{"id":"F2018L00450","name":"National Health Security (National Notifiable Disease List) Instrument 2018","slug":"national-health-security-national-notifiable-disease-list-instrument-2018","collection":"legislative_instrument","jurisdiction":"commonwealth","status":"in_force","isInForce":true,"actNumber":null,"makingDate":null,"administeringDepartment":null,"currentVersion":{"id":99993,"registerId":"commonwealth-F2018L00450-current","compilationNumber":null,"startDate":"2026-04-02","status":"InForce","reasons":null,"registeredAt":null},"sections":[{"sectionNumber":"1","sectionType":"section","heading":"Name","content":"#### 1 Name\n\n This instrument is the National Health Security (National Notifiable Disease List) Instrument 2018.","sortOrder":0},{"sectionNumber":"3","sectionType":"section","heading":"Authority","content":"#### 3 Authority\n\n This instrument is made under section 11 of the National Health Security Act 2007.","sortOrder":1},{"sectionNumber":"5","sectionType":"section","heading":"Definitions","content":"#### 5 Definitions\n\n In this instrument:\n\n> Act means the National Health Security Act 2007.\n\n> NEC has the meaning given by subsection 6(2).","sortOrder":2},{"sectionNumber":"6","sectionType":"section","heading":"Establishment of the National Notifiable Disease List","content":"#### 6 Establishment of the National Notifiable Disease List\n\n (1) For the purposes of subsection 11(1) of the Act, the following list of diseases (to be called the National Notifiable Disease List) is established:\n\n```html\n

National Notifiable Disease List

Item

Disease

1

Anthrax

2

Australian bat lyssavirus infection

3

Barmah Forest virus infection

4

Botulism

5

Brucellosis

6

Campylobacteriosis

7

Chikungunya virus infection

8

Chlamydial infection (excluding eye infections)

9

Cholera

9A

Coronavirus disease (COVID‑19)

10

Creutzfeldt‑Jakob disease (CJD)—classical

11

Creutzfeldt‑Jakob disease—variant (vCJD)

12

Cryptosporidiosis

13

Dengue virus infection

14

Diphtheria

15

Donovanosis

16

Flavivirus infection (unspecified)—including Zika virus

17

Gonococcal infection

17A

Group A streptococcal disease—invasive (iGAS)

18

Haemolytic uraemic syndrome (HUS)

19

Haemophilus influenzae type b infection—invasive only

20

Hepatitis (NEC)

21

Hepatitis A

22

Hepatitis B

23

Hepatitis C

24

Hepatitis D

25

Hepatitis E

26

Human immunodeficiency virus (HIV)

27

Influenza—avian influenza in humans

28

Influenza—laboratory confirmed

29

Japanese encephalitis virus infection

30

Legionellosis

31

Leprosy

32

Leptospirosis

33

Listeriosis

34

Lyssavirus infection (NEC)

35

Malaria

36

Measles

37

Meningococcal disease—invasive

38

Middle East respiratory syndrome coronavirus (MERS‑CoV) infection

38A

Mpox

39

Mumps

40

Murray Valley encephalitis virus infection

41

Psittacosis (ornithosis)

42

Paratyphoid fever

43

Pertussis

44

Plague

45

Pneumococcal disease—invasive

46

Poliovirus infection

47

Q fever

48

Rabies

48A

Respiratory syncytial virus (RSV) infection

49

Ross River virus infection

50

Rotavirus infection

51

Rubella—including congenital and non‑congenital

52

Salmonellosis

53

Severe acute respiratory syndrome (SARS)

54

Shiga toxin‑producing Escherichia coli (STEC) infection

55

Shigellosis

56

Smallpox

57

Syphilis—including congenital and non‑congenital

58

Tetanus

59

Tuberculosis

60

Tularaemia

61

Typhoid fever

62

Varicella zoster infection—chickenpox, shingles and unspecified

62A

Vibrio parahaemolyticus infection

63

Viral haemorrhagic fever

64

West Nile virus infection—including Kunjin virus

65

Yellow fever

\n```\n\n (2) NEC, in relation to a disease, means not elsewhere classified in the National Notifiable Disease List.","sortOrder":3}],"analysis":{"flash_summary_failed":{"failed":true,"reason":"Unauthenticated. Configure AI_GATEWAY_API_KEY or use a provider module. Learn more: https://ai-sdk.dev/unauthenticated-ai-gateway","source":"analysis-cron"},"kimi_summary":{"content_quality":"ok","complexity_score":2,"scope_assessment":{"changed":false,"description":"The instrument performs exactly the function intended by section 11 of the National Health Security Act 2007 — establishing a national list of notifiable diseases. The list has expanded over time (from original 65 items to include COVID-19, mpox, RSV, etc.) but this represents natural evolution of public health priorities rather than scope creep. The mechanism remains unchanged: a simple tabular instrument updated via legislative instrument."},"complexity_factors":["Extremely short instrument — only 3 substantive sections plus definitions","Minimal defined terms — only 2 definitions ('Act' and 'NEC')","No cross-references to other legislation beyond the empowering provision (section 11 of the National Health Security Act 2007)","No conditional logic, exceptions, or operative provisions — purely a declaratory list","Single mechanical operation: establishing a table of diseases","HTML table formatting in the legislative text creates visual clutter but no legal complexity"],"plain_english_summary":"This law establishes a single National Notifiable Disease List — a mandatory, national register of 65 diseases (and counting) that doctors, hospitals and labs must report to state and territory health authorities. It directly affects healthcare workers and public health agencies and matters because mandated notification lets authorities detect outbreaks early, track trends across jurisdictions, and coordinate national responses to infectious and biosecurity threats."},"flash_summary":{"complexity_score":2,"scope_assessment":{"changed":false,"description":"The instrument does not expand or narrow statutory powers; it formally lists the diseases that fall within the Act’s notifiable scope as required by section 11. It establishes which conditions are captured (including 'NEC' categories) but does not introduce new reporting mechanics or enforcement provisions."},"complexity_factors":["Single-purpose statutory instrument: it only establishes an enumerated list of diseases (simple legal effect).","Lengthy enumeration (65 numbered entries and subitems) increases administrative tracking and maintenance burden.","Made under section 11 of the National Health Security Act 2007—operation depends on the Act’s reporting powers and procedures.","Uses the label 'NEC' with an internal definition (subsection 6(2)), requiring interpretation when classifying diseases not explicitly named.","No procedural or enforcement detail in the instrument itself—practical effect depends on cross-references to the Act and other instruments.","Updates require amending the instrument, so keeping the list current requires formal legislative action."],"plain_english_summary":"This instrument creates the National Notifiable Disease List under the National Health Security Act 2007 by naming the specific diseases that fall within the Act’s scope. It affects health authorities, laboratories and other entities subject to the Act’s reporting framework by defining which conditions trigger those statutory mechanisms. The list matters because it mechanically determines when the Act’s notifiable‑disease rules apply and therefore which diseases require the responses the Act governs."}},"importantCases":[],"_links":{"self":"/api/acts/national-health-security-national-notifiable-disease-list-instrument-2018","history":"/api/acts/national-health-security-national-notifiable-disease-list-instrument-2018/history","analysis":"/api/acts/national-health-security-national-notifiable-disease-list-instrument-2018/analysis","conflicts":"/api/acts/national-health-security-national-notifiable-disease-list-instrument-2018/conflicts","importantCases":"/api/acts/national-health-security-national-notifiable-disease-list-instrument-2018/important-cases","documents":"/api/acts/national-health-security-national-notifiable-disease-list-instrument-2018/documents"}}