12 A person who submits a dead
budgerigar or other psittacine bird to a diagnostic laboratory for necropsy
shall ensure that the body of the bird is submitted in a manner acceptable to
the director of the laboratory.
AR 238/85 s12;206/2001
13 A person engaged in selling or offering for sale
budgerigars or other psittacine birds shall maintain complete records showing
the suppliers and purchasers of the birds.
AR 238/85 s13
14 Repealed AR 96/2005 s10.
15 For the purpose of ensuring
that this Regulation is reviewed for ongoing relevancy and necessity, with the
option that it may be repassed in its present or an amended form following a
review, this Regulation expires on March 31, 2014.
AR 96/2005 s11
Public Health Act
Schedule 1
(Notifiable Communicable Diseases)
(Section 6(1) of this Regulation;
Sections 20(1) and 22(1) of the Act)
Acquired Immunodeficiency Syndrome (AIDS)
Amebiasis
Anthrax
Arboviral Infections (including Dengue)
Botulism
Brucellosis
Campylobacter
Cerebrospinal fluid isolates
Chickenpox
Cholera
Congenital Infections (includes Cytomegalovirus, Hepatitis
B, Herpes Simplex, Rubella, Toxoplasmosis, Varicella-zoster)
Dengue
Diphtheria
Encephalitis, specified or unspecified
Enteric Pathogens.
See note below
Foodborne Illness.
See note below
Gastroenteritis, epidemic.
Aee note below
Giardiasis
Haemophilus Influenzae Infections (invasive)
Hemolytic Uremic Syndrome
Hepatitis A, B, Non‑A, Non‑B
Human Immunodeficiency Virus (HIV) Infections
Kawasaki Disease
Lassa Fever
Legionella Infections
Leprosy
Leptospirosis
Listeriosis
Malaria
Measles
Meningitis (all causes)
Meningococcal Infections
Mumps
Neonatal Herpes
Nosocomial Infections
Ophthalmia Neonatorum (all causes)
Pandemic Influenza
Paratyphoid
Pertussis
Plague
Poliomyelitis
Psittacosis
Q‑fever
Rabies
Reye Syndrome
Rickettsial Infections
Rocky Mountain Spotted Fever
Rubella (including Congenital Rubella)
Rubeola
Salmonella Infections
Severe Acute Respiratory Syndrome (SARS)
Shigella Infections
Smallpox
Stool Pathogens, all types.
See note below
Tetanus
Toxic Shock Syndrome
Trichinosis
Tuberculosis
Tularemia
Typhoid
Typhus
Varicella
Viral Hemorrhagic Fevers (including Marburg, Ebola, Lassa,
Argentinian, African Hemorrhagic Fevers)
Waterborne Illness (all causes) See note below
West Nile Infection
Yellow Fever
NOTE: Enteric Pathogens, Foodborne Illness, Gastroenteritis,
epidemic and Waterborne Illness include the following and any other identified
or unidentified cause: Aeromonas;
Bacillus cereus; Campylobacter; Clostridium botulinum and perfringens; E. Coli
(enteropathogenic serotypes); Salmonella; Shigella; Staphylococcus; Viruses
such as Norwalk and Rotavirus; Yersinia.
AR 238/85
Sched.1;357/88;37/88;96/2005;58/2006
Schedule 2
(Notifiable Sexually Transmitted
Communicable Diseases)
(Section 6(2) of this Regulation;
Section 20(2) of the Act)
Chancroid
Chlamydia Trachomatis
Infections (genito‑urinary)
Gonococcal Infections
Lymphogranuloma Venereum
Muco‑purulent
Cervicitis
Non‑gonococcal
Urethritis
Syphilis
AR 238/85
Sched.2;357/88;96/2005
Schedule 3
(Diseases for Which a Certificate, Isolation Order
or Warrant for Examination may be Issued)
(Section 6(3) of this Regulation;
Sections 39(1), 44(1) and 47(1) of the Act)
Acquired
Immunodeficiency Syndrome (AIDS)
Anthrax
Cholera
Chancroid
Chlamydia Trachomatis
Infections (genito‑urinary)
Diphtheria
Gonococcal Infections
Human Immunodeficiency
Virus (HIV) Infections
Lassa Fever
Leprosy
Lymphogranuloma Venereum
Pandemic Influenza
Plague
Severe Acute Respiratory
Syndrome (SARS)
Smallpox
Syphilis
Tuberculosis
Viral Hemorrhagic Fevers
AR 238/85 Sched.3;357/88;96/2005;58/2006
Schedule 4
1 For the purposes of section
29(2) of the Act, a medical officer of health shall, unless this Schedule
provides to the contrary, take all reasonable steps to ensure that the
provisions of this Schedule respecting Investigation of Contacts and Source of
Infection, Isolation Procedures, Quarantine and Special Measures are complied
with.
2(1) A reference in this Schedule to strict isolation procedures
includes all precautions that may prevent the transmission of diseases that are
spread by contact or airborne routes of infection and, without limiting the
generality of the foregoing, includes the following measures:
(a) the
infected person shall have a bed in a separate room protected against flies;
(b) all
persons except those caring for the infected person or those with permission of
the medical officer of health shall be excluded from the sick room;
(c) persons
caring for the infected person shall avoid coming in contact with other persons
within the household or elsewhere until reasonable precautions satisfactory to
the medical officer of health have been taken to prevent the spread of
infectious material from the infected person’s room;
(d) persons
caring for the infected person shall wear a mask, gloves and a washable outer
garment and shall thoroughly wash their hands with soap and hot water after
handling the infected person or any object he may have contaminated;
(e) before
leaving the room in which the infected person is isolated, an attendant shall
take off the mask, gloves and washable outer garment and leave them in the room
until they are disinfected or destroyed;
(f) all
soiled dressings and tissues and all discharges from the nose and mouth shall
be placed and sealed in impervious bags in the isolation room and shall be
disinfected or incinerated without being opened;
(g) discharges
referred to in clause (f) must be received in pieces of soft tissue or cloth
and then deposited in the impervious bag;
(h) objects
that have been contaminated by the infected person shall be thoroughly cleansed
before being removed from the contaminated area;
(i) vomitus,
feces and urine of infected persons suffering from diseases in which the
infectious agent appears in the vomitus, feces or urine shall be flushed down
the toilet into a public sewerage system where one exists or shall be disposed
of according to instructions given by the medical officer of health;
(j) equipment
and furnishings in the isolation room shall be kept to a minimum;
(k) concurrent
and terminal decontamination and cleaning procedures shall be performed.
(2) A
medical officer of health may approve written isolation procedures of a
hospital that differ from those required by subsection (1) if he is satisfied
that they provide an adequate degree of protection of the public health.
(3) Where
this Schedule indicates that modified isolation procedures are applicable, the
medical officer of health may carry out any measures and make any orders
respecting enteric precautions, respiratory isolation, secretion or contact
precautions and blood and body fluid precautions that are necessary in his
opinion to prevent the spread of the communicable disease.
Acquired Immunodeficiency Syndrome (AIDS)
(See Human
Immunodeficiency Virus (HIV) Infections and specific diseases)
1 to 5 Repealed AR 96/2005 s15.
Amebiasis
(Amebic Dysentery)
Reporting Requirements
1 Individual occurrences (cases
and carriers) are reportable by laboratories to the medical officer of health
within 48 hours (see section 23(a)(ii) of the Act).
Investigation of Contracts and Source of Infection
2 See Enteric Infections.
Isolation Procedures
3 See Enteric Infections.
Quarantine
4 See Enteric Infections.
Special Measures
5 See Enteric Infections.
Anthrax
Reporting Requirements
1 Individual occurrences are
reportable by all sources to the medical officer of health by the fastest means
possible (see sections 22(1)(a) and 23(a)(i) of the Act).
Investigation of Contacts and Source of Infection
2 The medical officer of health shall
attempt to determine the history of exposure to the infected animal or
contaminated animal products and to determine others who may have been exposed
to the source.
Isolation Procedures
3(1) Strict isolation procedures apply for pulmonary (inhalation)
cases.
(2) Modified
(secretion or contact) isolation procedures apply for cutaneous lesions until
lesions are bacteriologically free of anthrax bacilli.
