REPORT NOTIFIABLE DISEASE

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					                                                                                 REPORT
                                                                           NOTIFIABLE DISEASE
                                                                 All Georgia physicians, laboratories, 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 specified below.
                                                                 Reporting enables appropriate public health follow-up for your patients, helps identify outbreaks,
                                                                 and provides a better understanding of disease trends in Georgia. For the latest information from
                                                                 the DHR, Division of Public Health, visit their web site at: www.health.state.ga.us

            REPORT IMMEDIATELY                                                              REPORT WITHIN 7 DAYS
                                                                                 AIDS (see below, to report)                         legionellosis
      any cluster of illnesses                                                   aseptic meningitis                                  leptospirosis
                                                                                 campylobacteriosis                                  listeriosis***
      animal bites
                                                                                 chancroid                                           Lyme disease
      anthrax                                                                    Chlamydia trachomatis (genital                      lymphogranuloma venereum
      all acute arboviral infections:                                               infection)                                       malaria
                                                                                 Creutzfeldt-Jakob Disease                           methicillin-resistant S. aureus
          -Eastern Equine Encephalitis (EEE)
                                                                                    (CJD), suspected cases,                             (community-associated)#
          -LaCrosse Encephalitis (LAC)                                              under age 55                                     mumps
          -St. Louis Encephalitis (SLE)                                          cryptosporidiosis                                   psittacosis
                                                                                 cyclosporiasis                                      Rocky Mountain spotted fever
          -West Nile Virus (WNV)
                                                                                 ehrlichiosis                                        rubella (including congenital)
      botulism                                                                   giardiasis                                          salmonellosis
      brucellosis                                                                gonorrhea                                           shigellosis
                                                                                 HIV (see below, to report)                          streptococcal disease, Group A
      cholera
                                                                                 hearing impairment (perma-                             or B (invasive)*
      diphtheria                                                                    nent, under age 5)†                              Streptococcus pneumoniae
      E. coli O157:H7                                                            hepatitis B                                            (invasive)*
                                                                                       -acute hepatitis B                                  -report with antibiotic-
      Haemophilus influenzae (invasive)*
                                                                                       -newly identified HBsAg+                         resistance information
      hantavirus pulmonary syndrome                                                 carriers**                                       tetanus
      hemolytic uremic syndrome (HUS)                                                  -HBsAg+ pregnant women                        toxic shock syndrome
                                                                                 hepatitis C virus infection (past                   toxoplasmosis
      hepatitis A (acute)
                                                                                    or present)                                      typhoid
      measles (rubeola)                                                          influenza-associated death                          Vibrio infections
      meningitis (specify agent)                                                    (under age 18)                                   yersiniosis
                                                                                 lead blood level > 10µg/dL
      meningococcal disease
      pertussis                                                                          REPORT WITHIN 1 MONTH
      plague                                                                     birth defects‡
                                                                                 maternal death##
      poliomyelitis                                                              (Report electronically or call Maternal & Child Health Epidemiology Section, 404-657-6448)
      Q fever
      rabies (human & animal)
                                                                                        REPORT WITHIN 4-6 MONTHS
                                                                                 benign brain and central nervous system tumors
      severe acute respiratory syndrome (SARS)                                   cancer (Refer to the web site http://health.state.ga.us/programs/gccr/reporting.asp)
      shiga toxin positive tests                                               Poster Key
                                                                                        Potential agent of bioterrorism.
      S. aureus with vancomycin MIC > 4µg/ml                                      *     Invasive = isolated from blood, bone, CSF, joint, pericardial fluid, peritoneal fluid, or
                                                                                        pleural fluid.
      smallpox                                                                    †     Hearing impairment is reportable to the Children 1st Program.
                                                                                        (http://health.state.ga.us/epi/disease/hearing.asp).
      syphilis (congenital & adult)                                               **    HBsAg+ = hepatitis B surface antigen positive.
      tuberculosis                                                                ***
                                                                                  #
                                                                                        L. monocytogenes isolated from any site. Infant mortality is reportable to Vital Records.
                                                                                        Resulting in severe illness or death.
      latent TB infection, under age 5                                            ##    Maternal deaths during pregnancy or within one year of birth are reportable to Mater-
                                                                                        nal and Child Epidemiology (http://health.state.ga.us/epi/mch/publications.asp).
      tularemia                                                                   ‡     Birth defects are reportable to the Georgia Birth Defects Reporting and Information
                                                                                        System (http://health.state.ga.us/epi/disease/birthdefects.asp).

To Report Immediately           To Report Within 7 Days                                                     To Report HIV & AIDS
Call:                           Report cases electronically through the State Electronic Notifiable         Complete the CDC form 50.42A (available at
Office of Infectious Diseases   Disease Surveillance System at http://sendss.state.ga.us                    http://health.state.ga.us/epi/aidsunit.asp or by calling
404-508-7851                    or mail a Notifiable Disease/Condition Report Form #3095                    1-800-827-9769) and mail in an envelope marked
or                              (http://health.state.ga.us/epi/disease/report.asp) in an envelope           CONFIDENTIAL to:
1-866-PUB-HLTH                  marked CONFIDENTIAL to:                                                     Georgia Division of Public Health, Epidemiology Branch
(1-866-782-4584)                DeKalb Health District, Office of Infectious Diseases                       2 Peachtree St. NW, 14th floor - Office 460
                                P.O. Box 987, Decatur, GA 30031                                             Atlanta, GA 30303-3189
                                or Fax to: 404-508-7813

                                           DeKalb Health District | Serving DeKalb county.
Form 3096:3-5 (8-04)