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Only confirmed cases of disease should be notified.
Routine case-by-case notification to the federal level
Clinical evidence of illness (see section 5.0) without other apparent medical cause with or without isolation of Clostridium tetani and with or without history of injury
Clinical illness is characterized by acute onset of hypertonia and/or painful muscular contractions (usually of the muscles of the jaw and neck), and generalized muscle spasms without other apparent medical cause.
Detection of C. tetani toxin should not be considered among the list of laboratory methods for confirmation of tetanus since this assay is not available or in use.
Canadian Communicable Disease Surveillance System: disease-specific case definitions and surveillance methods. Can Dis Wkly Rep 1991;17(S3).
Case definitions for diseases under national surveillance. CCDR 2000;26(S3).
Retrieved May 2008, from http://www.phac-aspc.gc.ca/publicat/ccdr-rmtc/00vol26/26s3/index.html
May 2008
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