Guide to Surveillance, Investigation, and Reporting A publication of the Iowa Department of Public Health January 2014 Comments, questions and suggestions regarding this reference manual are welcome. Please direct correspondence to: Center for Acute Disease Epidemiology Iowa Department of Public Health Lucas State Office Building, 6th Floor 321 E. 12th Street Des Moines, IA 50319-0075 Any portion of this publication, except those sections under previous copyright, may be reproduced. Iowa Department of Public Health This project is supported by the Epidemiology and Laboratory Capacity for Infectious Disease Cooperative Agreement (cooperative agreement number U5O/CCU115217-04), and the Public Health Preparedness and Response for Bioterrorism Cooperative Agreement (CDFA 93.283). SUGGESTED CITATION Center for Acute Disease Epidemiology. Guide to Surveillance, Investigation, and Reporting. Iowa Department of Public Health, January, 2014 Guide to Surveillance, Investigation, and Reporting Revision Document, September, 2015 Note: In general, it is STRONGLY recommended that health professionals NOT rely on printed copies of the Epi Manual. Anyone considering updating a “paper copy” of the Epi Manual may want to consider printing out the entire manual as most chapters during this review have grammar, statistical or new terminology corrections, revised review dates as well as the edits listed below. All fact sheets were reviewed and almost all have edits. Included in detail here are edits of a more substantial nature. General Contact Information The following contact information maps were replaced with new versions in this section: Public Health Epidemiologists Disease Prevention Specialists Child care Consultants Community Health Consultants State Veterinarians Reportable Disease Information Cyclospora Edits to “Responsibilities” for investigation E. coli Many edits to classification of the various types of E. coli throughout the chapter. E. coli Fact sheet was replaced Hepatitis B - Maternal All materials updated and replaced, primarily for the IDPH contact information. Legionella Laboratory information section replaced with updated information on legionella testing. Meningitis The Entire chapter has undergone grammar and other small edits. The most substantive changes are in Child Care Contacts Polio Edits made to the following sections and HP Fact Sheet: Epidemiology Protection of Contacts of a Case Polio Vaccine and Travel Plague The Epidemiology section replaced with updated information. Q Fever Edits to “Responsibilities” for investigation Rubella Added comments to “Protection of Contacts” in this chapter. Salmonella The entire chapter has undergone edits to grammar and IDSS instructions Shigella The entire chapter has undergone edits to grammar and IDSS instructions. Child care investigations has important changes. In addition, edits to investigation of food handlers, fact sheet etc. Syphilis Laboratory information section replaced with updated information on syphilis testing. Tetanus Edits to Epidemiology section Tuberculosis New Tuberculosis Patient info sheet Typhoid Fever New language added to section on food handlers, and restrictions with diagnosis. Epidemiology information updated Fact sheet updated also Viral Hemorrhagic Fever Edits to Reservoirs, incubation period, and epidemiology Law Changes New Iowa Code 139A New Iowa Code 141A New IAC 641.1 Added HIPAA statement back in Glossary - food handler definition added. TABLE OF CONTENTS Cover and Tab pictures Epi Manual Revisions TAB # 1. Preface & Introduction: Acknowledgements Photo Acknowledgements Mission and Vision Introduction TAB # 2. Reportable Disease Laws & Quarantine Orders: Iowa Code Chapter 139A Communicable and Infectious Diseases and Poisonings Public Health 641 [IAC] Chapter 1 Notification and Surveillance of Reportable Communicable and Infectious Diseases, Poisonings and Conditions Iowa Code Chapter 141A Acquired Immune Deficiency Syndrome (AIDS) HIPAA and Reportable Diseases Facts about Quarantine and Isolation Facility Isolation Order Sample Facility Quarantine Order Sample Home Isolation Order Sample Home Quarantine Order Sample Quarantine Sign Sample TAB # 3. Contact Information: General Contact Information Bureau of Local Public Health Services Regions - Community Health Consultants Center for Acute Disease Epidemiology - Field Epidemiologists Bureau of Disease Prevention and Immunization, Disease Prevention Specialists Iowa Child Care Resource and Referral System State Veterinarian Districts TAB # 4. Reportable Disease Information: Iowa Disease Reporting Card General Infection Control Measures Recommendations for Use of Surgical masks, etc Recommended Initial Follow-up Timelines Disease Reporting Poster Environmental Disease Reporting