Notification Pathway for Special Pathogens 
Guidance for timely notification and coordinated response
The Ministry of Health has released a Notification Pathway for Special Pathogens to support a timely and coordinated response when a suspected special pathogen case is identified. This pathway outlines who to notify, how notification occurs, and how provincial coordination is initiated following an initial report.
What is a special pathogen?
A special pathogen is a term used to encompass known Risk Group 4 pathogens as well as unknown or emerging pathogens that are highly infectious, capable of human-to-human transmission, and likely to cause severe disease with high mortality when effective prevention and treatment measures may not be available.
Key steps in the notification pathway
Infectious disease physician completes a risk assessment, identifies a potential special pathogen case, and implements appropriate infection prevention and control protocols.
If expertise is not available to complete a risk assessment, organizations may contact their Public Health Unit and/or the Public Health Ontario Laboratory Customer Service Centre for support.
Notify the Ministry of Health through the 24/7 Health Care Provider Hotline and notify your Public Health Unit.
Within 30 minutes of notification, the Ministry of Health convenes a call with relevant health partners to assess the situation and determine next steps.
Immediate notification required
If your organization suspects a case of a special pathogen, immediately notify the Ministry of Health through the 24/7 Health Care Provider Hotline at 1-866-212-2272. Early notification is critical to initiate coordination across provincial and federal health systems.
Resources (PDFs)
Notification Pathway for Special Pathogens (PDF)
Viral Hemorrhagic Fever (VHF) Symptom and Exposure Risk Assessment Tool
Access the tool
For questions, contact: EOCOperations.moh@ontario.ca.

KW4OHT
Team