Clinical criteria Laboratory criteria Epidemiological criteria and epidemiological link Case classification Possible case Probable case Confirmed case Laboratory-confirmed case with clinical criteria Laboratory-confirmed case with unknown clinical criteria Laboratory-confirmed case without clinical criteria ACQUIRED IMMUNODEFICIENCY SYNDROME (AIDS) AND HUMAN IMMUNODEFICIENCY VIRUS (HIV) INFECTION...Clinical criteria (AIDS) Laboratory criteria (HIV) Epidemiological criteria Case classification A.Possible case B.Probable case C.Confirmed case ANTHRAX(Bacillus anthracis) Clinical criteria Cutaneous anthrax Gastrointestinal anthrax Inhalational anthrax Meningeal/meningoencephalitic anthrax Laboratory criteria Epidemiological criteria Case classification A.Possible case B.Probable case C.Confirmed case AVIAN INFLUENZA A/H5 OR A/H5N1 IN HUMANS Clinical criteria Laboratory criteria Epidemiological criteria Case classification A.Possible case B.Probable case C.Nationally confirmed case D.WHO confirmed case BOTULISM(Clostridium botulinum) Clinical criteria Food-borne and wound botulism Infant botulism Laboratory criteria Epidemiological criteria Case classification A.Possible case B.Probable case C.Confirmed case BRUCELLOSIS(Brucella spp.) Clinical criteria Laboratory criteria Epidemiological criteria Case classification A.Possible case B.Probable case C.Confirmed case CAMPYLOBACTERIOSIS(Campylobacter spp.) Clinical criteria Laboratory criteria Epidemiological criteria Case classification A.Possible case B.Probable case C.Confirmed case CHLAMYDIAL INFECTION (Chlamydia trachomatis) INCLUDING LYMPHOGRANULOMA VENEREUM (LGV) Clinical criteria Any person...INCLUDING LYMPHOGRANULOMA VENEREUM (LGV) Clinical criteria Any person with at...Clinical criteria Chlamydial infection non-LGV LGV Laboratory criteria Chlamydial infection non-LGV LGV Epidemiological criteria Case classification A.Possible case B.Probable case C.Confirmed case CHOLERA(Vibrio cholerae) Clinical criteria Laboratory criteria Epidemiological criteria Case classification A.Possible case B.Probable case C.Confirmed case VARIANT CREUTZFELDT-JAKOB DISEASE (VCJD) Preconditions Clinical criteria Diagnostic criteria Diagnostic criteria for case confirmation: Diagnostic criteria for a probable or a possible case: Epidemiological criteria Case classification A.Possible case B.Probable case C.Confirmed case CRYPTOSPORIDIOSIS(Cryptosporidium spp) Clinical criteria Laboratory criteria Epidemiological criteria Case classification A.Possible case B.Probable case C.Confirmed case DIPHTHERIA(Corynebacterium diphtheriae and Corynebacterium ulcerans) Clinical criteria Respiratory diphtheria: Nasal diphtheria: Cutaneous diphtheria: Diphtheria of other sites: Laboratory criteria Epidemiological criteria Case classification A.Possible case B.Probable case C.Confirmed case ECHINOCOCCOSIS(Echinococcus spp) Clinical criteria Diagnostic criteria Epidemiological criteria Case classification A.Possible case B.Probable case C.Confirmed case SHIGA/VERO TOXIN PRODUCING ESCHERICHIA COLI INFECTION (STEC/VTEC) Clinical criteria STEC/VTEC diarrhoea HUS Laboratory criteria Epidemiological criteria Case classification A.Possible case of STEC-associated HUS B.Probable case of STEC/VTEC C.Confirmed case of STEC/VTEC GIARDIASIS(Giardia lamblia) Clinical criteria Laboratory criteria Epidemiological criteria Case classification A.Possible case B.Probable case C.Confirmed case GONORRHOEA(Neisseria gonorrhoeae) Clinical criteria Laboratory criteria Epidemiological criteria Case classification A.Possible case B.Probable case C.Confirmed case HAEMOPHILUS MENINGITIS, INVASIVE DISEASE(Haemophilus influenzae) Clinical criteria Laboratory criteria Epidemiological link Case Classification A.Possible case B.Probable case C.Confirmed case HEPATITIS A(Hepatitis A Virus) Clinical criteria Laboratory criteria Epidemiological criteria Case classification A.Possible case B.Probable case C.Confirmed case HEPATITIS B, ACUTE(Hepatitis B virus) Clinical criteria Laboratory criteria Epidemiological criteria Case classification A.Possible case