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report immediately Tularemia
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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 Tularemia

Confirmed Case: Clinically compatible signs and symptoms with:
a) isolation of Francisella tularensis from an appropriate clinical specimen 0r
b) a four-fold or greater increase in specific antibody or
c) a specific antibody titre of 1/160 or greater in one or more specimens or
d) positive fluorescent antibody tests on a clinical specimen
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