Quarantine
4 Not applicable.
Special Measures
5(1) The medical officer of health shall ensure that an animal
that is suspected of having anthrax is isolated under the care of a
veterinarian and that the Federal District Veterinarian, Canadian Food
Inspection Agency - Animal Health Department, Health Canada, and the Chief
Provincial Veterinarian of the Department of Agriculture and Food are notified
immediately.
(2) The
hair, wool, bristles, milk and carcass of an infected animal, and any product
manufactured from those materials shall be disposed of or treated in accordance
with the directions of the Federal District Veterinarian, Canadian Food
Inspection Agency - Animal Health Department, Health Canada and the Chief
Provincial Veterinarian of the Department of Agriculture and Food.
Arboviral
Infections (including Dengue, Encephalitis)
Reporting Requirements
1 Individual occurrences are
reportable by all sources to the medical officer of health within 48 hours (see
section 22(1)(b) and 23(a)(ii) of the Act).
Investigation of Contacts and Source of Infection
2 The medical officer of health
shall attempt to determine the source of infection.
Isolation Procedures
3 Not applicable.
Quarantine
4 Not applicable.
Special Measures
5 Not applicable.
Botulism
(including Infant Botulism)
Reporting Requirements
1 Individual occurrences are
reportable by all sources to the medical officer of health by the fastest means
possible (see sections 22(1)(a) and 23(a)(i) of the Act).
Investigation of Contacts and Source of Infection
2 See Foodborne or Waterborne
Illness.
Isolation Procedures
3 See Foodborne or Waterborne
Illness.
Quarantine
4 See Foodborne or Waterborne
Illness.
Special Measures
5 See Foodborne or Waterborne
Illness.
Brucellosis
Reporting Requirements
1 Individual occurrences are
reportable by all sources to the medical officer of health within 48 hours (see
section 22(1)(b) and 23(a)(ii) of the Act).
Investigation of Contacts and Source of Infection
2 The medical officer of health
shall attempt to identify the source of infection and the identity of other
persons exposed to the source.
Isolation Procedures
3 Not applicable.
Quarantine
4 Not applicable.
Special Measures
5 The medical officer of health
shall
(a) by
order prohibit the distribution of unpasteurized milk from the animal or herd
from which any person became or is suspected of having become infected, and
(b) immediately
report implicated animals and herds to
(i) the Chief Provincial Veterinarian of the Department of
Agriculture and Food, and
(ii) the Federal District Veterinarian, Canadian Food Inspection
Agency - Animal Health Department, Health Canada.
Campylobacter
Infections
Reporting Requirements
1 Individual occurrences (cases
and carriers) are reportable by laboratories to the medical officer of health
within 48 hours (see section 23(a)(ii) of the Act).
Investigation of Contacts and Source of Infection
2 See Enteric Infections.
Isolation Procedures
3 See Enteric Infections.
Quarantine
4 See Enteric Infections.
Special Measures
5 See Enteric Infections.
Cerebro‑spinal
Fluid Isolates (All organisms)
Reporting Requirements
1 Individual occurrences are
reportable by all sources to the medical officer of health within 48 hours (see
section 22(1)(b) and 23(a)(ii) of the Act) unless otherwise noted for a disease
listed specifically elsewhere in this Schedule.
Investigation of Contacts and Source of Infection
2 See specific diseases.
Isolation Procedures
3 See specific diseases.
Quarantine
4 See specific diseases.
Special Measures
5 See specific diseases.
Chancroid
(See Sexually Transmitted
Diseases)
Chickenpox
(Varicella)
Reporting Requirements
1 Individual occurrences are
reportable by all sources to the medical officer of health within 48 hours (see
section 22(1)(b) and 23(a)(ii) of the Act).
Investigation of Contacts and Source of Infection
2 Not applicable.
Isolation Procedures
3 In hospitals or other settings
where exposure of immunocompromised persons is likely, strict isolation
procedures apply during the period of communicability, and susceptible contacts
should be discharged from the hospital or other setting or isolated during the
period from 7 to 21 days after contact.
Quarantine
4 Not applicable.
Special Measures
5(1) The medical officer of health shall by order exclude the
infected person from non‑familial contacts and school for a period of 7
days from the day the first eruption appears.
(2) Subsection
(1) as it relates to a day care facility does not apply where the medical
officer of health is satisfied that the infected person can be adequately isolated
from susceptible persons or that all other children attending the day care
facility have been exposed or are immune.
(3) Persons
with lesions of herpes zoster that cannot be covered shall avoid direct contact
with susceptible persons.
(4) Persons
with lesions of herpes zoster shall avoid direct contact with immunocompromised
persons.
Cholera
Reporting Requirements
1 Individual occurrences are
reportable by all sources to the medical officer of health by the fastest means
possible (see sections 22(1)(a) and 23(a)(i) of the Act).
Investigation of Contacts and Source of Infection
2(1) The medical officer of health shall attempt to determine the
source of infection.
(2) Close
contacts of the case and other persons exposed to the same source of infection
shall, on the request of the medical officer of health, provide stool samples
for cultures.
Isolation Procedures
3 Modified (enteric) isolation
procedures apply until the termination of the illness or until the patient has
received appropriate antibiotic treatment for 48 hours, whichever occurs first.
Quarantine
4 Not applicable.
Special Measures
5(1) Contacts shall be subject to surveillance for 5 days from
the date of last exposure.
(2) The
medical officer of health may by order exclude contacts from occupations
involving food handling or health care during the period referred to in
subsection (1).
Congenital
Infections (all)
Reporting Requirements
1 Individual occurrences are
reportable by all sources to the medical officer of health within 48 hours (see
section 22(1)(b) and 23(a)(ii) of the Act) unless otherwise noted for a disease
listed specifically elsewhere in this Schedule.
Investigation of Contacts and Source of Infection
2 See specific diseases.
Isolation Procedures
3 See specific diseases.
Quarantine
4 See specific diseases.
Special Measures
5 See specific diseases.
Cytomegalovirus
Infections
Reporting Requirements
1 Individual occurrences
(congenital infections only) are reportable by all sources to the medical
officer of health within 48 hours (see section 22(1)(b) and 23(a)(ii) of the
Act).
Investigation of Contacts and Source of Infection
2 Not applicable.
Isolation Procedures
3 Modified (secretion or
contact) isolation procedures apply in the case of a patient that is
hospitalized.
Quarantine
4 Not applicable.
Special Measures
5 No exclusion from any activity
is required.
Dengue
(See Arboviral
Infections)
Diphtheria
Reporting Requirements
1 Individual occurrences
(respiratory and non‑respiratory, case and carrier state) are reportable
by all sources to the medical officer of health by the fastest means possible
(see sections 22(1)(a) and 23(a)(i) of the Act).
Investigation of Contacts and Source of Infection
2(1) The medical officer of health shall attempt to identify all
contacts.
(2) All
contacts shall on the request of the medical officer of health submit to such
tests as he considers necessary to determine unrecognized infections.
Isolation Procedures
3(1) Modified (respiratory or secretion or contact) isolation
procedures apply
(a) until
2 consecutive cultures from the nose and 2 from the throat, in cases of
respiratory diphtheria, or 2 cultures from the lesion in the case of non‑respiratory
diphtheria, taken not less than 24 hours apart and not less than 24 hours after
the cessation of chemotherapy, are reported negative for toxigenic diphtheria
bacilli, or
(b) for
2 weeks or such longer period as determined by the medical officer of health
where tests under clause (a) are, in the opinion of the medical officer of
health, not practical.
(2) Subsection
(1) does not apply where the isolate is shown to be non‑toxigenic.
Quarantine
4 Not applicable.
Special Measures
5(1) The medical officer of health shall order that all contacts shall
be excluded from
(a) contact
with children,
(b) occupations
involving the care of the sick and dependent,
(c) occupations
involving the handling of foods, and
(d) school,
until cultures from
the nose, throat and any lesion are proved to be negative for toxigenic
diphtheria bacilli.
(2) The
medical officer of health shall ensure that a single swab is taken from the
nose, throat and lesions of all household, school and other close contacts of a
case or carrier and shall determine their immunization status.
(3) The
medical officer of health may require the operator of a day care centre to
provide him with immunization records in his possession relating to the
children attending the day care centre.
Encephalitis
Reporting Requirements
1 Individual occurrences are
reportable by all sources to the medical officer of health within 48 hours (see
section 22(1)(b) and 23(a)(ii) of the Act).
