The UK statutory notification system for infectious diseases (also called Notifications of Infectious Diseases or NOIDS) is a system whereby doctors are required to notify a "proper officer" of the local authority (such as a Consultant in Communicable Disease Control) if they are presented with a case of a serious infectious disease such as

diphtheria Diphtheria is an infection caused by the bacterium '' Corynebacterium diphtheriae''. Most infections are asymptomatic or have a mild clinical course, but in some outbreaks more than 10% of those diagnosed with the disease may die. Signs and s ...

or measles. The proper officer then sends a report to the Centre for Infections of the

Health Protection Agency The Health Protection Agency (HPA) was a non-departmental public body in the United Kingdom. It was an organisation that was set up by the UK government in 2003 to protect the public from threats to their health from infectious diseases and envi ...

(HPA) in

Colindale Colindale is a district in the London Borough of Barnet; its main shopping street on the A5 forming the borough boundary with neighbouring Brent. Colindale is a suburban area, and in recent years has had many new apartments built. It's also th ...

, north

London London is the capital and List of urban areas in the United Kingdom, largest city of England and the United Kingdom, with a population of just under 9 million. It stands on the River Thames in south-east England at the head of a estuary dow ...

. The main purpose of the system is the detection and intervention in possible

epidemic An epidemic (from Greek ἐπί ''epi'' "upon or above" and δῆμος ''demos'' "people") is the rapid spread of disease to a large number of patients among a given population within an area in a short period of time. Epidemics of infectious ...

s. It also enables surveillance data to be collected that can help in planning ways to prevent future outbreaks.

History of the statutory notification system

The statutory requirement for the notification of certain infectious diseases first came into being with the

Infectious Disease (Notification) Act 1889 The Infectious Disease (Notification) Act first appeared on the UK national statute books in 1889. It was compulsory in London and optional in the rest of the country. It later became a mandatory law with the Infectious Disease (Notification) Exten ...

( 52 & 53 Vict. c. 72), which made reporting compulsory in

and optional in the provinces. Cases of

smallpox Smallpox was an infectious disease caused by variola virus (often called smallpox virus) which belongs to the genus Orthopoxvirus. The last naturally occurring case was diagnosed in October 1977, and the World Health Organization (WHO) c ...

, cholera,

, membranous croup.

erysipelas Erysipelas () is a relatively common bacterial infection of the superficial layer of the skin ( upper dermis), extending to the superficial lymphatic vessels within the skin, characterized by a raised, well-defined, tender, bright red rash, t ...

, scarlatina or scarlet fever,

typhus fever Typhus, also known as typhus fever, is a group of infectious diseases that include epidemic typhus, scrub typhus, and murine typhus. Common symptoms include fever, headache, and a rash. Typically these begin one to two weeks after exposure. ...

typhoid fever Typhoid fever, also known as typhoid, is a disease caused by '' Salmonella'' serotype Typhi bacteria. Symptoms vary from mild to severe, and usually begin six to 30 days after exposure. Often there is a gradual onset of a high fever over several ...

enteric fever Typhoid fever, also known as typhoid, is a disease caused by '' Salmonella'' serotype Typhi bacteria. Symptoms vary from mild to severe, and usually begin six to 30 days after exposure. Often there is a gradual onset of a high fever over several ...

relapsing fever Relapsing fever is a vector-borne disease caused by infection with certain bacteria in the genus '' Borrelia'', which is transmitted through the bites of lice or soft-bodied ticks (genus ''Ornithodoros''). Signs and symptoms Most people who ar ...

, continued fever and puerperal fever had to be reported by the household head or attending doctor to the local authority. The system spread to the rest of England and Wales in 1899 with the Infectious Disease (Notification) Extension Act 1899 ( 62 & 63 Vict. c. 8). Householders or general practitioners who failed to notify a case of one of these diseases was liable to a fine of up to forty shillings. Following receipt of a notification certificate, the local sanitary authority could pursue existing public health laws, such as the Public Health Act 1875 ( 38 & 39 Vict. c. 55), to isolate patients in hospital, disinfect property and belongings, suspend schooling, and temporarily close businesses. Originally, disease statistics were collected from the local authorities by the Registrar General's Office, where national statistics were already collected on births, marriages and deaths. This office was later known as the

Office of Population Censuses and Surveys The Office of Population Censuses and Surveys (OPCS), was created in May 1970 through the merger of the General Register Office and the Government Social Survey Department. It was a forerunner and constituent, with the UK Central Statistical Of ...

and is now called the

Office for National Statistics The Office for National Statistics (ONS; cy, Swyddfa Ystadegau Gwladol) is the executive office of the UK Statistics Authority, a non-ministerial department which reports directly to the UK Parliament. Overview The ONS is responsible for t ...

