1. Introductory Text

  2. Article 1.The Annex to Decision 2002/253/EC is replaced by the Annex...

  3. Article 2.This Decision is addressed to the Member States.

  4. Signature

    1. ANNEX

      EXPLANATION OF THE SECTIONS USED FOR THE DEFINITION AND CLASSIFICATION OF CASES

      1. Clinical criteria

      2. Laboratory criteria

      3. Epidemiological criteria and epidemiological link

      4. Case classification

      5. Possible case

      6. Probable case

      7. Confirmed case

      8. Laboratory-confirmed case with clinical criteria

      9. Laboratory-confirmed case with unknown clinical criteria

      10. Laboratory-confirmed case without clinical criteria

      11. ACQUIRED IMMUNODEFICIENCY SYNDROME (AIDS) AND HUMAN IMMUNODEFICIENCY VIRUS (HIV) INFECTION...

        1. Clinical criteria (AIDS)

        2. Laboratory criteria (HIV)

        3. Epidemiological criteria

        4. Case classification

          1. A. Possible case

          2. B. Probable case

          3. C. Confirmed case

      12. ANTHRAX (Bacillus anthracis)

        1. Clinical criteria

          1. Cutaneous anthrax

          2. Gastrointestinal anthrax

          3. Inhalational anthrax

          4. Meningeal/meningoencephalitic anthrax

        2. Laboratory criteria

        3. Epidemiological criteria

        4. Case classification

          1. A. Possible case

          2. B. Probable case

          3. C. Confirmed case

      13. AVIAN INFLUENZA A/H5 OR A/H5N1 IN HUMANS

        1. Clinical criteria

        2. Laboratory criteria

        3. Epidemiological criteria

        4. Case classification

          1. A. Possible case

          2. B. Probable case

          3. C. Nationally confirmed case

          4. D. WHO confirmed case

      14. BOTULISM (Clostridium botulinum)

        1. Clinical criteria

          1. Food-borne and wound botulism

          2. Infant botulism

        2. Laboratory criteria

        3. Epidemiological criteria

        4. Case classification

          1. A. Possible case

          2. B. Probable case

          3. C. Confirmed case

      15. BRUCELLOSIS (Brucella spp.)

        1. Clinical criteria

        2. Laboratory criteria

        3. Epidemiological criteria

        4. Case classification

          1. A. Possible case

          2. B. Probable case

          3. C. Confirmed case

      16. CAMPYLOBACTERIOSIS (Campylobacter spp.)

        1. Clinical criteria

        2. Laboratory criteria

        3. Epidemiological criteria

        4. Case classification

          1. A. Possible case

          2. B. Probable case

          3. C. Confirmed case

      17. CHLAMYDIAL INFECTION (Chlamydia trachomatis) INCLUDING LYMPHOGRANULOMA VENEREUM (LGV) Clinical criteria Any person...INCLUDING LYMPHOGRANULOMA VENEREUM (LGV) Clinical criteria Any person with at...