Investigation of Contacts and Source of Infection
2 See specific diseases.
Isolation Procedures
3 See specific diseases.
Quarantine
4 See specific diseases.
Special Measures
5 See specific diseases.
Enteric
Infections (Including Amebiasis,
Giardiasis,
Rotavirus, Norwalk Agent
and bacterial infections other
than Typhoid and Paratyphoid Fever)
(See also Foodborne or Waterborne Illness)
Reporting Requirements
1 Individual occurrences are
reportable by laboratories to the medical officer of health within 48 hours
(see section 23(a)(ii) of the Act). See
also specific diseases.
Investigation of Contacts and Source of Infection
2(1) The medical officer of health shall ensure that appropriate
laboratory tests are conducted with respect to household members who are
symptomatic or work in occupations involving food handling, patient care or the
care of young children, elderly people or dependent people.
(2) The
medical officer of health shall attempt to determine the sources of infection
and modes of transmission unless he considers it unnecessary to do so.
Isolation Procedures
3 Modified (enteric) isolation
procedures apply to cases during the period of infection.
Quarantine
4 Not applicable.
Special Measures
5(1) The medical officer of health shall order that an infected
person shall be excluded from occupations involving food handling, patient care
or the care of young children, elderly people or dependent people until 2
swabs, specimens or cultures taken from the infected person not less than 24
hours apart and at least 48 hours after the cessation of chemotherapy are
reported as negative, unless the medical officer of health is satisfied that
the risk of transmission is acceptably low.
(2) An
infected person who has diarrhea shall not engage in any occupation referred to
in subsection (1) while he has diarrhea.
(3) An
infected person who attends day care facilities or similar facilities shall not
so attend while diarrhea persists unless the medical officer of health is
satisfied that the staff, physical facilities and procedures at the facility
are adequate to prevent transmission of the disease.
6 The medical officer of health
shall ensure that all known contacts are instructed in the appropriate personal
hygiene and enteric precautions.
7 The medical officer of health
shall order that familial contacts be excluded from occupations involving food
handling, patient care or the care of young children, elderly people or
dependent people during the period of contact and until 2 stool cultures taken
from the contact not less than 24 hours apart are reported as negative, unless
the medical officer of health is satisfied that the risk of transmission is
acceptably low.
8 In the case of a day care
facility the medical officer of health shall investigate asymptomatic contacts
of cases of Salmonellosis and Shigellosis and shall ensure that any children
found to be positive are segregated together where it is practical to do so.
Exotic
and Imported Diseases (including Viral Hemorrhagic Fevers, Lassa Fever,
Smallpox and other diseases not normally encountered in Alberta and with a
capacity for rapid transmission, high mortality or both)
Reporting Requirements
1 Individual occurrences are
reportable by all sources to the medical officer of health by the fastest means
possible (see sections 22(1)(a) and 23(a)(i) of the Act).
Investigation of Contacts and Source of Infection
2 The medical officer of health
shall attempt to determine the identity of all face to face contacts of the
case that occurred during the period that the case was infectious.
Isolation Procedures
3 Strict isolation procedures
apply until the infected person is no longer capable of transmitting the
disease.
Quarantine
4 The medical officer of health
shall ensure that intimate contacts are quarantined from the last day of
contact for a period equal to the maximum incubation period of the disease, if
known, or for 21 days if the incubation period is not known, in the manner the
medical officer of health determines.
Special Measures
5(1) If a medical officer of health reasonably believes that a
person has an exotic or imported disease, he shall immediately notify the Chief
Medical Officer.
(2) On
receiving notification under subsection (1), the Chief Medical Officer shall
direct the medical officer of health to isolate the infected person in a
suitable location and arrange for treatment of the disease.
(3) No
specimens shall be taken from the case for diagnostic or other purposes except
with the approval of and in accordance with the instructions of the medical
officer of health in consultation with the Chief Medical Officer.
Foodborne
or Waterborne Illness
NOTE: The requirements of sections 1 to 5 are
in addition to the requirements under the heading Enteric Infections.
Reporting Requirements
1 Not applicable except in the
case of outbreaks of the disease or abnormal presentation or manifestations, in
which case occurrences are reportable by all sources to the medical officer of
health by the fastest means possible (see section 22(1)(a) and 23(a)(i) of the
Act).
Investigation of Contacts and Source of Infection
2 The medical officer of health
shall
(a) conduct
an investigation of any instance of illness which appears to be foodborne or
waterborne to determine the cause of the illness, the number of persons
affected, the nature of contamination of the food or water, defects in food
handling and preparation or in the water treatment process, distribution of the
food or water and any other pertinent epidemiologic information,
(b) attempt
to identify all implicated food and water, and to recover it for testing and
disposal, and
(c) attempt
to identify others exposed to the implicated food and water, and follow up
according to the infectious agent involved.
Isolation Procedures
3 Not applicable.
Quarantine
4 Not applicable.
Special Measures
5(1) The medical officer of health may by order do any or all of
the following:
(a) require
the abatement of the source of contamination;
(b) require
modifications to food handling or water treatment;
(c) require
the boiling of water before its use for human consumption;
(d) require
the cessation of distribution of implicated foods or the recall or destruction
of implicated foods;
(e) require
use of alternate sources of food or water;
(f) require
the doing or refraining from doing of any other things that will in his opinion
assist in preventing others from becoming infected.
(2) The
medical officer of health shall attempt to obtain
(a) samples
of food or water that is or may be contaminated, and
(b) samples
of feces and vomitus from persons known or suspected to be infected,
and shall submit the
samples to a medical diagnostic laboratory for examination.
(3) The
medical officer of health shall
(a) order
that any suspected contaminated food be held in secure storage facilities for
the prevention of consumption pending the results of the laboratory examination
referred to in subsection (2), and
(b) order
the destruction of any food that has been proven by laboratory examination to
be contaminated.
(4) The
medical officer of health may by order exclude from employment in occupations
involving the handling of food persons who have
(a) staphylococcus
skin infection or nose or throat carrier‑state, or
(b) suspicious
skin lesion
until any infection is
cleared.
(5) In
the case of Botulism, the medical officer of health shall assess persons
exposed to the suspected source as to the need for the administration of
antitoxin.
Food
Poisoning
(See Foodborne or
Waterborne Illness)
Gastroenteritis
(See Enteric Infections)
Gonococcal
Infections
(See Sexually Transmitted
Diseases)
Giardiasis
Reporting Requirements
1 Individual occurrences
(symptomatic and asymptomatic infections) are reportable by laboratories to the
medical officer of health within 48 hours (see section 23(a)(ii) of the Act).
Investigation of Contacts and Source of Infection
2 See Enteric Infections.
Isolation Procedures
3 See Enteric Infections.
Quarantine
4 See Enteric Infections.
Special Measures
5 See Enteric Infections.
Haemophilus
Infections
Reporting Requirements
1 Individual occurrences of
invasive infections are reportable by all sources to the medical officer of
health by the fastest means possible (see sections 22(1)(a) and 23(a)(i) of the
Act).
Investigation of Contacts and Source of Infection
2 See Meningitis, Bacterial.
Isolation Procedures
3 See Meningitis, Bacterial.
Quarantine
4 See Meningitis, Bacterial.
Special Measures
5 See Meningitis, Bacterial.
Hemolytic Uremic Syndrome
Reporting Requirements
1 Individual occurrences are
reportable by all sources to the medical officer of health within 48 hours (see
section 22(1)(b) and 23(a)(ii) of the Act).
Investigation of Contacts and Source of Infection
2 The medical officer of health
shall attempt to determine the infectious etiology of the disease.
Isolation Procedures
3 See specific diseases.
Quarantine
4 See specific diseases.
Special Measures
5 See specific diseases.
Hepatitis
A (Infectious Hepatitis)
Reporting Requirements
1 Individual occurrences are
reportable by all sources to the medical officer of health within 48 hours (see
section 22(1)(b) and 23(a)(ii) of the Act).
Investigation of Contacts and Source of Infection
2 The medical officer of health
shall attempt to
(a) determine
the association, if any, of the case or contact with day care or similar facilities,
(b) identify
unreported cases, and
(c) determine
whether known instances are sporadic or common source associated.
Isolation Procedures
3 Modified (enteric) isolation
procedures apply until 14 days from onset of illness or 7 days after onset of
jaundice, whichever time period expires last.
