DDIISSEEAASSEE RREEPPOORRTTIINNGG MERCED COUNTY DEPARTMENT OF PUBLIC HEALTH REV 03/1/2018

Physicians and health care providers must report the following conditions. Suspected, lab-confirmed, and/or clinical diagnoses are reportable within specified time intervals. Reporting enables appropriate public health interventions.

"!" Diseases have high potential for involvement in a Bioterrorism event.

PHONE IMMEDIATELY PHONE 209-381-1020 or FAX 209-381-1034 209-381-1020 or 209-725-7011 (after hours) : WITHIN ONE WORKING DAY:

! Anthrax Amebiasis Streptococcal Infections ! Botulism (Infant, Foodborne, Wound, Other) Babesiosis (Outbreaks of any type and Brucellosis, human Campylobacteriosis individual cases in Food Brucellosis, Animal (except infections Chickenpox (only hospitalizations and Handlers and Dairy Workers due to Brucella Canis) deaths) only) Cholera Cryptosporidiosis Syphilis Ciguatera Fish Poisoning Encephalitis (Specify Etiology: Viral, Trichinosis Dengue Bacterial, Fungal, Parasitic) Tuberculosis Diphtheria Haemophilus influenzae Invasive Disease Typhoid Fever (Cases and Domoic Acid Poisoning (Amnesic Shellfish (<15 years) Carriers) Poisoning) Hepatitis A, acute Vibrio infections Escherichia coli (STEC including 0157) Listeriosis West Nile Virus (WNV) Infection Flavivirus Infection of undetermined species Malaria Yersiniosis Foodborne Disease* Meningitis (Specify Etiology: Hantavirus Infections Viral, Bacterial, Fungal, Parasitic) Hemolytic Uremic Syndrome Pertussis (Whooping Cough) Measles (Rubeola) Poliovirus Infections Influenza, novel strains (human) Psittacosis Measles (Rubeola) ! Q Fever Meningococcal Infections Relapsing Fever Novel Virus infection with pandemic potential Salmonellosis (other than Paralytic Shellfish Poisoning Typhoid Fever) ! Plague (human or animal) Shigellosis Rabies (human or animal) Staphylococcus aureus Infection (severe Scrombroid Fish Poisoning case) Shiga Toxin (detected in feces) ! Smallpox(Variola) ! Tularemia, human ! Viral Hemorrhagic Fevers, human or animal (e.g. Crimean Congo, Ebola, Lassa, and Marburg Viruses) Yellow Fever Zika Virus Infection Occurrence of ANY unusual disease Outbreaks of ANY disease* *two or more cases from separate households or from the same suspected source.

PHONE 209 - 381 - 1020 or FAX 209 - 381 - 1034 WITHIN ONE WEEK: Acquired Immune Deficiency Syndrome (AIDS) Giardiasis R i c k e t t s ial D i seas es (non-Rocky (HIV infection only see “Human Gonococcal infections Mountain Spotted Fever), including Immunodeficiency Virus”) Hepatitis B, C, or D (specify acute or Typhus Fever and Typhus-like Anaplasmosis/Ehrlichiosis chronic) illnesses Brucellosis, animal (except B. canis) Hepatitis, E, acute Rocky Mountain Spotted Fever Chancroid Influenza Deaths (ages 0 to 64 years) Chlamydial infections (including LGV) Rubella (German Measles) Legionellosis Rubella Syndrome, Congenital Coccidioidomycosis Leprosy (Hansen Disease) Creutzfeldt-Jakob Disease (and other TSEs) Tetanus Leptospirosis Cyclosporiasis Toxic Shock Syndrome Cysticercosis/Taeniasis Lyme Disease Tularemia, animal Disorders Characterized by Lapses of Mumps Conciousness Monday – Friday 8 AM to 5 PM, call Merced County Department of Public Health (209) 381-1020 FAX (209) 381-1034 260 E. 15th Street, Merced, California 95341 After hours call the Merced EMS Dispatch at (209) 725-7011 and request the §○ⁿ “On Duty CD (Communicable Disease) Staff Person”