There are definitely West Nile hits in Eastern Ontario. Northern Ontario - not so much. Map at this link shows the hits for 2018 - definite cluster around Ottawa and Gatineau:
http://oahpp.maps.arcgis.com/apps/we...fd024830394f94
Certainly not as many as the GTA but it is only a mattter of time if they are getting hits now. The other factor to consider is that just because there are no hits does not mean no disease - it may just mean no samples were collected in a given area.