        1. Clinical criteria

          1. Chlamydial infection non-LGV

          2. LGV

        2. Laboratory criteria

          1. Chlamydial infection non-LGV

          2. LGV

        3. Epidemiological criteria

        4. Case classification

          1. A. Possible case

          2. B. Probable case

          3. C. Confirmed case

      18. CHOLERA (Vibrio cholerae)

        1. Clinical criteria

        2. Laboratory criteria

        3. Epidemiological criteria

        4. Case classification

          1. A. Possible case

          2. B. Probable case

          3. C. Confirmed case

      19. VARIANT CREUTZFELDT-JAKOB DISEASE (VCJD)

        1. Preconditions

        2. Clinical criteria

        3. Diagnostic criteria

          1. Diagnostic criteria for case confirmation:

          2. Diagnostic criteria for a probable or a possible case:

        4. Epidemiological criteria

        5. Case classification

          1. A. Possible case

          2. B. Probable case

          3. C. Confirmed case

      20. CRYPTOSPORIDIOSIS (Cryptosporidium spp)

        1. Clinical criteria

        2. Laboratory criteria

        3. Epidemiological criteria

        4. Case classification

          1. A. Possible case

          2. B. Probable case

          3. C. Confirmed case

      21. DIPHTHERIA (Corynebacterium diphtheriae and Corynebacterium ulcerans)

        1. Clinical criteria

          1. Respiratory diphtheria:

          2. Nasal diphtheria:

          3. Cutaneous diphtheria:

          4. Diphtheria of other sites:

        2. Laboratory criteria

        3. Epidemiological criteria

        4. Case classification

          1. A. Possible case

          2. B. Probable case

          3. C. Confirmed case

      22. ECHINOCOCCOSIS (Echinococcus spp)

        1. Clinical criteria

        2. Diagnostic criteria

        3. Epidemiological criteria

        4. Case classification

          1. A. Possible case

          2. B. Probable case

          3. C. Confirmed case

      23. SHIGA/VERO TOXIN PRODUCING ESCHERICHIA COLI INFECTION (STEC/VTEC)

        1. Clinical criteria

          1. STEC/VTEC diarrhoea

          2. HUS

        2. Laboratory criteria

        3. Epidemiological criteria

        4. Case classification

          1. A. Possible case of STEC-associated HUS

          2. B. Probable case of STEC/VTEC

          3. C. Confirmed case of STEC/VTEC

      24. GIARDIASIS (Giardia lamblia)

        1. Clinical criteria

        2. Laboratory criteria

        3. Epidemiological criteria

        4. Case classification

          1. A. Possible case

          2. B. Probable case

          3. C. Confirmed case

      25. GONORRHOEA (Neisseria gonorrhoeae)

        1. Clinical criteria

        2. Laboratory criteria

        3. Epidemiological criteria

        4. Case classification

          1. A. Possible case

          2. B. Probable case

          3. C. Confirmed case

      26. HAEMOPHILUS MENINGITIS, INVASIVE DISEASE (Haemophilus influenzae)

        1. Clinical criteria

        2. Laboratory criteria

        3. Epidemiological link

        4. Case Classification

          1. A. Possible case

          2. B. Probable case

          3. C. Confirmed case

      27. HEPATITIS A (Hepatitis A Virus)

        1. Clinical criteria

        2. Laboratory criteria

        3. Epidemiological criteria

        4. Case classification

          1. A. Possible case

          2. B. Probable case

          3. C. Confirmed case

      28. HEPATITIS B, ACUTE (Hepatitis B virus)

        1. Clinical criteria

        2. Laboratory criteria

        3. Epidemiological criteria

        4. Case classification

          1. A. Possible case

          2. B. Probable case

          3. C. Confirmed case

      29. HEPATITIS C (Hepatitis C virus)

        1. Clinical criteria

        2. Laboratory criteria

        3. Epidemiological criteria

        4. Case classification

          1. A. Possible case

          2. B. Probable case

          3. C. Confirmed case

      30. INFLUENZA (influenza virus)

        1. Clinical criteria

          1. Influenza-like illness (ILI)

          2. Acute respiratory infection (ARI)

        2. Laboratory criteria

        3. Epidemiological criteria

        4. Case classification

          1. A. Possible case

          2. B. Probable case

          3. C. Confirmed case

      31. LEGIONNAIRES' DISEASE (Legionella spp.)

