Ala. Admin. Code 420, ch. 420-4-1, app II
Note: Positive results only, unless otherwise specified.
Immediate, Extremely Urgent - Report to the County or State Health Department by telephone within 4 hours of laboratory result, as well as submit electronically within 24 hours
* Bacillus anthracis
* Brucella species
* Burkholderia mallei
* Burkholderia pseudomallei
* Clostridium botulinum or botulinum toxin in food, wound, unspecified source, or an infant (<12 months old)
* crimean-congo hemorrhagic fever virus
* Francisella tularensis
* ebola virus
* lassa virus
* lujo virus
* marburg virus
* new world arenavirus - chapare virus
* new world arenavirus - guanarito virus
* new world arenavirus - junin virus
* new world arenavirus - machupo virus
* new world arenavirus - sabia virus
* poliovirus
* variola virus (orthopox virus)
* vaccinia virus
* Yersinia pestis
Standard Reporting by Laboratories - Report electronically within 24 hours
* Anaplasma species
* Babesia species
* Bordetella pertussis
* Borrelia burgdorferi
* california serogroup virus diseases (all results)
* Campylobacter species
* chikungunya virus disease (all results)
* Chlamydia trachomatis
* Clostridium tetani
* Coccidioides species
* Corynebacterium diphtheriae
* Coxiella burnetii
* Cryptosporidium species
* Cyclospora cayetanensis
* cytomegalovirus (if age <21 days old)
* dengue virus (all results)
* eastern equine encephalitis virus disease (all results)
* Ehrlichia species
* Escherichia coli, shiga toxin-producing
* Grimontia hollisae
* Haemophilus ducreyi
* Haemophilus influenzae isolated from a normally sterile site
* hepatitis a (igm positives and genotyping results)
* hepatitis b, c, and d (all results to include surface antigens, antibody, genotyping, viral load/RNA/DNA, and associated ALTs)
* hiv, all test results (e.g., positive and negative immunoassay, positive and negative virologic tests, and associated CD4 counts) for children < 18 months old
* human immunodeficiency virus (hiv), repeatedly reactive enzyme immunoassay followed by a positive confirmatory test (e.g., Western blot, IFA, or HIV differentiation). Positive result on any HIV virologic test (e.g., p24 AG, nucleic acid test (NAT/NAAT), viral culture). All viral load (detectable and undetectable) test results and associated CD4 counts.
* influenza virus (molecular positive test results only)
* lead, all blood results
* Legionella species
* Listeria monocytogenes from a normally sterile site
* mantoux tuberculin skin test (tst) and interferon gamma release assay (igra) blood test, positives
* measles (rubeola) virus
* mumps virus
* Mycobacterium leprae
* Mycobacterium tuberculosis complex, culture, or naat (including pcr)
* Naegleria fowleri
* Neisseria gonorrhoeae
* Neisseria meningitidis isolated from a normally sterile site
* Photobacterium damselae
* Plasmodium species
* powassan virus disease (all results)
* rabies virus in animal or human
* rapid plasma reagin (rpr), positive results
* Rickettsia rickettsii and other spotted fever rickettsia species
* rubella virus
* Salmonella species
* sars-cov-2
* shigella species
* st. louis encephalitis virus disease (all results)
* Staphylococcus aureus, intermediate or full resistance to vancomycin (visa, vrsa)
* Streptococcus pneumoniae isolated from a normally sterile site
* Treponema pallidum
* Trichinella species
* varicella virus
* venereal disease research laboratory (vdrl) test, positive results
* Vibrio cholerae type o1 and o139
* Vibrio species
* west nile virus disease (all results)
* western equine encephalitis virus disease (all results)
* yellow fever virus (all results)
* zika virus (all results)
* detection or isolation of one or more specimens of etiological agents of a disease or condition not listed that is of urgent public health significance
* agents suspected to be the cause of a cluster or outbreak
State Health Department Telephone Number:
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)
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 II
Author: Sherri L. Davidson, Ph.D, M.P.H.
Statutory Authority:Code of Ala. 1975, §22-11A-1.