{
  "url": "https://openlegislation.uk/eu-decision-2018-945/annex-II/division-3/division-3.45/division-1",
  "json_url": "https://openlegislation.uk/eu-decision-2018-945/annex-II/division-3/division-3.45/division-1.json",
  "legislation": "eudn/2018/945",
  "legislation_title": "Commission Implementing Decision (EU) 2018/945 of 22 June 2018 on the communicable diseases and related special health issues to be covered by epidemiological surveillance as well as relevant case definitions (Text with EEA relevance)",
  "legislation_url": "https://openlegislation.uk/eu-decision-2018-945",
  "path": "annex/II/division/3/division/3.45/division/1",
  "kind": "division",
  "number": null,
  "heading": "Clinical Criteria",
  "text": "Any person with acute onset of at least two of the following three:\nPainful muscular contractions primarily of the masseter and neck muscles leading to facial spasms known as trismus and ‘risus sardonicus’\nPainful muscular contractions of trunk muscles\nGeneralized spasms, frequently position of opisthotonus",
  "extent": "E+W+S+N.I.",
  "status": null,
  "version": "current",
  "annotations": [],
  "outstanding_effects": [],
  "provenance": {
    "source": "legislation.gov.uk",
    "source_url": "https://www.legislation.gov.uk/eudn/2018/945/annex/II/division/3/division/3.45/division/1",
    "retrieved_at": "2026-11-01T15:13:03.598650+00:00"
  },
  "licence": "Open Government Licence v3.0",
  "licence_url": "https://www.nationalarchives.gov.uk/doc/open-government-licence/version/3/",
  "attribution": "Contains public sector information licensed under the Open Government Licence v3.0. Source: legislation.gov.uk, The National Archives."
}