        1. Clinical criteria

        2. Laboratory criteria

        3. Epidemiological criteria

        4. Case classification

          1. A. Possible case

          2. B. Probable case

          3. C. Confirmed case

      32. LEPTOSPIROSIS (Leptospira interrogans)

        1. Clinical criteria

        2. Laboratory criteria

        3. Epidemiological criteria

        4. Case classification

          1. A. Possible case

          2. B. Probable case

          3. C. Confirmed case

      33. LISTERIOSIS (Listeria monocytogenes)

        1. Clinical criteria

        2. Laboratory criteria

        3. Epidemiological criteria

        4. Additional information

        5. Case classification

          1. A. Possible case

          2. B. Probable case

          3. C. Confirmed case

      34. MALARIA (Plasmodium spp.)

        1. Clinical criteria

        2. Laboratory criteria

        3. Epidemiological criteria

        4. Case classification

          1. A. Possible case

          2. B. Probable case

          3. C. Confirmed case

      35. MEASLES (Measles virus)

        1. Clinical criteria

        2. Laboratory criteria

        3. Epidemiological criteria

        4. Case classification

          1. A. Possible case

          2. B. Probable case

          3. C. Confirmed case

      36. MENINGOCCOCAL DISEASE, INVASIVE (Neisseria meningitidis)

        1. Clinical criteria

        2. Laboratory criteria

        3. Epidemiological criteria

        4. Case classification

          1. A. Possible case

          2. B. Probable case

          3. C. Confirmed case

      37. MUMPS (Mumps virus)

        1. Clinical criteria

        2. Laboratory criteria

        3. Epidemiological criteria

        4. Case classification

          1. A. Possible case

          2. B. Probable case

          3. C. Confirmed case

      38. PERTUSSIS (Bordetella pertussis)

        1. Clinical criteria

        2. Laboratory criteria

        3. Epidemiological criteria

        4. Case classification

          1. A. Possible case

          2. B. Probable case

          3. C. Confirmed case

      39. PLAGUE (Yersinia pestis)

        1. Clinical criteria

          1. Bubonic plague:

          2. Septicaemic plague:

          3. Pneumonic plague:

        2. Laboratory criteria

        3. Epidemiological criteria

        4. Case classification

          1. A. Possible case

          2. B. Probable case

          3. C. Confirmed case

      40. PNEUMOCOCCAL INVASIVE DISEASE(S) (Streptococcus pneumoniae)

        1. Clinical criteria

        2. Laboratory criteria

        3. Epidemiological criteria

        4. Case classification

          1. A. Possible case

          2. B. Probable case

          3. C. Confirmed case

      41. POLIOMYELITIS (Polio virus)

        1. Clinical criteria

        2. Laboratory criteria

        3. Epidemiological criteria

        4. Case classification

          1. A. Possible case

          2. B. Probable case

          3. C. Confirmed case

      42. Q FEVER (Coxiella burnetii)

        1. Clinical criteria

        2. Laboratory criteria

        3. Epidemiological criteria

        4. Case classification

          1. A. Possible case

          2. B. Probable case

          3. C. Confirmed case

      43. RABIES (Lyssa virus)

        1. Clinical criteria

        2. Laboratory criteria

        3. Epidemiological criteria

        4. Case classification

          1. A. Possible case

          2. B. Probable case

          3. C. Confirmed case

      44. RUBELLA (Rubella virus)

        1. Clinical criteria

        2. Laboratory criteria

        3. Epidemiological criteria

        4. Case classification

          1. A. Possible case

          2. B. Probable case

          3. C. Confirmed case

      45. RUBELLA, CONGENITAL (Including congenital rubella syndrome)

        1. Clinical criteria

          1. Congenital rubella infection (CRI)

          2. Congenital rubella syndrome (CRS)

        2. Laboratory criteria

        3. Epidemiological criteria

        4. Case classification Congenital Rubella

          1. A. Possible case

          2. B. Probable case

          3. C. Confirmed case

      46. SALMONELLOSIS (Salmonella spp. other than S. Typhi and S. Paratyphi)

        1. Clinical criteria

        2. Laboratory criteria

        3. Epidemiological criteria

        4. Case classification

          1. A. Possible case