. In 1997, however, the responsibility for administering the system was transferred to the Communicable Disease Surveillance Centre (CDSC), now the Health Protection Agency's Health Protection Services Division (HPS).

The system today

The main concern of the modern system is speed in detecting possible outbreaks, and accuracy of diagnosis is only secondary. Since 1968 clinical suspicion of a notifiable infection is all that is required to report a case of a disease. The attending doctor must notify the proper officers, who are usually public health clinicians called consultants in communicable disease control. These consultants are required to inform the HPA on a weekly basis of each case of a disease that has been notified. The HPA collates these reports and publishes its analysis of local and national trends. As of June 2022, the list of notifiable diseases contains 34 entries, including

leprosy Leprosy, also known as Hansen's disease (HD), is a long-term infection by the bacteria ''Mycobacterium leprae'' or ''Mycobacterium lepromatosis''. Infection can lead to damage of the nerves, respiratory tract, skin, and eyes. This nerve damag ...

. During the 2002-2003 outbreak,

SARS Severe acute respiratory syndrome (SARS) is a viral respiratory disease of zoonotic origin caused by the severe acute respiratory syndrome coronavirus (SARS-CoV or SARS-CoV-1), the first identified strain of the SARS coronavirus species, ''seve ...

was added to the list as the 31st. Some of the notifiable diseases are: * Anthrax * Cholera *

COVID-19 Coronavirus disease 2019 (COVID-19) is a contagious disease caused by a virus, the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The first known case was identified in Wuhan, China, in December 2019. The disease quickly ...

Dysentery Dysentery (UK pronunciation: , US: ), historically known as the bloody flux, is a type of gastroenteritis that results in bloody diarrhea. Other symptoms may include fever, abdominal pain, and a feeling of incomplete defecation. Complications ...

* Food poisoning *

Malaria Malaria is a mosquito-borne infectious disease that affects humans and other animals. Malaria causes symptoms that typically include fever, tiredness, vomiting, and headaches. In severe cases, it can cause jaundice, seizures, coma, or death. S ...

* Measles * Meningitis * Mumps *

Plague Plague or The Plague may refer to: Agriculture, fauna, and medicine *Plague (disease), a disease caused by ''Yersinia pestis'' * An epidemic of infectious disease (medical or agricultural) * A pandemic caused by such a disease * A swarm of pe ...

Polio Poliomyelitis, commonly shortened to polio, is an infectious disease caused by the poliovirus. Approximately 70% of cases are asymptomatic; mild symptoms which can occur include sore throat and fever; in a proportion of cases more severe s ...

Rabies Rabies is a viral disease that causes encephalitis in humans and other mammals. Early symptoms can include fever and tingling at the site of exposure. These symptoms are followed by one or more of the following symptoms: nausea, vomiting, ...

* Rubella * Scarlet fever *

Smallpox Smallpox was an infectious disease caused by variola virus (often called smallpox virus) which belongs to the genus Orthopoxvirus. The last naturally occurring case was diagnosed in October 1977, and the World Health Organization (WHO) c ...

Tetanus Tetanus, also known as lockjaw, is a bacterial infection caused by ''Clostridium tetani'', and is characterized by muscle spasms. In the most common type, the spasms begin in the jaw and then progress to the rest of the body. Each spasm usually ...

Tuberculosis Tuberculosis (TB) is an infectious disease usually caused by '' Mycobacterium tuberculosis'' (MTB) bacteria. Tuberculosis generally affects the lungs, but it can also affect other parts of the body. Most infections show no symptoms, i ...

Typhoid fever Typhoid fever, also known as typhoid, is a disease caused by '' Salmonella'' serotype Typhi bacteria. Symptoms vary from mild to severe, and usually begin six to 30 days after exposure. Often there is a gradual onset of a high fever over several ...

Typhus Typhus, also known as typhus fever, is a group of infectious diseases that include epidemic typhus, scrub typhus, and murine typhus. Common symptoms include fever, headache, and a rash. Typically these begin one to two weeks after exposure. ...

fever * Viral

hepatitis Hepatitis is inflammation of the liver tissue. Some people or animals with hepatitis have no symptoms, whereas others develop yellow discoloration of the skin and whites of the eyes ( jaundice), poor appetite, vomiting, tiredness, abdominal ...

Whooping cough Whooping cough, also known as pertussis or the 100-day cough, is a highly contagious bacterial disease. Initial symptoms are usually similar to those of the common cold with a runny nose, fever, and mild cough, but these are followed by two or t ...

References

{{reflist

External links

The complete list of notifiable infections
Public health in the United Kingdom Infectious diseases

History of the statutory notification system

The system today

See also

References

External links