Immediate (Regardless of time of day)
Criteria for immediate reporting:

• Possible link to bioterrorism
• Disease with high morbidity and mortality
• Unusual diseases for Peterborough County and City
  
  

• Anthrax
• Botulism
• Diphtheria
• Food poisoning clusters (illness in more than one family)
• Hemorrhagic Fever (Ebola, Marburg, other viral)

• Lassa Fever
• Measles
• Plague
• Rabies
• Severe Acute Respiratory Syndrome (SARS)
• Smallpox
• Tularemia

Report Same Business Day or During A Weekend/ Holiday
(between 6:00 am and 11:00 pm)
Criteria for emergency reporting on weekends:  Public health measures may need to be taken quickly (ie. investigation of source, control of spread, immunizations, prophylaxis of contacts)
Criteria for reporting suspect cases (in absence of lab result):  High morbidity/ mortality AND time constraints on prophylaxis/immunization OR need to identify source quickly

• Animal bite or scratch from any mammal (domestic or wild)
• Brucellosis
• Campylobacter enteritis
• Cholera
• Clostridium difficile outbreaks in hospitals
• Cryptosporidiosis
• Cyclosporiasis
• E.coli O157 (Verotoxin-producing, including Hemolytic Uremic Syndrome)
• Encephalitis (primary-viral, post-infectious, vaccine-related, subacute sclerosing panencephalitis, unspecified)
• Food poisoning (all causes)
• Gastroenteritis – institutional outbreaks
• Giardiasis (except asymptomatic cases)
• Haemophilus influenza b disease, invasive
• Hepatitis A
• Hepatitis B
• Influenza (institutional)
• Legionellosis
• Leprosy

• Listeriosis
• Malaria
• Meningitis, acute (bacterial, viral, other)
• Meningococcal Disease, invasive
• Mumps
• Paratyphoid Fever
• Pertussis (Whooping Cough)
• Poliomyelitis, acute
• Respiratory institutional outbreaks
• Rubella & Congenital Rubella Syndrome
• Salmonellosis
• Shigellosis
• Streptococcal Disease, Group A invasive
• Tuberculosis
• Tetanus
• Transmissible Spongiform Encephalopathy (Creutzfeldt-Jakob Disease (all types), Gerstmann-Straussler-Scheinker Syndrome, Fatal Familial Insomnia, Kuru)
• Typhoid
• West Nile Virus Illness
• Yellow Fever
• Yersiniosis

Report Next Business Day

• Acquired Immunodeficiency Syndrome
• Amebiasis
• Chancroid
• Chickenpox (Varicella)
• Chlamydia trachomatis infections
• Cytomegalovirus infection, congenital
• Gonorrhea
• Hantavirus pulmonary syndrome
• Hepatitis C
• Hepatitis D (Delta)

• Herpes (neonatal)
• Influenza (community case)
• Lyme Disease
• Ophthalmia neonatorum
• Psittacosis/ Ornithosis
• Q Fever
• Streptococcal disease, Group B neonatal
• Pneumococcal disease, invasive
• Syphilis
• Trichinosis