This consolidation is unofficial and is for reference only. For the official version of the regulations, consult the original documents on file with the Office of the Registrar of Regulations, or refer to the Royal Gazette Part II. Regulations are amended frequently. Please check the list of Regulations by Act to see if there are any recent amendments to these regulations filed with our office that are not yet included in this consolidation. Although every effort has been made to ensure the accuracy of this electronic version, the Office of the Registrar of Regulations assumes no responsibility for any discrepancies that may have resulted from reformatting. This electronic version is copyright © , Province of Nova Scotia, all rights reserved. It is for your personal use and may not be copied for the purposes of resale in this or any other form.
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 (effective November 1, 2005), N.S. Reg. 195/2005
amended to O.I.C. 2021-261 (effective November 9, 2021), N.S. Reg. 146/2021
Table of Contents
Please note: this table of contents is provided for convenience of reference and does not form part of the regulations.
Click here to go to the text of the regulations.
1 These regulations may be cited as the Reporting of Notifiable Diseases and Conditions Regulations.
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).
(2A) For the purpose of further defining the definition of “dangerous disease” in clause 4(c) of the Act, the following words used in that definition are defined as follows:
(a) “Ebola” means Ebola hemorrhagic fever; and
(b) “Lassa fever” means Lassa hemorrhagic fever.
(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;
(e) a recreational camp as defined in the Recreational Camps Regulations made under the Act.
(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 any of the following:
(a) a disease occurring more frequently than would normally be expected or in a rare or unusual form;
(b) an unusual disease cluster;
(c) a disease outbreak;
(d) an unusual disease occurrence.
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.
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.
5 A report must be made in accordance with the Guidelines.
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.
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.
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.
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.
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.
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.
All diseases specified in clause 4(c) of the Act
Crimean congo hemorrhagic fever
Influenza virus of pandemic potential
Marburg hemorrhagic fever
Rift Valley hemorrhagic fever
Viral hemorrhagic fevers- other
Acquired immunodeficiency syndrome (AIDS)
Acute flaccid paralysis (AFP)
Congenital rubella syndrome
Creutzfeld-Jakob disease - classic (CJD)
Creutzfeld-Jakob disease - new variant (vCJD)
Group A streptococcal disease invasive
Group B streptococcal disease of the newborn
Haemophilus influenzae type b (HIB) invasive disease
Hantavirus pulmonary syndrome (HPS)
Human Immunodeficiany [Immunodeficiency] Virus (HIV)
Influenza laboratory confirmed
Leprosy (Hansen’s disease)
Meningococcal disease invasive
Methicillin resistant staphylococcus aureus (MRSA)
Pneumococcal disease invasive
Shellfish poisoning (amnesic)
Shellfish poisoning (domoic)
Shellfish poisoning (paralytic)
Vancomycin resistant enterococcus (VRE)
Verotoxigenic escherichia coli infection
West Nile virus (WNv)
Adverse events following immunization (AEFI)
Reporting of Notifiable Diseases Regulations
N.S. Reg. 195/2005
Health Protection Act
Note: The information in these tables does not form part of the regulations and is compiled by the Office of the Registrar of Regulations for reference only.
The current consolidation of the Reporting of Notifiable Diseases and Conditions Regulations made under the Health Protection Act includes all of the following regulations:
How in force
Part II Issue
Nov 1, 2005
Oct 28, 2005
Aug 16, 2011
Aug 26, 2011
Apr 1, 2016
Mar 23, 2012
Mar 19, 2016
Feb 5, 2016
Nov 9, 2021
Dec 3, 2021
The following regulations are not yet in force and are not included in the current consolidation:
How in force
Part II Issue
*See subsection 3(6) of the Regulations Act for rules about in force dates of regulations.
Amendments by Provision
ad. = added
am. = amended
fc. = fee change
ra. = reassigned
rep. = repealed
rs. = repealed and substituted
Part I—Communicable Diseases, Dangerous diseases designated by regulation.......................................
Part I—Communicable Diseases, Other communicable
am. 62/2012, 13/2016, 146/2021
Part II—Non-communicable diseases and conditions................................
Note that changes to headings are not included in the above table.
Editorial Notes and Corrections
The reference in clause 2(3)(c) to the Private Career Colleges Regulation Act should be read as a reference to the Private Career Colleges Act in accordance with amendment to the title of the Act made by S.N.S. 2015, c. 25, s. 2.
May 11, 2015
The reference to the Day Care Act in the definition of “resident” in s. 2(2)(b) and in s. 10(2) should be read as a reference to the Early Learning and Child Care Act in accordance with an amendment to the title of the Act made by S.N.S. 2018, c. 33, s. 2, as proclaimed in force by N.S. Reg. 163/2020.
Oct 27, 2020
Repealed and Superseded
Note: Only regulations that are specifically repealed and replaced appear in this table. It may not reflect the entire history of regulations on this subject matter.