Communicable Disease Management Protocols

Introduction:  Purpose of the Manual

The prevention, management and control of communicable diseases requires the active participation and cooperation of all health-care professionals and practitioners.

While this manual is intended to act as a guide to the management and control of communicable diseases within the Province of Manitoba, professional judgment will still be required by those charged with providing health care services.

Protocols for specific communicable diseases contain epidemiologic information with reference to provincial and national trends. Detailed information related to laboratory testing, treatment and public health investigation is included in the protocols and reflects best practices at the time of release. As advances in scientific knowledge and health care practices become available, our collective response to well established as well as newly identified and evolving pathogens must be routinely reviewed and updated. Although the Manual will be updated periodically, practitioners must take responsibility to ensure that they have the most recent knowledge relating to the case they are dealing with and, for that reason, a list of resources has been included below.

The most current versions of the following publications:

• Canadian Immunization Guide – Public Health Agency of Canada
• Control of Communicable Diseases Manual – American Public Health Association
• Principles and Practices of Infectious Diseases – Elsevier
• Redbook: Report of the Committee on Infectious Diseases - American Academy of Pediatrics

The following organizations:

• Infectious Diseases Society of America (Practice Guidelines)
• Public Health Agency of Canada
• UpToDate
• US Centers for Disease Control and Prevention
• US National Institutes of Health
• World Health Organization

Most recent additions:

	Biologics/Vaccine Order Form
	Chlamydia trachomatis (D through K Serovars) Infection (April 2008) NEW
	Enteric Illness Protocol (March 2008) NEW
	Gonorrhea (April 2008) NEW
	Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome (HIV/AIDS) (January 2008) NEW

Reportable Diseases and Conditions by Health Professionals (HP) and Labs (L)  (April 2009) NEW

Sexually Transmitted Infections Treatment Guidelines (April 2008) NEW

	The Public Health Act Reporting Powers and Requirements  (May 2008) NEW
	Travel (February 2008) NEW

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Table of Contents

Introduction

• Communicable Disease Surveillance
• Epidemiological Investigation of Outbreaks
• Control of Enteric Infections
• Reportable Diseases and Conditions by Health Professionals (HP) and Labs (L)  (April 2009) NEW
• Manitoba Provincial Outbreak Response Plan (ORP)
• The Public Health Act Reporting Powers and Requirements  (May 2008) NEW

Protocols:

Click on any of the underlined letters in the yellow bar to jump to a particular topic, or hit CTRL + F to search for a keyword.

Amebiasis (November 2001)

Anaphylactic Shock
         See:

Protocol for Management of Suspected Anaphylactic Shock (November 2007)

Anthrax (November 2001)

Antibiotic Resistant Organisms
         See:

	Manitoba Guidelines for the Prevention and Control of Antibiotic Resistant Organisms (AROs) (January 2007)
	Clostridium difficile-Associated Diseases (CDAD) (September 2006)

Blastomycosis (September 2007)
         See also:

	Blastomycosis (September 2007)
	La blastomycose (Septembre 2007)

Botulism (November 2001)

Brucellosis (November 2001)

Campylobacter Infection (November 2001)

Cervicitis (November 2001)

Chancroid (November 2001)

Children with Sexually Transmitted Diseases (STDs) (November 2001)

Chlamydia trachomatis (D through K Serovars) Infection (April 2008) NEW
         See also:

	Chlamydia – A Sexually Transmitted Infection (February 2001)
	La chlamydiose est une maladie transmissible sexuellement (février 2001)

Cholera (November 2001)

Clostridium difficile-Associated Diseases (CDAD) (September 2006)
         See also:

Clostridium difficile-Associated Diseases (CDAD) Infection Control Guidelines (September 2006)

Congenital/Neonatal H. Simplex Infection (November 2001)

Creutzfeldt-Jakob Disease (CJD) (November 2001)

Cryptosporidiosis (November 2001)
         See also:

	Cryptosporidium Infection (January 2006)
	Infection au Cryptosporidium (janvier 2006)

Cytomegalovirus Infection (November 2001)

Diphtheria (November 2001)
         See also:

	Td Vaccine to Prevent Tetanus and Diphtheria (October 2003)
	Le vaccin dT pour prévenir le Tétanos et la Diphtérie (octobre 2003)
	Tdap Vaccine:  Tetanus, Diphtheria, Acellular Pertussis (October 2003) (from Vaccine Preventable Disease site)

Enteric Illness Protocol (March 2008) NEW
         See also:

	Gastroenteritis (Gastro) (July 2008) NEW
	La gastroentérite (gastro) (juillet 2008) NOUVEAU

Genital Herpes (November 2001)

Giardiasis (November 2001)
         See also:

	Giardia Infection (June 2001)
	Infection à la Giardia (juin 2001)

Gonorrhea (April 2008) NEW
         See also:

	Gonorrhea – A Sexually Transmitted Infection (February 2001)
	La gonorrhée est une maladie transmissible sexuellement (février 2001)

Haemophilus influenzae Disease (October 2007)
         See also:

	HIB Vaccine to Prevent Haemophilus influenzae type b (March 2001)
	Vaccin contre l’Haemophilus influenzae de sérotype b (mars 2001)
	Haemophilus influenzae Disease
	Diptheria, Pertussis, Tetanus, Polio and Haemophilus influenzae type b (DaPTP-Hib) Vaccine (Nov 2007)
	Vaccin DCaTP-Hib pour prevénir la diphtérie, la coqueluche, le tétanos, la polio et l’haemophilus influenzae de type b (Novembre 2007)

Hantavirus Infection Pulmonary Syndrome (November 2001)
         See also:

	Hantavirus Infection (January 2006)
	Infection au hantavirus (janvier 2006)
	Hantavirus Infection Pulmonary Syndrome

Hepatitis A (November 2001)

Hepatitis B (November 2001)
         See also:

	Hepatitis B Vaccine (August 2005)
	L'immunisation contre l'hépatite B (août 2005)
	Hepatitis B and Your Baby  (from Fact Sheets for the Public) (March 2003)
	L'hépatite B et votre bébé (from Fact Sheets for the Public) (mars 2003)

Integrated Post-Exposure Protocol Guidelines for Managing Exposures to Blood/Body Fluids (November 2003)

Counselling Guidelines for Clients with Accidental Exposure to Blood or Body Fluids

Sexually Transmitted Infections and Bloodborne Pathogens

Hepatitis C (November 2001)
         See also:

Hepatitis C: Information for Physicians, Public Health Nurses and Other Health Professionals (October 2003)

Integrated Post-Exposure Protocol Guidelines for Managing Exposures to Blood/Body Fluids (November 2003)

Counselling Guidelines for Clients with Accidental Exposure to Blood or Body Fluids

Sexually Transmitted Infections and Bloodborne Pathogens

Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome (HIV/AIDS) (January 2008) NEW
         See also:

Information for Individuals Who May Have Been Exposed to HIV, the AIDS Virus (October 2003)

Integrated Post-Exposure Protocol Guidelines for Managing Exposures to Blood/Body Fluids (November 2003)

Counselling Guidelines for Clients with Accidental Exposure to Blood or Body Fluids

Sexually Transmitted Infections and Bloodborne Pathogens

Influenza (October 2006)
         See also:

	Influenza (The Flu) (September 2008)
	Renseignements sur la grippe (Septembre 2008)

Legionellosis (November 2001)

Leprosy (November 2001)

Listeriosis (November 2001)

Lyme Disease (November 2001)
         See also:

	Lyme Disease:  Information for Health Professionals (August 2003)
	Lyme Disease (April 2002)
	La maladie de Lyme (avril 2002)

Lymphogranuloma Venereum (LGV) (May 2007)

Malaria (November 2001)

Manitoba Immunization Schedules - Reference Guide for Public Health Professionals (December 2008)

Measles (Rubeola, Hard measles, Red measles, Morbilli) (November 2001)
         See also:

	Measles/Mumps/Rubella (MMR) (June 2005)
	Vaccin associé Rougeole-Oreillons-Rubéole (ROR) (juin 2005)

Meningococcal Invasive Disease (November 2003)
         See also:

	What You Should Know About Ciprofloxacin (or Cipro) (June 1998)
	Ce qu’il faut savoir au sujet de la ciprofloxacine (ou cipro) (juin 1998)
	Meningococcal Infections (including Meningitis) (March 2001)
	Infections à méningocoques (incluant la méningite) (Mars 2001)
	Meningococcal Conjugate C Vaccine (December 2005)
	Le vaccin antiméningococcique conjugué contre les méningococcies du groupe C (décembre 2005)
	Letter to Public Health Staff (revised December 2005)
	Important Notes on Rifampin (Also known as Rifadin, Rimactane, Rifampicin, Rofact) (February 1995)
	Meningococcal Rifampin Dosage Table (For children more than one (1) month and adults)
	Control and Prevention of Serogroup C Meningococcal Disease:  Evaluation and Management of Suspected Outbreaks:  Recommendations of the Advisory Committee on Immunization Practices (ACIP) (February 1997)

Methicillin and Vancomycin Resistant Staphylococcus aureus (MRSA/VRSA) Infection
         See:

Manitoba Guidelines for the Prevention and Control of Antibiotic Resistant Organisms (AROs) (January 2007)

Admission Screening Statement for MRSA and VRE for Acute Care Facilities and Surgical Centres NEW  January 2007

Molluscum Contagiosum (November 2001)

Mumps

Parvovirus B19 Infection (Fifth Disease) (November 2001)

Pediculosis (Head, Body or Crab Lice) (November 2001)
         See also:

	Head Lice Control Check List (February 2005)
	Liste de vérification en cas d’infestation de poux de tête (December 1998)
	Head Lice (February 2005)
	Poux de tête (septembre 1999)

Pertussis/Parapertussis (November 2007)
         See also:

	Diptheria, Pertussis, Tetanus, Polio and Haemophilus influenzae type b (DaPTP-Hib) Vaccine (Nov 2007)
	Vaccin DCaTP-Hib pour prevénir la diphtérie, la coqueluche, le tétanos, la polio et l’haemophilus influenzae de type b (Novembre 2007)
	DaPTP Vaccine to Prevent Diphtheria, Pertussis, Tetanus, Polio (March 2001)
	Le vaccin DCaTP pour prévenir la Diphtérie, la Coqueluche, le Tétanos et la Polio (Mars 2001)
	Tdap Vaccine:  Tetanus, Diphtheria, Acellular Pertussis (October 2003)
	Vaccin dTCa (diphtérie, tétanos et coqueluche acellulaire) (Octobre 2003)

Plague (November 2001)
         See also:

• Recommended Guidelines for Suspected Plague Cases at Winnipeg International Airport (September 1997)

Poliovirus Infections (November 2001)
         See also:

	DaPTP Vaccine to Prevent Diphtheria, Pertussis, Tetanus, Polio (March 2001)
	Le vaccin DCaTP pour prévenir la Diphtérie, la Coqueluche, le Tétanos et la Polio (Mars 2001)
	Diptheria, Pertussis, Tetanus, Polio and Haemophilus influenzae type b (DaPTP-Hib) Vaccine (Nov 2007)
	Vaccin DCaTP-Hib pour prevénir la diphtérie, la coqueluche, le tétanos, la polio et l’haemophilus influenzae de type b (Novembre 2007)
	OPV to IPV Conversion Schedule
	VPTO au VPTI calendrier adapté

Psittacosis (November 2001)

Rabies (November 2001)
         See also:

	Protocol for Management of Animal Exposures to Prevent Human Rabies (April 2006)
	Rabies Fact Sheet (April 2006)
	Collection and Shipping of Samples for Laboratory Testing for Rabies (April 1995)
	Phone Report of Possible Rabies Exposure

Respiratory Syncytial Virus Infection (RSV) (November 2001)

Rubella (German Measles) (November 2001)
         See also:

	Measles/Mumps/Rubella (MMR) (June 2005)
	Vaccin associé Rougeole-Oreillons-Rubéole (ROR) (juin 2005)
	Rubella Fact Sheet

Salmonellosis (Non-Typhoid) (May 2002)

Scabies (November 2001)

Sexually Transmitted Infections Treatment Guidelines (April 2008) NEW
         See also:

• STI Medication Order Form (April 2008) NEW

Sexually Transmitted Enteric Infections (November 2001)