Poster Iowa Department of Public Health Revised 11-15 Table of Contents 1 TAB # 5. Environmental Disease: Contact Information for Environmental/Occupational Reportable Diseases Arsenic Poisoning Asbestosis Cadmium Poisoning Carbon Monoxide Poisoning Coal Worker Pneumoconiosis Environmental and Occupational Reporting Form Hypersensitivity Pneumonitis Lead Poisoning Mercury Poisoning Methemoglobinemia Microcystin Mosquito Repellents Occupational Related Asthma Organic Dust Toxic Syndrome Pesticide Poisoning Severe Skin Disorder Silicosis Silo Filler’s Disease Toxic Hepatitis Appendices A: Acronym Table Glossary Iowa Department of Public Health Revised 1-14 Table of Contents 2 ACKNOWLEDGMENTS The Guide to Surveillance, Investigation and Reporting was made possible by the Epidemiology and Laboratory Capacity for Infectious Disease Cooperative Agreement (cooperative agreement number U5O/CCU115217-04), and the Public Health Preparedness and Response for Bioterrorism Cooperative Agreement (CDFA 93.283). The contents are solely the responsibility of the authors and do not necessarily represent the official views of the Centers for Disease Control and Prevention (CDC). The Iowa Department of Public Health wishes to thank the following for their contributions to the development of this manual. Every attempt has been made to recognize all contributors. We regret any omissions that may have occurred. Patricia Quinlisk, MD, MPH Chris Galeazzi, MPH Rita Gergely, Chief of the Bureau of Medical Director/State Epidemiologist Field Epidemiologist Lead Poisoning Prevention Ann Garvey, DMV, MPH Matt Hobson, MA Tim Wickam, MPH Public Health Veterinarian & Deputy State Field Epidemiologist Environmental Health Specialists Network Epidemiologist Coordinator Rob Ramaekers, MPH Field Epidemiologist Michael A. Pentella, PhD Judy Goddard, RN, BS Past Associate Director Past Epidemiology Program Manager Marnell Kretschmer University Hygienic Lab CDC Public Health Advisor Mary Rexroat, RN, BS Heather Adams Nurse Epidemiologist Terri Thornton, RN, NNP Iowa Assistant Attorney General Past Nurse Consultant Immunization Program Diana Von Stein, MPH Sandy Briggs Field Epidemiologist Bethany Kintigh Health Promotions Designer Perinatal Hepatitis B Coordinator Carrie Stief Surveillance Officer Randy Mayer, MS, MPH Chief, Bureau of HIV, STD, and Hepatitis Shawnice Cameron Administrative Assistant Allan Lynch Tuberculosis Control Program Manager/ Refugee Health Coordinator Iowa Dept. of Public Health Revised 01/14 Acknowledgements PHOTO ACKNOWLEDGMENTS General Photos State of Iowa Capitol Building – Sandy Briggs, Iowa Dept. of Public Health Telephone – Sandy Briggs, Iowa Dept. of Public Health Bees – Scott Bauer U.S. Department of Agriculture, Agricultural Research Service Man with calf – Jane Palen Deer Mouse – Ryan L. Rehmeier, Kansas State University, Division of Biology Deer – Scott Bauer U.S. Department of Agriculture, Agricultural Research Service Hand washing – Sandy Briggs and Sarah Taylor, Iowa Dept. of Public Health Classroom – Sandy Briggs and the Iowa Communications Network Bat - William Conner and Nickolay Hristov, Wake Forest University, National Science Foundation, Office of Legislative and Public Affairs Crow – Dave Jarvis Mosquito – U.S. Department of Agriculture, Agricultural Research Service Water pump – Sandy Briggs, Iowa Dept. of Public Health Lead paint – Rita Gergely, Iowa Dept. of Public Health X-ray - David Wollaston, Radiology Department, Broadlawns Hospital Des Moines, Iowa Microscopic images of diseases from the Center for Disease Control and Prevention website: http://phil.cdc.gov/phil/search.asp Lyme Disease - Dr. Edwin P. Ewing, Jr. Measles - Dr. Edwin P. Ewing, Jr. Plague GreenE. coli Brown E. coli Polio Botulism - Dr. George Lombard Campylobacter - Dr. William A. Clark Hantavirus - Dr. Sherif R. Zaki Lyme disease - Dr. Edwin P. Ewing, Jr. Norovirus - Dr. Erskine Palmer Pertussis Rabies Salmonella - CDC/Armed Forces Institute of Pathology, Charles N. Farmer West Nile Virus - W.-J. Shieh and S. Zaki Yellow Fever Cholera - Dr. R. Weaver Lung Disease – Dr. Russell K. Brynes Anthrax Iowa Department of Public Health Mission & Vision Statements Mission: Promoting and protecting the health of Iowans Vision: Healthy Iowans living in healthy communities One of the goals of public health professionals at the local and state level, in cooperation with private health professionals across the State of Iowa, is to prevent epidemics and the spread of disease. Strategies used to achieve this goal include monitoring for infectious diseases, detecting and investigating these diseases and providing disease prevention and control services. Members of this local, state and private medical “team” are in critical positions to deter potential