Ala. Admin. Code 420, ch. 420-4-1, app I

Current through Register Vol. 43, No. 1, October 31, 2024

Appendix I - Alabama Notifiable Diseases/Conditions (Healthcare Providers And Other Required Reporters, Excluding Laboratories)

Immediate, Extremely Urgent Disease/Condition - Report to the County or State Health Department by telephone within 4 hours of presumptive diagnosis or clinical suspicion

Anthrax, human	Smallpox
Botulism	Tularemia
Brucellosis	Viral hemorrhagic fever
Plague	Cases related to nuclear, biological, or chemical terroristic agents
Poliomyelitis, paralytic Severe Acute Respiratory Syndrome-associated Coronavirus (SARS-CoV) disease

Immediate, Urgent Disease/Condition - Report to the County or State Health Department by electronic means as specified by the Department or by telephone within 24 hours of presumptive diagnosis

COVID-19 infection in congregate living facilities	Measles (rubeola)	Rabies, human and animal
Diphtheria	Meningococcal disease	Rubella
Haemophilus influenzae, invasive disease¹	(Neisseria meningitidis)¹	Tuberculosis disease, active
Hemolytic uremic syndrome (HUS), post-diarrhea¹	Novel influenza A virus infection (i.e., potential new strain	Typhoid fever
Hepatitis A, including ALT	Pertussis	Outbreaks of any kind
Legionellosis	Poliovirus infection, nonparalytic	Cases of potential public 2 health importance

Standard Disease/Condition - Report to the County or State Health Department by electronic means as specified by the Department within 3 days of diagnosis, unless otherwise noted

Acute flaccid myelitis	Hepatitis B, C, and D (Acute only and with associated ALTs)	Salmonellosis
Anaplasmosis	HIV infection* (including asymptomatic infection, AIDS, CD4 counts, and viral loads)	Shigellosis
Arboviral disease	Influenza-associated pediatric deaths	Spotted Fever Rickettsiosis
Babesiosis	Lead, all blook results	Staphylococcus aureus, Vancomycin-intermediate (VISA) and Vancomycin- resistant (VRSA)
2 Birth defects	Listeriosis¹	Streptococcus pneumoniae, invasive 1 disease
Campylobacteriosis	Lyme disease	Syphilis*
Chancroid*	Malaria	Tetanus
Chlamydia trachomatis*	Mumps	Trichinellosis (Trichinosis)
Cholera	Perinatal hepatitis B & C	Tuberculosis infection, latent
Coccidioidomycosis	Perinatal HIV Exposure (<18 months of age)	Varicella
Cryptosporidiosis	Primary amebic meningoencephalitis	Yellow fever
Cyclosporiasis	Q Fever	Zika virus
Dengue E.coli, shiga toxin producing (STEC) Ehrlichiosis Gonorrhea* Hansen's disease (Leprosy)

*Designated Sexually Transmitted Diseases by the State Board of Health

¹ Detection of organism from a normally sterile body site (e.g., blood, cerebrospinal fluid, or, less commonly, joint, pleural, or pericardial fluid)

² Reportable within 30 days of diagnosis or associated laboratory test

State Health Department Telephone Numbers:

Bureau of Clinical Laboratories 334-290-6130 (24-hour coverage)

Infectious Diseases & Outbreaks Division 334-206-5971 or 1-800-338-8374 (24-hour coverage), FAX: 334-206-3734

Office of HIV Prevention & Care 334-206-5364 or 1-800-344-1153

Division of Immunization 334-206-5023 or 1-800-469-4599

Division of Sexually Transmitted Diseases 334-206-5350

Division of Tuberculosis Control 334-206-5330

Ala. Admin. Code 420, ch. 420-4-1, app I

Amended by Alabama Administrative Monthly Volume XXXIII, Issue No. 03, December 31, 2014, eff. 11/25/2014.

Amended by Alabama Administrative Monthly Volume XXXVI, Issue No. 09, June 29, 2018, eff. 8/4/2018.

Amended by Alabama Administrative Monthly Volume XXXVIII, Issue No. 09, June 30, 2020, eff. 8/14/2020.

Adopted by Alabama Administrative Monthly Volume XLII, Issue No. 05, February 29, 2024, eff. 4/14/2024.

Author: Sherri L. Davidson, Ph.D, M.P.H.

Statutory Authority:Code of Ala. 1975, §22-11A-1.