Quarantine
4 Not applicable.
Special Measures
5 A medical officer of health
(a) may
by order exclude an infected person from employment in occupations involving
the handling of food for a period of 14 days from the onset of the illness,
(b) shall
offer immune serum globulin to all day care and close household contacts unless
at least 14 days have elapsed since exposure of the contact occurred or the
contact is known to be immune to the disease, and
(c) shall
instruct all known contacts in the applicable personal hygiene and enteric
precautions.
Hepatitis
B (Cases and carriers)
Reporting Requirements
1 Individual occurrences (all
cases and, in addition, carrier state in pregnant women) are reportable by all
sources to the medical officer of health within 48 hours (see section 22(1)(b)
and 23(a)(ii) of the Act).
Investigation of Contacts and Source of Infection
2 The medical officer of health
shall attempt to identify
(a) the
source of infection, and
(b) contacts
in need of prophylaxis including, but not limited to, newborn infants and
persons with needlestick exposures.
Isolation Procedures
3 Modified (blood and body
fluid) isolation procedures apply until the infected person is free of Hepatitis
B surface antigen.
Quarantine
4 Not applicable.
Special Measures
5(1) No person who is known to have Hepatitis B surface antigen
in his blood shall donate blood.
(2) Blood,
tissue, fluids and contaminated articles from a person referred to in subsection
(1) shall be disposed of so as to cause no risk to other individuals.
(3) No
exclusion from any occupation is required unless the medical officer of health
is satisfied that a person is shown to be a source of infection to others and
that other measures to prevent further transmission to others cannot reasonably
be assured.
Hepatitis,
Non‑A, Non‑B
Reporting Requirements
1 Individual occurrences are
reportable by all sources to the medical officer of health within 48 hours (see
section 22(1)(b) and 23(a)(ii) of the Act).
Investigation of Contacts and Source of Infection
2 The medical officer of health
shall attempt to identify the source of the infection.
Isolation Procedures
3 Modified (blood and body
fluid) isolation procedures apply for the duration of the illness.
Quarantine
4 Not applicable.
Special Measures
5(1) No person who has had Hepatitis Non‑A, Non‑B
shall donate blood.
(2) Blood,
tissue, fluids and contaminated articles from a person referred to in
subsection (1) shall be disposed of so as to cause no risk to other
individuals.
(3) No
exclusion from any occupation is required unless the medical officer of health
is satisfied that a person is shown to be a source of infection to others and
that other measures to prevent further transmission to others cannot reasonably
be assured.
Herpes
Simplex Infections
Reporting Requirements
1 Individual occurrences
(Neonatal Infections (infants fewer than 28 days of age) or Encephalitis) are
reportable by all sources to the medical officer of health within 48 hours (see
section 22(1)(b) and 23(a)(ii) of the Act).
Investigation of Contacts and Source of Infection
2 Not applicable.
Isolation Procedures
3 None, except in the case of
disseminated, severe primary or neonatal infections, in which case modified
(secretion and contact) isolation procedures apply.
Quarantine
4 Not applicable.
Special Measures
5 Not applicable.
Human Immunodeficiency Virus (HIV) Infections
Reporting Requirements
1 Individual occurrences are
reportable by all sources to the medical officer of health within 48 hours (see
sections 22(1)(b) and 23 of the Act).
Investigation of Contacts and Source of Infection
2 The medical officer of health
shall ensure that an attempt is made to identify, locate and offer counselling
and testing to sexual, needle sharing and perinatal contacts of the patient.
Isolation Procedures
3 None, other than infection
prevention and control practices for contact with blood and body fluids as
recommended by Health Canada.
Quarantine
4 Not applicable.
Special Measures
5(1) No case or suspected case shall donate blood, tissues,
organs or semen.
(2) Blood, tissues, organs and fluids
from a case shall be disposed of so as not to pose a risk of infection to other
persons.
(3) No case shall engage in any activity
that may transmit disease.
(4) No exclusion from any occupation is
required unless provided under this Schedule as it relates to the specific
disease from which the patient is suffering.
(5) Any organ or tissue procurement or
transplant organization shall test donated organs or tissue for HIV before
transplantation in accordance with directions from the Chief Medical Officer.
(6) All donated semen shall be screened
for HIV before use for fertility procedures in accordance with directions from
the Chief Medical Officer.
(7) All donated blood shall be screened
for HIV before transfusion in accordance with directions from the Chief Medical
Officer.
(8) The medical officer of health shall
notify the blood procurement agencies of all cases who are known blood donors
or recipients in accordance with directions from the Chief Medical Officer.
(9) The medical officer of health shall
notify organ or tissue transplantation organizations of all cases who are known
organ or tissue donors or recipients in accordance with directions from the
Chief Medical Officer.
(10) Laboratories, blood, organ and
tissue procurement agencies and transplant organizations shall submit a portion
of blood, semen, organ or tissue specimens from donors who have tested positive
for HIV to the Provincial Laboratory of Public Health for confirmation.
Impetigo
Reporting Requirements
1 Not applicable except in the
case of outbreaks of the disease or abnormal presentation or manifestations, in
which case occurrences are reportable by all sources to the medical officer of
health within 48 hours (see section 22(1)(b) and 23(a)(ii) of the Act).
Investigation of Contacts and Source of Infection
2 See Skin Infections.
Isolation Procedures
3 See Skin Infections.
Quarantine
4 See Skin Infections.
Special Measures
5 See Skin Infections.
Kawasaki
Disease
Reporting Requirements
1 Individual occurrences are
reportable by all sources to the medical officer of health within 48 hours (see
section 22(1)(b) and 23(a)(ii) of the Act).
Investigation of Contacts and Source of Infection
2 Not applicable.
Isolation Procedures
3 Not applicable.
Quarantine
4 Not applicable.
Special Measures
5 Not applicable.
Lassa
Fever
(See Exotic and Imported
Diseases)
Legionellosis
Reporting Requirements
1 Individual occurrences are
reportable by laboratories to the medical officer of health within 48 hours
(see section 23(a)(ii) of the Act).
Investigation of Contacts and Source of Infection
2 Investigation is only required
in the case of an outbreak.
Isolation Procedures
3 Not applicable.
Quarantine
4 Not applicable.
Special Measures
5 Not applicable.
Leprosy
Reporting Requirements
1 Individual occurrences are
reportable by all sources to the medical officer of health within 48 hours (see
section 22(1)(b) and 23(a)(ii) of the Act).
Investigation of Contacts and Source of Infection
2 The medical officer of health
shall attempt to identify all close contacts.
Isolation Procedures
3 Not applicable.
Quarantine
4 Not applicable.
Special Measures
5(1) The medical officer of health shall identify close household
contacts and ensure that they are examined for evidence of the disease.
(2) A
contact referred to in subsection (1) is subject to surveillance for a period
of 5 years from the date of examination.
(3) The
medical officer of health may offer prophylaxis with BCG or dapsone to contacts
under 25 years of age.
Leptospirosis
Reporting Requirements
1 Individual occurrences are
reportable by all sources to the medical officer of health within 48 hours (see
section 22(1)(b) and 23(a)(ii) of the Act).
Investigation of Contacts and Source of Infection
2 In the case of a common source
outbreak, the medical officer of health shall attempt to ascertain the source
and control it and shall investigate persons known to have been exposed to the
source.
Isolation Procedures
3 Not applicable.
Quarantine
4 Not applicable.
Special Measures
5 Not applicable.
Lice
(Pediculosis)
(See Skin Infections)
Listeriosis
Reporting Requirements
1 Individual occurrences are
reportable by all sources to the medical officer of health within 48 hours (see
section 22(1)(b) and 23(a)(ii) of the Act).
Investigation of Contacts and Source of Infection
2 In the case of a common source
outbreak the medical officer of health shall attempt to ascertain the source
and control it and shall investigate persons known to have been exposed to the
source.
Isolation Procedures
3 Not applicable.
Quarantine
4 Not applicable.
Special Measures
5 Not applicable.
Lymphogranuloma
Venereum
(See Sexually Transmitted
Diseases)
Malaria
Reporting Requirements
1 Individual occurrences are
reportable by laboratories to the medical officer of health within 48 hours
(see section 23(a)(ii) of the Act).
Investigation of Contacts and Source of Infection
2 The medical officer of health
shall investigate each reported occurrence in order to determine the source of
the infection.
