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Appendix B: Provincial Case Definitions for …

Ministry of Health and Long-Term Care Infectious Diseases Protocol Appendix B: Provincial case Definitions for reportable Diseases disease : Hepatitis A. Revised March 2017. Health and Long-Term Care Hepatitis A. Provincial Reporting Confirmed and probable cases of disease Type of Surveillance case -by- case case Classification Confirmed case Laboratory confirmation of infection, in the absence of recent hepatitis A vaccination, with detection of anti-HAV IgM. AND. Acute illness with discrete onset of symptoms and jaundice or elevated serum aminotransferase levels (AST, ALT). OR. An epidemiologic link to laboratory-confirmed case Probable case Acute illness in a person with an epidemiologic link to a laboratory-confirmed case Laboratory Evidence Laboratory Confirmation The following will constitute a confirmed case of acute/recent hepatitis A: Serum/plasma sample positive for HAV IgM antibody Approved/Validated Tests Tests for anti-HAV IgM and anti-HAV Total (IgG and IgM) antibody Indications and Limitations Anti-HAV IgM results should be repeated in duplicate to confirm a positive result.

Ministry of Health and Long -Term Care . Infectious Diseases Protocol . Appendix B: Provincial Case Definitions for Reportable Diseases . Disease: Hepatitis A

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