AUSTRALIAN CAPITAL TERRITORY
Public Health (Infectious and Notifiable Diseases) Regulations1 (Amendment)
Subordinate Law No. 27 of 19922

The Australian Capital Territory Executive makes the following Regulations under the Public Health Act 1928.
Dated 12 November 1992.
wayne berry
Minister
bill wood
Minister

Principal Regulations
1.  In these Regulations, “Principal Regulations” means the Public Health (Infectious and Notifiable Diseases) Regulations.
Interpretation
2.  Regulation 3 of the Principal Regulations is amended by inserting in subregulation (1) the following definition:
“ ‘HIV’ means Human Immuno-deficiency Virus;”.
Notification by medical practitioner
3.  Regulation 4 of the Principal Regulations is amended—
	(a)	by omitting from subregulation (1) “the form in Schedule 1” and substituting “subregulation (2)”; and
	(b)	by inserting after subregulation (1) the following subregulation:
“(2)  For the purposes of subregulation (1), the notification shall—
	(a)	except where the disease is HIV—be in accordance with Form 1 in Schedule 1;
	(b)	where the disease is HIV (Category 1, 2 or 3)—be in accordance with Part A of Form 2 in Schedule 1; and
	(c)	where the disease is HIV (Category 4—Acquired Immune Deficiency Syndrome)—be in accordance with Parts A and B of Form 2 in Schedule 1.”.
Notification by pathologist
4.  Regulation 4A of the Principal Regulations is amended—
	(a)	by omitting from paragraph (1) (b) “is positive,” and substituting “indicates the presence of an infectious or a notifiable disease;”; 
	(b)	by omitting from subregulation (1) all the words after “the pathologist shall” and substituting “furnish to the Medical Officer of Health a notification in accordance with Form 3 in Schedule 1.”; and
	(c)	by omitting subregulation (2).
Notification in respect of in-patient of hospital
5.  Regulation 4B of the Principal Regulations is amended—
	(a)	by omitting from subregulations (1) and (2) “Schedule 1” and substituting “subregulation (4)”; and 
	(b)	by adding at the end the following subregulation:
“(4)  For the purposes of subregulations (1) and (2), the notification shall—
	(a)	except where the disease is HIV—be in accordance with Form 1 in Schedule 1;
	(b)	where the disease is HIV (Category 1, 2 or 3)—be in accordance with Part A of Form 2 in Schedule 1; and
	(c)	where the disease is HIV (Category 4—Acquired Immune Deficiency Syndrome)—be in accordance with Parts A and B of Form 2 in Schedule 1.”.
Schedule 1
6.  Schedule 1 to the Principal Regulations is amended—
	(a)	by omitting—
	“SCHEDULE 1	Regulations 4 and 4B ”
		and substituting—
	“SCHEDULE 1	Regulations 4, 4A and 4B
	FORMS
	FORM 1	Subregulations 4 (1)
		and 4B (1) and (2)”;
	(b)	by inserting “(OTHER THAN HIV)” after “NOTIFIABLE DISEASE”; and
	(c)	by adding at the end the forms in the Schedule to these Regulations.
Schedule 4
7.  Schedule 4 to the Principal Regulations is amended—
	(a)	by omitting “Acquired Immune Deficiency Syndrome”; and 
	(b)	by inserting after “Dengue”, “HIV (Category 1, 2 or 3)” and “HIV (Category 4—Acquired Immune Deficiency Syndrome)” respectively.

	Form 2	Subregulations 4 (1)
	Australian Capital Territory	and 4B (1) and (2)
Public Health Act
Public Health (Infectious and Notifiable Diseases) Regulations

Attending Doctor    Name	
National Number
(If known)	

Address			
	Notes for Attending Doctor
Please indicate HIV infection status of the person	
Hospital Name (if appropriate)		Diagnosed HIV infection (Category 1, 2, or 3)
Complete Part A Only	
Signature (Medical Practitioner)

	/	/		Diagnosed HIV infection (Category 4 -
Acquired Immune Deficiency Syndrome)
Complete Parts A and B	

