For Health Care Providers

Title 17, California Code of Regulations (CCR), §2500

Reportable Diseases and Conditions*

§2500. Reporting to the Local Health Authority.

§2500(b) It shall be the duty of every health care provider, knowing of or in attendance on a case or suspected case of any of the diseases or conditions listed below, to report to the local health officer for the jurisdiction where the patient resides. Where no health care provider is in attendance, any individual having knowledge of a person who is suspected to be suffering from one of the diseases or conditions listed below may make such a report to the local health officer for the jurisdiction where the patient resides.
§2500(c) The administrator of each health facility, clinic or other setting where more than one health care provider may know of a case, a suspected case or an outbreak of disease within the facility shall establish and be responsible for administrative procedures to assure that reports are made to the local health officer.
§2500(a)(14) "Health care provider" means a physician and surgeon, a veterinarian, a podiatrist, a nurse practitioner, a physician assistant, a registered nurse, a nurse midwife, a school nurse, an infection control practitioner, a medical examiner, a coroner, or a dentist.

Urgency Reporting Requirements [17 CCR §2500 (h) (i)]

♦ - Report immediately by telephone.
• - Report immediately by telephone when two (2) or more cases or suspected cases of foodborne disease from separate households are suspected to have the same source of illness.
+ - Report by FAX, telephone, or mail within one (1) working day of identification.
All other diseases/conditions should be reported by FAX, telephone, or mail within seven (7) calendar days of identification.

Reportable Communicable Diseases §2500(j)(1)

REPORTABLE DISEASES AND CONDITIONS San Joaquin County Public Health Services
All physicians and health care providers in San Joaquin County should report the following conditions to Public Health so we can issue appropriate public health alerts and coordinate interventions.; Reporting is not only vital for public health, but it’s required by California state law (California Code of Regulations, Title 17, §2500).
Phone Public Health Immediately! (209) 468-3822 (209) 468-6000 (after hours)	Report within 1 working day (209) 468-3822 Fax (209) 468-8222	Report within 1 week, phone, fax or mail (209) 468-3822 Fax (209) 468-8222
If you diagnose or suspect: Anthrax Avian Influenza (human) Botulism (infant, foodborne, wound) Brucellosis Cholera Ciguatera Fish Poisoning Dengue Diarrhea of the newborn: Outbreaks Diphtheria Domoic acid Poisoning Escherichia coli:(Shiga toxin (STEC) and O157) Hantavirus Infection Hemolytic Uremic Syndrome Meningococcal infections Plague, human or animal Paralytic Shellfish Poisoning Rabies, human or animal Scombroid Fish Poisoning Severe Acute Respiratory Syndrome (SARS) Shiga toxin (detected in feces) Smallpox Staphylococcus aureus infection (only a case resulting in death or admission to an ICU of a person who has not been hospitalized or had surgery, dialysis, or residency in a long-term care facility in the past year, and did not have an indwelling catheter or percutaneous medical device at the time of culture) Tulameria Viral Hemorrhagic Fevers (Ebola, Crimean- Congo, Lassa, or Marburg viruses) Yellow Fever Outbreaks of any Disease (Specify if institutional and/or open community) Occurrence of any Unusual Diseases	If you diagnose or suspect: Amebiasis Babesiosis Camplylobacteriosis Chickenpox (hospitalizations and deaths only Colorado Tick Fever Conjunctivitis, Acute infection of the newborn Cryptosporidiosis Encephalitis, Specify etiology: viral, bacterial, fungal, parasitic Foodborne Disease Haemophilis influenzae, Invasive Disease (< 15 years old) Hepatitis A Listeriosis Malaria Measles (Rubeola) Meningitis, Specify etiology: viral, bacterial, fungal, parasitic Pertussis Poliomyelitis (Paralytic) Psittacosis Q Fever Relapsing Fever Salmonellosis Shigellosis Streptococcal Infections (outbreaks & individual cases in food handlers & dairy workers only) Syphilis Trichinosis Tuberculosis Typhoid Fever, Cases & Carriers Vibrio infections Water-associated Disease (e.g swimmer’s itch) West Nile Virus Yersiniosis	If you diagnose or suspect: AIDS Chancroid Chlamydial infections, including LGV Coccidioidomycosis Creutzfeldt-Jakob Disease (CJD) and other Transmissible Spongiform Encephalopathies (TSE) Cysticercosis Ehrlichiosis Giardiasis Gonococcal infections Hepatitis, Viral Hepatitis B, C (specify acute or chronic) Hepatitis D (delta hepatitis) Hepatitis (other acute) HIV infection Influenza deaths (report an incident in <18 years of age) Kawasaki Syndrome Legionellosis Leprosy Leptospirosis Lyme Disease Mumps Pelvic Inflammatory Disease (PID) Rheumatic fever, Acute Rocky Mountain Spotted Fever Rubella (German Measles) Rubella Syndrome, Congenital Taeniasis Tetanus Toxic Shock Syndrome Toxoplasmosis Typhus fever Reportable Non-communicable Diseases/Conditions Disorders Characterized by Lapses of Consciousness Alzheimer’s Disease and related conditions
WHO TO REPORT TO
For all diseases except HIV/AIDS and Sexually Transmitted Diseases (209) 468-3822, or Fax (209) 468-8222, or Mail: (Seal and mark: CONFIDENTIAL) San Joaquin County Public Health Services Attention: Morbidity P.O. Box 2009 Stockton, CA 95201-2009.	For Sexually Transmitted Diseases (209) 948-7473, or Fax (209) 468-3862, or Mail: San Joaquin County Public Health Services Attention: Sexually Transmitted Diseases P.O. Box 2009 Stockton, CA 95201-2009.	For HIV/AIDS Reports (209) 468-3475, or Fax (no fax) Mail: (Seal and mark: CONFIDENTIAL) San Joaquin County Public Health Services Attention: Rosa Castillo-Cuellar P.O. Box 2009 Stockton, CA 95201-2009.

Reportable Noncommunicable Diseases/Conditions §2500(j)(2):

Alzheimer’s Disease and Related Conditions
Cancer (except (1)basal and squamous skin cancer unless occurring on genitalia, and (2)carcinoma in-situ and CIN III of the cervix)
Disorders Characterized by Lapses of Consciousness

* Use of this form is designed for health care providers to report those disease mandated by Title 17, California Code of Regulations, §2500 (rev. 1996). (Cancer reporting is mandated by §2593.) Failure to report is a misdemeanor (Health and Safety Code §120295, formerly §3354), punishable by a fine of not less than $50 nor more than $1,000, or by imprisonment for a term of not more than 90 days, or both. Each day the violation is continued is a separate offense.

Public Health Director

Health Officer