Objectives: To determine if a heightened, passive surveillance system
increases the number of physicians reporting two notifiable diseases d
uring a six-month period. Methods: We conducted a randomized trial amo
ng 145 community-based primary care physicians in two counties in East
ern Ontario. Intervention group physicians received a three-part inter
vention group to that int he control group. Results: Seventy physician
s received the intervention and 75 physicians were in the control grou
p. The relative risk for the number of physicians reporting at least o
ne case was 5.9 (95% CI 2.6-13.2). Conclusions: The intervention had a
n impact on reporting of notifiable diseases by physicians.