IC REPORTABLE COMMUNICABLE DISEASES IN BC Rev. Jan 2017

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1 REPORTABLE COMMUNICABLE DISEASES IN BC Rev. Jan 2017 STANDARDS All physicians must urgently reprt certain cmmunicable diseases t Public Health by telephne n the day f identificatin (see list belw). Labratry physicians must reprt certain cmmunicable diseases t Public Health nce cnfirmed (see list belw). Reprtable Cmmunicable s in British Clumbia Rutine Reprting The List f Reprtable Cmmunicable s in British Clumbia (attached) is part f the Health Act Cmmunicable Regulatins f B.C. s Public Health Act. Thse listed under Schedule A are reprtable frm all surces (i.e. labratries, physicians, nurse practitiners, midwives, infectin cntrl practitiners etc.) while thse under Schedule B are reprtable nly frm labratries.. Urgent Reprting Sme diseases must be reprted urgently, by telephne n the day f identificatin (list attached). These are diseases fr which timely public health fllw-up, i.e. prvisin f vaccinatin r antibitics, can prevent disease in cntacts r reduce further transmissin. Certain diseases must be reprted at the suspect stage, prir t labratry cnfirmatin, because f their severity and the urgency f public health fllw-up. N list can be exhaustive; if yu encunter a case that yu feel requires urgent public health fllw up, please ntify Infectin Preventin and Cntrl Service (IPACS). Outbreak Reprting Outbreaks f influenza-like illness (2 r mre health care assciated (HCA cases amng patients and/r staff within 1 week); gastrenteritis (3 r mre HCA cases amng patients and/r staff within 4 days) in hspital wards r ther health care facilities shuld als be reprted by phne as sn as identified. Ntify IPACS immediately if an utbreak is suspected. Please d nt wait fr lab results befre ntifying IPACS.. The mst recent cpy f the List f Reprtable Cmmunicable s in British Clumbia is attached. Urgent cases and utbreaks shuld be reprted as fllws: 1. Infectin Preventin and Cntrl Services by calling lcating at VCH-Medical Health Officer Mnday t Friday 08: : After-hurs t speak t the Medical Health Officer n call: Infectin Preventin & Cntrl Manual

2 Cmmunicable s Urgently Reprtable by ALL Primary Care Prviders ALL primary care prviders reprt by phne at suspect stage these emerging infectius diseases: MERS-CV (Middle East Respiratry Syndrme Crnavirus) Clues fr Identificatin Recent travel t the Arabian peninsula; severe acute respiratry illness, e.g. fever + cugh + shrtness f breath A L L primary care prviders reprt by phne at suspect stage (based n histry, physical, preliminary lab results): Clues fr Identificatin Knwn expsure t anthrax; Respiratry: Resp. distress, widened Anthrax mediastinum n CXR; Cutaneus: Vesicular lesin with black eschar Visual disturbance; cranial nerve invlvement; paralysis/weakness; +/- Btulism diarrhea, vmiting; +/- cnsumptin f unusual r hme-canned fd Respiratry Diphtheria Unvaccinated r elderly; aderent grayish-white membrane in pharynx Unvaccinated; brn after 1956; recent travel; fever, cugh, cryza, Measles cnjunctivitis; Kplik spts n buccal mucsa; generalized red rash 3 r mre HCA cases f gastrenteritis (diarrhea and/r vmiting) GI Outbreak in a Health amng patients/staff within the same setting within a 4-day perid. We ask labratry physicians t phne w/ all utbreak related lab results. ILI Outbreak in a Health Invasive Meningcccal Necrtizing fasciitis Rabies Viral Hemrrhagic Fevers (Ebla, Lassa, Marburg) Yellw Fever 2 r mre HCA cases f influenza-like illness (fever, cugh, sre thrat, arthralgia, myalgia, prstratin) amng patients/staff within 1 week in a ward/facility. We ask labratry physicians t phne w/ all utbreak related lab results. Fever; meningitis, petechial rash; cma; gram-negative diplccci in CSF r bld Clinical diagnsis r diagnsis based n histpathlgy. Knwn bat expsure (r ther animal utside BC); fever; flu-like symptms; paresis/paralysis; muscle spasm, hydrphbia Recent travel t Africa; fever; +/- hemrrhagic rash; +/- vmiting and diarrhea; hemrrhagic symptms Recent travel t Africa/Latin America; fever; flu-like symptms; jaundice; hemrrhagic symptms; n histry f vaccinatin Infectin Preventin & Cntrl Manual

