Riverside County Disease Control: Reporting Guidelines

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Reporting Guidelines

Confidential Morbidity Reports should continue to be faxed to 951 358-5102 -TB Control 951 358-7922
Introduction from Disease Control Branch Chief
Public Health Reporting Exempt from HIPAA

ABUSE: CHILD ABUSE, ADULT/ELDER ABUSE

Suspected Child Abuse Report Form
Suspected Child Abuse Report Form Definitions and Instructions
Report of Suspected Dependent Adult/Elder Abuse Form and Instructions

ARBOVIRAL DISEASE, including West Nile Virus and Encephalitis

Arboviral Disease, including West Nile Virus (WNV), Case Definition
West Nile Virus Diagnostic Testing Guidelines
West Nile Virus Case Definition
West Nile Virus Infection Case Report (formerly WNV Case History Form)
West Nile Virus Infection Case Report- Supplemental Investigation Form
Mosquito Borne Encephalitis, West Nile Virus (Wnv), St. Louis Encephalitis (Sle) And Western Equine Encephalomyelitis (Wee) Definition

AVIAN INFLUENZA

See INFLUENZA

BOTULISM

Botulism Fact Sheet
Guidelines for the Diagnosis and Management of Botulism
More information located at Physician Protocols & Patient Information on Biological Agents

CANCER REPORTING

Confidential Physician Cancer Reporting Form
Patient Information Sheet regarding reporting

DISEASE REPORTING

Disease Reporting Requirements
Disease Reporting Requirements - Key Changes for Providers
Disease Reporting Requirements - Information Needed to Conduct Disease Investigations
Disease Reporting Requirements - Reportable Diseases: Notification by Laboratories
Disease Reporting Requirements - Key Changes for Laboratories
Confidential Morbidity Report Form (all except Tuberculosis and conditions reportable to DMV)
Confidential Morbidity Report Form (Tuberculosis only)
Confidential Morbidity Report Form (DMV)
Confidential Fax Transmission Form

E. COLI 0157:H7 INFECTION

E. Coli Fact Sheet
Public Health Advisory on Reporting Shiga Toxin in Feces
Public Health Alert - Reporting E. coli 0157:H7 Infections (from Sept. 2006)

EXPOSURE REPORTING

Communicable Disease Exposure Request Form Instructions
Communicable Disease Exposure Request Form

HANTAVIRUS

Hantavirus Pulmonary Syndrome FAQs – September 2012

HEPATITIS A

Hepatitis A - New recommendations (2/2006)

HISTOPLASMOSIS

Histoplasmosis - Frequently Asked Questions

HIV/AIDS

HIV/AIDS Reporting Guidelines
Adult HIV/AIDS Confidential Case Report (DHS 8641 A)
Pediatric HIV/AIDS Confidential Case Report Form
CDC Form 50.42B Adult/Pediatric Confidential Case Report

IMMUNIZATIONS

Immunization Website

INFLUENZA

Reporting of Severe Pediatric Influenza Cases and Deaths Guidelines
Severe Influenza Case History Form (CDPH 9070 updated 10/29)
Enhanced Surveillance for Influenza and Guillain-Barré Syndrome (GBS)
Guillain-Barré Syndrome (GBS) Surveillance Case Report Form
Guillain-Barré Syndrome (GBS) Specimen Submittal Form
Influenza Guidelines for L&D Units and Nurseries
Guidelines For Managing Respiratory Illness In Clinical Settings

Influenza Guidelines for L&D Units and Nurseries Guidelines For Managing Respiratory Illness In Clinical Settings

AVIAN INFLUENZA (H5N1)
Avian Flu Information
Reporting of Avian Influenza
Suspect Avian (H5N1) Influenza Case Reporting Form
Infection Control and Avian Influenza Recommendations (from CDC)
Professional Guidance on Avian Influenza (from CDC)
CDC Key Facts: Info. about Avian Influenza (Bird Flu) and Avian Influenza A (H5N1 Virus) (from CDC)
Cumulative Number of Confirmed Human Cases of Avian Influenza A/(H5N1) Reported to WHO

PANDEMIC INFLUENZA
Pandemic Influenza Fact Sheet
Preparing for Pandemic Influenzaby Dr. Gary Feldman, CHA Director
Fact Sheet: Safeguarding America Against Pandemic Influenza

LYMPHOGRANULOMA

Reporting Lymphogranuloma Venereum (LGV) Guidelines
Lymphogranuloma Venereum (LGV) Suspected Case Report Form

MEASLES

Measles Differential Diagnosis Table
Measles Travel Information
Measles Information
Measles Case and Outbreak "Quicksheet"
Information about measles for the public and health professionals from the CDC

OCCUPATIONAL INJURY/ILLNESS

Doctor’s First Report of Occupational Injury or Illness

PESTICIDE

To obtain a "Confidential Report Form" or the "Doctor's First Report of Occupational Injury or Illness Form" - click here

PERTUSSIS

Pertussis Fact Sheet
Tdap Vaccine Recommendations

RABIES

Rabies Control Investigation Report Form
Rabies Post-Exposure Prophylaxis Guide

SARS - Severe Acute Respiratory Syndrome

SARS Case Definition
SARS Patient Screening Form
In the Absence of SARS - Guidance for Surveillance, Clinical and Laboratory Evaluation, and Reporting
Supplemental Clinical Guidance for SARS
SARS Recommendations for Pre-Hospital Personnel
SARS Diagnosis & Management
More information located under Diseases/Agents > SARS

SMALLPOX

Evaluate a Rash Illness Suspicious for Smallpox
Reporting Suspect Smallpox Cases
Evaluating Patients for Smallpox Worksheet
Reporting Adverse Events Following Smallpox Vaccine

STAPH (Staphylococcus aureus)

Information for Providers about MRSA Skin Infections
Information for Patients about Staph/MRSA Skin Infections: English | Spanish
Information for Patients: Update On MRSA Resistant Staph In Men Who Have Sex With Men - February 2008
Public Health Advisory, March 2008 - Severe Staphylococcus aureus Infections Now Reportable by Healthcare Providers

TUBERCULOSIS

Reporting Requirements for Tuberculosis
Confidential Discharge Plan and Approval Form
Procedures for Obtaining Discharge Approval of TB Suspects and Cases
Criteria for Discharge of Smear Positive (+) Patients to High Risk Setting
Criteria for Discharge of Smear Negative (-) Patients to High Risk Setting
Criteria for Discharge of TB Patients
I. Absence of High Risk Individuals in the Home
II. High Risk Individuals in the Home
Response Plan
I. Non-Holiday
II. Holiday, Weekend or After Hours Discharge
Situations Requiring Discharge Approval
Special Circumstances
Information for Patients: Tuberculosis General Information from the CDC

VACCINES

Immunization Website

VARICELLA

Reporting Hospitalized Varicella Guidelines
Varicella Surveillance Worksheet
Varicella Death Investigation Worksheet Instructions
Varicella Death Investigation Worksheet

WEST NILE VIRUS

See ARBOVIRAL DISEASE

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