A long history of major public health problems has created the need for public health legislation to contain the spread of communicable diseases. Death and illness from communicable diseases was significantly reduced in the 20th century, particularly vaccine preventable diseases e.g. measles, mumps, rubella, tetanus, influenza, polio, etc. Other diseases, such as food and water borne diseases and sexually transmitted infections, continue to pose problems.
Emerging infections such as Severe Acute Respiratory Syndrome (SARS), and bat lyssa virus, have posed new risks. Others such as dengue fever have re-emerged, increasing in frequency in recent years. Diseases such as tuberculosis, HIV and malaria, although a greater risk in other countries, are also posing an increased threat in Australia. Since 2003, avian influenza has spread to humans, raising concern for the emergence of a new pandemic influenza. Some of the successes in containing communicable diseases have been because legislation requires reporting of these diseases.
The Public Health Act 2005 aims to protect people from these conditions in ways that provide a balance between protecting public health and allowing individual rights to liberty and privacy. To fulfil this aim, information about people who have, or may have, a notifiable condition must be reported to Queensland Health and is held on a register.
The purpose of the register is to:
Information reported to the register is highly protected from disclosure, except; where there is written consent of the person to whom the information relates, when authorised under another Act or law, or to persons performing duties under the Act (such as for contact tracing).
Queensland Health can use information reported to the register to help trace and assist persons who may have been exposed to a notifiable condition to prevent the spread of the condition in the community.
Actions can also be taken to prevent a person with a controlled notifiable condition from creating a risk to the health of the public either because of the condition or by their behaviour.
For more information about notifiable conditions: