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Doenças de notificação obrigatória

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Inglaterra1

Registered medical practitioners have a statutory duty to notify the 'proper officer' at their local council or local health protection team (HPT) of suspected cases of notifiable diseases. They must:

  • Complete a notification form immediately on diagnosis of a suspected notifiable disease. They should not wait for laboratory confirmation of a suspected infection or contamination before notification.

  • Send the form securely to the proper officer within three days, or notify them verbally within 24 hours if the case is urgent.

If a registered medical practitioner becomes aware, or suspects, that a patient whom they are attending within the district of a local authority is suffering from a notifiable disease, they shall forthwith send to the proper officer of the local authority for the district a certificate stating:

  • The name, age and sex of the patient and the address where the patient is.

  • The disease and the date, or approximate date, of its onset.

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  • All registered medical practitioners must notify their health board if they have a reasonable suspicion that a patient whom they are attending has a notifiable disease. They should not wait until laboratory confirmation of the suspected disease before notification.

  • Practitioners must notify their health board, electronically via the Scottish Care Information (SCI) Gateway, within three days of suspicion.

  • If the practitioner deems the case to be 'urgent', notification should take place by telephone as soon as reasonably practicable. All urgent oral notifications must be followed up, in writing, within three days of suspicion.

  • Regulations require that a registered medical practitioner notify the proper officer of the relevant local authority if a patient they are attending is believed to have a notifiable disease.

  • The notification must be made in writing to the proper officer within three days of the medical practitioner suspecting that the patient fulfils one of the above criteria. However, if the medical practitioner considers that the case is urgent, notification must be provided orally as soon as is reasonably practical.

Notification of the infectious diseases (as in the table below) is required by GPs in the UK.

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Inglaterra5

Irlanda do Norte2

Scotland 3

País de Gales6

Antraz

Antraz

Antraz

Antraz

Botulismo

Botulismo

Botulismo

Brucelose

Brucelose

Brucelose

Catapora

Cólera

Cólera

Cólera

Cólera

COVID-19

COVID-19

COVID-19

COVID-19

Diphtheria

Diphtheria

Diphtheria

Diphtheria

Disenteria

Encefalite e meningite

Encephalitis and meningitis

Encephalitis and meningitis

Enteric fever (typhoid or paratyphoid fever)

Enteric fever (typhoid or paratyphoid fever)

Enteric fever (typhoid or paratyphoid fever)

Enteric fever (typhoid or paratyphoid fever)

Escherichia coli O157 infection (Clinical syndrome due to this)

Intoxicação alimentar

Intoxicação alimentar

Intoxicação alimentar

Gastroenteritis (<2 years)

Síndrome hemolítico-urêmica

Síndrome hemolítico-urêmica

Síndrome hemolítico-urêmica

Haemophilus influenzae tipo b

Hepatite (infectious)

Hepatite A, B, unspecified

Hepatitis (infectious)

Infectious bloody diarrhoea

Infectious bloody diarrhoea

Invasive group A streptococcal disease

Invasive group A streptococcal disease

Doença dos Legionários

Doença dos Legionários

Doença dos Legionários

Leptospirose

Hanseníase

Hanseníase

Malária

Malária

Malária

Sarampo

Sarampo

Sarampo

Sarampo

Septicemia meningocócica

Septicemia meningocócica

Doença meningocócica

Septicemia meningocócica

Monkeypox (Mpox)

Monkeypox (Mpox)

Monkeypox (Mpox)

Monkeypox (Mpox)

Caxumba

Caxumba

Caxumba

Caxumba

Fasciíte necrosante

Peste

Peste

Peste

Peste

Poliomyelitis

Poliomyelitis

Poliomyelitis

Poliomyelitis

Raiva

Raiva

Raiva

Raiva

Febre recorrente

Rubéola

Rubéola

Rubéola

Rubéola

Escarlatina

Escarlatina

Escarlatina

Síndrome respiratória aguda grave

Síndrome respiratória aguda grave

Síndrome respiratória aguda grave

Varíola

Varíola

Varíola

Varíola

Tétano

Tétano

Tétano

Tétano

Tuberculosis (any site)

Tuberculosis (any site)

Tuberculosis (any site)

Tuberculosis (any site)

Tularemia

Tifo

Tifo

Tifo

Viral haemorrhagic fever

Viral haemorrhagic fever

Viral haemorrhagic fever

Viral haemorrhagic fever

West Nile fever

Coqueluche

Coqueluche

Coqueluche

Coqueluche

Febre amarela

Febre amarela

Febre amarela

Febre amarela

Notification requires the completion of the appropriate form; however, notify urgent cases by phone as well (as soon as possible - certainly within 24 hours of any suspicions).

Details required

  • Patient's name, date of birth, sex and home address with postcode.

  • Patient's NHS number.

  • Ethnicity (used to monitor health equalities).

  • Occupation and/or place of work or educational establishment if relevant.

  • Current residence (if it is not the home address).

  • Contact telephone number.

  • Contact details of a parent (for children).

  • The disease or infection, or nature of poisoning/contamination being reported.

  • Date of onset of symptoms and date of diagnosis.

  • Any relevant overseas travel history.

  • If in hospital, also:

    • Hospital address.

    • Day admitted.

    • Whether the disease was contracted in hospital.

There is no longer a fee payable for notification.

Leitura adicional e referências

  1. Doenças de notificação obrigatória e organismos causadores: como relatar; Saúde Pública da Inglaterra, 2010
  2. Infection Control Guidelines; Northern Ireland Regional Infection Prevention and Control Manual
  3. Implementation of Part 2: Notifiable diseases, organisms and health risk states; Public Health etc. (Scotland) Act 2008
  4. Health Protection Legislation (Wales) Guidance 2010. Iechyd Cyhoeddus Cymru/Public Health Wales, July 2010.
  5. Lista de doenças de notificação obrigatória (Inglaterra); Saúde Pública Inglaterra
  6. Schedule 1: Notifiable diseases and syndromes; About the Notification of Infectious Disease in Wales, Public Health Wales
  7. Pillaye J, Clarke A; An evaluation of completeness of tuberculosis notification in the United Kingdom. BMC Public Health. 2003 Oct 6;3:31.
  8. Brabazon ED, O'farrell A, Murray CA, et al; Under-reporting of notifiable infectious disease hospitalizations in a health board region in Ireland: room for improvement? Epidemiol Infect. 2007 Mar 30;:1-7.
  9. Durrheim DN, Massey IP, Kelly H; Re-emerging poliomyelitis - is Australia's surveillance adequate? Commun Dis Intell. 2006;30(3):275-7.

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