The Public Health Act R-073-2023 introduces amendments to the Disease Surveillance Regulations, initially established by regulation R-096-2009. These changes, effective from October 16, 2023, are designed to enhance disease tracking and reporting procedures, thereby strengthening public health response mechanisms. A key amendment is the formal definition of “outbreak,” which refers to an increase in disease cases above the expected rate. This definition establishes a clear framework for identifying when a public health response is necessary.

Health care professionals are now required to report any diagnosed notifiable disease to the Chief Public Health Officer (CPHO). The updated reporting criteria emphasize the need for comprehensive information, including the health professional’s identity and the nature of the disease. Notably, the language has been refined; “gender” is now referred to as “sex assigned at birth,” and “parent of the person” has been changed to “biological parent of the person,” reflecting a shift towards more precise terminology in health reporting.

Reports must be submitted within three months of diagnosis or opinion, using a format approved by the CPHO, ensuring timely communication and standardization across health care providers. Additionally, when health care professionals conduct notifiable tests, they are required to report results to the CPHO just like they would for disease diagnoses. Immediate reporting by telephone is mandated for certain critical diseases, with specific timelines for subsequent written reports based on disease classification—24 hours for severe cases and up to seven days for less critical ones.

Health facility administrators have a responsibility to ensure that information regarding reportable diseases is communicated to the CPHO. They must take necessary actions if health care professionals are unable to report directly, ensuring that public health is prioritized. Furthermore, health care professionals who perform or interpret diagnostic tests are required to report results that suggest a reportable disease. This protocol mandates immediate notification for serious diseases, followed by detailed reporting within a specified timeframe.

By clarifying definitions and improving reporting protocols, these regulations aim to create a more responsive health system capable of effectively managing outbreaks and public health threats. The shift toward precise terminology highlights an awareness of the evolving nature of health data and the importance of accuracy and inclusivity in reporting. These changes are expected to facilitate better communication between health care providers and public health authorities, ultimately leading to improved disease management and prevention strategies.

By mandating clearer reporting practices and establishing specific timelines for communication, these regulations aim to enhance the response to infectious diseases and improve overall health outcomes in the community.

Northwest Territories (R-073-2023) October 30, 2023