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Alert Date: 
Thursday, May 3, 2018 - 9:00am
Location: 
Ontario

Ministry of Health and Long-Term Care
Population and Public Health Division

There are new and updated reporting requirements under the Health Protection and Promotion Act.  We would like to take this opportunity to share a communication to health care providers from the Ministry of Health and Long-Term Care.

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New and updated reporting requirements under the Health Protection and Promotion Act

Dear Health Care Provider,

As you may be aware, changes were made to the Health Protection and Promotion Act (HPPA) and its regulations for reportable events following immunization (or adverse events following immunizations (AEFIs)) and reporting Diseases of Public Health Significance, formerly known as the Ontario Reportable Disease List. The updated HPPA and its regulations, including Regulation 569 and Regulation 135/18 (Designation of Diseases) are available at: https://www.ontario.ca/laws/statute/90h07. Changes were made in order to modernize and update requirements to better reflect current evidence and practice for public health programs and services.

What this means for you:

There are changes for health care providers related to the reporting of AEFIs and Diseases of Public Health Significance. Some of the changes came into effect January 1, 2018 and some will be in effect as of May 1, 2018.

Change to the HPPA

What’s new and updated

What does it mean for you?

Reportable events following immunization (or adverse events following immunizations (AEFIs))

Updated list of immunizing agents.

(In effect May 1, 2018)

Health care providers must now report AEFIs for all vaccines authorized for use in Canada.

Updated list of health care providers required to report.

(In effect May 1, 2018)

All health care providers who immunize must now report AEFIs.

Updated AEFI reporting elements.

(In effect January 1, 2018)

AEFI reports must also include the following data elements:

  • The name and address of the facility where the reportable event was attended to (which may include, but is not limited to, a hospital, clinic, physician office or long-term care home), the date seen and the name and address of the person who reported the AEFI
  • All vaccines received prior to and potentially associated with the AEFI

See Regulation 569 for the complete list of elements.

These changes reinforce the Ministry of Health and Long-Term Care’s commitment to Immunization 2020, and also support the government’s Patients First: Action Plan for Health Care by providing Ontarians the information they need to make informed decisions and enabling a sustainable health care system.

In addition, in order to streamline and provide clarity on disease designation (reportable, communicable, virulent), a single regulation assigning all disease designations was created in the Designation of Diseases Regulation. It includes a list of Diseases of Public Health Significance that has been updated to reflect current public health priorities.

Change to the HPPA

What’s new and updated

What does it mean for you?

Diseases of Public Health Significance

New consolidated list of regulations into one regulation which clearly outlines what diseases are designated as communicable, virulent and diseases of public health significance (formerly reportable disease).

(In effect May 1, 2018)

The table of diseases that are reported to Medical Officers of Health are located in one regulation.

Updated list of disease reported to Medical Officers of Health

(In effect May 1, 2018)

The following diseases are added:

  • Carbapenamase-producing Enterobacteriaceae (CPE), colonization or infection
  • Blastomycosis
  • Echinoccoccus multilocularis infection

The following diseases are removed:

  • Yellow Fever
  • Malaria

The following diseases have changes:

  • “Haemophilus influenzae b disease, invasive” changed to “Haemophilus influenza disease all types, invasive”

Respiratory infection and gastroenteritis outbreaks in institutions includes outbreaks in public hospitals

The ministry is working with your local public health unit who will assist you in meeting these new requirements.