A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z

A

• Aeromonas - December 2023
  • Communicable Disease Report Form
• Amoebiasis - December 2023
  • Communicable Disease Report Form
• Anthrax - December 2023
  • Communicable Disease Report Form
• Antibiotic – Resistant Organisms (ARO’s) - NEW - June 2024
• Avian Influenza (AI) - December 2023
  • Emerging respirator pathogens and Severe Acute Respiratory Infection (SARI) case report form

B

• Botulism - December 2023
  • Communicable Disease Report Form
• Brucellosis - December 2023
  • Communicable Disease Report Form

C

• Camphylobacteriosis - December 2023
  • Communicable Disease Report Form
• Clostridium Difficile - December 2023
• Chancroid -December 2023
• Chlamydial Infections - December 2023

  • CP1 180: Lost to Follow-Up of STI Cases and Contacts Flow Chart - Amended 2023 ​​​​

    • Routine Follow-Up of STI Cases and Contacts
    • Syphilis Lost-to-Follow-Up Report Form

  • CPI178: Sexually Transmitted Infection (STI) Reporting Forms

    • NWT STI Case Investigation Report Form

    • NWT STI Contact Tracing Form

  • CPI 151: NWT Practice Guidelines for the Treatment of Uncomplicated Chlamydia

    • NWT Clinical Practice Guidelines for the Treatment of Uncomplicated Chlamydia

  • Sexually Transmitted and Blood Borne Infections
• Cholera - December 2023
  • Communicable Disease Report Form
• Coronavirus Disease (COVID-19) - December 2023
  • Viral Respiratory Illness Hospital Admission Or Death Reporting Form
    • Forms are required for cases that have been admitted to hospital and/or have died.  All other cases are reported by lab only.
• Coxiella burnetii (Q Fever) - December 2023
  • Communicable Disease Report Form
• Cryptosporidiosis - December 2023
  • Communicable Disease Report Form
• Cyclospora - December 2023
  • Communicable Disease Report Form
• Cytomegalovirus infection, congenital - December 2023
  • Communicable Disease Report Form

D

• Diphtheria (respiratory and cutaneous) - December 2023
  • Immunization Information
  • Communicable Disease Report Form

E

• Encephalitis - December 2023
• Enteric Disease General - March 2007
• Erysipelothrix - December 2023
  • Communicable Disease Report Form
• Escherichia-Coli 0157:H7 - December 2023
  • Communicable Disease Report Form

G

• Giardiasis - December 2023
  • Communicable Disease Report Form
• Gonococcal Infections - December 2023
  • CPI 180: Lost to Follow-Up of STI Cases and Contacts Flow Chart - Amended 2023
    • Routine Follow-Up of STI Cases and Contacts
    • Syphilis Lost-to-Follow-up Report Form
  • CPI 178: Sexually Transmitted Infection (STI) Report Forms
    • NWT STI Case Investigation Report Forms
    • NWT STI Contact Tracing Form
  • CPI 150: NWT Clinical Practice Guidelines for Treatment of Uncomplicated Gonorrhea
    • Treatment of Uncomplicated Gonorrhea 
      • Point of Care Gonorrhea Desk Reference
  • CPI 134: Treatment of Uncomplicated Gonorrhea During Cefixime Drug Shortage
  • Sexually Transmitted and Blood Borne Infections
• Group A Streptococcal Infections, Invasive (iGAS) - NEW - May 2024
  • Communicable Disease Report Form
• Group B Streptococcal Disease of the Newborn (GBS) - December 2023

