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Diseases of Public Health Significance (DOPHS)

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Diseases of Public Health Significance (DOPHS)

Suspected or confirmed cases of the following specified Diseases (as per Ontario Regulation 135/18 and amendments under the Health Protection and Promotion Act, R.S.O. c.H.7) must be reported to the local Medical Officer of Health.

Contact the Communicable Disease Control Program; Monday to Friday 8:30 a.m. to 4:30 p.m.

Telephone: 705-474-1400 or 1-800-563-2808 ext. 5229;    Fax: 705-482-0670

After hours, weekends and holidays: Call 705-474-1400 then press 0 for Answering Service

Immediate Reporting 
Given the public health action associated with case and contact follow-up for some DOPHS, it is expected that the following be reported immediately by fax and telephone to the local Medical Officer of Health.
Anthrax Group A Streptococcal disease, invasive  Meningococcal disease, invasive
Botulism Haemophilus influenzae disease, all types, invasive  Plague
Brucellosis Hantavirus pulmonary syndrome  Poliomyelitis, acute 
Creutzfeldt-Jakob Disease, all types  Hemorrhagic fevers, including: Ebola, Marburg, Lassa fever, and other viral causes  Q Fever
Diphtheria  Hepatitis A, viral  Rabies 
Diseases caused by a novel coronavirus, including COVID-19, Severe Acute Respiratory Syndrome (SARS) and Middle East Respiratory Syndrome (MERS) Measles Smallpox and other Orthopoxviruses including Mpox
Report by next business day
It is expected that health care providers report to the local Medical Officer of Health as soon as possible, but preferably within one business day.
Acquired Immunodeficiency Syndrome (AIDS) Gastroenteritis, outbreaks in institutions and public hospitals Pneumococcal disease, invasive
Acute Flaccid Paralysis Giardiasis, except asymptomatic cases Psittacosis/Ornithosis 
Amebiasis Gonorrhea Respiratory infection outbreaks in institutions and public hospitals
Blastomycosis Group B Streptococcal disease, neonatal Rubella
Campylobacter enteritis Hepatitis B, viral Rubella, congenital syndrome
Carbapenemase-producing Enterobacteriaceae (CPE) infection or colonization Hepatitis C, viral Salmonellosis
Chancroid Influenza Shigellosis
Chickenpox (Varicella) Legionellosis Syphilis
Chlamydia trachomatis infections Leprosy Tetanus
Cholera Listeriosis Trichinosis
Clostridium difficile (CDI) outbreaks in public hospitals Lyme Disease Tuberculosis
Cryptosporidiosis Meningitis; acute, including: bacterial, viral and other Tularemia
Cyclosporiasis Mumps Typhoid fever
Echinococcus multiocularis infection Ophthalmia neonatorum Verotoxin-producing E.coli infection including Haemolytic Uraemic Syndrome (HUS)
Encephalitis, primary, viral Paralytic Shellfish Poisoning West Nile Virus Illness
Encephalitis, post-infectious; vaccine-related; subacute sclerosing panencephalitis; unspecified Paratyphoid Fever Yersiniosis
Food poisoning, all causes Pertussis (Whooping Cough)  

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