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Reporting of Notifiable Diseases and Conditions Regulations

made under Sections 74 and 106 of the
Health Protection Act
S.N.S. 2004, c. 4
O.I.C. 2005-457 (October 14, 2005, effective November 1, 2005), N.S. Reg. 195/2005

[Please note: Text does not include amendments made by N.S. Reg. 255/2011 (O.I.C. 2011-310)]


Citation
1 These regulations may be cited as the Reporting of Notifiable Diseases and Conditions Regulations.

Definitions
2 (1) In these regulations,

(a) "Act" means the Health Protection Act;

(b) "Guidelines" means the Nova Scotia Surveillance Guidelines for Notifiable Diseases and Conditions as approved by the Chief Medical Officer;

(c) "report" means a report made under Section 31 of the Act.

(2) For the purposes of the Act,

(a) "infectious" or "contagious", in relation to a person, means that the person has a communicable disease;

(b) "resident" means

(i) a person who is placed in, remanded or admitted to an institution,

(ii) a child who attends a facility, as defined in the Day Care Act, or

(iii) a student who lives in a residence owned by an institution prescribed in subsection (3).

(3) For the purposes of subclause 4(i)(ix) of the Act, the following are prescribed as institutions:

(a) Nova Scotia Community College;

(b) an institution or university under the Maritime Provinces Higher Education Commission Act;

(c) a private career college under the Private Career Colleges Regulation Act;

(d) Université Sainte-Anne.

(4) For the purpose of subsection 31(5) of the Act, "an illness is serious and is occurring at a higher rate than is normal" refers to a disease occurring more frequently than would normally be expected, or in a rare or unusual form.

Prescribed circumstances under which report required
3 For the purpose of subsection 31(4) of the Act, the following circumstances are prescribed as circumstances under which a report is required:

(a) when a person discovers a notifiable disease or condition as a result of a biopsy or autopsy;

(b) when a blood test conducted by an employee of Canadian Blood Services reveals a notifiable disease or condition;

(c) when a death certificate indicates that a deceased person had a notifiable disease or condition at the time of death, and in that circumstance the report must be made by the Deputy Registrar General appointed under the Vital Statistics Act.

Report required only in circumstances that arise while functioning in professional capacity
4 A person must make a report only if the circumstances that require the report arise while the person is functioning in their professional capacity.

Report to be in accordance with Guidelines
5 A report must be made in accordance with the Guidelines.

Report to be made to medical officer
6 (1) A report must be made to the medical officer who has jurisdiction in the locality in which the reporting person works.

(2) If a person who is the subject of a report does not live in the locality in which the reporting person works, the medical officer who receives the report must forward it to the medical officer who has jurisdiction in the locality of the person who is the subject of the report.

System for reporting required at institution
7 An administrator of an institution must ensure that an appropriate system is in place to ensure that all reports are made in accordance with these regulations.

Information required for reporting
8 A report must include, to the extent possible,

(a) the name, age, address, ethnicity and sex of the person who is the subject of the report;

(b) the name of the notifiable disease or condition or the illness that is being reported;

(c) all clinical and epidemiological details pertinent to the diagnosis and follow-up of the person who is the subject of the report; and

(d) the name and profession of, and contact information for, the reporting person,

and any additional information required by the medical officer for case management and prevention of transmission of the notifiable disease or condition or the illness.

Notice of report to Chief Medical Officer
9 A medical officer must notify the Chief Medical Officer, in the form and at the intervals prescribed in the Guidelines, of all reports made to the medical officer.

Records required to be provided
10 (1) Every principal of a public school and operator of a private school under the Education Act must provide to the medical officer who has jurisdiction in the school’s locality copies of school records, such as absentee reports and class lists, as required by the Guidelines or requested by the medical officer.

(2) Every director of a day care facility under the Day Care Act must provide to the medical officer who has jurisdiction in the facility’s locality copies of records, such as attendance records, daily logs, infant and toddler records, and menus, as required by the Guidelines or requested by the medical officer.

Designations of diseases and conditions
11 (1) The diseases and conditions listed in Schedule A are designated as notifiable diseases and conditions for the purpose of clause 4(m) of the Act.

(2) The diseases listed under the heading "Dangerous diseases designated by regulations" in Part I of Schedule A are designated as dangerous diseases for the purpose of clause 4(c) of the Act.


Schedule A - List of Notifiable Diseases and Conditions

Part I - Communicable Diseases

Dangerous diseases specified in Act
All diseases specified in clause 4(c) of the Act

Dangerous diseases designated by regulations
Crimean congo hemorrhagic fever
Influenza virus of pandemic potential
Marburg hemorrhagic fever
Viral hemorrhagic fevers - other

Other communicable diseases
Acquired immunodeficiency syndrome (AIDS)
Acute flaccid paralysis (AFP)
Amebiasis
Anthrax
Botulism
Brucellosis
Campylobacteriosis
Chancroid
Chlamydia
Cholera
Congenital rubella syndrome
Creutzfeld-Jakob disease - classic (CJD)
Creutzfeld-Jakob disease - new variant (vCJD)
Cryptosporidiosis
Cyclosporiasis
Diphtheria
Encephalitis (viral)
Giardiasis
Gonorrhea
Group A streptococcal disease invasive
Group B streptococcal disease of the newborn
Haemophilus influenzae type b (HIB) invasive disease
Hantavirus pulmonary syndrome (HPS)
Hepatitis A
Hepatitis B
Hepatitis C
Hepatitis D
Hepatitis E
Human Immunodeficiany Virus (HIV)
HTLV I & II
Human granulocytic ehrlichiosis (HGE)
Influenza laboratory confirmed
Legionellosis
Leprosy (Hansen’s disease)
Listeriosis
Lyme disease
Lymphogranuloma venereum
Malaria
Measles
Meningitis (bacterial)
Meningitis (viral)
Meningococcal disease invasive
Methicillin resistant staphylococcus aureus (MRSA)
Mumps
Paratyphoid
Pertussis
Pneumococcal disease invasive
Poliomyelitis
Q fever
Rabies
Relapsing fever
Respiratory outbreaks in long term care facilities
Rocky Mountain spotted fever
Rubella
Salmonellosis
Shellfish poisoning (amnesic)
Shellfish poisoning (domoic)
Shellfish poisoning (paralytic)
Shigellosis
Syphilis
Tetanus
Toxoplasmosis
Trichinellosis
Tularemia
Typhoid
Vancomycin resistant enterococcus (VRE)
Verotoxigenic escherichia coli infection
West Nile virus (WNv)
Yellow fever
Yersiniosis

Part II - Non-communicable Diseases and Conditions

Vaccine associated adverse events (VAAE)