Plague
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The following specified Reportable Disease, (Ontario Regulation 559/91 and
amendments under the
Health Protection and Promotion Act, 1990) is to be reported to
the Local Medical Office of Health.
Note: Diseases marked
 and all respiratory infection outbreaks in institutions should be
reported
immediately to the Medical Officer of Health by telephone. Other diseases are to
be reported
the next working day.
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Surveillance Case Definition: Plague
Confirmed Case: Clinically compatible signs and symptoms with:
a) isolation or detection of Yersinia pestis from an appropriate
clinical specimen or
b) a four-fold or greater rise in serum antibody titre to Y. pestis or
c) a single high antibody titre > 1/256 to Y. pestis in the absence of
immunization or
d) demonstration of Y. pestis antigen in appropriate clinical specimens |
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