Designation of Diseases — Ontario legislation

O. Reg. 135/18: DESIGNATION OF DISEASES"

e-Laws

O. Reg. 135/18: DESIGNATION OF DISEASES, Under: Health Protection and Promotion Act, R.S.O. 1990, c. H.7

Health Protection and Promotion Act

ONTARIO REGULATION 135/18

DESIGNATION OF DISEASES

Consolidation Period: From January 1, 2025 to the e-Laws currency date.

Last amendment: 500/24.

Legislative History: 8/20, 743/20, 461/22, 171/23, 323/23, 276/24, 500/24.

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.

15.1 Respiratory Syncytial Virus (RSV).

16. Rotavirus.

17. Rubella.

18. Smallpox.

19. Tetanus.

20. Travellers’ diarrhea.

21. Tuberculosis.

22. Typhoid Fever.

23. Varicella.

24. Yellow Fever.

25. Coronavirus disease 2019 (COVID-19). O. Reg. 135/18, s. 2; O. Reg. 743/20, s. 1; O. Reg. 323/23, s. 1; O. Reg. 276/24, 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
3.1	Anaplasmosis	No	No
4.	Anthrax	Yes	No
4.1	Babesiosis	No	No
5.	Blastomycosis	Yes	No
6.	Botulism	Yes	No
7.	Brucellosis	Yes	No
8.	Campylobacter enteritis	Yes	No
8.1	Candida auris infection	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
14.1	Coronavirus disease 2019 (COVID-19)	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) and Middle East Respiratory Syndrome (MERS)	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
49.1	Powassan virus	No	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

O. Reg. 135/18, Table; O. Reg. 8/20, s. 1; O. Reg. 743/20, s. 2; O. Reg. 461/22, s. 1; O. Reg. 171/23, s. 1; O. Reg. 276/24, s. 2; O. Reg. 500/24, s. 1.