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State of California - Health and Human Services Agency

California Department of Public Health

Title 17, California Code of Regulations (CCR) §2500, §2593, §2641.5-2643.20, and §2800-2812 Reportable Diseases and Conditions*

§ 2500.

REPORTING TO THE LOCAL HEALTH AUTHORITY.

●

§ 2500(b)

It shall be the duty of every health care provider, knowing of or in attendance on a case or suspected case of any of the diseases or conditions listed

below, to report to the local health officer for the jurisdiction where the patient resides. Where no health care provider is in attendance, any individual having knowledge

of a person who is suspected to be suffering from one of the diseases or conditions listed below may make such a report to the local health officer for the jurisdiction

where the patient resides.

●

§ 2500(c)

The administrator of each health facility, clinic, or other setting where more than one health care provider may know of a case, a suspected case or an

outbreak of disease within the facility shall establish and be responsible for administrative procedures to assure that reports are made to the local officer.

●

§ 2500(a)(14) "Health care provider" means a physician and surgeon, a veterinarian, a podiatrist, a nurse practitioner, a physician assistant, a registered nurse, a nurse

midwife, a school nurse, an infection control practitioner, a medical examiner, a coroner, or a dentist.

URGENCY REPORTING REQUIREMENTS [17 CCR §2500(h)(i)]

☎

Report immediately by telephone (designated by a ◆ in regulations).

†

Report immediately by telephone when two or more cases or suspected cases of foodborne disease from separate households are suspected to have the same source

of illness (designated by a ● in regulations.)

✆ ✉ =

FAX

Report by FAX, telephone, or mail within one working day of identification (designated by a + in regulations).

All other diseases/conditions should be reported by FAX, telephone, or mail within seven calendar days of identification.

REPORTABLE COMMUNICABLE DISEASES §2500(j)(1)

✆ ✉

Acquired Immune Deficiency Syndrome (AIDS)

Poliomyelitis, Paralytic

FAX

✆ ✉

(Human Immunodeficiency Virus infection only - see lower right)

FAX

Psittacosis

✆ ✉

FAX

Amebiasis

FAX

Q Fever

☎

Anthrax

Rabies, Human or Animal

☎

✆ ✉

Avian Influenza (human)

FAX

Relapsing Fever

✆ ✉

FAX

Babesiosis

Rheumatic Fever, Acute

☎

Botulism (Infant, Foodborne, Wound)

Rocky Mountain Spotted Fever

☎

Brucellosis

Rubella (German Measles)

✆ ✉

Campylobacteriosis

Rubella Syndrome, Congenital

FAX

✆ ✉

Chancroid

FAX

Salmonellosis (Other than Typhoid Fever)

✆ ✉

☎

FAX

Chickenpox (only hospitalizations and deaths)

Scombroid Fish Poisoning

☎

Chlamydial Infections, including Lymphogranulom Venereum (LGV)

Severe Acute Respiratory Syndrome (SARS)

☎

Cholera

Shiga toxin (detected in feces)

✆ ✉

☎

Ciguatera Fish Poisoning

Shigellosis

FAX

☎

Coccidioidomycosis

Smallpox (Variola)

✆ ✉

☎

Colorado Tick Fever

Staphylococcus aureus infection (only a case resulting in death or admission to an

FAX

✆ ✉

FAX

Conjunctivitis, Acute Infectious of the Newborn, Specify Etiology

intensive care unit of a person who has not been hospitalized or had surgery, dialysis,

Creutzfeldt-Jakob Disease (CJD) and other Transmissible Spongiform

or residency in a long-term care facility in the past year, and did not have an indwelling

Encephalopathies (TSE)

catheter or percutaneous medical device at the time of culture)

✆ ✉

FAX

Cryptosporidiosis

FAX

Streptococcal Infections (Outbreaks of Any Type and Individual Cases in Food

Cysticercosis or Taeniasis

Handlers and Dairy Workers Only)

