COVID-19 and Seasonal Respiratory Illnesses

Updated December 4, 2025

In August 2025, Ontario’s Ministry of Health released a Seasonal Respiratory Pathogen Guide
In the fall and winter seasons, the risk from influenza, respiratory syncytial virus and other respiratory pathogens is increased.
While the overall risk to of COVID-19 has been diminished through factors such as increased immunity and high vaccination rates, it remains a threat to the health and wellbeing of Ontarians and will contribute to the seasonal surge.
RMTs cannot provide treatment to clients who should be self-isolating. If an RMT or their client have any symptoms of illness, they can complete the Ministry of Health’s online Self-Assessment Tool to determine if self-isolation is required.

Risk assessments continue to be an essential part of providing safe and effective Massage Therapy care.

When conducting a risk assessment, RMTs should consider:

If the client is experiencing any symptoms related to COVID-19 and/or Seasonal Respiratory Pathogens at the time of the appointment;
If the client is supposed to be self-isolating at the time of an appointment;
If risks can be controlled through infection prevention and control (IPAC) measures and/or Personal Protective Equipment (PPE) (e.g., masking); and,
Whether deferring in-person treatment might result in negative consequences for the client.

RMTs must follow the requirements in Standard of Practice: Infection Prevention and Control, Standard of Practice: Safety and Risk Management and Public Health Ontario’s IPAC guidance.
RMTs and/or clients may want to continue masking. RMTs should use a client-centered approach, mask if they wish, and/or mask at the client’s request. The ministry has provided guidance on PPE for health care workers and health care entities.