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Title 17, California Code of Regulations (CCR) §2500, §2593, §2641-2643, and §2800-2812 Reportable Diseases and Conditions

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§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 juridiction 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 (diamond) 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 (filled circle) 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), §2641-2643

	Acquired Immune Deficiency Syndrome (AIDS) (HIV infection only: see "Human Immunodeficiency Virus")
FAX	Amebiasis
	Anthrax
	Avian Influenza (human)
FAX	Babesiosis
	Botulism (Infant, Foodborne, Wound)
	Brucellosis
FAX	Campylobacteriosis
	Chancroid
FAX	Chickenpox (only hospitalizations and deaths)
	Chlamydial Infections, including Lymphogranulom Venereum (LGV)
	Cholera
	Ciguatera Fish Poisoning
	Coccidioidomycosis
FAX	Colorado Tick Fever
FAX	Conjunctivitis, Acute Infectious of the Newborn, Specify Etiology
	Creutzfeldt-Jakob Disease (CJD) and other Transmissible Spongiform Encephalopathies (TSE)
FAX	Cryptosporidiosis
	Cysticercosis or Taeniasis
	Dengue
	Diarrhea of the Newborn, Outbreaks
	Diptheria
	Domoic Acid Poisoning (Amnesic Shellfish Poisoning)
	Ehrlichiosis
FAX	Encephalitis, Specify Etiology: Viral, Bacterial, Fungal, Parasitic
	Escherichia coli shiga toxin producing (STEC) including E. coli 0157
† FAX	Foodborne Disease
	Giardiasis
	Gonococcal Infections
FAX	Haemophilus influenzae Invasive Disease (report an incident less than 15 years of age)
	Hantavirus Infections
	Hemolytic Uremic Syndrome
	Hepatitis, Viral
FAX	Hepatitis A
	Hepatitis B (specify acute case or chronic)
	Hepatitis C (specify acute case or chronic)
	Hepatitis D (Delta)
	Hepatitis, other, acute
	Influenza deaths (report an incident of less than 18 years of age)
	Kawasaki Syndrome (Mucocutaneous Lymph Node Syndrome)
	Legionellosis
	Leprosy (Hansen Disease)
	Leptospirosis
FAX	Listeriosis
	Lyme Disease
FAX	Malaria
FAX	Measles (Rubeola)
FAX	Meningitis, Specify Etiology: Viral, Bacterial, Fungal, Parasitic
	Meningococcal Infections
	Mumps
	Paralytic Shellfish Poisoning
	Pelvic Inflammatory Disease (PID)
FAX	Pertussis (Whooping Cough)
	Plague, Human or Animal
FAX	Poliomyelitis, Paralytic
FAX	Psittacosis
FAX	Q Fever
	Rabies, Human or Animal
FAX	Relapsing Fever
	Rheumatic Fever, Acute
	Rocky Mountain Spotted Fever
	Rubella (German Measles)
	Rubella Syndrome, Congenital
FAX	Salmonellosis (Other than Typhoid Fever)
	Scombroid Fish Poisoning
	Severe Acute Respiratory Syndrome (SARS)
	Shiga toxin (detected in feces)
FAX	Shigellosis
	Smallpox (Variola)
	Staphylococcus aureus infection (only a case resulting in death or admission to an intensive care unit of a person who has not been hospitalized or had surgery, dialysis, or residency in a long-term care facility in the past year, and did not have an indwelling catheter or percutaneous medical device at the time of culture)
FAX	Streptococcal Infections (Outbreaks of Any Type and Individual Cases in Food Handlers and Dairy Workers Only)
FAX	Syphilis
	Tetanus
	Toxic Shock Syndrome
	Toxoplasmosis
FAX	Trichinosis
FAX	Tuberculosis
	Tularemia
FAX	Typhoid Fever, Cases and Carriers
	Typhus Fever
FAX	Vibrio Infections
	Viral Hemorrhagic Fevers (e.g. Crimean-Congo, Ebola, Lassa, and Marburg viruses)
FAX	Water-associated Disease (e.g., Swimmer's Itch or Hot Tub Rash)
FAX	West Nile Virus (WNV) Infection
	Yellow Fever
FAX	Yersiniosis
	Occurrence of Any Unusual Disease
	Outbreaks of Any Disease (Including diseases not listed in §2500). Specify if institutional and/or open community.

HIV Reporting by Health Care Providers §2641.5-2643.20

Human Immunodificiency Virus (HIV) infection is reportable by traceable mail or person-to-person transfer within seven calendar days by completion of the HIV/AIDS Case Report form (CDPH 8641A) (pdf) available from the local health department. For completing HIV-specific reporting requirements, see Title 17, CCR, 2641.5-2643.20 and www.cdph.ca.gov/programs/AIDS/Pages/OAHIVReporting.aspx.

Reportable Noncommunicable Diseases/Conditions §2800-2812 and §2593(b)

• Disorders Characterized by Lapses of Consciousness (§2800-2812)
• Pesticide-related illness or injury (known or suspected cases). Failure to report is a citable offense and subject to civil penalty ($250) (Health and Safety Code §105200).
• 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) (§2593). The Confidential Physician Cancer Reporting form may also be used. See Physician Reporting Requirements for Cancer Reporting in CA (pdf) at www.ccrcal.org.

Locally Reportable Diseases

• TB Infection (positive PPD-Mantoux) of children under age 5 years.
• TB conversion (positive PPD-Mantoux) of any person who had tested negative during the previous two years.