Royal Decree 2210/1995 of 28 December 1995 establishing the national network for epidemiological surveillance, describes in Article 6 the powers of the Ministry of Health, Social Services and Equality, among which finds coordination of the actions and exchanges of information at national level and at the level of the European Union, the World Health Organisation and other international bodies. Chapter II sets out the characteristics of the basic system of the Network and in Article 9 specifies that the diseases subject to compulsory declaration are listed in Annex I.

Since the adoption of Royal Decree 2210/1995 of December 28, the international organizations in which Spain is represented, the World Health Organization (WHO) and the European Commission, have developed regulations to prevent and control the international spread of communicable diseases. The increase in international travel and trade, as well as the emergence of new diseases and the reappearance of eliminated or controlled diseases that can lead to a public health emergency of international importance, WHO member states will request a review of the International Health Regulations, with the aim of improving the global response to these situations. At the 58th World Health Assembly of 23 May 2005, the International Health Regulations 2005, which entered into force on 15 June 2007 and which obliges States to have the capacity to detect, assess and notify, were adopted by consensus. events which may constitute a public health emergency (Articles 5 and 6). This Regulation, in Annex II, provides criteria for deciding which events should be notified to the WHO.

Commission Implementing Decision 2012/506/EU of 8 August 2012 amending Decision 2002/253/EC laying down the definitions of cases for the reporting of diseases communicable to the network in accordance with Decision 2119 /98/EC of the European Parliament and of the Council and Decision 1082/2013/EU of the European Parliament and of the Council of 22 October 2013 on serious cross-border threats to health and on which it is repeals Decision 2119 /98/EC, adapting to the changes observed in the epidemiological pattern of the International communicable diseases take into account the most recent scientific data and provide the Commission and the Member States with the development of intervention strategies in the field of surveillance and response to these diseases. diseases.

Annex I, which is contained in Royal Decree 2210/1995 of 28 December 1995, does not consider the current epidemiological situation in Spain and does not cover the whole list of diseases which the standards of international bodies require Member States. This situation makes it necessary to amend Annex I to that royal decree which contains the list of notifiable diseases to be adapted to these requirements, Annex II containing the modalities of the declaration of diseases and the Annex III, which collects endemic diseases at regional level.

The purpose of this order is to amend the list of notifiable diseases, their declaration modalities and diseases at regional level.

This order is dictated by the habilitation contained in the final provision of Royal Decree 2210/1995 of 28 December 1995, which empowers the Minister of Health, Social Services and Equality to submit a report on the Interterritorial Council of the National Health System, modify the list of diseases listed in the Annexes, in accordance with changes that may occur in the epidemiological pattern.

In the handling of this order, the entities representing the interests of the sectors concerned have been consulted. It has also been submitted to the Advisory Committee and to the plenary session of the Interterritorial Council of the National Health System.

In its virtue, according to the State Council, I have:

Single item. Amendment of Royal Decree 2210/1995 of 28 December establishing the national network for epidemiological surveillance.

Royal Decree 2210/1995 of 28 December 1995 establishing the national network for epidemiological surveillance is amended as follows:

One. Annex I containing the list of notifiable diseases is replaced by Annex I of this order.

Two. Annex II containing the modalities of the declaration of notifiable diseases is replaced by Annex II to that order.

Three. Annex III containing the endemic diseases at regional level is replaced by Annex III to that order.

Single end disposition. Entry into force.

This order shall enter into force on the day following that of its publication in the "Official State Gazette".

Madrid, March 9, 2015. -Minister of Health, Social Services and Equality, Alfonso Alonso Aranegui.

ANNEX I

List of notifiable diseases

1. Botulism.

2. Brucellosis.

3. Campylobacteriosis.

4. Anthrax.

5. Cholera.

6. Cryptosporidiosis.

7. Dengue.

8. Diphtheria.

9. Tick-borne encephalitis.

10. Human transmissible spongiform encephalopathies (includes vECJ).

11. Invasive disease by Haemophilus influenzae.

12. Meningococcal disease.

13. Invasive pneumococcal disease.

14. Chikungunya virus disease.

15. Yellow fever.

16. West Nile fever.

17. Mediterranean exanthemic fever.

18. Fever Q.

19. Recurrent fever transmitted by ticks.

20. Typhoid fever/Paratiphoid fever.

21. Viral haemorrhagic fevers (Ebola, Marburg and Lassa among others).

22. Giardiasis.

23. Human Flu/Flu by a new virus subtype.

24. Hepatitis A.

25. Hepatitis B.

26. Hepatitis C.

27. Shingles.

28. Hydatidosis.

29. Chlamydia trachomatis infection (excludes venereal lymphogranuloma).

30. Infection with strains of Shiga or Vero toxin-producing Escherichia coli.

31. Gonococcal infection.

32. Infection with Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome (HIV/AIDS).

33. Legionellosis.

34. Leishmaniasis.

35. Leprosy.

36. Leptospirosis.

37. Venereal lymphogranuloma.

38. Listeriosis.

39. Malaria.

40. Mumps.

41. Plague.

42. Polyomyelitis/acute flaccid paralysis in less than 15 years.

43. Rabies.

44. Rubella.

45. Congenital rubella.

46. Salmonellosis.

47. Measles.

48. SARS (in Spanish: Severe Acute Respiratory Syndrome).

49. Shiglosis.

50. Syphilis.

51. Congenital syphilis.

52. Tetanus/Neonatal Tetanus.

53. Whooping cough.

54. Congenital toxoplasmosis.

55. Trichinosis.

56. Tuberculosis.

57. Tularemia.

58. Chickenpox.

59. Smallpox.

60. Yersiniosis.

ANNEX II

Modes of disease declaration

1. Weekly numerical declaration:

A) And sending the basic epidemiological data grouped in four-week periods:

Campylobacteriosis; Cryptosporidiosis; Giardiasis; Salmonellosis; Yersiniosis; Hepatitis C; Chlamydia trachomatis infection (excludes venereal lymphogranuloma); invasive disease by Haemophilus influenzae; Disease invasive pneumococcal; human transmissible spongiform encephalopathies (includes vECJ).

B) Urgent declaration with basic epidemiological data delivery:

Cholera; Human influenza by a new virus subtype; SARS (in Spanish: Severe Acute Respiratory Syndrome); Yellow Fever; West Nile Fever; Viral Hemorrhagic Fevers; East; Rabia; Diphtheria; Poliomyelitis/Paralysis acute flaccid in less than 15 years; smallpox.

C) Weekly statement with basic epidemiological data submission:

Botulism; Typhoid Fever/Parathyphoid Fever; Hepatitis A; Hepatitis B; Infection By Strains Of Shiga Or Vero Toxin-producing Escherichia coli; Listeriosis; Shigelosis; Triquinosis; Flu; Legionellosis; Lepra; Tuberculosis; Gonococcal infection; Venereal Lymphogranuloma; Syphilis; Tick-borne Encefalitis; Chikungunya Virus Disease; Dengue; Fever Q; Recurrent Tick-borne Fever; Leishmaniasis; Paludism; Brucellosis; Carbunco; Hidatidosis; Leptospirosis; Congenital Toxoplasmosis; Tularemia; Disease meningococcal; Parotiditis; Rubeola; Sarapia; Tetanus/Neonatal Tetanus; Tosferin; Varicela; Congenital syphilis; Rubeola Congenita; Mediterranean Exanthemic Fever.

D) With basic epidemiological data in an annual report:

Herpes Zoster.

2. Disease declaration by special systems:

Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome (HIV/AIDS) infection.

ANNEX III

Endemic regional diseases

Lyme disease.