at the same time.

Vaccines urged for all ages

The hospital is encouraging everyone — children, youth and adults — to get their routine immunizations this fall, both to protect the community and to support its care providers. Vaccination reduces the risk of hospitalization and helps shield vulnerable family members, including infants who are too young to be vaccinated.

The flu shot is now available at no charge to everyone six months of age and older. Participating pharmacies remain the main access point for anyone two and older, with many offering walk-in service and appointments. Some primary care providers, including doctors and nurse practitioners, also offer the flu vaccine to eligible patients.

Ottawa Public Health is providing both the COVID-19 and flu vaccines to eligible high-risk and priority populations who face barriers to care, including newcomers without OHIP and children under five, along with their household members. Those vaccines are available by appointment at OPH community clinics, and on a drop-in basis where capacity allows at Neighbourhood Health and Wellness Hubs. Residents outside Ottawa are being directed to their local public health unit.

When to stay home

Families can also help limit the spread of illness by washing hands properly, staying home when sick, and wearing a mask in crowds and indoor spaces.

CHEO is also reminding families that not every cold or flu symptom requires a trip to the emergency department, and points patients to an online list of available resources and care options. Patients can also access parts of their CHEO health record through MyChart, the hospital's free, secure online portal.

The measures come as CHEO's main entrance remains temporarily closed, and the hospital is asking families to plan ahead before visiting.