Reporting of Diseases and Conditions Regulation

Reporting of Diseases and Conditions Regulation, M.R. 37/2009 The Public Health Act , C.C.S.M. c. P210 Regulation 37/2009 Registered February 20, 2009 bilingual version (HTML) Table of Contents Section 1 Definitions 2-5 Reporting requirements for reportable diseases 6-8 Reporting of other diseases and conditions 9-10 Details about making reports under sections 2 to 8 11-14 Reporting requirements for zoonotic diseases 15-18 Details about making reports under sections 11 to 14 (zoonotic diseases) 19 Reporting when treatment refused 20-22 Duty to identify contacts 23 Coming into force Schedule A Diseases requiring contact notification B Reportable diseases (human and zoonotic) Definitions 1 The following definitions apply in this regulation. "Act" means The Public Health Act . («  Loi  ») "disease requiring contact notification" means a disease listed in Schedule A. (« maladie nécessitant une notification aux contacts ») "reportable disease" means a disease or condition listed in Schedule B. (« maladie à déclaration obligatoire ») REPORTING REQUIREMENTS FOR REPORTABLE DISEASES Reporting of reportable disease: laboratory 2 A person in charge of a laboratory must make a report respecting a reportable disease if the laboratory obtains a positive test result that (a) indicates infection by an infectious agent of the reportable disease; (b) indicates the presence of toxic products of an infectious agent of the reportable disease; or (c) shows any other indication that the reportable disease is present. Reporting of reportable disease: health professional 3 A health professional must make a report respecting a reportable disease in the following circumstances: (a) for a reportable disease marked with an asterisk in Schedule B, if the health professional becomes aware that a person (i) has or may have the reportable disease, or (ii) recently had or may have had the reportable disease; (b) for any other reportable disease, if the health professional (i) becomes aware that a person (A) has the reportable disease, or (B) recently had the reportable disease, and (ii) reasonably believes that the presence of the reportable disease will not be confirmed by a positive laboratory test. Reportable disease at death: health professional 4 A health professional treating a patient who dies must make a report respecting a reportable disease if the health professional reasonably believes that (a) the patient had the reportable disease at the time of death; or (b) the reportable disease contributed to the patient's death. Reportable disease: biopsy or autopsy 5 A person performing a biopsy or autopsy must make a report respecting a reportable disease if, in performing the biopsy or autopsy, the person finds evidence of a reportable disease. REPORTING OF OTHER DISEASES AND CONDITIONS Cancer, malignant neoplasms, and certain benign tumours 6 A health professional must, without delay after becoming aware that a person is suffering from cancer, a malignant neoplasm or a benign tumour of the brain or central nervous system, make a report about the disease or condition. M.R. 130/2016 Reporting of other diseases and conditions: health professional 7 If a health professional becomes aware that a person has a disease or condition that is potentially serious but is not otherwise reportable under this regulation, the health professional must make a report respecting it if the disease or condition (a) is occurring in a cluster or outbreak; or (b) has presented itself with unusual clinical manifestations. Reporting of unusual tests: laboratory 8 If a person in charge of a laboratory becomes aware of an unusual pattern of test results or test requests, relating to a potentially serious disease or condition that is not otherwise reportable under this regulation, the person must make a report respecting the disease or condition. DETAILS ABOUT MAKING REPORTS UNDER SECTIONS 2 TO 8 Making and submitting reports under section 2 9(1) A person in charge of a laboratory who is required to make a report under section 2 must do so by submitting the lab report in relation to the positive result for the reportable disease, containing the information set out in subsection (3), to the chief public health officer no later than the day, not including a Saturday or a holiday, after the day that the positive result is isolated and confirmed. Additional phone report required for specified reportable diseases 9(2) In addition to the requirements of subsection (1), the person in charge of the laboratory must also, within the same period, report the existence of the positive result by telephone to the chief public health officer, if it is a positive result for either of the following: (a) a reportable disease marked with a plus sign (+) in Schedule B; (b) a strain of Influenza A that the chief public health officer has specified in a protocol as requiring telephone reporting for the purpose of this provision due to the strain presenting a significant threat to public health. Information to be included in lab report 9(3) A lab report submitted under subsection (1) must, subject to subsection (4), include the following information: (a) the patient's name, address, date of birth and PHIN (as defined in The Personal Health Information Act ); (b) the name of the treating physician; (c) the date of the test and the test result. Exception for anonymous HIV testing 9(4) A lab report submitted under subsection (1) containing the result of an anonymous or non-nomial HIV test must not contain the information set out in clause (3)⁠(a). Making and submitting reports under sections 3 to 8 10 A report required under any of sections 3 to 8 must (a) be made in a form approved by the minister; and (b) be submitted to the person, and within the time, specified or otherwise referenced in the form. REPORTING REQUIREMENTS FOR ZOONOTIC DISEASES Reporting of zoonotic reportable disease: veterinarian, wildlife officer, etc. 11 A person who is (a) a veterinarian; (b) an officer appointed under The Wildlife Act or The Provincial Parks Act ; (c) an inspector appointed or designated under The Animal Diseases Act ; or (d) a wildlife biologist; must make a report respecting a zoonotic disease or condition that is a reportable disease if the person becomes aware that an animal has, or may have, the disease or condition. Reporting of zoonotic reportable disease: veterinary laboratory 12 A person in charge of a veterinary laboratory must make a report