B.Probable case C.Confirmed case HEPATITIS C(Hepatitis C virus) Clinical criteria Laboratory criteria Epidemiological criteria Case classification A.Possible case B.Probable case C.Confirmed case INFLUENZA(influenza virus) Clinical criteria Influenza-like illness (ILI) Acute respiratory infection (ARI) Laboratory criteria Epidemiological criteria Case classification A.Possible case B.Probable case C.Confirmed case LEGIONNAIRES' DISEASE(Legionella spp.) Clinical criteria Laboratory criteria Epidemiological criteria Case classification A.Possible case B.Probable case C.Confirmed case LEPTOSPIROSIS(Leptospira interrogans) Clinical criteria Laboratory criteria Epidemiological criteria Case classification A.Possible case B.Probable case C.Confirmed case LISTERIOSIS(Listeria monocytogenes) Clinical criteria Laboratory criteria Epidemiological criteria Additional information Case classification A.Possible case B.Probable case C.Confirmed case MALARIA(Plasmodium spp.) Clinical criteria Laboratory criteria Epidemiological criteria Case classification A.Possible case B.Probable case C.Confirmed case MEASLES(Measles virus) Clinical criteria Laboratory criteria Epidemiological criteria Case classification A.Possible case B.Probable case C.Confirmed case MENINGOCCOCAL DISEASE, INVASIVE(Neisseria meningitidis) Clinical criteria Laboratory criteria Epidemiological criteria Case classification A.Possible case B.Probable case C.Confirmed case MUMPS(Mumps virus) Clinical criteria Laboratory criteria Epidemiological criteria Case classification A.Possible case B.Probable case C.Confirmed case PERTUSSIS(Bordetella pertussis) Clinical criteria Laboratory criteria Epidemiological criteria Case classification A.Possible case B.Probable case C.Confirmed case PLAGUE(Yersinia pestis) Clinical criteria Bubonic plague: Septicaemic plague: Pneumonic plague: Laboratory criteria Epidemiological criteria Case classification A.Possible case B.Probable case C.Confirmed case PNEUMOCOCCAL INVASIVE DISEASE(S)(Streptococcus pneumoniae) Clinical criteria Laboratory criteria Epidemiological criteria Case classification A.Possible case B.Probable case C.Confirmed case POLIOMYELITIS(Polio virus) Clinical criteria Laboratory criteria Epidemiological criteria Case classification A.Possible case B.Probable case C.Confirmed case Q FEVER(Coxiella burnetii) Clinical criteria Laboratory criteria Epidemiological criteria Case classification A.Possible case B.Probable case C.Confirmed case RABIES(Lyssa virus) Clinical criteria Laboratory criteria Epidemiological criteria Case classification A.Possible case B.Probable case C.Confirmed case RUBELLA(Rubella virus) Clinical criteria Laboratory criteria Epidemiological criteria Case classification A.Possible case B.Probable case C.Confirmed case RUBELLA, CONGENITAL(Including congenital rubella syndrome) Clinical criteria Congenital rubella infection (CRI) Congenital rubella syndrome (CRS) Laboratory criteria Epidemiological criteria Case classification Congenital Rubella A.Possible case B.Probable case C.Confirmed case SALMONELLOSIS(Salmonella spp. other than S. Typhi and S. Paratyphi) Clinical criteria Laboratory criteria Epidemiological criteria Case classification A.Possible case B.Probable case C.Confirmed case SEVERE ACUTE RESPIRATORY SYNDROME — SARS(SARS-coronavirus, SARS-CoV) Clinical criteria Laboratory criteria Epidemiological criteria Case classification for the inter-epidemic period A.Possible case B.Probable case C.Nationally confirmed case D.Confirmed case Case classification during an outbreak A.Possible case B.Probable case C.Nationally confirmed case D.Confirmed case SHIGELLOSIS(Shigella spp.) Clinical criteria Laboratory criteria Epidemiological criteria Case classification A.Possible case B.Probable case C.Confirmed case SMALLPOX(Variola virus) Clinical criteria Laboratory criteria Epidemiological criteria Case classification A.Possible case B.Probable case C.Confirmed case SYPHILIS(Treponema pallidum) Clinical criteria Laboratory criteria Epidemiological criteria Case classification A.Possible case B.Probable case