Page 1 REPORTABLE DISEASE DESK REFERENCE Division of Epidemiology and Health Planning Department for Public Health Commonwealth of Kentucky April, 2006 Page 2 FOREWORD In the United States, requirements for reporting diseases are mandated by state laws or regulations, and the list of reportable diseases in each state varies. The Kentucky Disease Surveillance Administrative Regulations 902 KAR 2:020 require reporting of Communicable Diseases to the local health departments and the Kentucky Department for Public Health. Additionally, state health departments report cases of selected diseases to the Centers for Disease Control and Prevention (CDC) National Notifiable Disease Surveillance System (NNDSS), on a weekly basis. These data are published weekly in the Morbidity Mortality Weekly Report (MMWR). An updated final report is published annually in the Summary of Notifiable Diseases. With the 2006 version of the desk reference, we have tried to adhere as closely as possible to the case definitions developed by the CDC and the Council of State and Territorial Epidemiologists (CSTE) published in “Case Definitions for Public Health Surveillance”, MMWR 1997; 46:RR-10 and available on the CDC’s Epidemiology Program Office website, http://www.cdc.gov/epo/dphsi/casedef/index.htm. As uniform case definitions are adopted by the states, the incidence of reported diseases in different geographic areas may be more meaningfully compared at the local, state, and national levels. KYEPHRS AND THE DISEASE SURVEILLANCE MODULE The Kentucky Electronic Public Health Record System (KY-EPHRS) provides the backbone of an integrated electronic health record, including disease surveillance. The Disease Surveillance is one of several modules that make up KY-EPHRS. Hospitals and health departments will use this system for the initial notification of potential reportable diseases. The application contains patient demographic data, test results, symptoms, and lab results. The health department’s staff then makes the determination if the disease needs further investigation. Upon the completion of the investigation, infection control investigators determine if the case should be forwarded to state officials for confirmation. If the case is confirmed, KY-EPHRS will electronically transmit the information to the CDC. For more information on filing electronically you may contact the Help Center by phone between the hours of 8:00 am - 4:30 pm EST, Monday through Friday. The office is closed on state approved holidays. The toll free number is 877-545-6175, for outside the Frankfort area. For calls within the local Frankfort area, call 564-9926 or 564-9971. You may contact the Help Center by email at any time. Help Center staff monitors this mailbox and will respond as soon as possible to your request. The address is [email protected]. This address is also listed in the state global directory under CHFS KYEPHRS. Additional information is available on the KY Department for Public Health website at: http://chfs.ky.gov/dph/ephrs/ TABLE OF CONTENTS FOREWORD, TABLE OF CONTENTS AND ACKNOWLEDGMENTS………… 1-6 INTRODUCTION………………………………………………………………. 7 Purpose of this Manual………………………………………………………. 8 Definition of Terms………………………………………………………….. 8 Major Statutes Applicable to Communicable Disease………………………. 10 DPH Division of Epidemiology and Health Planning Staff Contacts……….. 11 Local Health Department Contact Persons………………………………….. 14 Regional Epidemiologists …………………………………………………… 17 Local Health Department Districts’ Contact Persons……………………….. 20 Kentucky Hospital Infection Control Professionals………………………….. 21 DISEASE SURVEILLANCE PROCEDURES AND RESPONSIBILITIES Surveillance Procedures……………………………………………………… 29 EPIDEMIOLOGIC INVESTIGATIONS Disease Outbreaks……………………………………………………………. 35 Introduction and Background…………………………………………….. 36 Procedures for Epidemiologic Investigations…………………………….. 36 Requesting Outbreak Assistance…………………………………………. 38 Local Health Department Responsibilities……………………………….. 38 State Epidemiologist’s Responsibilities………………………………….. 39 Role of the Centers for Disease Control and Prevention (CDC)…………. 39 Components of an Outbreak Investigation Report……………………… 39 CASE DEFINITIONS FOR REPORTABLE DISEASES ACQUIRED IMMUNODEFICIENCY SYNDROME (AIDS)/………….….. 42 HUMAN IMMUNODEFICIENCY VIRUS (HIV) INFECTION ANTHRAX…………………………………………………………………… 46 BOTULISM, Infant………………………………………………………… 48 BOTULISM…………………………………………………………………. 50 BRUCELLOSIS……………………………………………………………… 52 CAMPYLOBACTERIOSIS…………………………………………………. 54 CHANCROID………………………………………………………………... 56 CHLAMYDIA………………………………………………………………. 58 CHOLERA………………………………………………………………….. 60 CRYPTOSPORIDIOSIS……………………………………………………. 62 DIPHTHERIA………………………………………………………………. 64 EHRLICHIOSIS…………………………………………………………….. 66 ENCEPHALITIS, ARBOVIRAL…………………………………………… 68 ESCHERICHIA COLI O157:H7……………………………………………. 70 FOODBORNE DISEASE OUTBREAK…………………………………… 73 GONORRHEA……………………………………………………………… 75 GRANULOMA INGUINALE……………………………………………… 77 HAEMOPHILUS INFLUENZA……………………………………………. 79 HANSEN’S DISEASE (LEPROSY)……………………………………….. 81 HANTAVIRUS PULMONARY SYNDROME……………………………. 83 HEPATITIS A………………………………………………………………. 85 HEPATITIS B, ACUTE…………………………………………………….. 87 HEPATITIS B INFECTION (in a pregnant woman or child)……………………. 90 HEPATITIS C, ACUTE…………………………………………………….. 93 HISTOPLASMOSIS………………………………………………………… 95 INFLUENZA………………………………………………………………... 97 LEGIONELLOSIS (LEGIONNAIRE’S DISEASE)………………………… 99 LISTERIOSIS………………………………………………………………… 102 LYME DISEASE……………………………………………………………… 104 LYMPHOGRANULOMA VENEREUM…………………………………… 108 MALARIA…………………………………………………………………… 110 MEASLES (RUBEOLA)……………………………………………………… 113 MENINGOCOCCAL DISEASE……………………………………………… 115 MUMPS……………………………………………………………………… 117 PERTUSSIS……………………………………………………………………….. 119 PLAGUE………………………………………………………………………….. 122 POLIOMYELITIS…………………………………………………………………. 124 PSITTACOSIS……………………………………………………………………... 126 Q FEVER……………………………………………………………………………128 RABIES (ANIMAL)……………………………………………………………….. 130 RABIES (HUMAN)……………………………………………………………….. 132 RABIES POSTEXPOSURE PROPHYLAXIS…………………………………… 134 ROCKY MOUNTAIN SPOTTED FEVER……………………………………….. 136 RUBELLA…………………………………………………………………………. 138 RUBELLA, CONGENITAL SYNDROME………………………………………. 141 SALMONELLOSIS……………………………………………………………….. 144 SHIGELLOSIS……………………………………………………………………. 146 STD’S VOLUNTARILY REPORTABLE……………………………………….. 148 STREPTOCOCCAL DISEASE, INVASIVE GROUPA…………………………. 150 STREPTOCOCCUS PNEUMONIAE, drug resistant invasive disease…………… 152 SYPHILIS………………………………………………………………………… 154 TETANUS………………………………………………………………………… 157 TOXIC-SHOCK SYNDROME…………………………………………………… 159 TOXOPLASMOSIS………………………………………………………………. 162 TUBERCULOSIS…………………………………………………………………. 164 TULAREMIA……………………………………………………………………. 167 TYPHOID FEVER……………………………………………………………….. 169 VIBRIO PARAHAEMOLYTICUS AND VIBRIO VULNIFICUS……………... 171 WATERBORNE OUTBREAK…………………………………………………... 173 YELLOW FEVER………………………………………………………………. 174 APPENDIX A…….Kentucky Disease Surveillance Administrative Regulation………… 176 APPENDIX B……Disease Surveillance Forms……. …………………………………… 192 ACKNOWLEDGMENTS The staff of the Division of Epidemiology and Health Planning developed this desk reference to facilitate the reporting of diseases and conditions. Our intention is that it will be used regularly and that it will address many questions concerning reportable diseases. Questions and comments on this reference should be addressed to Peggy Ellis, David Jones or Lucille Roberts at 502-564-3418. REPORT FORMS AND WORKSHEETS This reference contains the most current versions for all disease report forms and worksheets. All forms and worksheets are listed with each disease and should be photocopied from this reference book as needed. (Exceptions as noted.) Report of Verified Case of Tuberculosis (CDC 72.9 A and B) may be obtained by calling the Tuberculosis Control Program: 502-564-4276. Production, printing and distribution of this document funded by the State General Fund and Federal Funds through the Epidemiology and Laboratory Capacity for Infectious Diseases Grant number CCU414412-05. FOREWORD In the United States, requirements for reporting diseases are mandated by state laws or regulations, and the list of reportable diseases in each state varies. The Kentucky Disease Surveillance Administrative Regulations 902 KAR 2:020 require reporting of communicable disease, unusual disease outbreaks and clusters of diseases to the local health departments and the Kentucky Department for Public Health. Additionally, state health departments report cases of selected diseases to the Centers for Disease Control and Prevention (CDC) National Notifiable Disease Surveillance System (NNDSS), on a weekly basis. These data are published weekly in the Morbidity Mortality Weekly Report (MMWR). An updated final report is published annually in the Summary of Notifiable Diseases. With the 2006 version of the desk reference, we have tried to adhere as closely as possible to the case definitions developed by the CDC and the Council of State and Territorial Epidemiologists (CSTE) published in “Case Definitions for Public Health Surveillance”, MMWR 1997; 46:RR-10 and available on the CDC’s Epidemiology Program Office website, http://www.cdc.gov/epo/dphsi/casedef/index.htm. As uniform case definitions are adopted by the states, the incidence of reported diseases in different geographic areas may be more meaningfully compared at the local, state, and national levels. KYEPHRS AND THE DISEASE SURVEILLANCE MODULE The Kentucky Electronic Public Health Record System (KY-EPHRS) provides the backbone of an integrated