Isolation
3 Not applicable.
Quarantine
4 Not applicable.
Special Measures
5 Not applicable.
Measles
Reporting Requirements
1 Individual occurrences are
reportable by all sources to the medical officer of health by the fastest means
possible (see sections 22(1)(a) and 23(a)(i) of the Act).
Investigation of Contacts and Source of Infection
2 The medical officer of health
shall
(a) investigate
each reported occurrence in order to determine the source of the infection, and
(b) attempt
to identify all susceptible contacts.
Isolation Procedures
3 None, except that where the
infected person is in a heath care facility, modified (respiratory) isolation
procedures apply.
Quarantine
4 When a case of measles occurs
in a school, the medical officer of health shall order that any susceptible
person at risk of exposure be excluded from attendance at school for a period
of 14 days after the onset of symptoms in the last known case occurred or until
the person is immunized.
Special Measures
5 The medical officer of health
shall order that an infected person be excluded from school and non‑familial
contacts from the onset of the catarrhal stage to the end of the 3rd day of the
rash.
6 The medical officer of health
may require the operator of a day care centre to provide him with immunization
records in his possession relating to the children attending the day care
centre.
Meningitis,
Aseptic (Viral)
Reporting Requirements
1 Individual occurrences are
reportable by all sources to the medical officer of health within 48 hours (see
section 22(1)(b) and 23(a)(ii) of the Act).
Investigation of Contacts and Source of Infection
2 Not applicable.
Isolation Procedures
3 Modified (enteric) isolation
procedures apply during the febrile period.
Quarantine
4 Not applicable.
Special Measures
5 Not applicable.
Meningitis,
Bacterial (including invasive
H. influenzae
infections and N. meningitiditis)
Reporting Requirements
1(1) If the infection is due to invasive H. influenzae (excluding
otitis media and pharyngitis) or N. meningitiditis, individual occurrences are
reportable by all sources to the medical officer of health by the fastest means
possible (see sections 22(1)(a) and 23(a)(i) of the Act).
(2) If
the infection is due to another infectious agent, individual occurrences are
reportable by all sources to the medical officer of health within 48 hours (see
sections 22(1)(b) and 23(a)(ii) of the Act).
Investigation of Contacts and Source of Infection
2 The medical officer of health
shall attempt to identify all household, day care and other similarly close
contacts of persons with invasive H. influenzae or N. meningitiditis.
Isolation Procedures
3(1) Modified (respiratory) isolation procedures apply until 24
hours after the start of chemotherapy or until clinical recovery, whichever
occurs first.
(2) Subsection
(1) does not apply to infections transmitted by other than the respiratory
route.
Quarantine
4 Not applicable.
Special Measures
5(1) All contacts are subject to surveillance until the medical
officer of health is satisfied that the risk of infection has passed.
(2) The
medical officer of health shall offer chemoprophylaxis to contacts when he
considers it appropriate to do so.
(3) The
medical officer of health shall ensure that all cases of Meningococcal or
invasive H. influenzae infection are offered rifampin therapy before returning
to school or similar settings unless it is medically contra‑indicated to
do so.
Meningococcal
Infections (excluding carriers)
(See Meningitis,
Bacterial)
Mononucleosis
(Infectious)
Reporting Requirements
1 Not applicable except in the
case of outbreaks of the disease or abnormal presentation or manifestations, in
which case occurrences are reportable by all sources to the medical officer of
health within 48 hours (see section 22(1)(b) and 23(a)(ii) of the Act).
Investigation of Contacts and Source of Infection
2 The medical officer of health
shall conduct any investigation he considers necessary as to the source of the
infection and the exposure of others to the infectious agent.
Isolation Procedures
3 Not applicable.
Quarantine
4 Not applicable.
Special Measures
5 Not applicable.
Mucopurulent
Cervicitis
(See Sexually Transmitted
Diseases)
Mumps
Reporting Requirements
1 Individual occurrences are
reportable by all sources to the medical officer of health within 48 hours (see
section 22(1)(b) and 23(a)(ii) of the Act).
Investigation of Contacts and Source of Infection
2 Not applicable.
Isolation Procedures
3 Not applicable.
Quarantine
4 Not applicable.
Special Measures
5(1) The medical officer of health shall order that an infected
person be excluded from school and non‑familial contacts for a period of
9 days from the onset of swelling.
(2) The
medical officer of health may require the operator of a day care centre to provide
him with immunization records in his possession relating to the children
attending the day care centre.
Neonatal
Herpes Infections
(See Herpes Simplex
Infections)
Nongonococcal
Urethrititis
(See Sexually Transmitted
Diseases)
Nosocomial
Infections
Reporting Requirements
1 Not applicable except in the
case of outbreaks of the disease or abnormal presentation or manifestations, in
which case occurrences are reportable by all sources to the medical officer of
health within 48 hours (see section 22(1)(b) and 23(a)(ii) of the Act).
Investigation of Contacts and Source of Infection
2 As determined by the medical
officer of health.
Isolation Procedures
3 As determined by the medical
officer of health.
Quarantine
4 As determined by the medical officer
of health.
Special Measures
5 As determined by the medical
officer of health.
Ophthalmia,
Neonatorum (all forms)
Reporting Requirements
1(1) Individual occurrences of gonococcal ophthalmia are
reportable by all sources to the Chief Medical Officer within 48 hours (see
sections 22(3) and 23(b) of the Act).
(2) Individual
occurrences of other types of ophthalmia are reportable by all sources to the
medical officer of health within 48 hours (see sections 22(1)(b) and 23(a)(ii)
of the Act).
Investigation of Contacts and Source of Infection
2 The physician in charge of the
confinement shall ensure that the mother of the infected child is examined for
Chlamydia and N. gonorrheae and treated as required.
Isolation Procedures
3 Modified (secretion or
contact) isolation procedures apply for the first 24 hours of treatment.
Quarantine
4 Not applicable.
Special Measures
5(1) The physician or nurse in charge of a confinement shall
ensure that, immediately following a birth, a sufficient quantity of
(a) 1%
silver nitrate solution from a single dose container,
(b) 1%
tetracycline in a single dose ophthalmic preparation, or
(c) 0.5%
erythromycin in a single dose ophthalmic preparation
is instilled in the
infant’s eyes.
(2) The
physician or nurse shall forthwith report any failure of a dosage administered
pursuant to subsection (1).
Pandemic
Influenza
Reporting Requirements
1 The medical officer of health
shall ensure that individual occurrences of the disease are reported as
directed by the Chief Medical Officer.
Investigation of Contacts and Source of Infection
2 The medical officer of health
shall conduct an investigation of the source of infection and all contacts in
accordance with directions from the Chief Medical Officer.
Isolation Procedures
3 The medical officer of health
shall ensure that isolation procedures are carried out in accordance with
directions from the Chief Medical Officer.
Quarantine
4 The medical officer of health
shall ensure that contacts are quarantined in accordance with directions from
the Chief Medical Officer.
Special Measures
5 The medical officer of health
shall ensure that
(a) surveillance
and other special measures are carried out in accordance with directions from
the Chief Medical Officer, and
(b) examinations
conducted pursuant to section 40(1)(b) are carried out in accordance with
directions from the Chief Medical Officer.
Paratyphoid
Fever
(See Typhoid or
Paratyphoid Fever)
Paratyphoid
Carrier‑State
(See Typhoid Carrier‑State)
Pertussis
(Whooping Cough)
Reporting Requirements
1 Individual occurrences are
reportable by all sources to the medical officer of health within 48 hours (see
section 22(1)(b) and 23(a)(ii) of the Act).
Investigation of Contacts and Source of Infection
2 Not applicable.
Isolation Procedures
3(1) Modified (respiratory) isolation procedures apply
(a) for
a period of 3 weeks from onset of symptoms,
(b) until
the cough has stopped, or
(c) until
the patient has received 7 days of an appropriate antibiotic,
whichever occurs first.
(2) A
person who has reason to believe he may be infected shall avoid contact with
young unimmunized children.
Quarantine
4 Not applicable.
Special Measures
5(1) No unimmunized contact less than 6 years of age shall attend
school or public gatherings until
(a) 14
days after last exposure, or
(b) he
has been receiving appropriate antibiotic therapy for at least 48 hours,
whichever occurs
first.
(2) The
medical officer of health shall ensure that incompletely immunized or
unimmunized children are offered a dose of pertussis vaccine unless it is
medically contra‑indicated to do so.
