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Toronto Notes 2019 Appendix – Mandatory Reporting Public Health and Preventive Medicine PH27
The following list is based on the reportable diseases in Ontario for 2018. Each province will have a similar legislation
Note: Diseases marked * (and Influenza in institutions) should be reported immediately to the Medical Officer of Health by either telephone (24 hours a day, 7 days a week) or fax (Mon-Fri, 8:30 am – 4:30 pm only). Other diseases can be reported the next working day by fax, phone or mail.
Source: Health Protection and Promotion Act, O. Reg. 559/91, amended to O. Reg.49/07 (update)
Acquired Immunodeficiency Syndrome (AIDS)
Acute flaccid paralysis <15 yr
Amoebiasis Anthrax*
Botulism* Brucellosis*
Campylobacter enteritis Chancroid
Chickenpox (Varicella)
Chlamydia trachomatis infections Cholera*
Clostridium difficile* associated disease (CDAD) outbreaks in public hospitals
Creutzfeldt-Jakob Disease, all types Cryptosporidiosis*
Cyclosporiasis*
Diphtheria*
Encephalitis*, including: 1. Primary, viral*
2. Post-infectious
3. Vaccine-related
4. Subacute sclerosing panencephalitis 5. Unspecified
Food poisoning, all causes*
Gastroenteritis, institutional outbreaks* Giardiasis, except asymptomatic cases*
Gonorrhea
Haemophilus influenzae b disease, invasive* Hantavirus pulmonary syndrome* Hemorrhagic fevers*, including:
1. Ebola virus disease*
2. Marburg virus disease* 3. Other viral causes* Hepatitis, viral*:
1. Hepatitis A*
2. Hepatitis B
3. Hepatitis C
Influenza
(Note: Influenza in institutions*)
Lassa Fever* Legionellosis* Leprosy Listeriosis* Lyme Disease
Malaria
Measles* Meningitis, acute*:
1. Bacterial* 2. Viral*
3. Other*
Meningococcal disease, invasive* Mumps
Ophthalmia neonatorum
Paralytic shellfish poisoning Paratyphoid fever* Pertussis (whooping cough) Plague*
Pneumococcal disease, invasive Poliomyelitis, acute* Psittacosis/Ornithosis
Q Fever*
Rabies*
Respiratory infection outbreaks in institutions* Rubella*
Rubella, congenital syndrome
Salmonellosis
Severe Acute Respiratory Syndrome (SARS)* Shigellosis*
Smallpox*
Streptococcal infections, Group A invasive* Streptococcal infections, Group B neonatal Syphilis
Tetanus
Trichinosis
Tuberculosis, active and latent Tularemia*
Typhoid Fever*
Verotoxin-producing E. coli infection* indicator conditions, including Hemolytic Uremic Syndrome (HUS)*
West Nile Virus illness*, including:
1. West Nile fever*
2. West Nile neurological manifestations *
Yellow Fever* Yersiniosis
Other Reportable Conditions
• inadditiontoreportingdiseases,physicianshavealegalresponsibilitytoreportcertainconditions. The list below highlights some reportable conditions for Ontario, but is not exhaustive. See your jurisdiction’s regulatory body for the full list.
Live Births, Stillbirths, and Deaths – to the Registrar General or Coroner*
• allliveandstillbirthsmustbereportedwithin2businessdays
• aphysicianwithsufficientfamiliarityofapatient’sillnessorwasinattendanceofadeceasedpatient’s
last illness must complete and sign the medical certificate of death
• physiciansmustcontactacoronerorthepoliceifpatientissuspectedtohavedeceasedfromviolence,
misadventure, negligence, misconduct or malpractice or any cause other than disease; by unfair means; during pregnancy or postpartum from circumstances reasonably attributed to the pregnancy; suddenly and unexpectedly; from an illness not treated by a legally qualified medical practitioner; or under circumstances that may require investigation*
• physiciansmustreportallmedicallyassisteddeathstothecoroner*
Child Abuse – to local Children’s Aid Society (CAS)
• allchildabuseandneglectwherereasonablegroundstosuspectexist(includingphysicalharm, emotional harm, sexual harm, and neglect)
• dutytoreportisongoing:ifadditionalreasonablegroundsaresuspect,afurtherreporttoCASis necessary
Gunshots Wounds – to local police service
• allpatientswithagunshotorstabwounds
• self-inflictedknifewoundsarenotreportable