To: Healthcare Providers
From: Andy Miller, M.D.
Date: September 25, 2019
Re: Changes to Provider Reporting Requirements
For the full Health Advisory, please visit: https://www.bgmsonline.org/site/assets/files/1181/health_advisory_reportable_diseases_final_09-25-2019.pdf
The California Department of Public Health (CDPH), in consultation with the California Conference of Local Health Officers, recently updated Title 17 section 2500 of the California Code of Regulations. Section 2500 specifies that healthcare providers must report all cases of the listed diseases and conditions to the local health department within the specified timeframe. The updated 2500 diseases and condition list is posted on the CDPH Division of Communicable Disease Control website Reportable Diseases and Conditions.
This Health Advisory is to inform you of these changes and to remind you of the reporting requirements under Title 17 section 2500. These changes, which go into effect October 1,2019, are summarized below.
Changes to List of Reportable Diseases and Conditions
The following have been removed
and are no longer required to be reported to the local health department:
- Chlamydia trachomatis infections, including lymphogranuloma venereum (LGV). Note that Chlamydia trachomatis infections will continue to be reported by laboratories.
- Streptococcal Infections
The following have been added
and are now required to be reported to the local health department:
- Human Immunodeficiency Virus (HIV) infection, any stage – report within seven (7) calendar days.
- Middle Eastern Respiratory Syndrome (MERS) – report immediately by telephone.
- Paratyphoid Fever – report within one working day.
The following have a change
in reporting requirement:
Changes to Content of Reports
- Dengue virus infection now required to be reported within one working day of identification (previously immediately reportable).
- Escherichia coli: shiga toxin producing (STEC) including E. coli 0157 now required to be reported within one working day of identification (previously immediately reportable).
- Influenza-associated deaths in laboratory confirmed cases now only reportable in persons less than 18 years of age (previously ages 0-64). *Note that Butte County Public Health Department is requesting providers continue to voluntarily report severe and fatal influenza in all persons under 65.
- Yellow Fever now required to be reported within one working day of identification (previously immediately reportable).
- Zika virus infection now required to be reported within one working day of identification (previously immediately reportable).
The following changes have been made to what information must be reported:
*The Confidential Morbidity Report (CMR) will be updated on the BCPHD website on October 1, 2019, when these changes go into effect.*
- Sex changed to gender.
- Pregnancy status now required to be reported (if known).
- Complications of gonorrhea or chlamydia infections no longer included.
Thank you for your timely and complete reporting of notifiable diseases. You are a vital part of Butte County’s and California’s ability to detect and quickly respond to infectious disease threats.
If you have further questions, please contact the Butte County Health Department’s Communicable Disease Program staff at (530) 552-3929.
Categories of urgency levels:
Health Alert: conveys the highest level of importance; warrants immediate action or attention
Health Advisory: provides important information for a specific incident or situation; may not require immediate action
Health Update: provides updated information regarding an incident or situation; unlikely to require immediate action