Laboratory Reporting Reference Updated January 2020

Report to MOH Report to CMOH Report to MOH Report to CMOH Disease / Pathogen Disease / Pathogen (or Designate) (or Designate) (or Designate) (or Designate) Aeromonas (Stool only) 48 48 Lymphogranuloma Venereum 48 to STI Director 48 Amoebiasis 48 48 Malaria 48 48 Anthrax FMP 48 Measles FMP 48 Arboviral Infections1 48 48 Meningococcal Disease, Invasive FMP 48 Bacillus cereus (Only stool or implicated food) 48 48 Methicillin Resistant Staphylococcus Aureus N/A 48 Botulism FMP 48 Mumps 48 48 Brucellosis 48 48 Norovirus 48 48 Campylobacteriosis 48 48 Paratyphoid Fever (Salmonella paratyphi A, B or C) FMP 48 Carbapenemase-Producing Organisms 48 48 Pertussis 48 48 Cerebrospinal Fluid Isolates N/A 48 Plague FMP 48 Chancroid 48 to STI Director 48 Pneumococcal Disease, Invasive (Streptococcus pneumoniae) 48 48 Chlamydia 48 to STI Director 48 Poliomyelitis FMP FMP Cholera (O1, O139) FMP 48 Psittacosis 48 48 Clostridium difficile – Associated Infection 48 48 Q fever 48 48 Clostridium perfringens (Only stool or implicated food) 48 48 Rabies FMP 48 Coronavirus, MERS/SARS FMP FMP Rare/Emerging Communicable Diseases2 FMP FMP Coronavirus, Novel FMP FMP Respiratory Syncytial Virus 48 48 Corynebacterium (C. Ulcerans or C. pseudotuberculosis) N/A 48 Rickettsial Infections (Spotted Fevers) 48 48 Creutzfeldt-Jakob disease (Includes 14-3-3 protein) 48 48 Rotavirus 48 48 Cryptosporidiosis 48 48 Rubella (Includes congenital) 48 48 Cyclosporiasis 48 48 Salmonellosis (Excludes paratyphi & typhi) 48 48 Cytomegalovirus, Congenital 48 48 Shellfish Poisoning (Saxitoxin or domoic acid toxin – CFIA test) FMP 48 Dengue 48 48 Shigellosis 48 48 Diphtheria FMP 48 Smallpox FMP FMP Echincooccosis (Alveolar) 48 48 Staphylococcal Intoxication 48 48 Escherichia coli (Verotoxigenic) 48 48 Streptococcal Disease, Invasive - Group A (Streptococcus pyogenes) FMP 48 Enterovirus D68 48 48 Streptococcal Disease - Group B of the Newborn 48 48 Flavivirus (Other) 48 48 Syphilis (Includes congenital) 48 to STI Director 48 Giardiasis 48 48 Tetanus 48 48 Gonorrhea 48 to STI Director 48 Toxoplasmosis, Congenital 48 48 Haemophilus Influenzae, Invasive (Non serotype b) 48 48 Trichinosis 48 48 Haemophilus Influenzae, Invasive (Serotype b) FMP 48 Tuberculosis FMP to TB On-call 48 Hantavirus 48 48 Tularemia 48 48 Herpes Simplex, Neonatal 48 48 Typhoid Fever FMP 48 Hepatitis A FMP 48 Vancomycin Resistant Enterococcus N/A 48 Hepatitis B 48 48 Varicella (Varicella zoster virus) 48 48 Hepatitis C 48 48 Vibrio cholerae (Non-O1, non-O139) 48 48 Hepatitis E 48 48 Vibrio parahaemolyticus 48 48 Histoplasmosis 48 48 Viral Haemorrhagic Fever3 FMP FMP Human Immunodeficiency Virus 48 to STI Director 48 West Nile Virus 48 48 Influenza, Novel FMP FMP Yellow Fever 48 48 Influenza, Seasonal 48 48 Yersiniosis (Yersinia spp. except pesits) 48 48 Legionellosis 48 48 Zika Virus 48 48 Leprosy 48 48 Listeriosis (Includes congenital) 48 48 MOH = Medical Officer of Health FMP = Fastest Means Possible Lyme Disease 48 48 CMOH = Chief Medical Officer of Health 48 = Within 48 Hours4 STI = Sexually Transmitted Infection 1 Superseded Including but not limited to Chikungunya, Eastern Equine Encephalitis, Jamestown Canyon Encephalitis, Japanese Encephalitis, Powassan Encephalitis, St. Louis Encephalitis, Snowshoe Hare Virus, Western Equine Encephalitis 2Rare or unexpected illnesses or health conditions, caused by a nuisance or potential threat to the public health, &/or with capacity for rapid transmission & not otherwise notifiable or under surveillance. 3Including but not limited to Argentine Haemorrhagic Fever, Crimean Congo Haemorrhagic Fever, Ebola Virus, Lassa Fever, Marburg Haemorrhagic Fever, Rift Valley Hemorrhagic Fever 4When the time limit expires on a Saturday or Sunday, reporting is accepted on the following business day.