C.Confirmed case SYPHILIS, CONGENITAL AND NEONATAL(Treponema pallidum) Clinical criteria Laboratory criteria Epidemiological criteria Case classification A.Possible case B.Probable case C.Confirmed case TETANUS(Clostridium tetani) Clinical criteria Laboratory criteria Epidemiological criteria Case classification A.Possible case B.Probable case C.Confirmed case TOXOPLASMOSIS, CONGENITAL(Toxoplasma gondii) Clinical criteria Laboratory criteria Epidemiological criteria Case classification A.Possible case B.Probable case C.Confirmed case TRICHINELLOSIS(Trichinella spp.) Clinical criteria Laboratory criteria Epidemiological criteria Case classification A.Possible case B.Probable case C.Confirmed case TUBERCULOSIS(Mycobacterium tuberculosis complex) Clinical criteria Laboratory criteria Epidemiological criteria Case classification A.Possible case B.Probable case C.Confirmed case TULARAEMIA(Francisella tularensis) Clinical criteria Laboratory criteria Epidemiological criteria Case classification A.Possible case B.Probable case C.Confirmed case TYPHOID/PARATYPHOID FEVER(Salmonella Typhi/Paratyphi) Clinical criteria Laboratory criteria Epidemiological criteria Case classification A.Possible case B.Probable case C.Confirmed case VIRAL HAEMORRHAGIC FEVERS Clinical criteria Laboratory criteria Epidemiological criteria Case classification A.Possible case B.Probable case C.Confirmed case WEST NILE FEVER(West Nile virus infection, WNV) Clinical criteria Laboratory criteria Epidemiological criteria Case classification A.Possible case B.Probable case C.Confirmed case YELLOW FEVER(Yellow fever virus) Clinical criteria Laboratory criteria Epidemiological criteria Case classification A.Possible case B.Probable case C.Confirmed case YERSINIOSIS(Yersinia enterocolitica, Yersinia pseudotuberculosis) Clinical criteria Laboratory criteria Epidemiological criteria Case classification A.Possible case B.Probable case C.Confirmed case
Commission Decision
of 19 March 2002
laying down case definitions for reporting communicable diseases to the Community network under Decision No 2119/98/EC of the European Parliament and of the Council
(notified under document number C(2002) 1043)
(2002/253/EC) (repealed)
THE COMMISSION OF THE EUROPEAN COMMUNITIES,
Having regard to the Treaty establishing the European Community,
Having regard to Decision No 2119/98/EC of the European Parliament and of the Council of 24 September 1998 setting up a network for the epidemiological surveillance and control of communicable diseases in the Community1, and in particular Article 3(c) thereof,
Whereas:
(1)
Member States should communicate information on the epidemiological development and emergence of public health threats due to communicable diseases using the Community network in a way which allows comparisons to be made for preventive and control action to be taken at Community and national level.
(2)
For comparability of such information, the setting up of common case definitions is a prerequisite even where disease-specific surveillance networks have not yet been put in place. As soon as this Decision comes into effect these case definitions should be used for reporting to the Community network, and should comply with regulations on individual data protection.
(3)
The case definitions which allow comparable reporting should comprise a tiered system allowing Member States' structures and/or authorities flexibility in communicating information on diseases and special health issues. In particular, these case definitions will facilitate reporting on diseases listed in Commission Decision 2000/96/EC2.
(4)
Case definitions should be constructed to enable all Member States to participate in the reporting to the greatest extent possible, using data from their existing systems. They should allow for different levels of sensitivity and specificity according to the different goals of information collection and they should be easy to amend.
(5)
The measures provided for in this Decision are in accordance with the opinion of the Committee set up by Decision No 2119/98/EC,
HAS ADOPTED THIS DECISION: