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Disease Reporting

Title 17, California Code of Regulations (CCR), §2500, §2593, §2641-2643, 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 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.

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

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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. Report by mail.

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

 

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All other diseases/conditions should be reported by electronic transmission (including 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 Report by FAX. Report by mail. Amebiasis
  Anaplasmosis/Ehrlichiosis
Report immediately by telephone. Anthrax
Report immediately by telephone. Avian Influenza (human)
FAX Report by FAX. Report by mail. Babesiosis
Report immediately by telephone. Botulism (Infant, Foodborne, Wound)
Report immediately by telephone. Brucellosis
FAX Report by FAX. Report by mail. Campylobacteriosis
  Chancroid
FAX Report by FAX. Report by mail. Chickenpox (only hospitalizations and deaths)
  Chlamydia trachomatis infections, including Lymphogranuloma Venereum (LGV)
Report immediately by telephone. Cholera
Report immediately by telephone. Ciguatera Fish Poisoning
  Coccidioidomycosis
FAX Report by FAX. Report by mail. Colorado Tick Fever
  Creutzfeldt-Jakob Disease (CJD) and other Transmissible Spongiform Encephalopathies (TSE)
FAX Report by FAX. Report by mail. Cryptosporidiosis
  Cysticercosis or Taeniasis
Report immediately by telephone. Dengue
Report immediately by telephone. Diptheria
Report immediately by telephone. Domoic Acid Poisoning (Amnesic Shellfish Poisoning)
FAX Report by FAX. Report by mail. Encephalitis, Specify Etiology: Viral, Bacterial, Fungal, Parasitic
Report immediately by telephone. Escherichia coli shiga toxin producing (STEC) including E. coli 0157
† FAX Report by FAX. Report by mail. Foodborne Disease
  Giardiasis
  Gonococcal Infections
FAX Report by FAX. Report by mail. Haemophilus influenzae Invasive Disease (report an incident less than 15 years of age)
Report immediately by telephone. Hantavirus Infections
Report immediately by telephone. Hemolytic Uremic Syndrome
  Hepatitis, Viral
FAX Report by FAX. Report by mail. 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 Report by FAX. Report by mail. Listeriosis
  Lyme Disease
FAX Report by FAX. Report by mail. Malaria
FAX Report by FAX. Report by mail. Measles (Rubeola)
FAX Report by FAX. Report by mail. Meningitis, Specify Etiology: Viral, Bacterial, Fungal, Parasitic
Report immediately by telephone. Meningococcal Infections
  Mumps
Report immediately by telephone. Paralytic Shellfish Poisoning
  Pelvic Inflammatory Disease (PID)
FAX Report by FAX. Report by mail. Pertussis (Whooping Cough)
Report immediately by telephone. Plague, Human or Animal
FAX Report by FAX. Report by mail. Poliovirus Infection
FAX Report by FAX. Report by mail. Psittacosis
FAX Report by FAX. Report by mail. Q Fever
Report immediately by telephone. Rabies, Human or Animal
FAX Report by FAX. Report by mail. Relapsing Fever
  Rheumatic Fever, Acute
  Rocky Mountain Spotted Fever
  Rubella (German Measles)
  Rubella Syndrome, Congenital
FAX Report by FAX. Report by mail. Salmonellosis (Other than Typhoid Fever)
Report immediately by telephone. Scombroid Fish Poisoning
Report immediately by telephone. Severe Acute Respiratory Syndrome (SARS)
Report immediately by telephone. Shiga toxin (detected in feces)
FAX Report by FAX. Report by mail. Shigellosis
Report immediately by telephone. Smallpox (Variola)
FAX Report by FAX. Report by mail. 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 Report by FAX. Report by mail. Streptococcal Infections (Outbreaks of Any Type and Individual Cases in Food Handlers and Dairy Workers Only)
FAX Report by FAX. Report by mail. Syphilis
  Tetanus
  Toxic Shock Syndrome
FAX Report by FAX. Report by mail. Trichinosis
FAX Report by FAX. Report by mail. Tuberculosis
Report immediately by telephone. Tularemia
FAX Report by FAX. Report by mail. Typhoid Fever, Cases and Carriers
  Typhus Fever
FAX Report by FAX. Report by mail. Vibrio Infections
Report immediately by telephone. Viral Hemorrhagic Fevers (e.g. Crimean-Congo, Ebola, Lassa, and Marburg viruses)
FAX Report by FAX. Report by mail. Water-associated Disease (e.g., Swimmer's Itch or Hot Tub Rash)
FAX Report by FAX. Report by mail. West Nile Virus (WNV) Infection
Report immediately by telephone. Yellow Fever
FAX Report by FAX. Report by mail. Yersiniosis
Report immediately by telephone. Occurrence of Any Unusual Disease
Report immediately by telephone. 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/tOAHIVRptgSP.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 California Cancer Reporting System Standards, provided by the California Cancer Registry at the California Department of Public Health.

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.

Download CMR Forms

CDPH 110A (pdf)
For reporting all conditions except TB and conditions reportable to DMV.

CDPH 110B (pdf)
For reporting TB.

CDPH 110C (pdf)
For reporting lapses of consciousness or control, Alzheimer's disease or other conditions which may impair the ability to operate a motor vehicle safely.

Download CMR Forms

CDPH 110A (pdf)
For reporting all conditions except TB and conditions reportable to DMV.

CDPH 110B (pdf)
For reporting TB.

CDPH 110C (pdf)
For reporting lapses of consciousness or control, Alzheimer's disease or other conditions which may impair the ability to operate a motor vehicle safely.

Contact

For more information about Disease Control, please contact:
Disease Control Unit
DHS - Public Health Division
625 5th Street
Santa Rosa, CA 95404
Phone: (707) 565-4567
Fax: (707) 565-4565
Ask a Disease Control Nurse

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