Pinworms
(See Skin Infections)
Plague
Reporting Requirements
1 Individual occurrences are
reportable by all sources to the medical officer of health by the fastest means
possible (see sections 22(1)(a) and 23(a)(i) of the Act).
Investigation of Contacts and Source of Infection
2 The medical officer of health
shall attempt to identify
(a) the
source of infection,
(b) other
persons exposed to the same source of infection, and
(c) persons
with household or face to face contact with cases.
Isolation Procedures
3(1) In pneumonic cases strict isolation procedures apply until
disinfestation is complete and
(a) cultures
of appropriate specimens are reported negative, or
(b) the
infected person has received 3 full days of appropriate antibiotic therapy and
has shown a favourable clinical response,
whichever occurs
first.
(2) If
the infected person has a cough or X‑rays show evidence of disease, the
infected person shall be considered to have the pneumonic form of the disease
unless proven otherwise.
(3) In
bubonic cases, modified (secretion or contact) isolation procedures apply until
the infected person and his clothing have been disinfested to the satisfaction
of the medical officer of health and the infected person has received 3 full
days of appropriate antibiotic therapy, and thereafter modifed (wound)
isolation procedures apply if the infected person has a negative chest X‑ray
and no cough.
Quarantine
4 The medical officer of health
may require the quarantine of any case or contact until the person has been
disinfested and the premises have been freed of rodents or the rodents
determined to be free of infestation to the satisfaction of the medical officer
of health.
Special Measures
5(1) All contacts are subject to surveillance for a period of 1
week from the date of last contact.
(2) The
medical officer of health shall ensure that contacts of pneumonic cases
(a) receive
chemoprophylaxis and remain under surveillance for 7 days thereafter, or
(b) are
maintained in strict isolation for 7 days.
(3) Where
the medical officer of health considers that there is any evidence of infected
animals, he shall ensure that flea control and anti‑rodent measures
satisfactory to him are taken.
Pneumonia
Reporting Requirements
1 None, except as required for
specific disease.
Investigation of Contacts and Source of Infection
2 See specific diseases.
Isolation Procedures
3 See specific diseases.
Quarantine
4 See specific diseases.
Special Measures
5 See specific diseases.
Poliomyelitis
Reporting Requirements
1 Individual occurrences are
reportable by all sources to the medical officer of health by the fastest means
possible (see sections 22(1)(a) and 23(a)(i) of the Act).
Investigation of Contacts and Source of Infection
2 The medical officer of health
shall attempt to determine the source of infection of all cases.
Isolation Procedures
3 Modified (enteric) isolation
procedures apply for 1 week from onset of symptoms or until the virus can no
longer be identified in the stool, whichever period expires last.
Quarantine
4 The medical officer of health
may by order require the quarantine of any contact.
Special Measures
5(1) All known contacts are subject to surveillance during the
incubation period and the medical officer of health shall ensure that they are
offered oral polio vaccine or immune globulin as appropriate.
(2) If
the medical officer of health reasonably believes that wild poliovirus is implicated
and that at least 2 cases are associated by time and place, he shall ensure
that an immunization program using oral polio vaccine is implemented.
(3) The
medical officer of health may require the operator of a day care centre to
provide him with immunization records in his possession relating to the
children attending the day care centre.
Psittacosis (Ornithosis)
Reporting Requirements
1 Individual occurrences are
reportable by laboratories to the medical officer of health within 48 hours (see
section 23(a)(ii) of the Act).
Investigation of Contacts and Source of Infection
2 The medical officer of health
shall attempt to determine the source of infection and to trace the origin of
the infected birds.
Isolation procedures
3 Modified (respiratory)
isolation procedures apply until
(a) 48
hours after adequate antimicrobal therapy has begun, or
(b) the
infected person achieves clinical recovery,
whichever occurs
first.
Quarantine
4 The medical officer of health
may quarantine the premises in which the diseased birds are kept until the
birds are destroyed or otherwise disposed of and the premises are disinfected
to his satisfaction.
Special Measures
5 Not applicable.
Q‑fever
Reporting Requirements
1 Individual occurrences are
reportable by laboratories to the medical officer of health within 48 hours
(see section 23(a)(ii) of the Act).
Investigation of Contacts and Source of Infection
2 The medical officer of health
shall
(a) attempt
to determine whether the infected person has a history of exposure to cattle,
sheep or goats, has consumed raw milk or has been exposed to the disease in a
laboratory, and
(b) attempt
to identify others with exposure similar to that referred to in clause (a).
Isolation Procedures
3 Not applicable.
Quarantine
4 Not applicable.
Special Measures
5 Any person who has knowledge
of a suspected animal source of the disease shall forthwith notify the Chief
Provincial Veterinarian of the Department of Agriculture and Food.
Rabies
Reporting Requirements
1 Individual occurrences are
reportable by all sources to the medical officer of health by the fastest means
possible (see sections 22(1)(a) and 23(a)(i) of the Act).
Investigation of Contacts and Source of Infection
2 The medical officer of health
shall attempt to determine the source of infection and the identity of all
others exposed to the source.
Isolation Procedures
3 Strict isolation procedures
apply for the duration of the illness.
Quarantine
4 Not applicable.
Special Measures
5(1) When an animal in which rabies is reasonably suspected bites
a person, the attending physician shall immediately report that fact to the
medical officer of health.
(2) Where
the medical officer of health receives a report under subsection (1) with respect
to a dog or cat, he may do any or all of the following:
(a) have
the dog or cat secured alive and uninjured and cause it to be confined in a
secure place at the owner’s expense for a period of up to 10 days;
(b) require
examination of the dog or cat by a veterinarian;
(c) require
the dog or cat to be killed without injuring the head where he suspects that
the dog or cat is infected with the disease.
(3) If
a dog or cat confined under subsection (2)(a) is alive at the end of 10 days,
it shall be considered not to be suffering from rabies and shall be released.
(4) If
the dog or cat is killed as provided in subsection (2)(c) or dies in less than
10 days before there has been an adequate opportunity to observe it, the
medical officer of health shall ensure that the head of the animal is packed in
ice in a sealed container and sent immediately by the quickest possible method
with a report of the circumstances to the Animal Diseases Research Institute,
Canadian Food Inspection Agency, Health Canada.
(5) In
the case of a suspected rabid wild animal or a domestic animal other than a dog
or cat, the medical officer of health shall ensure that the animal is killed
without injuring the head, and that the head is forwarded to the Animal
Diseases Research Institute, Canadian Food Inspection Agency, Health Canada in
the same manner as is described in subsection (4).
(6) Any
person who has knowledge of a case of suspected animal rabies shall immediately
report that fact to the Federal District Veterinarian, Canadian Food Inspection
Agency - Animal Health Department, Health Canada.
(7) The
medical officer of health shall attempt to ascertain the identity of any person
bitten by or significantly exposed to an animal in which rabies is reasonably
suspected and shall ensure that those persons receive appropriate advice and
treatment.
Relapsing
Fever (Louse‑borne)
Reporting Requirements
1 Not applicable.
Investigation of Contacts and Source of Infection
2 Not applicable.
Isolation Procedures
3 Modified (secretion or
contact) isolation procedures apply until completion of disinfestation of the
infected person his familial contacts and the environment of the infected
person and his familial contacts.
Quarantine
4 The medical officer of health
shall order the quarantine of all exposed louse‑infested contacts until
disinfestation is completed.
Special Measures
5 Not applicable.
Reye
Syndrome
Reporting Requirements
1 Individual occurrences are
reportable by all sources to the medical officer of health within 48 hours (see
section 22(1)(b) and 23(a)(ii) of the Act).
Investigation of Contacts and Source of Infection
2 Not applicable.
Isolation Procedures
3 Not applicable.
Quarantine
4 Not applicable.
Special Measures
5 Not applicable.
Rickettsial
Infections
Reporting Requirements
1 Individual occurrences are
reportable by laboratories to the medical officer of health within 48 hours
(see section 23(a)(ii) of the Act).
Investigation of Contacts and Source of Infection
2 The medical officer of health
shall attempt to determine the source of the infection.
Isolation Procedures
3 Not applicable.
Quarantine
4 Not applicable.
Special Measures
5 Not applicable.
Rocky
Mountain Spotted Fever
(See Rickettsial
Infections)
Rubella
(Including Congenital Rubella Syndrome)
Reporting Requirements
1 Individual occurrences are
reportable by all sources to the medical officer of health within 48 hours (see
section 22(1)(b) and 23(a)(ii) of the Act).