respecting a zoonotic disease or condition that is a reportable disease if the laboratory obtains (a) a positive test result for a reportable zoonotic disease or condition, including rabies; or (b) a negative test result for rabies. Reporting of other zoonotic diseases 13 If (a) a person in charge of a veterinary laboratory; (b) a veterinarian; (c) an officer appointed under The Wildlife Act or The Provincial Parks Act ; (d) an inspector appointed or designated under The Animal Diseases Act ; or (e) a wildlife biologist; becomes aware that an animal has, or may have, a disease or condition that presents a threat to public health but that is not otherwise reportable under this regulation, the person must make a report respecting the disease or condition. Reporting of zoonotic reportable disease: lab testing done outside Manitoba 14 If a laboratory test performed outside Manitoba on specimens taken from a Manitoba animal indicate (a) a positive test result for a reportable zoonotic disease or condition, including rabies; or (b) a negative test result for rabies; the person in Manitoba who receives the laboratory report containing the results must, in addition to any other reporting requirements that person may have under this regulation, provide a copy of the report to the director appointed for the purposes of The Animal Diseases Act. DETAILS ABOUT MAKING REPORTS UNDER SECTIONS 11 TO 14 (ZOONOTIC DISEASES) Definition 15 In sections 16 and 17, "director" means the director appointed for the purposes of The Animal Diseases Act . Written report under section 11 or clauses 13(b) to (e) — other than rabies 16(1) A person required to make a report under section 11 or clauses 13(b) to (e) — other than about rabies — must make a written report that (a) is in a form approved by the minister; (b) is submitted to the director within two days after the day upon which the person making the report became aware of the information that is the subject of the report; and (c) includes the following information: (i) the name of the disease or condition that the animal has or may have, if known, or a description of the symptoms, (ii) the name, address and contact information of the person, if any, who owns or has custody of the animal, (iii) the name, business address and contact information of the person making the report, (iv) the species of the animal, (v) whether the animal is wild, agricultural livestock, or is kept as a pet, hobby animal or otherwise, (vi) the last known location of the animal, (vii) whether more than one animal is showing symptoms of the disease or condition, and if so, how many. Written report under section 12 or clause 13(a) — other than rabies 16(2) A person in charge of a veterinary laboratory who is required to make a report under section 12 or clause 13(a) — other than about rabies — must submit to the director a report on the tests done in relation to the positive result for the disease or condition. The report must contain the information, and be submitted within the time, specified in subsection (3). Details and timing of report 16(3) A report under subsection (2) must be submitted to the director no later than the day, not including a Saturday or a holiday, after the day that the positive result is isolated and confirmed, and must include the following information: (a) the name, address and contact information of the person, if any, who owns or has custody of the animal; (b) the species of the animal; (c) the type of tests done, the date each test was done, and the results of each test. Director under The Animal Diseases Act to provide information 17 The director appointed for the purposes of The Animal Diseases Act is to provide the chief public health officer with information as to reports received under section 16 in accordance with a protocol approved by the chief public health officer. Reporting under section 11 or 12: rabies 18 A person required to make a report under section 11 or 12 about rabies must, as soon as practicable, by telephone or other means of electronic communication, report to a medical officer or a public health nurse, providing such information as the medical officer or public health nurse requests. REPORTING WHEN TREATMENT REFUSED Reporting when treatment refused 19 A health professional's report under subsection 42(1) of the Act must include the following information: (a) the name, last known address, PHIN (as defined in The Personal Health Information Act ), sex and age of the person who has refused or neglected to continue treatment; (b) contact information about the person as known to the health professional, including telephone numbers, places of employment, next of kin and any other information that may assist in locating the person; (c) the communicable disease with which the person is infected, and, if known, the date of diagnosis; (d) the circumstances of the person's refusal or neglect to continue treatment, including (i) the date the refusal or neglect began or occurred, and (ii) a description of the treatment the person had received before the refusal or neglect began or occurred; (e) the reasons for the health professional's belief that the person presents a threat to public health. DUTY TO IDENTIFY CONTACTS Identifying contacts 20(1) A health professional who diagnoses a person as being infected with a disease requiring contact notification must request the person to provide the health professional with information about the identity of other persons with whom he or she had, or may have had, sufficient contact to transfer the infection. Type of information to request 20(2) The phrase "information about the identity of other persons" in subsection (1) includes information under the categories specified in a form approved by the minister under section 22. Person must provide contact information 21 A person requested to provide information under subsection 20(1) must, to the best of his or her ability, provide that information. Manner in which a report must be made and submitted 22 Upon receiving information under section 21, a health professional, not including a medical officer or a public health nurse, must (a) make a report in a form approved by the minister; and (b) submit the report to the person, and within the time, specified or otherwise referenced in the form. COMING INTO FORCE Coming into force 23 This regulation comes into force on the same day that The Public Health Act , S.M. 2006, c. 14, comes into force. SCHEDULE A (Section 1) SCHEDULE B (Section 2)