A1  Identification of Person with HIV infection	A3  Exposure Category	
	Person was interviewed with regard to exposure	
Family Name (first 2 letters only)				Not at all (Detail)	
Given Name (first 2 letters only)				To a certain extent (Answer questions below)	
	Date of Birth	/	/		In depth (Answer questions below)	
Sex	Male		Female			More than one exposure category may be ticked
Sexual Exposure - at least one box should be ticked	
	Male Transexual		Female Transexual	
Postcode of current residence		
	Sexual contact only with person of same sex
Sexual contact with both sexes
(if female see A4)	
A2 Diagnosis of HIV infection
Date of first diagnosis of HIV infection	/	/	
	Sexual contact only with person of opposite sex
(see A4)
From a specified country (Pattern - II or other Country1)
	Country	
State/Territory of first diagnosis
of HIV infection	
	No sexual contact
Sexual exposure not known	
CD + 4 count at first diagnosis
of HIV infection		Blood Exposure	
Did the person present with a
seroconversion illness?	Yes		No			Injecting drugs - Detail	
Date of seroconversion illness		/	/		Recipient of blood, blood products or tissue - Detail	
			Haemophilia/coagulation disorder - Detail	
Has the person had a previous
negative antibody test?	Yes		No		Vertical Transmission	
Date of last negative antibody test		/	/		Mother with/at risk of HIV infection - (see A5)	
Source of last negative test		Patient	Other Exposure	
		Doctor		Exposure other than those above applies - Detail	
		Laboratory		Exposure could not be established - Detail	
A4  Sexual contact with person of opposite sex	A5  Vertical Transmission	
Please indicate category of source person	Mother with / at risk of HIV infection due to	
			Injecting drug use	
	Bisexual male (women only)		Recipient of blood transfusion, blood components or tissue	
	Injecting drug user		Origin in Pattern - II Country 1	
	Person who received blood transfusion, blood products or tissue			Country	
	Person with haemophilia/coagulation disorder		Has HIV infection, exposure not specified	
	Person from Pattern - II or other country 1		Sex with bisexual male	
		Country		Sex with injecting drug user	
	HIV infected person whose exposure is other than those above		Sex with person who received blood transfusion, blood 
products or tissue	
		Specify		Sex with person with haemophilia/coagulation disorder	
	HIV infected person, exposure not specified		Sex with person from Pattern - II or other country 1
	Country	
	Other exposure		Sex with HIV infected person, exposure not specified	
		Detail		Other exposure
	Detail	

B1  Diagnosis of HIV infection (Category 4 - Acquired
Immune Deficiency Syndrome2)	B5  Diseases indicative of Category 4 Diagnosis
	At lease one must be ticked
Definitive Prescriptive	
Date of Category 4 diagnosis	/	/			Pneumocystis carinii pneumonia	
Has the person been previously diagnosed as Category 4 
elsewhere?		Yes		No/Unknown			Oesophageal	
(1)	If YES and diagnosis was in another State/Territory
	Specify	
	
	Kaposi’s Sacoma
Herpes simplex virus > 1 month duration
	Site	
(2)	If YES and diagnosis was overseas, write country			Cryptococcosis	Site	
			Cryptosporidiosis (diarrhoea > 1 month)	
B2  Other characteristics of Category 4			Toxoplasmosis	Site	
Country of Birth		Australia			Cytomegalovirus	Site	
Other specify			Mycobacteriosis	Type	
If OTHER, state year of arrival in Australia			Lymphoma	Site
	Type	
Current Status of Person			HIV encephalopathy	
(1)	Person is alive.  Date of most recent contact	/	/
(2)	Person has died.  Date of death	/	/			HIV wasting syndrome	
B3  Laboratory Tests for Category 4 Diagnosis	Other specify		
Date of first diagnosis of HIV infection	/	/	
Footnote 1	
Pattern - II countries	
CD4 + count at Category 4 Diagnosis
CD4 + results to be forwarded when available		The original Pattern - II countries were sub-Saharan Africa and the Caribbean, where transmission is thought to be predominantly heterosexual.  This definition should now be expanded to include countries from South East Asia and India.	
Date of specimen collection for
CD4 + count analysis	/	/	
Footnote 2	
Case definition for AIDS	
B4  Antiviral Therapy	1987 revision of case definition for AIDS for surveillance purposes.  MMWR Vol 36 No. 15, 1978	
Indicate if the person has been treated with any of the following 
retroviral agents (If YES, Specify month/year when started)	ACT Health - Office Use Only	
	19	Zidovudine	19	ddl	Initials of ACT Health Officer	
	19	ddC	19	Other	Territory Case No.	
	Date notification received at Health	Date Forwarded to National Centre	
specify		/	/		/	/	
		h2560(8/92)	
	Form 3	Subregulation 4A (1)
	Australian Capital Territory
Public Health Act
Public Health (Infectious and Notifiable Diseases) Regulations
*Pathologist includes a laboratory assistant and a technical officer employed in a laboratory.

Infection	Referring Doctor Details	
The specimen taken from the person whose name and address appear below indicates infection with

Method of identification (Please tick)
antigen/antibody detected	
microscopy	
serology	
culture	
Species/subtype

Specimen/site

Comments

Patient Details
Surname (first 2 letters ONLY for HIV infection)		
Given name (first 2 letters ONLY for HIV infection)		
Full name of patient (do not include for HIV infection)

Address (do not include for HIV infection)
	
Name

Telephone

Address

Pathology/Laboratory
(Write or Stamp)
Name

Address

Telephone
	
Postcode
(include for HIV infection)		
Date of Birth	Age		Sex	
			
Date of Collection	Date of Notification	

NOTES
1.	Reprinted as at 31 October 1991.  See also Regulations 1992 No. 8 and Subordinate Law No. 22, 1992.
2.	Notified in the ACT Gazette on 17 November 1992.

©  Australian Capital Territory 1992