          2. B. Probable case

          3. C. Confirmed case

      47. SEVERE ACUTE RESPIRATORY SYNDROME — SARS (SARS-coronavirus, SARS-CoV)

        1. Clinical criteria

        2. Laboratory criteria

        3. Epidemiological criteria

        4. Case classification for the inter-epidemic period

          1. A. Possible case

          2. B. Probable case

          3. C. Nationally confirmed case

          4. D. Confirmed case

        5. Case classification during an outbreak

          1. A. Possible case

          2. B. Probable case

          3. C. Nationally confirmed case

          4. D. Confirmed case

      48. SHIGELLOSIS (Shigella spp.)

        1. Clinical criteria

        2. Laboratory criteria

        3. Epidemiological criteria

        4. Case classification

          1. A. Possible case

          2. B. Probable case

          3. C. Confirmed case

      49. SMALLPOX (Variola virus)

        1. Clinical criteria

        2. Laboratory criteria

        3. Epidemiological criteria

        4. Case classification

          1. A. Possible case

          2. B. Probable case

          3. C. Confirmed case

      50. SYPHILIS (Treponema pallidum)

        1. Clinical criteria

        2. Laboratory criteria

        3. Epidemiological criteria

        4. Case classification

          1. A. Possible case

          2. B. Probable case

          3. C. Confirmed case

      51. SYPHILIS, CONGENITAL AND NEONATAL (Treponema pallidum)

        1. Clinical criteria

        2. Laboratory criteria

        3. Epidemiological criteria

        4. Case classification

          1. A. Possible case

          2. B. Probable case

          3. C. Confirmed case

      52. TETANUS (Clostridium tetani)

        1. Clinical criteria

        2. Laboratory criteria

        3. Epidemiological criteria

        4. Case classification

          1. A. Possible case

          2. B. Probable case

          3. C. Confirmed case

      53. TOXOPLASMOSIS, CONGENITAL (Toxoplasma gondii)

        1. Clinical criteria

        2. Laboratory criteria

        3. Epidemiological criteria

        4. Case classification

          1. A. Possible case

          2. B. Probable case

          3. C. Confirmed case

      54. TRICHINELLOSIS (Trichinella spp.)

        1. Clinical criteria

        2. Laboratory criteria

        3. Epidemiological criteria

        4. Case classification

          1. A. Possible case

          2. B. Probable case

          3. C. Confirmed case

      55. TUBERCULOSIS (Mycobacterium tuberculosis complex)

        1. Clinical criteria

        2. Laboratory criteria

        3. Epidemiological criteria

        4. Case classification

          1. A. Possible case

          2. B. Probable case

          3. C. Confirmed case

      56. TULARAEMIA (Francisella tularensis)

        1. Clinical criteria

        2. Laboratory criteria

        3. Epidemiological criteria

        4. Case classification

          1. A. Possible case

          2. B. Probable case

          3. C. Confirmed case

      57. TYPHOID/PARATYPHOID FEVER (Salmonella Typhi/Paratyphi)

        1. Clinical criteria

        2. Laboratory criteria

        3. Epidemiological criteria

        4. Case classification

          1. A. Possible case

          2. B. Probable case

          3. C. Confirmed case

      58. VIRAL HAEMORRHAGIC FEVERS

        1. Clinical criteria

        2. Laboratory criteria

        3. Epidemiological criteria

        4. Case classification

          1. A. Possible case

          2. B. Probable case

          3. C. Confirmed case

      59. WEST NILE FEVER (West Nile virus infection, WNV)

        1. Clinical criteria

        2. Laboratory criteria

        3. Epidemiological criteria

        4. Case classification

          1. A. Possible case

          2. B. Probable case

          3. C. Confirmed case

      60. YELLOW FEVER (Yellow fever virus)

        1. Clinical criteria

        2. Laboratory criteria

        3. Epidemiological criteria

        4. Case classification

          1. A. Possible case

          2. B. Probable case

          3. C. Confirmed case

      61. YERSINIOSIS (Yersinia enterocolitica, Yersinia pseudotuberculosis)

        1. Clinical criteria

        2. Laboratory criteria

        3. Epidemiological criteria

        4. Case classification

          1. A. Possible case

          2. B. Probable case

          3. C. Confirmed case