Investigation of cases of undiagnosed neurological illness

The Office of the Chief Medical Officer of Health (OCMOH) is continuing to investigate cases of undiagnosed neurological illness.

   

Overview

Since becoming aware of cases of a potentially undiagnosed neurological illness, the Government of New Brunswick has led two separate investigations into this matter. Supports have also been provided to affected patients as well as physicians who are caring for these individuals.

The investigation started in 2021, when the Chief Medical Officer of Health studied a group of 48 patients with a range of neurological symptoms. The investigation found no evidence of a common illness among these patients and a report was issued on Feb. 24, 2022.  The report included recommendations and follow up actions to support patient care. 

The full timeline of the 2021-2022 investigation can be found here.

In early 2023, the referring neurologist raised new concerns, including reporting more patients with unusual symptoms. The physician has suggested different ideas about causes for these symptoms.  

Since then, the Office of the Chief Medical Officer of Health, Vitalité Health Network, and the Public Health Agency of Canada have been working together to support the neurologist in the collection and verification of the required patient information. Once these reports are complete and received, the Chief Medical Officer of Health will analyze the information, interpret the results and make recommendations on any next steps required. 

Objectives of Investigation

The purpose of this investigation is to assess concerns of elevated levels of certain environmental substances, and to review relevant files to determine whether a diagnosis has been made for some patients.  

This investigation will not involve establishing criteria to determine the presence of a cluster and its characteristics or detailed clinical review of patient records.

The findings of the current investigation will help determine next steps.


Current status

Current status (updated: May 27, 2025): Results of analysis sent to Public Health Agency of Canada

As of February 28, 2025, 222 enhanced surveillance forms have been signed off by the referring neurologist. We now have enough fully reported and verified patient data to begin the analysis, with assistance from the Public Health Agency of Canada.

Next steps

What we’ll do How we’ll do it When we’ll do it
Data analysis The data will be analyzed with support from the Public Health Agency of Canada. Underway 
Interpretation of analysis Office of the Chief Medical Officer of Health to review field epidemiology report of the data analysis, interpret, and make recommendations for next steps. May-June 2025 
Scientific review  Results of the analysis will be sent to the Public Health Agency of Canada for review.  May 2025
Finalize report  Review feedback/comments from the Public Health Agency of Canada. Complete edits and finalize design.  Late Spring 2025
Release report  Share findings and any next steps with the public, affected patients and First Nations.  Late summer 2025

* Timelines are estimates and subject to change. Delays for one activity could impact other steps. Timelines will be updated as required.


Timeline

  • For the full timeline of the 2021-2022 investigation, click here.

2025

  • May  2025 - Results of analysis sent to Public Health Agency of Canada
  • March 2025: Data analysis underway with assistance from Public Health Agency of Canada. All 222 enhanced surveillance forms signed off by referring neurologist included in the analysis.
  • January, 2025: Steps put in place to ensure the neurologist has sufficient time to sign off on the remaining patient files.

2024

  • December 16, 2024: Office of the Chief Medical Officer of Health mobilized a field epidemiologist from PHAC to assist with creating a detailed data analysis plan for the next phase of this investigation. The field epidemiologist also assisted with creating a draft report template to be populated following completion of the analysis. 
  • July 17, 2024: In-person meeting held with referring neurologist, Office of the Chief Medical Officer of Health and Vitalité Health Network where plan is agreed upon to support the sign-off of patient files received in May, including a reduction in clinic duties and additional support staff. 
  • May 2, 2024: A package with all the of the completed enhanced surveillance forms was provided to the neurologist for review and sign off. 
  • March 18 - April 5, 2024: A Public Health Agency of Canada field epidemiologist and a Vitalité Public Health nurse were mobilized to the referring neurologists office to complete the extraction of data to complete the enhanced surveillance documents. 

2023

  • November 27 - December 20, 2023: Public Health Agency of Canada epidemiologist supporting Public Health and Vitalite Public Health Nurse mobilized to the referring neurologist’s office to assist with data collection efforts. Public Health Agency of Canada Epidemiology helped Public Health develop a database and guidance for data extraction and database entry.
  • November 9, 2023: Public Health requested assistance from the Public Health Agency of Canada Field Epidemiology program to assist with the data collection step.
  • July 2023 - September 2023: Public Health requested assistance from Public Health Agency of Canada to help with the completion of a scoping exercise. The purpose of this exercise was to determine the volume, format and type of information collected and available on the patients, in order to help guide data collection. During this time, Public Health Agency of Canada and Public Health worked together to clarify the assistance needed and determine which resources would be most helpful. 
  • April - May 2023: A two-page enhanced surveillance form is developed by the Office of the Chief Medical Officer of Health Epidemiology and Surveillance team to gather necessary data. The form is sent to the referring neurologist.
  • January 2023: The Chief Medical Officer of Health was notified by the neurologist of his concerns regarding potential environmental exposures to certain substances. They also indicated the number of cases has grown to 147.

2022

  • February 2022: GNB releases report and concludes investigation into 48 cases.
  • February 2022: Oversight committee release its findings on 48 cases.

 


Frequently Asked Questions

Why is government investigating cases of undiagnosed neurological illness?
We know many New Brunswickers are interested and concerned about this file, and we are as well. We committed to conducting this investigation to assess claims made by the referring neurologist.

What’s the difference between this investigation and the investigation in 2021-22?
The Office of the Chief Medical Officer of Health has been working with the referring neurologist and stakeholders on this file since 2021.

Two separate investigations, with different objectives, have been initiated on this file since then, one of which was completed in 2022 and the other currently underway.

  • An investigation started in 2021, when New Brunswick Public Health studied a group of 48 patients with a range of neurological symptoms. The investigation’s main objective was to assess whether or not these individuals were suffering from a common condition/illness. The investigation found no evidence of a common illness among these patients and a report was issued February 24, 2022.
  • In early 2023, the referring neurologist raised new concerns including more patients with unusual symptoms. The neurologist was also reporting a total of 147 patients with undiagnosed illness at that time. This investigation’s objectives are to assess the physician's concerns regarding certain environmental exposures, as suggested by elevated test results obtained among some of his patients, and to review relevant files from the reported list of affected patients to determine if established diagnosis have been made.
The Office of the Chief Medical Officer of Health has continued to work with the neurologist and other stakeholders on this file.

Who is helping the Government of New Brunswick with this investigation?
The Office of the Chief Medical Officer of Health, the Vitalité Health Network, and the Public Health Agency of Canada have been cooperating on this file since early 2023.

What is the role of the Public Health Agency of Canada in this investigation?
Since 2023, the Public Health Agency of Canada has mobilized epidemiologists in response to New Brunswick’s Requests for Assistance to support Office of the Chief Medical Officer of Health's efforts to help the neurologist collect, record and submit the available case data for the provincial public health notification process.

Public Health Agency of Canada epidemiologists, under the leadership of the New Brunswick Chief Medical Officer of Health, helped Office of the Chief Medical Officer of Health develop a database, create a guidance document for data extraction and database entry, complete a scoping exercise and support the work of Vitalité Health Network to extract and enter case data into the database.

Completing the provincial notification process and related data collection were necessary steps to inform any review and analysis of the case files. A Public Health Agency of Canada epidemiologist also provided remote support to help Office of the Chief Medical Officer of Health prepare for the next phase of its investigation, by reviewing and refining the province’s draft analysis plan. Public Health Agency of Canada has mobilized an epidemiologist to now assist with the data analysis.

Why is it taking so long for the investigation to be completed?
Before any type of analysis could happen, we needed enough patient data to be completed and verified. Completing the provincial notification process and related data collection were necessary steps for review and analysis of the case files.

How many patients are involved?
As of February 28, 2025, the Office of the Chief Medical Officer of Health has received 222 complete and validated patient reports. All completed and validated patient reports will be included in this investigation.

The referring neurologist has notified us of a total of 390 patients that are part of this group of patients with undiagnosed neurological illness.

What about the remaining files? Are you capping the number of cases to be included in this investigation?
While the decision has been made to begin the analysis with 222 files signed off, we continue to encourage and support the referring neurologist in completing the rest of the sign-offs and we will consider repeating the analysis if we receive a significant number of additional submissions.

How can New Brunswickers stay engaged and informed about this process?
The Office of the Chief Medical Officer of Health will continue to provide updates about the investigation as it progresses via this website. Further mechanisms for engagement for those interested will be announced as they occur.

How will government help these patients?
Decisions about next steps will be made once the investigation is complete.

Following the first investigation in 2021-2022, the Oversight Committee sent a letter to the patients primary care providers with its conclusions and/or recommendations for further clinical review, and then sent a communication to the patient directly.

Each patient was asked to follow up with their primary care provider and continued to have access to a specialist at the MIND Clinic in Moncton or any other specialty physician. That included facilitating access to out of province specialists where appropriate.

The MIND clinic was established in 2021, with the goal of providing supports from multiple care providers to patients with neurodegenerative disease.


Privacy Statement

When disclosing information, Public Health New Brunswick (PHNB) always:

  • respects the imperative need to find the right balance between the public’s need and right to know, and the duty to protect the privacy of all New Brunswickers
  • follows the principles of necessity and proportionality: information is disclosed in a manner that does not permit the identification of affected individuals but is sufficient to fully inform the public

The findings presented here follow applicable privacy legislation, including the Personal Health Information Privacy and Access Act (PHIPAA), the Right to Information and Protection of Privacy Act (RTIPPA), as well as best practices to ensure every individual’s right to privacy is protected at all times.

Some of the information used for this investigation was collected directly from individuals, who provided their informed consent, which included assurance that no personal or identifying information would be disclosed in the report of findings. 


Contact us

If you have any general questions that are not addressed on the website about the investigation, you may reach out to us at [email protected]. Please note that to protect your privacy, we are unable to comment on individual cases or provide medical advice through this inbox. Any specific medical questions related to your case should continue to be discussed with your current care provider.