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Know Your ABCs: A Quick Guide to Reportable Infectious Diseases in Ohio From the Ohio Administrative Code Chapter 3701-3; Effective March 22, 2018 Class A: Diseases of major public health concern because of the severity of disease or potential for epidemic spread – report immediately via telephone upon recognition that a case, a suspected case, or a positive laboratory result exists. • Anthrax • Meningococcal disease • Severe acute respiratory syndrome fever, Marburg hemorrhagic fever, • , foodborne • Middle East Respiratory Syndrome (SARS) and Crimean-Congo hemorrhagic • Cholera (MERS) • Smallpox fever • Diphtheria • Plague • Tularemia • Yellow fever • A – novel , human • (VHF), • Measles • Rubella (not congenital) including Ebola virus disease, Lassa Any unexpected pattern of cases, suspected cases, deaths or increased incidence of any other disease of major public health concern, because of the severity of disease or potential for epidemic spread, which may indicate a newly recognized infectious agent, outbreak, epidemic, related public health hazard or act of bioterrorism.

Class B: Disease of public health concern needing timely response because of potential for epidemic spread – report by the end of the next business day after the existence of a case, a suspected case, or a positive laboratory result is known.

• Amebiasis • Carbapenemase-producing • C (non-perinatal) • Spotted Fever Rickettsiosis, • Arboviral neuroinvasive and non- carbapenem-resistant • (perinatal) including Rocky Mountain spotted neuroinvasive disease: Enterobacteriaceae (CP-CRE) • (delta hepatitis) fever (RMSF) • Chikungunya virus infection • CP-CRE Enterobacter spp. • Hepatitis E • Staphylococcus aureus, with • Eastern equine encephalitis • CP-CRE Escherichia coli • Influenza-associated resistance or intermediate virus disease • CP-CRE Klebsiella spp. hospitalization resistance to • LaCrosse virus disease (other • CP-CRE other • Influenza-associated pediatric vancomycin (VRSA, VISA) California serogroup virus • Chancroid mortality • Streptococcal disease, group A, disease) • Chlamydia trachomatis • Legionnaires’ disease invasive (IGAS) • Powassan virus disease • Coccidioidomycosis • Leprosy (Hansen disease) • Streptococcal disease, group B, in • St. Louis encephalitis virus • Creutzfeldt-Jakob disease (CJD) • Leptospirosis newborn disease • • Listeriosis • Streptococcal toxic shock syndrome • West Nile virus infection • • Lyme disease (STSS) • Western equine encephalitis • Dengue • Malaria • Streptococcus pneumoniae, invasive virus disease • E. coli O157:H7 and Shiga • Meningitis: disease (ISP) • Zika virus infection -producing E. coli (STEC) • Aseptic (viral) • Syphilis • Other arthropod-borne • Ehrlichiosis/anaplasmosis • Bacterial • Tetanus diseases • • Toxic shock syndrome (TSS) • Babesiosis • Gonorrhea (Neisseria gonorrhoeae) • Pertussis • Trichinellosis • Botulism • Haemophilus influenzae (invasive • Poliomyelitis (including - • Tuberculosis (TB), including • infant disease) associated cases) multi-drug resistant tuberculosis • wound • Hantavirus • Psittacosis (MDR-TB) • Brucellosis • Hemolytic uremic syndrome (HUS) • Q fever • Typhoid fever • Campylobacteriosis • • Rubella (congenital) • Varicella • (non-perinatal) • Salmonellosis • Vibriosis • Hepatitis B (perinatal) • Shigellosis • Yersiniosis

Class C: Report an outbreak, unusual incident or epidemic of other diseases (e.g. histoplasmosis, pediculosis, scabies, staphylococcal infections) by the end of the next business day. Outbreaks: • Community • Healthcare-associated • Waterborne • Foodborne • Institutional • Zoonotic NOTE: Cases of AIDS (acquired immune deficiency syndrome), AIDS-related conditions, HIV (human virus) infection, perinatal exposure to HIV, all CD4 T-lymphocyte counts and all tests used to diagnose HIV must be reported on forms and in a manner prescribed by the Director.

Department of Health Know Your ABCs (Alphabetical Order) Effective March 22, 2018

Name Class Name Class Amebiasis B Measles A Anthrax A Meningitis, aseptic (viral) B Arboviral neuroinvasive and non-neuroinvasive disease B Meningitis, bacterial B Babesiosis B Meningococcal disease A Botulism, foodborne A MERS A Botulism, infant B Mumps B Botulism, wound B Other arthropod-borne diseases B Brucellosis B Outbreaks: community, foodborne, healthcare-associated, C institutional, waterborne, zoonotic Campylobacteriosis B Pertussis B Carbapenemase-producing carbapenem-resistant B Enterobacteriaceae (CP-CRE) Plague A Chancroid B Poliomyelitis (including vaccine-associated cases) B Chlamydia trachomatis infections B Powassan virus disease B Chikungunya B Psittacosis B Cholera A Q fever B Coccidioidomycosis B Rabies, human A Creutzfeldt-Jakob disease (CJD) B Rubella (congenital) B Cryptosporidiosis B Rubella (not congenital) A Cyclosporiasis B Salmonellosis B Dengue B Severe acute respiratory syndrome (SARS) A Diphtheria A Shigellosis B E. coli O157:H7 and Shiga toxin-producing E. coli (STEC) B Smallpox A Eastern equine encephalitis virus disease B Spotted Fever Rickettsiosis, including Rocky Mountain B spotted fever (RMSF) Ehrlichiosis/Anaplasmosis B St. Louis encephalitis virus disease B Giardiasis B Staphylococcus aureus, with resistance or intermediate Gonorrhea (Neisseria gonorrhoeae) B B resistance to vancomycin (VRSA, VISA) Haemophilus influenzae (invasive disease) B Streptococcal disease, group A, invasive (IGAS) B Hantavirus B Streptococcal disease, group B, in newborn B Hemolytic uremic syndrome (HUS) B Streptococcal toxic shock syndrome (STSS) B Hepatitis A B Streptococcus pneumoniae, invasive disease (ISP) B Hepatitis B (non-perinatal) B Syphilis B Hepatitis B (perinatal) B Tetanus B Hepatitis C (non-perinatal) B Toxic shock syndrome B Hepatitis C (perinatal) B Trichinellosis B Hepatitis D (delta hepatitis) B Tuberculosis (TB), including multi-drug resistant tuberculosis B Hepatitis E B (MDR-TB) Influenza A – novel virus A Tularemia A Influenza-associated hospitalization B Typhoid fever B Influenza-associated pediatric mortality B Varicella B LaCrosse virus disease (other California serogroup virus disease) B Vibriosis B Legionnaires’ disease B Viral hemorrhagic fever (VHF) A Leprosy (Hansen disease) B West Nile virus infection B Leptospirosis B Western equine encephalitis virus disease B Listeriosis B Yellow fever A Lyme disease B Yersiniosis B Malaria B Zika virus infection B

Department of Health