TABLE 4.

Summary of status of mandatory case notification in selected low TB-incidence countries as of December 2014

Country	2013 TB incidence rate per 100 000 population	Mandatory TB case notification by all providers	Notification system	Type of cases for which notification is required	Time limit for notification	Agency responsible for enforcing mandatory notification	Penal provisions if fail to notify
Bahamas	10	Yes	M	All diagnosed TB cases	Unclear	NTP/MoH	Penalty
Canada	5	Yes	M+E	All diagnosed TB cases and suspects	Within 48 h	DoE/MoH	Closure of facilities, fine ($600 or $1200) for the first offence, double for the next, possible imprisonment
Costa Rica	11	Yes	M+E	All diagnosed TB cases	Unclear	DoE/MoH	Warning call, no specific penalty
Cuba	9	Yes	M	All diagnosed TB cases	Within a week	DoE/MoH	Unclear
Grenada	4	Yes	M	All diagnosed TB cases except MDR-TB and age<15 years	Unclear	DoE/MoH	None
Italy	6	Yes	M+E	All diagnosed TB cases and suspects	Within 48 h	Local public health units	Administrative fees and detention
The Netherlands	6	Yes	E	All diagnosed TB cases and suspects	Within 24 h	Municipal Public Health Service	Detention for maximum 2 months or fine, no information on execution of this.
UK	13	Yes	M+E	All diagnosed TB cases and suspects	Within 3 working days	Health Protection Agency, Department of Health	No offence in the Notification Regulations because there are other mechanisms for dealing with non-compliance with legal requirements
USA	3	Yes	M+E	All diagnosed TB cases and suspects	Within a week	DoE/MoH	Closure of facilities, fine, imprisonment

M: manual; E: electronic; M+E: both manual and electronic; NTP: National TB Programme; MoH: Ministry of Health; DoE: Dept of Epidemiology; MDR: multidrug-resistant; NA: not applicable.