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Appendix B: Provincial Case Definitions for Reportable ...

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 Tes

Health and Long-Term Care . Hepatitis A . 1.0 Provincial Reporting . Confirmed and probable cases of disease . 2.0 Type of Surveillance . Case-by-case

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