Regulation - Minister

Proposed amendments to the regulation specifying the list of Reportable Diseases under the Health Protection and Promotion Act (HPPA)

Regulation Number(s):
Instrument Type:
Regulation - Minister
Bill or Act:
Health Protection and Promotion Act
Summary of Decision:
Made: October 9, 2013
Filed: December 4, 2013
Published on e-Laws: December 4, 2013
Printed in The Ontario Gazette: December 21, 2013
Analysis of Regulatory Impact:
No new administrative cost for business.
Further Information:
Proposal Number:
Posting Date:
July 8, 2013
Summary of Proposal:
The Ontario Reportable Disease List (ORDL) requires periodic review and updating in order to ensure provincial alignment with national disease reporting requirements, as well as changing disease patterns and the (re-)emergence of new or existing diseases. The Provincial Infectious Diseases Advisory Committee has reviewed the current ORDL and has recommended the addition of two diseases and six others be removed.

On the basis of these recommendations, the ministry is proposing to:

1. Add the following two diseases (which are currently on the National Notifiable Disease List (NNDL) but not on the ORDL) to the ORDL:
Acute Flaccid Paralysis
Paralytic Shellfish Poisoning
This will improve the alignment of the ORDL with the NNDL, enabling Ontario to better meet its federal disease reporting obligations

2. Remove the following six diseases (none of which are on the NNDL) from the ORDL:
Cytomegalovirus infection, congenital
Neonatal herpes
Hepatitis D (Delta hepatitis)
Transmissible Spongiform Encephalopathies,
Fatal Familial Insomnia
Gerstmann-Straussler-Scheinker Syndrome
*but not remove Creutzfeldt-Jakob Disease, all types, from the ORDL

These diseases have little or no significant outbreak risk, and require no public health follow-up or interventions following detection of a case.

The implementation of these changes to the Ontario Reportable Disease List will not require any additional public health resources, funding or capacity.
Contact Address:
Monica Fung Infectious Diseases Policy & Programs Section
Ministry of Health and Long-Term Care
393 University Ave., 21st Floor Toronto, ON M7A 2S1

Effective Date:
December 4, 2013