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Health Protection and Promotion Act

ONTARIO REGULATION 135/18

DESIGNATION OF DISEASES

Historical version for the period December 11, 2020 to June 15, 2022.

Last amendment: 743/20.

Legislative History: 8/20, 743/20.

This is the English version of a bilingual regulation.

Designated diseases

1. For the purposes of the Act, a disease set out in Column 1 of the Table is designated as a disease of public health significance and,

(a)  a communicable disease, if it is identified as such in Column 2 of the Table; and

(b)  a virulent disease, if it is identified as such in Column 3 of the Table.

Diseases against which immunizing agents are used

2. The following diseases are specified as diseases for the purposes of the definition of “immunizing agent” in subsection 38 (1) of the Act:

1.  Diphtheria.

2.  Haemophilus influenzae b.

3.  Hepatitis A.

4.  Hepatitis B.

5.  Herpes Zoster.

6.  Human Papillomavirus.

7.  Influenza.

8.  Japanese encephalitis.

9.  Measles.

10.  Meningococcal.

11.  Mumps.

12.  Pertussis.

13.  Pneumococcal.

14.  Poliomyelitis.

15.  Rabies.

16.  Rotavirus.

17.  Rubella.

18.  Smallpox.

19.  Tetanus.

20.  Travellers’ diarrhea.

21.  Tuberculosis.

22.  Typhoid Fever.

23.  Varicella.

24.  Yellow Fever.

25.  Diseases caused by a novel coronavirus, including Severe Acute Respiratory Syndrome (SARS), Middle East Respiratory Syndrome (MERS) and coronavirus disease (COVID-19). O. Reg. 135/18, s. 2; O. Reg. 743/20, s. 1.

3. Omitted (revokes other Regulations).

4. Omitted (provides for coming into force of provisions of this Regulation).

Table
Designated Diseases

Item

Column 1
Diseases of public health significance

Column 2
Whether the disease is a communicable disease

Column 3
Whether the disease is a virulent disease

1.

Acquired Immunodeficiency Syndrome (AIDS)

Yes

No

2.

Acute Flaccid Paralysis

No

No

3.

Amebiasis

Yes

No

4.

Anthrax

Yes

No

5.

Blastomycosis

Yes

No

6.

Botulism

Yes

No

7.

Brucellosis

Yes

No

8.

Campylobacter enteritis

Yes

No

9.

Carbapenemase-producing Enterobacteriaceae (CPE) infection or colonization

Yes

No

10.

Chancroid

Yes

No

11.

Chickenpox (Varicella)

Yes

No

12.

Chlamydia trachomatis infections

Yes

No

13.

Cholera

Yes

Yes

14.

Clostridium difficile infection (CDI) outbreaks in public hospitals

Yes

No

15.

Creutzfeldt-Jakob Disease, all types

Yes

No

16.

Cryptosporidiosis

Yes

No

17.

Cyclosporiasis

Yes

No

18.

Diphtheria

Yes

Yes

18.1

Diseases caused by a novel coronavirus, including Severe Acute Respiratory Syndrome (SARS), Middle East Respiratory Syndrome (MERS) and coronavirus disease (COVID-19)

Yes

No

19.

Echinococcus multilocularis infection

Yes

No

20.

Encephalitis, primary, viral

Yes

No

21.

Encephalitis, post-infectious, vaccine-related, subacute sclerosing panencephalitis, unspecified

No

No

22.

Food poisoning, all causes

Yes

No

23.

Gastroenteritis, outbreaks in institutions and public hospitals

Yes

No

24.

Giardiasis, except asymptomatic cases

Yes

No

25.

Gonorrhoea

Yes

Yes

26.

Group A Streptococcal disease, invasive

Yes

No

27.

Group B Streptococcal disease, neonatal

No

No

28.

Haemophilus influenzae disease, all types, invasive

Yes

No

29.

Hantavirus pulmonary syndrome

Yes

No

30.

Hemorrhagic fevers, including: Ebola virus disease, Marburg virus disease, Lassa fever, and other viral causes

Yes

Yes

31.

Hepatitis A, viral

Yes

No

32.

Hepatitis B, viral

Yes

No

33.

Hepatitis C, viral

Yes

No

34.

Influenza

Yes

No

35.

Legionellosis

Yes

No

36.

Leprosy

Yes

Yes

37.

Listeriosis

Yes

No

38.

Lyme Disease

No

No

39.

Measles

Yes

No

40.

Meningitis, acute, including: bacterial, viral and other

Yes

No

41.

Meningococcal disease, invasive

Yes

No

42.

Mumps

Yes

No

43.

Ophthalmia neonatorum

No

No

44.

Paralytic Shellfish Poisoning

Yes

No

45.

Paratyphoid Fever

Yes

No

46.

Pertussis (Whooping Cough)

Yes

No

47.

Plague

Yes

Yes

48.

Pneumococcal disease, invasive

Yes

No

49.

Poliomyelitis, acute

Yes

No

50.

Psittacosis/Ornithosis

Yes

No

51.

Q Fever

Yes

No

52.

Rabies

Yes

No

53.

Respiratory infection outbreaks in institutions and public hospitals

Yes

No

54.

Rubella

Yes

No

55.

Rubella, congenital syndrome

Yes

No

56.

Salmonellosis

Yes

No

57.

Revoked: O. Reg. 8/20, s. 1 (2).

58.

Shigellosis

Yes

No

59.

Smallpox

Yes

Yes

60.

Syphilis

Yes

Yes

61.

Tetanus

Yes

No

62.

Trichinosis

Yes

No

63.

Tuberculosis

Yes

Yes

64.

Tularemia

Yes

No

65.

Typhoid Fever

Yes

No

66.

Verotoxin-producing E. coli infection, including Haemolytic Uraemic Syndrome (HUS)

Yes

No

67.

West Nile Virus Illness

No

No

68.

Yersiniosis

Yes

No

O. Reg. 135/18, Table; O. Reg. 8/20, s. 1; O. Reg. 743/20, s. 2.