H

• Haemophilus Influenzae, Invasive (serotype B, HIB) - December 2023
  • Communicable Disease Report Form
• Hantavirus - December 2023
  • Communicable Disease Report Form
• Hemorrhagic Fevers - December 2023
  • Communicable Disease Report Form
• Hepatitis (A,B,C,E)  - December 2023
  • Communicable Disease Report Form for A and E
  • Hep B
    • Immunization Information
    • CPI 138: Standardization of Hepatitis B Dose
    • CPI 105: Hepatitis B Prenatal and Newborn Flow Chart
    • Hepatitis B Case Investigation Form - UPDATED - March 2025
    • Hepatitis C Case Investigation Form - UPDATED - March 2025
• Herpes Simplex (neonatal or congenital) - December 2023
  • ​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​Communicable Disease Report Form
• HIV/AIDS - December 2023
  • Guiding Principles for Planning and Undertaking Voluntary HIV Testing (NWT Clinician's Desk Reference)
  • CPI 178: Sexually Transmitted Infection (STI) Report Forms
    • NWT STI Case Investigation Report Forms
    • NWT STI Contact Tracing Form
  • NWT Biolytical Inti HIV/Syphilis Multiplex Point-of-Care Test (POCT) Reporting Form
  • Sexually Transmitted and Blood Borne Infections
• Human T-cell Lymphotropic Virus Infections - December 2023
  • ​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​Communicable Disease Report Form

I

• Influenza (Seasonal) - December 2023 
  • NWT Guidelines for the Use of Oseltamivir in Long Term Care Facilities - NEW - March 2025
  • Respiratory Illnesses
  • Viral Respiratory Illness Hospital Admission Or Death Reporting Form
    • Forms are required for cases that have been admitted to hospital and/or have died.  All other cases are reported by lab only.

L

• Legionellosis - December 2023
  • ​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​Communicable Disease Report Form
• Leprosy - December 2023
  • ​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​Communicable Disease Report Form
• Listeriosis - December 2023
  • ​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​Communicable Disease Report Form
• Lyme Disease - December 2023
  • ​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​Communicable Disease Report Form

M

• Measles - NEW - March 2024
  • ​​​​​​​Immunization Information
  • NWT Measles Case Investigation Form 
  • NWT Measles Case and Contact Linelist (Excel) - UPDATED - March 2025
• Meningococcal Disease, Invasive - December 2023
  • ​​​​​​​Immunization Information
  • Communicable Disease Report Form
• Meningitis, Acute - NEW - March 2024
• Mpox (Orthopoxvirus) - NEW - October 2024
  • NWT Mpox Algorithm - NEW - August 2024​​​​​​​
• Mumps - December 2023
  • ​​​​​​​Immunization Information
  • Communicable Disease Report Form

O

• Orthopoxvirus - NEW - October 2024

P

• Parvovirus B19 (Fifth Disease) - December 2023
  • Communicable Disease Report Form
• Pertussis - December 2023

  • CPI 159: Pertussis Contact Assessment and Management

    • Pertussis Assessment & Management of Cases and Contacts 

  • CPI 158: Pertussis Reporting Form
    • Pertussis Investigation Form
    • Pertussis Contact List
  • ​​​​​​​Immunization Information
• Plague - December 2023
  • ​​​​​​​​​​​​​​Communicable Disease Report Form
• Pneumococcal Disease – Invasive - December 2023
  • ​​​​​​​​​​​​​​​​​​Immunization Information
  • Communicable Disease Report Form
• Poliomyelitis & Acute Flaccid Paralysis - December 2023
  • ​​​​​​​​​​​​​​​​​​​​​Immunization Information
  • NWT Poliomyelitis Investigation Reporting Form
• Prion Disease: Creutzfeldt - Jakob Disease - December 2023
  • ​​​​​​​​​​​​​​​​​​​​​​​​​​​​Communicable Disease Report Form
• Psittacosis/Ornithosis - December 2023
  • ​​​​​​​​​​​​​​​​​​​​​​​​​​​​Communicable Disease Report Form