Investigation of Contacts and Source of Infection
2 The medical officer of health
shall attempt to identify all pregnant contacts of known cases.
Isolation Procedures
3 Not applicable.
Quarantine
4 Not applicable.
Special Measures
5(1) The medical officer of health shall by order exclude persons
who have Rubella or who he suspects have Rubella from activities in which they
will or are likely to expose pregnant women to Rubella.
(2) No
woman of child bearing age shall care for an infant with Congenital Rubella
Syndrome unless the woman is immune to Rubella.
(3) The
medical officer of health shall by order exclude a person with Rubella or
suspected Rubella from attendance at school or similar settings until the
expiration of 4 days after the onset of the rash.
(4) The
medical officer of health may require the operator of a day care centre to
provide him with immunization records in his possession relating to the
children attending the day care centre.
(5) All
staff of day care facilities and persons with face to face contact with
patients in a health care facility shall ensure that they are immunized against
Rubella.
Salmonella
Infections
Reporting Requirements
1 Individual occurrences (cases
and carriers) are reportable by laboratories to the medical officer of health
within 48 hours (see section 23(a)(ii) of the Act).
Investigation of Contacts and Source of Infection
2 See Enteric Infections.
Isolation Procedures
3 See Enteric Infections.
Quarantine
4 See Enteric Infections.
Special Measures
5 See Enteric Infections.
Scabies
(See Skin Infections)
Severe Acute Respiratory Syndrome (SARS)
Reporting Requirements
1 Individual
occurrences are reportable by all sources to the medical officer of health by
the fastest means possible.
Investigation of Contacts and Source of Infection
2 The
medical officer of health shall conduct an investigation of the source of
infection and all contacts in accordance with directions from the Chief Medical
Officer.
Isolation Procedures
3 The
medical officer of health shall ensure isolation procedures are carried out in
accordance with directions from the Chief Medical Officer.
Quarantine
4 The
medical officer of health shall ensure that contacts are quarantined in
accordance with directions from the Chief Medical Officer.
Special Measures
5 The
medical officer of health shall notify the blood procurement agencies of all
Severe Acute Respiratory Syndrome (SARS) cases who are known blood donors or
recipients in accordance with directions from the Chief Medical Officer.
Sexually
Transmitted Diseases (including
Chancroid, Gonococcal Infections, Lymphogranuloma
Venereum, Mucopurulent Cervitis, Non‑gonococcal
Urethritis, Syphilis)
Reporting Requirements
1 Individual occurrences are
reportable by all sources to the Chief Medical Officer within 48 hours (see
sections 22(3) and 23(b) of the Act).
Investigation of Contacts and Source of Infection
2(1) The medical officer of health shall ensure that an attempt
is made to identify, locate and examine the sexual contacts of all cases.
(2) Sexual
contacts shall be either treated at once or treated on the basis of clinical
and laboratory findings, whichever the medical officer of health or attending
physician determines.
Isolation Procedures
3 Not applicable.
Quarantine
4 Not applicable.
Special Measures
5 An infected person shall
receive medication to render him non‑infectious and shall not engage in
any activity that may transmit the disease until he is no longer infectious.
Shigellosis
(Bacillary Dysentery)
Reporting Requirements
1 Individual occurrences (cases
and carriers) are reportable by laboratories to the medical officer of health
within 48 hours (see section 23(a)(ii) of the Act).
Investigation of Contacts and Source of Infection
2 See Enteric Infections.
Isolation Procedures
3 See Enteric Infections.
Quarantine
4 See Enteric Infections.
Special Measures
5 See Enteric Infections.
Skin
Infections (including Impetigo,
Pediculosis, Pinworms, Scabies, Ringworm)
Reporting Requirements
1 Not applicable except in the
case of outbreaks of the disease or abnormal presentation or manifestations, in
which case occurrences are reportable by all sources to the medical officer of
health within 48 hours (see section 22(1)(b) and 23(a)(ii) of the Act).
Investigation of Contacts and Source of Infection
2(1) The medical officer of health shall attempt to determine the
existence of other infected persons among household and other close contacts.
(2) In
the case of Ringworm, the medical officer of health shall attempt to locate any
animal source of infection.
Isolation Procedures
3 Not applicable except in
hospitals, in which case modified (secretion or contact) isolation procedures
apply until the person has received effective therapy for at least 24 hours.
Quarantine
4 Not applicable.
Special Measures
5(1) The medical officer of health shall order that an infected
person be excluded from school and non‑familial contacts until he is free
of lesions or rendered non‑infectious by chemical agents.
(2) In
the case of Pediculosis and Scabies the medical officer of health may, in
addition to his powers under subsection (1), order that other family members
and other persons with skin to skin contact with the infected person receive
treatment as if they were infected.
(3) The
person in charge of the clothing and bedding used by an infected person shall
ensure that they are disinfected concurrently by washing with soap and hot
water or by dry cleaning.
Smallpox
(See Exotic and Imported
Diseases)
Stool
Pathogens
(See Enteric Infections)
Syphilis
(See Sexually Transmitted
Diseases)
Tetanus
Reporting Requirements
1 Individual occurrences are
reportable by all sources to the medical officer of health within 48 hours (see
section 22(1)(b) and 23(a)(ii) of the Act).
Investigation of Contacts and Source of Infection
2 Not applicable.
Isolation Procedures
3 Not applicable.
Quarantine
4 Not applicable.
Special Measures
5 Not applicable.
Toxic
Shock Syndrome
Reporting Requirements
1 Individual occurrences are
reportable by all sources to the medical officer of health within 48 hours (see
section 22(1)(b) and 23(a)(ii) of the Act).
Investigation of Contacts and Source of Infection
2 Not applicable.
Isolation Procedures
3 Not applicable.
Quarantine
4 Not applicable.
Special Measures
5 Not applicable.
Toxoplasmosis
Reporting Requirements
1 Individual occurrences
(congenital infections only) are reportable by all sources to the medical
officer of health within 48 hours (see section 22(1)(b) and 23(a)(ii) of the
Act).
Investigation of Contacts and Source of Infection
2 Not applicable.
Isolation Procedures
3 Not applicable.
Quarantine
4 Not applicable.
Special Measures
5 Not applicable.
Trichinosis
Reporting Requirements
1 Individual occurrences are
reportable by all sources to the medical officer of health within 48 hours (see
section 22(1)(b) and 23(a)(ii) of the Act).
Investigation of Contacts and Source of Infection
2 The medical officer of health
shall attempt to identify the source of the infection and to identify others
exposed to the same source.
Isolation Procedures
3 Not applicable.
Quarantine
4 Not applicable.
Special Measures
5(1) The medical officer of health may have examined any meat or
meat products he reasonably believes may be responsible for the infection and
may seize and destroy any meat or meat products shown to be responsible for the
infection.
(2) All
persons who were exposed to the suspected source of the infection are subject
to surveillance during the incubation period, and the medical officer of health
shall ensure that they are offered any treatment he considers necessary.
Tuberculosis
Reporting Requirements
1 Individual occurrences are
reportable by all sources to the medical officer of health within 48 hours (see
section 22(1)(b) and 23(a)(ii) of the Act).
Investigation of Contacts and Source of Infection
2 The medical officer of health
shall conduct an investigation of the source of the infection and all contacts
in accordance with the directions of the Chief Medical Officer.
Isolation Procedures
3(1) In the case of Pulmonary Tuberculosis in an infectious form,
modified (respiratory) isolation procedures apply until the person is no longer
infectious.
(2) Modified
(secretion or contact) isolation procedures apply to a person with cutaneous
tuberculosis lesions or discharging sinuses until the lesions or sinuses are
shown to be bacteriologically sterile.
Quarantine
4 Not applicable.
Special Measures
5(1) The medical officer of health shall order that all familial
contacts and all other contacts he considers to have been sufficiently exposed
are tuberculin tested.
(2) Where
a person who is tested pursuant to subsection (1) has a positive reaction,
(a) the
medical officer of health shall order a chest X‑ray and any other
diagnostic procedures he considers appropriate, and
(b) the
person is subject to surveillance until the medical officer of health is
satisfied that the risk of infection has passed.
6 The medical officer of health
shall by order exclude a person with cutaneous tuberculosis in an infectious
form from public places and from employment in occupations involving the care
of children, close contact with the public or the handling of food until the
person is no longer infectious.
