All lab-confirmed cases of enterovirus D68 (EV-D68) should be entered in an electronic data management system for communicable diseases (Panorama/PARIS). For EV-D68 cases associated with respiratory (non-neurologic) clinical presentation, please use the general ‘Enterovirus D68 Case Report Form’. For EV-D68 cases associated with neurologic illness, please use the ‘Neurologic Illness Associated with Enterovirus D68 Case Report Form’. Case definitions can be found in the linked forms.
As of January 1st, 2016, this form should be used by public health nurses for follow-up and surveillance of individuals identified with acute hepatitis B, in accordance with the follow-up practices of each Health Authority.
Influenza Severe Outcome Surveillance (SOS) Case Report Form
Severe cases of influenza can be reported in an electronic data management system for communicable diseases (Panorama/PARIS) at the discretion of regional Health Authorities. Refer to Case Report Form for influenza severe outcome surveillance (SOS) case definitions.
ILI Outbreak Report Form
All influenza-like illness (ILI) outbreaks occurring in schools, work sites, acute care facilities, residential institutions (e.g. long-term care facilities, seniors' residences), and other facilities of interest (e.g. correctional facilities) should be reported to BCCDC by the responsible health unit or authority. This form can be delivered by fax (604-707-2516) or email. ILI outbreaks are defined as follows:
Schools and work sites: greater than 10% absenteeism on any day, most likely due to ILI
All other facilities: two or more cases of ILI within a seven-day period
Case Report Form
Complete this form for every case of invasive group A Streptococcal disease. Return completed forms to Communicable Diseases and Immunization Service, BCCDC by fax (604-707-2515) or e-mail (vpd.epi@bccdc.ca).
All cases should also be reported in an electronic data management system for communicable diseases (Panorama/PARIS).
Case Report Form
Complete this form for every case of invasive pneumococcal disease AGED 0-16 YEARS. Return completed forms to Communicable Diseases and Immunization Service, BCCDC by fax (604-707-2515) or e-mail (vpd.epi@bccdc.ca).
All cases should also be reported in an electronic data management system for communicable diseases (Panorama/PARIS).
Measles Case Report Form
Mumps Case Report Form
Rubella Case Report Form
Case Report Form
Complete a form for every case of measles, mumps or rubella disease. Return completed forms to Communicable Diseases and Immunization Service, BCCDC by fax (604-707-2515) or e-mail (vpd.epi@bccdc.ca).
All cases should also be reported in an electronic data management system for communicable diseases (Panorama/PARIS).
Case Report Form
Complete this form for every case of invasive meningococcal disease. Return completed forms to Communicable Diseases and Immunization Service, BCCDC by fax (604-707-2515) or e-mail (vpd.epi@bccdc.ca).
All cases should also be reported in an electronic data management system for communicable diseases (Panorama/PARIS).
Minimum data elements for provincial reporting for all probable and confirmed cases of pertussis should be reported in an electronic data management system for communiable diseases (Panorama/PARIS). For VCH only, completed forms should be faxed to Communicable Diseases and Immunization Service, BCCDC, at
604-707-2516.
Case Report Form
Contact Management and Treatment forms are provided for use within Health Authorities. These forms do not need to be submitted to BCCDC.
Contact Management Form
Pertussis Forms
Treatment Form
Case Report Form
Complete a form for every case of invasive
Haemophilus influenzae type b, poliomyelitis, tetanus, and for every case and carrier of toxigenic diphtheria.
Enter reportable cases into Panorama or PARIS. If required, return completed forms to Communicable Diseases and Immunization Service, BCCDC by fax (604-707-2515
) or e-mail (vpd.epi@bccdc.ca).