​​Leading the world in transplantation.

Welcome to the Ajmera Transplant Centre. As Canada's largest transplant program, we perform over 600 transplants every year, as well as provide world-class follow-up care to over 7,000 transplant recipients across Canada.

Our exceptional team of doctors, surgeons, nurses, and allied health professionals is the driving force behind our international recognition for excellence in clinical outcomes, innovative research, and highly competitive educational opportunities. Learn more about who we are and what we do.

News & Updates

What are the symptoms of the measles?

Measles may have an atypical presentation in a transplant patient and may mimic other viral infections. Usual symptoms include:

  • Fever 38.3° C or higher
  • Irritability, somnolence
  • Cough, coryza and conjunctivitis (the three "C"s)
  • Photosensitivity
  • Small white spots on the inside of the mouth and throat (Koplik's spots)
  • Maculopapular rash that starts on the face three to seven days after the start of the symptoms and progresses down the body

Am I at risk for the measles?

According to the Public Health Agency of Canada (PHAC), you are immune to measles if you meet one of the following criteria:

  1. Documentation of vaccination:
    • Children 12 months to 17 years of age: 2 doses of MMR or MMRV
    • Adults > 18 years (born after 1970): 1 dose of MMR
  2. History of laboratory-confirmed infection
  3. Laboratory evidence of immunity (Measles IgG positive)
  4. Born before 1970

How do I know if I'm at risk?

If you are unsure if you received the vaccine or had measles, your doctor can do a blood test (serology for measles) to check to see if you are immune. Those born before 1970 are likely to have been exposed to wild-type viruses, although it may be a good idea to confirm serologic status.

How effective is the measles vaccine?

The measles vaccine is very effective. One dose of measles vaccine is about 93% effective at preventing measles if exposed to the virus and two doses are about 97% effective (

What do I do if my measles antibody test is negative (pre-transplant)?

If you are waiting for a transplant, your measles antibody is negative, and you are not receiving immune suppressive medication, then you can get the measles vaccine. However, note that you will need to wait for 4 weeks to get a transplant after getting the measles vaccine. Therefore, before getting the measles vaccine, you need to discuss this with your doctor. You may be too sick to be on hold for a transplant.

What do I do if my test is negative (post-transplant)?

You cannot get the vaccine; it can be very risky if you receive it. Please consult your doctor.

Who else should get the vaccine?

If a household member is eligible for the vaccine, they should be vaccinated to prevent disease transmission in the home. Similarly, contacts at work or school ideally should be immunized. As a transplant recipient, you should wash your hands frequently after contact and not share utensils with anyone vaccinated for measles in the last 2 weeks. Also, avoid changing diapers (or wearing gloves) for 2 weeks in a child that has received the measles vaccine.

I have been exposed to measles. What should I do? Do I need to stay home?

Call your coordinator and let them know. You will need to monitor yourself for symptoms. Do not come to the ER/go to the clinic without speaking to someone from your transplant team about it first as you may be putting others at risk.

I had my transplant already and I think I may have been exposed to someone who has measles, how do I know if I'm at risk for infection?

Your doctor can check your serologic status to see whether you may be non-immune and thus potentially need post-exposure prophylaxis.

What can I do if I am exposed and am not immune?

After exposure, intramuscular gammaglobulin may be helpful for seronegative organ transplant recipients if given within 6 days of exposure, per CDC guidelines. Gammaglobulin is not needed if they have had intravenous immunoglobulin (IVIG) treatment recently (depending on dose, likely within the past 1-3 months). Transplant recipients who have positive serum measles IgG levels have evidence of protective antibodies and do not need gammaglobulin if exposed to measles (

How is measles spread?

The virus is transmitted through the air, it can survive for up to 2 hours after the infected person has left the area.

How long does it take to show signs of measles after being exposed?

The symptoms can take anywhere between 7-21 days from when you were exposed to appear, typically occurring 10 days after exposure. People are infectious from 1 day before the beginning of symptoms to 4 days after rash onset. The usual time from exposure to the appearance of rash is 14 days (

Is there a treatment for measles?

No, there is no treatment for measles.

Respiratory Syncytial Virus (RSV) Fact Sheet for Vaccine Recipients

This fact sheet gives basic information only. It must not take the place of medical advice, diagnosis or treatment. Always talk to a health care professional about any health concerns you have before you make any changes to your diet, lifestyle or treatment.

The Transplant Medication Information Teaching Tool (TMITT)

This program will review what you need to know about medications after transplant. This includes why you need to take medications after a transplant, how to make sure you take the right dose of your medications, and how to manage your medications safely and effectively at home.

As COVID-19 cases in the community increase, we are recommending that all transplant patients get:

  • a COVID-19 booster shot
  • the seasonal flu shot

The transplant program recommends that patients receive a Spring COVID-19 booster if it has been at least 6 months from last vaccination or infection. For more information, please visit

The vaccines can be given through your primary care provider or, in some cases, at your local pharmacy. Please continue with strict precautions, including masking and avoiding large gatherings when possible. If you do become ill with either COVID-19 or the flu, please contact your transplant care team for potential treatment options.

Please note: Patients need to wait at least 6 months from their last COVID-19 vaccine or last COVID-19 infection before receiving another dose of the COVID-19 vaccine.

For patients 60 years and older, you may also consider the RSV vaccine, the Trillium Drug Program does not cover it and the out-of-pocket fee is $250. If you would like to receive the RSV vaccine, please request a prescription from your primary care provider.

More information: Connecting Ontarians to The Tools They Need to Stay Healthy This Respiratory Illness Season

As of April 1st 2023, the Ajmera Transplant Centre will no longer be using the Easy Call system for transplant patients. You will be transitioning to a messaging system within myUHN Patient Portal to better communicate with your care team in a fast and easy way!

Through myUHN, you will be able to send and receive messages directly from your transplant care team within 1 business day.

NOTE: If you are a Lung Transplant patient who is already using myUHN to message your care team, there will be no change to what you are currently using.

Your transplant care team is here to support you if you have any questions. For questions about signing in, registration or using myUHN, patients can call myUHN Support at 416 340 3777 or email Calls and emails are answered Monday to Friday, from 9:00 am to 5:00 pm.

Our Programs

Resources & Services



Toronto General Hospital | 585 University Ave. | PMB-11-175


If you would like to refer a patient to our program, please click on the button below. If you are referring an existing Kidney Transplant Patient, please fax the referral to 647 689 3070 or call 416 340 4800 ext. 4113

Refer a patient to the Ajmera Transplant Centre
Great Actions Leave a Mark
Great Actions Leave a Mark

Learn more about the Great Actions campaign
LIVE ON: The Transplant Campaign

We need donor support to create a future where people with life-threatening diseases can live their lives fully, be engaged with their families and enjoy their children and grandchildren for years to come.

Donate to the LIVE ON campaign
Back to Top