MHES Moves to Update List of Notifiable Diseases

19 March 2026 | Press Release | By: MHES Communications

The Ministry of Health, Environment and Sustainability (MHES) obtained Cabinet’s approval on 12th March, to amend the list of Notifiable diseases to reflect current risks and the international standards . These amendments further strengthen early detection, consistent reporting, and timely intervention across the health system for diseases that could pose a threat to the public.

The Notifiable Diseases Schedule is a list of specific infectious diseases included in the Public Health Act (2026 Revision), that health professionals and the public are required by law to report to public health authorities, when a patient is diagnosed or suspected.  

Clinicians are required under section 19 of the Public Health Act (2026 Revision) to report immediately any confirmed or suspected notifiable disease to the Senior Medical Officer of Health. A completed report must be submitted to the Public Health Department immediately.

The Public Health Act (2026 Revision) and the Public Health (Communicable Diseases) Regulations (1997 Revision), form part of the Government’s legal and public health infrastructure for tracking and managing diseases, and for protecting the health of the community. Section 1 of the Schedule in the Public Health Act (2026 Revision) was amended to include the following additional diseases: 

(1)

Antimicrobial resistance

(17)

Listeriosis

(2)

Botulism

(18)

Lyme disease

(3)

Brucellosis

(19)

Middle Eastern Respiratory Syndrome (MERS)

(4)

Campylobacteriosis

(20)

Neonatal infectious conjunctivitis

(5)

Carbapenemase-producing Gram-negative bacteria

(21)

Norovirus

(6)

Chikungunya

(22)

Oropouche virus infection

(7)

Chlamydia

(23)

Respiratory Syncytial Virus

(8)

Ciguatera fish poisoning

(24)

Rotavirus infection

(9)

Congenital Rubella Syndrome

(25)

Scabies

(10)

Cryptosporidium

(26)

Severe Acute Respiratory Syndrome (SARS)

(11)

Escherichia coli

(27)

Shigellosis

(12)

Giardiasis

(28)

Streptococcal (pneumococcal) Pneumonia

(13)

Group A Streptococcal infection (invasive)

(29)

West Nile Virus

(14)

Hand, foot and mouth disease

(30)

Zika

(15)

Hemolytic uremic syndrome (HUS)

(16)

Legionnaires disease

 

The Minister for Health, Environment and Sustainability, Hon. Katherine Ebanks-Wilks said: “Protecting the health of our people is both a responsibility and a commitment we take seriously. The update to the Notifiable Diseases Schedule strengthens our ability to respond swiftly and effectively to the evolving public health landscape and aligns more closely with regional and global surveillance networks. Also importantly, it provides clarity to individuals and medical professionals, so that everyone understands their obligations under the law and can act in a manner that reduces the risk of disease transmission.”

“At its core, this update is about being better prepared. We have taken a careful look at how we track infectious diseases, both the ones we see every year and the new threats that can emerge without warning, and we know there is more we can do to strengthen our systems,” adds Chief Medical Officer, Dr. Hilary Wolf. “By improving surveillance throughout Cayman, we can spot patterns earlier and better understand whether our public health programmes are truly making the impact we expect.”

Commenting on the update, the Acting Chief Officer for Health, Environment and Sustainability, Mrs. Bobeth O’Garro adds: “The Ministry intends to bring further updates to both the primary and secondary public health legislation later this year to ensure full alignment and clarity within our legal framework. These updates will form part of our broader commitment to maintaining a modern and transparent public health system that supports compliance.”

The update to the Notifiable Diseases List forms part of a broader initiative by the Ministry to bring public health directly under Government oversight. This approach will strengthen coordination across public health programmes, disease prevention efforts, and emergency response activities, supporting improved surveillance and faster responses to emerging health threats while safeguarding the health and safety of communities across the Islands.

 

The table below will now replace the current list of notifiable diseases in section 1 of the Schedule to the Act. It consolidates communicable diseases already stated in the previous Schedule and in section 3 of the Regulations, as well as additional diseases that were added. An asterisk * indicates diseases whose names have been changed.

Notifiable Diseases List

(1)

Acute infectious encephalitis *

(35)

Leprosy

(2)

Acute infectious hepatitis *

(36)

Leptospirosis

(3)

Acute Meningitis *

(37)

Listeriosis

(4)

Anthrax *

(38)

Lyme disease

(5)

Antimicrobial resistance

(39)

Malaria

(6)

Botulism

(40)

Measles

(7)

Brucellosis

(41)

Middle Eastern Respiratory Syndrome (MERS)

(8)

Campylobacteriosis

(42)

Mpox

(9)

Carbapenemase-producing Gram-negative bacteria

(43)

Mumps

(10)

Chicken pox

(44)

Neonatal infectious conjunctivitis

(11)

Chikungunya

(45)

Norovirus

(12)

Chlamydia

(46)

Oropouche virus infection

(13)

Cholera

(47)

Pertussis

(14)

Ciguatera fish poisoning

(48)

Plague

(15)

Congenital Rubella Syndrome *

(49)

Poliomyelitis *

(16)

COVID-19

(50)

Rabies

(17)

Cryptosporidium

(51)

Respiratory Syncytial Virus

(18)

Dengue fever

(52)

Rotavirus infection

(19)

Diphtheria

(53)

Rubella

(20)

Enteric fever (typhoid or paratyphoid fever) *

(54)

Salmonellosis *

(21)

Escherichia coli

(55)

Scabies

(22)

Filariasis

(56)

Severe Acute Respiratory Syndrome (SARS)

(23)

Food Poisoning

(57)

Shigellosis

(24)

Gastroenteritis

(58)

Smallpox

(25)

Giardiasis

(59)

Streptococcal (pneumococcal) Pneumonia

(26)

Gonorrhea

(60)

Syphilis

(27)

Group A Streptococcal infection (invasive)

(61)

Tetanus

(28)

Hand, foot and mouth disease

(62)

Tuberculosis

(29)

Hemolytic uremic syndrome (HUS)

(63)

Typhus

(30)

Herpes

(64)

Viral Haemorrhagic Fever *

(31)

HIV infection *

(65)

West Nile Virus

(32)

Influenza (including human cases of Avian Influenza and other Zoonotic Influenza viruses)

(66)

Yellow Fever

(33)

Lassa Fever

(67)

Zika

(34)

Legionnaires' disease

 

To report a confirmed or suspected notifiable disease, please contact Public Health Administration on 244-2889.

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