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report immediately Poliomyelitis, acute
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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: Poliomyelitis, acute

Confirmed Case - Clinically compatible signs and symptoms including acute flaccid paralysis of one or more limbs, decreased or absent deep tendon reflexes on the affected limb(s), no sensory or cognitive loss, neurologic deficit present 60 days after onset of initial symptoms unless patient has died, no other apparent cause, and
(a)isolation of vaccine or wild poliovirus from a clinical specimen (e.g., stool*, CSF) or
(b)a four-fold rise in antibody titre to poliovirus.

NOTE: Cultures of stool from at least two specimens collected within the first 15 days after onset of symptoms represents the diagnostic test for confirming polio.
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