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O. Reg. 135/18: DESIGNATION OF DISEASES
under Health Protection and Promotion Act, R.S.O. 1990, c. H.7
Skip to contentHealth Protection and Promotion Act
DESIGNATION OF DISEASES
Historical version for the period June 23, 2023 to June 30, 2023.
Last amendment: 171/23.
Legislative History: 8/20, 743/20, 461/22, 171/23.
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 |
Column 2 |
Column 3 |
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 and other orthopoxviruses, including monkeypox |
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 |
Note: On July 1, 2023, the Table to the Regulation is amended by adding the following items: (See: O. Reg. 171/23, s. 1)
3.1 |
Anaplasmosis |
No |
No |
. . . . .
4.1 |
Babesiosis |
No |
No |
. . . . .
49.1 |
Powassan virus |
No |
No |
O. Reg. 135/18, Table; O. Reg. 8/20, s. 1; O. Reg. 743/20, s. 2; O. Reg. 461/22, s. 1.