✆ ✉

☎

Dengue

FAX

Syphilis

☎

Diarrhea of the Newborn, Outbreak

Tetanus

☎

Diphtheria

Toxic Shock Syndrome

☎

Domoic Acid Poisoning (Amnesic Shellfish Poisoning)

Toxoplasmosis

✆ ✉

Ehrlichiosis

Trichinosis

FAX

✆ ✉

FAX

Encephalitis, Specify Etiology: Viral, Bacterial, Fungal, Parasitic

FAX

Tuberculosis

☎

Escherichia coli : shiga toxin producing (STEC) including E. coli O157

Tularemia

✆ ✉

†

FAX

Foodborne Disease

Typhoid Fever, Cases and Carriers

Giardiasis

Typhus Fever

✆ ✉

Gonococcal Infections

FAX

Vibrio Infections

✆ ✉

☎

Haemophilus influenzae invasive disease (report an incident

FAX

Viral Hemorrhagic Fevers (e.g., Crimean-Congo, Ebola, Lassa, and Marburg viruses)

✆ ✉

less than 15 years of age)

Water-Associated Disease (e.g., Swimmer's Itch or Hot Tub Rash)

FAX

✆ ✉

☎

Hantavirus Infections

FAX

West Nile Virus (WNV) Infection

☎

Hemolytic Uremic Syndrome

Yellow Fever

✆ ✉

Hepatitis, Viral

FAX

Yersiniosis

✆ ✉

☎

FAX

Hepatitis A

OCCURRENCE of ANY UNUSUAL DISEASE

☎

OUTBREAKS of ANY DISEASE (Including diseases not listed in §

Hepatitis B (specify acute case or chronic)

2500). Specify if

Hepatitis C (specify acute case or chronic)

institutional and/or open community.

Hepatitis D (Delta)

HIV REPORTING BY HEALTH CARE PROVIDERS §2641.5-2643.20

Hepatitis, other, acute

Influenza deaths (report an incident of less than 18 years of age)

Human Immunodeficiency Virus (HIV) infection is reportable by traceable mail or person-to-person

Kawasaki Syndrome (Mucocutaneous Lymph Node Syndrome)

transfer within seven calendar days by completion of the HIV/AIDS Case Report form (CDPH 8641A)

Legionellosis

available from the local health department. For completing HIV-specific reporting requirements, see

Leprosy (Hansen Disease)

Title 17, CCR, §2641.5-2643.20 and

Leptospirosis

✆ ✉

REPORTABLE NONCOMMUNICABLE DISEASES AND CONDITIONS §2800-2812 AND §2593(b)

FAX

Listeriosis

Lyme Disease

Disorders Characterized by Lapses of Consciousness (§2800-2812)

✆ ✉

Pesticide-related illness or injury (known or suspected cases)**

FAX

Malaria

☎

Measles (Rubeola)

Cancer, including benign and borderline brain tumors (except (1) basal and squamous skin cancer

✆ ✉

unless occurring on genitalia, and (2) carcinoma in-situ and CIN III of the cervix) ( §

Meningitis, Specify Etiology: Viral, Bacterial, Fungal, Parasitic

FAX

2593)***

☎

Meningococcal Infections

LOCALLY REPORTABLE DISEASES (If Applicable) :

Mumps

☎

Paralytic Shellfish Poisoning

Pelvic Inflammatory Disease (PID)

✆ ✉

FAX

Pertussis (Whooping Cough)

☎

Plague, Human or Animal

This form is designed for health care providers to report those diseases mandated by Title 17, California Code of Regulations (CCR). Failure to report is a misdemeanor (Heatlh and

Safety Code §120295) and is a citable offense under the Medical Board of California Citation and Fine Program (Title 16, CCR, §1364.10 and 1364.11).

Failure to report is a citable offense and subject to civil penalty ($250) (Health and Safety Code §105200).

*** The Confidential Physician Cancer Reporting Form may also be used. See Physician Reporting Requirements for Cancer Reporting in CA at:

PM110 (revised 10/30/08)

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