Tularemia
Reporting Requirements
1 Individual occurrences are
reportable by all sources to the medical officer of health within 48 hours (see
section 22(1)(b) and 23(a)(ii) of the Act).
Investigation of Contacts and Source of Infection
2 Not applicable.
Isolation Procedures
3 Not applicable.
Quarantine
4 Not applicable.
Special Measures
5 Not applicable.
Typhoid
or Paratyphoid Fever
Reporting Requirements
1 Individual occurrences are
reportable by all sources to the medical officer of health by the fastest means
possible (see sections 22(1)(a) and 23(a)(i) of the Act).
Investigation of Contacts and Source of Infection
2 The medical officer of health
shall investigate all known occurrences in an attempt to determine the source
of infection and the identity of others at risk.
Isolation Procedures
3(1) Modified (enteric) isolation procedures apply until 3
successive stool and urine cultures are reported negative or for a period of 21
days, whichever occurs first.
(2) The
stool and urine cultures referred to in subsection (1) shall be taken not less
than 24 hours apart and not earlier than 72 hours after cessation of
chemotherapy.
Quarantine
4 Not applicable.
Special Measures
5(1) On release from isolation, the case is subject to
surveillance until 3 consecutive stool and urine cultures of the case taken at
intervals of 2 weeks following the termination of isolation are reported
negative by the Provincial Laboratory for Public Health.
(2) During
the period referred to in subsection (1), the medical officer of health shall
by order exclude the person referred to in subsection (1) from employment in
occupations involving food handling, patient care or nursing care of young
children, the elderly or the dependent.
(3) If
the person referred to in subsection (1) still excretes the infectious agent
after 6 months from the onset of the disease, the medical officer of health
shall declare and notify him as a carrier.
6(1) The medical officer of health shall, in the case of a
contact of typhoid or paratyphoid fever in circumstances under which
transmission is likely to occur, by order prohibit the contact from serving and
handling food intended for distribution to any person other than a person in
his immediate family until 3 consecutive stool and urine specimens taken from
the contact not less than 24 hours apart are examined by the Provincial
Laboratory for Public Health and shown not to contain Salmonella typhi or
Salmonella paratyphi.
(2) A
specimen taken under subsection (1) shall be taken not less than 72 hours after
antibiotic or chemotherapeutic treatment.
(3) A
contact is subject to surveillance for the duration of the incubation period if
the time of exposure is known.
Typhoid
or Paratyphoid (Carrier‑state)
Reporting Requirements
1 Individual occurrences are
reportable by all sources to the medical officer of health within 48 hours (see
section 22(1)(b) and 23(a)(ii) of the Act).
Investigation of Contacts and Source of Infection
2 The medical officer of health
shall attempt to identify all contacts.
Isolation Procedures
3 Not applicable.
Quarantine
4 Not applicable.
Special Measures
5(1) The medical officer of health shall by order exclude a
carrier from employment in any occupation involving food handling, patient care
or the care of young children, the elderly or the dependent unless the medical
officer of health in consultation with the Chief Medical Officer is satisfied
that the risk of transmission is negligible.
(2) Subject
to subsection (3), a carrier is subject to surveillance.
(3) The
medical officer of health may release a carrier from surveillance and from the
restrictions imposed under subsection (1) only if cultures of 6 consecutive
specimens of the carrier’s feces and urine taken at least 1 month apart are
reported negative by the Provincial Laboratory for Public Health.
(4) At
least 1 of the fecal specimens referred to in subsection (3) must be obtained
by purge.
(5) The
medical officer of health shall forthwith notify the Chief Medical Officer when
he releases a person from surveillance or restrictions under subsection (3).
(6) A
carrier shall immediately give written notice to the medical officer of health
of any change in his address, and the medical officer of health shall
immediately forward that information to the Chief Medical Officer.
(7) Section
6 under the heading Typhoid or Paratyphoid Fever applies, with all necessary
modifications, to contacts of carriers of Typhoid Fever.
Typhus,
Louse‑borne
Reporting Requirements
1 Individual occurrences are
reportable by all sources to the medical officer of health within 48 hours (see
section 22(1)(b) and 23(a)(ii) of the Act).
Investigation of Contacts and Source of Infection
2 The medical officer of health
shall attempt to determine the source of infection.
Isolation Procedures
3 Modified (secretion or
contact) isolation procedures apply until completion of disinfestation of the
infected person, his familial contacts and their environment.
Quarantine
4 The medical officer of health
shall order the quarantine of an exposed louse infected contact until
disinfestation is completed.
Special Measures
5 Not applicable.
Viral
Hemorrhagic Fevers (including Marburg, Ebola,
Lassa, Argentina and African Hemorrhagic Fevers)
(See Exotic and Imported
Diseases)
Waterborne
Illness
(See Foodborne or
Waterborne Illness)
West Nile
Infection
Reporting Requirements
1 Individual
occurrences are reportable by all sources to the medical officer of health in
accordance with directions from the Chief Medical Officer.
Investigation of Contacts and Source of Infection
2 The
medical officer of health shall conduct an investigation of the source of
infection in accordance with directions from the Chief Medical Officer.
Isolation Procedures
3 Not
applicable.
Quarantine
4 Not
applicable.
Special Measures
5(1) The medical officer of health shall notify the blood
procurement agencies of all West Nile infection cases who are known blood
donors or recipients in accordance with directions from the Chief Medical
Officer.
(2) The medical officer of health shall
notify organ or tissue procurement or transplant organizations of all West Nile
infection cases who are known organ or tissue donors or recipients in
accordance with directions from the Chief Medical Officer.
(3) Any organ or tissue procurement or
transplant organization shall test donated organs or tissue for West Nile
infection before transplantation in accordance with directions from the Chief
Medical Officer.
(4) All donated blood shall be screened
for West Nile infection before transfusion.
(5) Laboratories and blood
procurement agencies shall submit a portion of the blood specimens from all
individuals who have tested positive for West Nile infection to the Provincial
Laboratory of Public Health for confirmation.
Yellow
Fever
Reporting Requirements
1 Individual occurrences are
reportable by all sources to the medical officer of health within 48 hours (see
section 22(1)(b) and 23(a)(ii) of the Act).
Investigation of Contacts and Source of Infection
2 Not applicable.
Isolation Procedures
3 Not applicable.
Quarantine
4 Not applicable.
Special Measures
5 The person caring for the
infected person shall ensure that he is cared for in a mosquito proof room.
Yersiniosis
Reporting Requirements
1 Individual occurrences are
reportable by laboratories to the medical officer of health within 48 hours
(see section 23(a)(ii) of the Act).
Investigation of Contacts and Source of Infection
2 See Enteric Infections.
Isolation Procedures
3 See Enteric Infections.
Quarantine
4 See Enteric Infections.
Special Measures
5 See Enteric Infections.
Epidemics
and diseases in rare or
unusual form (any communicable disease)
Reporting Requirements
1(1) A physician, health practitioner, teacher or person in
charge of an institution who knows of or has reason to suspect the existence of
a communicable disease in epidemic form shall immediately notify the medical
officer of health of the regional health authority by the fastest means
possible.
(2) Individual
occurrences of diseases in a rare or unusual form are reportable by all sources
to the medical officer of health within 48 hours (see sections 22(1)(b) and
23(a)(ii) of the Act).
Investigation of Contacts and Source of Infection
2 The medical officer of health
shall investigate as is required under this Schedule for the specific disease
and may carry out any further investigation he considers necessary in the
circumstances.
Isolation Procedures
3 The isolation procedures
required under this Schedule for the specific disease apply except as modified
by the medical officer of health in the circumstances, and where the specific
disease is not listed in this Schedule, the medical officer of health may
impose any isolation requirements that he considers to be necessary.
Quarantine
4 The quarantine procedures
required under this Schedule for the specific disease apply except as modified
by the medical officer of health in the circumstances, and where the specific
disease is not listed in this Schedule, the medical officer of health may
impose any quarantine requirements that he considers to be necessary.
Special Measures
5 The special measures required
under this Schedule for the specific disease apply except as modified by the
medical officer of health in the circumstances and, where the specific disease
is not listed in this Schedule, the medical officer of health may impose any
special measures that he considers to be necessary.
AR 238/85
Sched.4;206/2001;96/2005;58/2006;35/2007