3 Cmmunicable s Urgently Reprtable by ALL Labratry Physicians Labratry physicians t reprt by phne as sn as the fllwing have preliminary r final labratry cnfirmatin: Chlera Respiratry Diphtheria Haemphilus influenzae Hantavirus Hepatitis A Acute Hepatitis B Invasive Grup A Streptcccal Leprsy Measles Invasive Meningcccal Plague Pli Rubella Tetanus Typhid/Paratyphid Labratry Cnfirmatin Stl psitive fr Vibri chlerae Thrat culture + fr C. diphtheriae Any type islated frm bld r CSF PCR+ n bipsy r IgM+ serlgy Serlgy: Ttal and IgM+ HbsAg+ with jaundice, elevated liver enzymes r anti-hbc IgM+ Txic shck, necrtizing fasciitis r pneumnia and grup A streptcccus islated frm bld r sterile site Frm endemic cuntry; psitive skin bipsy PCR+ r IgM+ Please call fr gram-negative diplccci in CSF r bld, as well as with cnfirmatry testing Recent travel; culture psitive frm bld, CSF, sputum r bubes Unvaccinated; travel t Africa, SE Asia; virus islatin frm stl Unvaccinated; IgM+ serlgy Unvaccinated; culture + (Clstridium tetani) frm wund S. typhi r S. paratyphi islated frm stl, bld r urine Labratry physicians t reprt by phne as sn as the fllwing have labratry cnfirmatin f the fllwing disease when part f a hspital r facility utbreak: GI Outbreak in a Health ILI Outbreak in a Health Labratry Cnfirmatin Labratry result frm any GI utbreak. A GI utbreak is 3 r mre HCA cases f gastrenteritis (diarrhea and/r vmiting) amng patients/staff within the same setting within a 4-day perid Detectin f virus frm naspharyngeal washing r swab assciated with an utbreak. 2 r mre HCA cases f influenza-like illness (fever, cugh, sre thrat, arthralgia, myalgia, prstratin) amng patients/staff within 1 week in a ward/facility. Infectin Preventin & Cntrl Manual

4 LIST OF REPORTABLE COMMUNICABLE DISEASES IN BC Schedule A: Reprtable by all surces, including Labratries Acquired Immune Deficiency Syndrme Anthrax Btulism Brucellsis Carbapenemase Prducing Organism (CPO) Chancrid Chlera Cngenital Infectins: Txplasmsis Rubella Cytmegalvirus Herpes Simplex Varicella-Zster Hepatitis B Virus Listerisis and any ther cngenital infectin Creutzfeldt-Jacb Cryptcccal infectin Cryptspridisis Cyclspra infectin Diffuse Lamellar Keratitis Diphtheria: Cases Carriers Encephalitis: Pst-infectius Subacute sclersing panencephalitis Vaccine-related Viral Fdbrne illness: All causes Gastrenteritis epidemic: Bacterial Parasitic Viral Genital Chlamydia Infectin Giardiasis Gnrrhea all sites Grup A Streptcccal, Invasive H5 and H7 strains f the Influenza virus Haemphilus influenzae, All Invasive, by Type Hantavirus Pulmnary Syndrme Hemlytic Uremic Syndrme (HUS) Hemrrhagic Viral Fevers Hepatitis Viral: Hepatitis A Hepatitis B Hepatitis C Hepatitis E Infectin Preventin & Cntrl Manual

5 Other Viral Hepatitis Human Immundeficiency Virus Infectin Leprsy Lyme Measles Meningitis: All causes (i) Bacterial: Haemphilus Pneumcccal Other (ii) Viral Meningcccal : All Invasive including Primary Meningcccal Pneumnia and Primary Meningcccal Cnjunctivitis Mumps Nenatal Grup B Streptcccal Infectin Paralytic Shellfish Pisning (PSP) Pertussis (Whping Cugh) Plague Plimyelitis Rabies Reye Syndrme Rubella : Cngenital Rubella syndrme Severe Acute Respiratry Syndrme (SARS) Smallpx Streptcccus pneumniae Infectin, Invasive Syphilis Tetanus Transfusin Transmitted Infectin Tuberculsis Tularemia Typhid Fever and Paratyphid Fever Waterbrne Illness: All causes West Nile Virus Infectin Yellw Fever Schedule B: Reprtable by Labratries nly All specific bacterial and viral stl pathgens: (i) Bacterial: Campylbacter Salmnella Shigella Yersinia (ii) Viral: Amebiasis Brrelia burgdrferi infectin Cerebrspinal Fluid Micr-rganisms Infectin Preventin & Cntrl Manual

6 Chlamydial s, including Psittacsis Creutzfeldt-Jacb Cryptcccal Infectin Herpes Genitalis Human Immundeficiency Virus Infectin Influenza virus, including the H5 and H7 strains Leginellsis Leptspirsis Listerisis Malaria Q Fever Rickettsial s Severe Acute Respiratry Syndrme (SARS) Smallpx Tularemia West Nile Virus Infectin REFERENCES As per Health Act Cmmunicable Regulatin includes amendments up t B.C. Reg. 380/2012, March 18, Letter t prvincial labratry directrs. Carbapenemase Prducing Organisms (CPO).Office f the Prvincial Health Officer. BC Ministry f Health. December Memrandum: Reprtable Cmmunicable s. Dr Reka Gustafsn, VCH MHO. Octber Infectin Preventin & Cntrl Manual