Anthrax
Confirmed - A clinically compatible illness that is laboratory confirmed. For more information refer to the Anthrax section of the Communicable Disease Control Manual.

Botulism Refer to the Acute gastroenteritis (and toxin-related illnesses) section of the Communicable Disease Control Manual.

Chemical Poisoning from the Environment
Chemical Poisoning from the Environment must be notified to the Massey University HSDIRT system (see Massey’s Resources for health professionals page).

Congenital Rubella Syndrome
Probable - A clinically compatible illness.
Confirmed - A clinically compatible illness that is laboratory confirmed. For more information refer to the Congenital Rubella section of the Communicable Disease Control Manual.

Cronobacter Species Invasive Disease
Probable - A clinical deterioration with isolation of the organism from a non-sterile site eg faeces.
Confirmed - Isolation of the organism from a normally sterile site eg. cerebrospinal fluid, or aspirated urine. For more information refer to the Cronobacter species invasive disease section of the Communicable Disease Control Manual.

Cysticercosis
Probable -A clinically compatible illness not accompanied by laboratory definitive evidence but with characteristic radiological features and occurs in a person who has lived in an endemic area.
Confirmed - A clinically compatible illness that is laboratory confirmed. For more information refer to the Cysticercosis section of the Communicable Disease Control Manual.

Diphtheria
Probable - A clinically compatible illness that is not laboratory confirmed.
Confirmed - A clinically compatible illness that is laboratory confirmed. For more information refer to the Diphtheria section of the Communicable Disease Control Manual.

Hydatid Disease
Confirmed - Histopathological or other demonstration of live E. granulosus cysts or radiological or other organ imaging evidence of characteristic cystic disease with a positive serological test. For more information refer to the Hydatid disease section of the Communicable Disease Control Manual.

Leprosy
Probable - A clinically compatible syndrome that lacks laboratory confirmation.
Confirmed - A clinically compatible syndrome with acid fast bacilli in biopsy or slit-skin smear OR a biopsy with characteristic pathological changes. For more information refer to the Leprosy section of the Communicable Disease Control Manual.

Murine Typhus
Probable - A clinically compatible illness with a single raised antibody titre to Rickettsia typhi.
Confirmed - A clinically compatible illness that is laboratory confirmed by serology for Rickettsia typhi. For more information refer to the Rickettsial diseases section of the Communicable Disease Control Manual.

Novel Coronavirus
The Novel Coronavirus form is no longer in use. If notifying COVID-19, please use the COVID-19 case report form in EpiSurv.

Plague
Probable - A clinically compatible illness with a single serological positive test.
Confirmed - A clinically compatible illness that is laboratory confirmed. For more information refer to the Plague section of the Communicable Disease Control Manual.

Poliomyelitis
Probable - A clinically compatible illness with an epidemiological link.
Confirmed - A clinically compatible illness that is laboratory confirmed. For more information refer to the Poliomyelitis section of the Communicable Disease Control Manual.

Primary Amoebic Meningoencephalitis
Probable - A clinically compatible illness with history of immersion in thermal pool.
Confirmed - A compatible illness which is laboratory confirmed. For more information refer to the Meningoencephalitis primary amoebic section of the Communicable Disease Control Manual.

Q Fever
Probable - A clinically compatible illness with a single raised antibody titre.
Confirmed - A clinically compatible illness that is laboratory confirmed. For more information refer to the Q Fever section of the Communicable Disease Control Manual.

Rabies
Probable - A clinically compatible illness with history of travel to an area where rabies is endemic.
Confirmed - A clinically compatible illness that is laboratory confirmed. For more information refer to the Rabies section of the Communicable Disease Control Manual.

Rickettsial Disease
Probable - A clinically compatible illness with laboratory suggestive evidence which requires single raised IgG titre OR detection of IgM antibodies.
Confirmed - A clinically compatible illness that is laboratory confirmed. For more information refer to the Rickettsial diseases section of the Communicable Disease Control Manual.

Severe acute respiratory syndrome (SARS)
Suspected - A case presenting with ALL of the following:

• sudden onset of high fever (> 38ºC)
• one or more of the following respiratory symptoms: cough, sore throat, shortness of breath, difficulty breathing
• onset of symptoms within 10 days of either travelling to one of the areas that has been listed as a focus area of transmission of SARS or being in close contact with a person who has travelled to such an area.

Probable - A suspected case with chest X-ray findings of pneumonia or adult respiratory distress syndrome, OR a case with an unexplained respiratory illness resulting in death, with a post-mortem examination demonstrating the pathology of respiratory distress syndrome without an identifiable cause.
Confirmed - A clinically compatible illness that is laboratory confirmed. For more information refer to the SARS section of the Communicable Disease Control Manual.

Taeniasis
Confirmed - A laboratory confirmed microscopic identification of proglottids or eggs in the faeces or in the perianal region. For more information refer to the Taeniasis section of the Communicable Disease Control Manual.

Tetanus
Confirmed - A clinically compatible illness, as diagnosed by a medical practitioner.
For more information refer to the Tetanus section of the Communicable Disease Control Manual.

Trichinellosis
Confirmed - A clinically compatible case that is laboratory confirmed which requires a demonstration of Trichinella larvae in tissue obtained by muscle biopsy OR positive serologic test for Trichinella. For more information refer to the Trichinellosis section of the Communicable Disease Control Manual.

MERS-CoV
Suspected (Under Investigation)- A suspected case with an acute febrile respiratory illness with clinical, radiological or histopathological evidence of pulmonary parenchymal disease (e.g. pneumonia or acute respiratory distress syndrome) and either:

• has a history of residence in, or travel to, the Arabian Peninsula or neighbouring countries within 14 days before onset of illness OR
• has had close contact with a probable or confirmed case within 14 days before onset of illness OR
• is a member of a cluster of patients with severe acute respiratory illness of unknown aetiology in which MERS-CoV is being evaluated.

Probable -A probable case with an acute febrile respiratory illness with clinical, radiological or histopathological evidence of pulmonary parenchymal disease (eg, pneumonia or acute respiratory distress syndrome) AND for whom there is no possibility of laboratory confirmation for MERS-CoV because either the patient or samples are not available for testing AND who has had close contact with a laboratory-confirmed case.
Confirmed -A case with laboratory confirmation of infection with MERS-CoV.

For additional details on definitions and countries of concern please go to MERS section of the Communicable Disease Control Manual.