Shigellosis (November 2001)

Staphylococcal Food Intoxication (November 2001)

Streptococcal Disease (Group A Invasive) (November 2007)
         See also:

	Information for Physicians on Invasive Group A Streptococcal Necrotizing Fasciitis, Necrotizing Myositis and Toxic Shock Syndrome (October 2000)
	Necrotizing Fasciitis (Flesh-eating Disease) (May 2001)
	Fasciite nécrosante (maladie dévoreuse de chair) (mai 2001)

Streptococcal (Group B) Disease of the Newborn (November 2001)

Streptococcus pneumoniae (Pneumococcus) Invasive Infections (November 2001)
         See also:

	Pneumococcal Conjugate Vaccine (PCV7) (August 2004)
	Vaccin antipneumococcique conjugué (VCP7) (août 2004)
	Pneumococcal Polysaccharide Vaccine PPV23 (August 2007)
	Le vaccin polysaccharidique antipneumococcique (PPV23) (août  2007)

Syphilis (August 2007)
         See also:

	Syphilis:  A Sexually Transmitted Infection
	Sexually Transmitted Infections and Bloodborne Pathogens

Tetanus (November 2001)
         See also:

	Td Vaccine to Prevent Tetanus and Diphtheria (October 2003)
	Le vaccin dT pour prévenir le Tétanos et la Diphtérie (octobre 2003)
	Tdap Vaccine:  Tetanus, Diphtheria, Acellular Pertussis
	Vaccin dTCa (diphtérie, tétanos et coqueluche acellulaire)

Toxoplasmosis (November 2001)

Travel (February 2008) NEW

Trichinosis (November 2001)

Tuberculosis (November 2001)
         See also:

	Tuberculosis (TB) (January 2006)
	Tuberculose (janvier 2006)

	Important Notes on Rifampin (Also known as Rifadin, Rimactane, Rifampicin, Rofact)
	Guidelines for Tuberculin Screening of Health Care Workers (Nov 2006)

Tularemia
         See:

Information for Health Care Professionals (October 2004)

Typhoid and Paratyphoid Fever (November 2001)

Urethritis (November 2001)

Vancomycin Resistant Enterococci (VRE)
         See:

Manitoba Guidelines for the Prevention and Control of Antibiotic Resistant Organisms (AROs) (January 2007)

Vancomycin Resistant Staphylococcus aureus
         See:

Manitoba Guidelines for the Prevention and Control of Antibiotic Resistant Organisms (AROs) (January 2007)

Varicella/Herpes Zoster (Chickenpox/Shingles) (November 2001)
         See also:

Varicella (Chickenpox) Vaccine (July 2006)

Verotoxigenic Escherichia coli (VTEC) Infection (May 2007)

Viral Meningitis/Encephalitis (November 2001)

West Nile virus Public Health Human Case Investigation Protocol (July 2006)

Yellow Fever (November 2001)

Yersiniosis (November 2001)

 

• Biologics/Vaccine Order Form
  July 2009
• Communicable Disease Control Investigation Form
• HIV/AIDS Case Report
• HIV Case Investigation Form for Nominal & Non-Nominal Positive Cases
  revised January 2008
• HIV Case Report Form for Anonymous Testing
  April 2008
• HIV Case Report Form for Rapid HIV Testing
  April 2008
• HIV Contact Notification Form
  December 2006
• Information Record:  HIV Post-Exposure Prophylaxis
  January 2006
• Instructions for STD Medication Administration Form
• Meningococcal Contact Form
  revised December 2005
• Notification of Sexually Transmitted Disease
• PEP Manitoba Health Order Form
  revised June 2007
• PEP WRHA Order Form
  revised June 2007
• Phone Report of Possible Rabies Exposure
• Outbreak Report
• Report of a Vaccine-Associated Adverse Event
• Report of Communicable Diseases
• STI Medication Order Form
  revised April 2008
• STI Medication Administration Form
  revised March 2009
• Viral Hepatitis Investigation Form (Hepatitis B and Hepatitis C)
• West Nile virus Public Health Human Case Investigation Short Form 2008
• West Nile virus Public Health Human Case Investigation Long Form 2008