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Winnipeg Regional Health Authority Infection Prevention & Control Manual WRHA Infection Prevention & Control Program Operational Directives Reporting of a Communicable Disease to Manitoba Health by Infection Prevention & Control in Hospitals Approval Signature: Supercedes: New Date of Approval: February 2009 Review Date: 1. PURPOSE: To ensure consistency with requirements as outlined in the Diseases and Dead Bodies Regulation of the Public Health Act (P210 – R.M. 338/88R) for Infection Prevention & Control reporting of Communicable Diseases in WRHA hospitals. 2. DEFINITIONS: 2.1 Communicable Disease: According to the Regulation (P210 – R.M. 338/88R), a communicable disease is “an illness due to a specific infectious agent or its toxic products which arises through transmission of that agent or its products from a reservoir to a susceptible host either directly as from an infected person or animal, or indirectly through the agency of an intermediate plant or animal host, a vector or the inanimate environment”. The term communicable disease is synonymous with contagious disease or infectious disease. 2.2 Health Professional (HP) Reportable Disease: Communicable diseases reportable to Manitoba Health by a duly qualified Practitioner or a Registered Nurse, as listed on the CDC website noted in 5.1. 2.3 Outbreak: The occurrence in a facility/unit of cases of an illness with a frequency clearly in excess of normal expectancy. The number of cases indicating presence of an outbreak will vary according to the infectious agent, size and type of population exposed, previous experience or lack of exposure to the disease, and time and place of occurrence. Therefore, the status of an outbreak is relative to the usual frequency of the disease in the same facility/unit, among the same population, at the same season of the year. 3.37 DATE ISSUED: January 7, 2010 REVISION DATE: Page 1 of 5 Winnipeg Regional Health Authority Infection Prevention & Control Manual 3. OPERATIONAL DIRECTIVES: 3.1 The health professional, a duly qualified Physician, Registered Nurse, Infection Control Practitioner/designate and/or the Laboratory are responsible for reporting a Communicable Disease. 3.1.1 Some organisms/communicable diseases are reportable by both the laboratory and a health professional. Some only require reporting from the laboratory. Refer to the List of Diseases Reportable by Health Professionals (HP) and Laboratory (L) for a complete list with associated reporting responsibilities. 3.1.2 In hospitals, ICP’s do not report outpatient sexually transmitted infections, as this is the responsibility of the attending physician/designate. In patient sexually transmitted infections are reported by the ICP unless the site has arranged an alternative process. 3.2 Communicable Diseases, as listed by the Province of Manitoba Public Health Department shall be reported to the Manitoba Health Director of Communicable Disease Control fax: (204) 948-3044. 4. PROCEDURE: 4.1 The health professional/designate shall refer to the List of Diseases Reportable by Health Professionals (HP) and Laboratory (L). This is available on the Manitoba Health, CDC Website: http://www.gov.mb.ca/health/publichealth/cdc/fs/reportable.pdf and the Manitoba Health Communicable Disease Management Protocol Manual. It is used to determine if a disease is reportable and for a guide to the management and control of a Communicable Disease. 4.2 All health professional (HP) reportable diseases listed above shall be reported to the Director, Manitoba Health Communicable Disease Control within four days of the health professional becoming aware of the diseases. 4.2.1 A Communicable Disease not specifically named in the regulation is reported within 24 hours if: The disease is occurring in an outbreak. Further cases are amenable to prevention. The disease is common but presents with unusual manifestations or; The disease is potentially serious. 4.2.2 If a disease listed in Appendix A is identified by an asterisk (*), the report shall be made as soon as possible by fax: (204) 948-3044 AND telephone: (204) 788-6736 during the day. After hours fax: (204) 948-3044 AND telephone: (204) 788-8666, or similar means of communication deemed acceptable by the Director. 3.38 DATE ISSUED: January 7, 2010 REVISION DATE: Winnipeg Regional Health Authority Infection Prevention & Control Manual 4.3 In the case of an outbreak, the ICP or designate shall: 4.3.1 Complete the Outbreak Report Initial Assessment, Manitoba Health form, Appendix A located on Manitoba Health, CDC Website: http://www.gov.mb.ca/health/publichealth/cdc/protocol/form10.pdf 4.3.2 Fax this to the Director, Manitoba Health Communicable Disease Control, (204) 948-3044 4.3.3 Notify the Program Director, WRHA Infection Prevention & Control of the Outbreak Report Initial Assessment 4.3.4 Refer to WRHA Policy, Outbreak Management for Infection Prevention & Control No. ___. 4.4 In the case of outbreaks of the following diseases, reporting shall occur within four days of becoming aware, by number of cases or percentages: Chickenpox Impetigo Influenza Like Illness Pediculosis Ringworm Scabies 4.5 At the completion of an outbreak the ICP or designate shall: 4.5.1 Complete the Outbreak Report – Final, Manitoba Health form, Appendix B located on Manitoba Health, CDC Website: http://www.gov.mb.ca/health/publichealth/cdc/protocol/form10.pdf 4.5.2 Fax the completed form to the Director, Manitoba Health Communicable Disease Control, (204) 948-3044 4.5.3 Notify the Program Director, WRHA Infection Prevention & Control of the Outbreak Report - Final 4.5.4 Refer to WRHA Policy for Outbreak Management for Infection Prevention & Control No. 90.00.090. 5. REFERENCES: 5.1 Manitoba Health Communicable Disease Control – Diseases Reportable by Health Professionals (HP) and Laboratories (L). February 2000. http://www.gov.mb.ca/health/publichealth/cdc/fs/reportable.pdf 5.2 Manitoba Health Public Health Communicable Disease Control Unit Communicable Disease Management Protocol Manual March 2002. http://www.gov.mb.ca/health/publichealth/cdc/protocol/index.html 5.3 Public Health Act Diseases and Dead Bodies Regulations. August 29, 1988. Manitoba Health Public Health Communicable Disease Control Unit Communicable Disease Management Protocol Manual website: http://www.gov.mb.ca/health/publichealth/cdc/protocol/regulation.pdf 5.4 WRHA PCH Infection Prevention & Control Program. Reporting Communicable Diseases to Manitoba Health Policy/Procedure. February 2004. 3.39 DATE ISSUED: January 7, 2010 REVISION DATE: Winnipeg Regional Health Authority Infection Prevention & Control Manual Appendix A 3.40 DATE ISSUED: January 7, 2010 REVISION DATE: Winnipeg Regional Health Authority Infection Prevention & Control Manual Appendix B 3.41 DATE ISSUED: January 7, 2010 REVISION DATE: