Form 3095 (8-09) - Notifiable Disease Condition Reporting (Page 4 of 4) in pdf

NOTIFIABLE DISEASE /

All Georgia physicians, laboratories,

CONDITION REPORTING

and other health care providers are

required by law to report patients

with the following conditions. Both

lab-confirmed and clinical diagnoses

are reportable within the time interval

Reporting enables appropriate public health follow-up for your patients, helps identify

specified below.

outbreaks, and provides a better understanding of disease trends in Georgia. For the

latest information from the Department of Public Health, visit their web site at: www.

health.state.ga.us

REPORT WITHIN 7 DAYS

REPORT IMMEDIATELY

To Report Immediately

To Report Within 7 Days

Call: District Health Office or

Report cases electronically through the State Electronic Notifiable Disease Surveillance

1-866-PUB-HLTH (1-866-782-4584)

System at (SEE REPORTING FOOTNOTES BELOW.)

leptospirosis

AIDS

any cluster of illnesses

listeriosis***

aseptic meningitis

leprosy or Hansen’s disease

animal bites

blood lead level (all)

(Mycobacterium leprae)

anthrax

campylobacteriosis

Lyme disease

chancroid

all acute arboviral infections:

lymphogranuloma venereum

Chlamydia trachomatis (genital

malaria

-Eastern Equine Encephalitis (EEE)

infection)

maternal death

Creutzfeldt-Jakob Disease

-LaCrosse Encephalitis (LAC)

methicillin-resistant S. aureus

(CJD), suspected cases,

(community-associated)

-St. Louis Encephalitis (SLE)

under age 55

mumps

-West Nile Virus (WNV)

cryptosporidiosis

psittacosis

cyclosporiasis

botulism

Rocky Mountain spotted fever

ehrlichiosis

rubella (including congenital)

brucellosis

giardiasis

salmonellosis

gonorrhea

cholera

shigellosis

HIV

streptococcal disease, Group A or B

diphtheria

hearing impairment

†

(invasive)*

E. coli O157

(permanent, under age 5)

Streptococcus pneumoniae

hepatitis B

Haemophilus influenzae (invasive)*

(invasive)*

-acute hepatitis B

- report with antibiotic-

hantavirus pulmonary syndrome

-newly identified HBsAg+

resistance information

carriers**

hemolytic uremic syndrome (HUS)

tetanus

-HBsAg+ pregnant women

toxic shock syndrome

hepatitis A (acute)

hepatitis C virus infection

toxoplasmosis

measles (rubeola)

(past or present)

typhoid

influenza-associated death

meningitis (specify agent)

Varicella (Chickenpox)

(all ages)

Vibrio infections

meningococcal disease

legionellosis

yersiniosis

novel influenza A virus infections

* Invasive = isolated from blood, bone, CSF, joint, pericardial, peritoneal, or pleural fluid.

pertussis

** HBsAg+ = hepatitis B surface antigen positive.

*** L. monocytogenes isolated from blood, bone, CSF, joint, pericardial, peritoneal, or pleural fluid,

plague

or other normally sterile site; or from placenta or products of conception in conjunction with

fetal death or illness. Infant mortality is reportable to Vital Records.

poliomyelitis

s Resulting in severe illness or death

Q fever

REPORTING HIV/AIDS:

# Report forms and reporting information for HIV/AIDS available by telephone (1-800-827-9769)

rabies (human & animal)

OR at For mailing HIV/AIDS

reports, please use double envelopes marked “confidential”, addressed to Georgia Department

severe acute respiratory syndrome (SARS)

of Public Health Epidemiology Section, P.O.Box 2107, Atlanta, GA 30301

† Report forms and reporting information for hearing impairment available at

shiga toxin positive tests

S. aureus with vancomycin MIC > 4µg/ml

REPORT WITHIN 1 MONTH

smallpox

birth defects (under age 6)

syphilis (congenital & adult)

maternal deaths (during pregnancy or within 1 year of delivery)

tuberculosis

Report forms and reporting information for birth defects and maternal deaths available at

latent TB infection in children<5 years old

REPORT WITHIN 6 MONTHS

tularemia

viral hemorrhagic fevers

benign brain and central nervous system tumors

cancer

Potential agent of bioterrorism.

Report forms and reporting information for tumors and cancer found at

Invasive = isolated from blood, bone, CSF, joint, pericardial, peritoneal, or

pleural fluid.

(Rev 07-14-11)

Form 3095 (8-09) - Notifiable Disease Condition Reporting Page 4

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