R

• Rabies - December 2023
  • ​​​​​​​CPI 111: Change to Rabies Post-Exposure Immunization Series Protocol For Previously Unimmunized Immunocompetent Individuals
  • Animal Bites/Rabies Investigation Form
• Respiratory Syncytial Virus (RSV) - December 2023
  • Respiratory Illnesses
  • Viral Respiratory Illness Hospital Admission Or Death Reporting Form
    • Forms are required for cases that have been admitted to hospital and/or have died.  All other cases are reported by lab only.
• Rubella and Congenital Rubella - December 2023
  • ​​​​​​​​​​​​​​​​​​​​​​​​​​​​Immunization Information
  • Communicable Disease Report Form

S

• ​Salmonellosis - December 2023
  • ​​​​​​​​​​​​​​Communicable Disease Report Form
• Shigellosis - December 2023
  • ​​​​​​​​​​​​​​Communicable Disease Report Form
• Syphilis - December 2023
  • CPI 180: Lost to Follow-Up of STI Cases and Contacts Flow Chart - Amended 2023
    • Routine Follow-Up of STI Cases and Contacts
    • Syphilis Lost-to-Follow-up Report Form​​​​​​​
  • CPI 178: Sexually Transmitted Infection (STI) Report Forms
    • NWT STI Case Investigation Report Forms
    • NWT STI Contact Tracing Form
  • CPI 176 - Revised Enhanced Congenital Syphilis Screening, Treatment and Reporting - September 2022
  • CPI 156 – NWT Point of Care Syphilis Desk Reference - January 2020
    • Point of Care Syphilis Desk Reference
  • NWT Biolytical Inti HIV/Syphilis Multiplex Point-of-Care Test (POCT) Reporting Form - September 2022
  • Sexually Transmitted and Blood Borne Infections

T

• Tapeworm infestations, including echinococcal disease - December 2023
  • Communicable Disease Report Form
• Tetanus - December 2023
  • ​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​Immunization Information
  • Communicable Disease Report Form
• Toxoplasmosis - December 2023
  • ​​​​​​​​​​​​​​Communicable Disease Report Form
• Trichinosis - December 2023
  • ​​​​​​​​​​​​​​Communicable Disease Report Form
• Tuberculosis - December 2023

  • CPI 116: Revised NWT TB Protocol – Routine School Screening Discontinued  - September 2013

  • CPI 175 - Bacille Calmette-Guerin (BCG) Vaccine - August 2022

  • CPI 179 – NWT Tuberculosis (TB) Program - April 2023
    • NWT TB Program Standards - UPDATED - May 2024
  • Reporting
    • NWT Bacille Calmette-Guerin (BCG) Vaccine Consent Form
    • TB Assessment Form
    • Tuberculin Skin Test (TST) Report Form (ONLY FOR THOSE NOT ON EMR)
    • TB Investigation Contact Tracing Form
  • NWT Immunization Protocol for Freeze-Dried Glutamate Vaccine (Japan) – Bacille Calmette-Guérin (BCG) - August 2022
  • Risk Assessment Tool to Determine Eligibility to Receive Bacille Calmette-Guérin (BCG) Vaccine in the NWT - August 2022
    • TB Risk Map - August 2022
• Tularemia - December 2023
  • ​​​​​​​​​​​​​​​​​​​​​​​​​​​​Communicable Disease Report Form
• Typhoid and Paratyphoid Fevers - December 2023
  • ​​​​​​​​​​​​​​​​​​​​​​​​​​​​Communicable Disease Report Form

U

• Unusual Clinical Manifestations of a Disease, New and Emerging Infectious Diseases, including Epidemic Forms or Outbreaks - December 2023
  • ​​​​​​​​​​​​​​​​​​​​​​​​​​​​Communicable Disease Report Form

V

• Varicella - December 2023
  • ​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​Immunization Information
  • Communicable Disease Report Form
• Vector Borne Diseases - NEW - June 2024
  • Communicable Disease Report Form

W

Y

• Yersiniosis - December 2023​​​​​​​
  • ​​​​​​​​​​​​​​Communicable Disease Report Form

Z