Header:
CALIFORNIA CODE OF REGULATIONS
TITLE 17. PUBLIC HEALTH
DIVISION 1. STATE DEPARTMENT OF HEALTH SERVICES
CHAPTER 4. PREVENTIVE MEDICAL SERVICE
SUBCHAPTER 1. REPORTABLE DISEASES AND CONDITIONS
ARTICLE 1. REPORTING
Date:
08/31/2009
Document:
§ 2502. Reports by Local Health Officer to State Department of; Public Health
(a) Summary Reports: Each local health officer shall report at least weekly, on the Weekly Morbidity by Place of Report form (DHS 8245 (11/95)) to the Director the number of cases of those diseases, conditions, unusual diseases or outbreaks of disease reported pursuant to Section 2500. Copies of the form are available from the Department's Division of Communicable Disease Control.
(b) Individual Case and Outbreak Reports: For the diseases listed below, the local health officer shall prepare and send to the Department along with the summary report described in (a) above an individual case or outbreak report for each individual case/outbreak of those diseases which the Department has identified as requiring epidemiological analysis reported pursuant to Section 2500. At the discretion of the Director, the required individual case/outbreak report may be either a Confidential Morbidity Report (PM-110 1/90), its electronic equivalent or a hard copy 8.5x11 inch individual case/outbreak report form. The Weekly Morbidity by Place of Report form (DHS 8245 11/95)) indicates which format to use. Each individual case report shall include the following: (1) verification of information reported pursuant to Section 2500; (2) information on the probable source of infection, if known; (3) laboratory or radiologic findings, if any; (4) clinical signs and/or symptoms, if applicable; and (5) any known epidemiological risk factors. The Department or CDC has prepared forms that may be used for many of the diseases requiring individual case reports. Where a form exists, its identification number is listed in parentheses next to the diseases listed below. Copies of these case report forms are available from the Department's Division of Communicable Disease Control. An individual case report is required for the following diseases:
Acquired Immune Deficiency Syndrome (AIDS) (CDC 50.42B)
Anthrax (ACD-152)
Avian Influenza (human) (pending)
Botulism (Infant, Foodborne, Wound, Other) (ACD-153)
Brucellosis (262-101)
Chickenpox (Varicella) deaths (separate reporting form required)
Chickenpox (Varicella) hospitalizations (separate reporting form
required)
Cholera (CDC 52.79)
Creutzfeldt-Jakob Disease (CJD) and other Transmissible Spongiform Encephalopathies (TSE) (pending)
Cysticercosis (pending)
Diphtheria (262-505)
Escherichia coli: shiga toxin producing (STEC) including
E. coli O157
Foodborne Disease Outbreak (CDC 52.13)
Haemophilus influenzae, Invasive Disease (DHS 8449)
Hantavirus Infections (pending)
Hemolytic Uremic Syndrome (pending)
Hepatitis A (CDC 53.1)
Hepatitis B, acute only (CDC 53.1)
Hepatitis C, acute only (CDC 53.1)
Hepatitis D (Delta), acute only (CDC 53.1)
Hepatitis, any other acute viral type (CDC 53.1)
Influenza deaths (report an incident of less than 18 years of age)
(pending)
Kawasaki Syndrome (Mucocutaneous Lymph Node Syndrome)
(DHS 8468)
Legionellosis (CDC 52.56)
Leprosy (Hansen Disease) (CDC 52.18)
Leptospirosis (262-102)
Listeriosis (DHS 8296)
Lyme Disease (DHS 8470)
Malaria (CDC 54.1)
Measles (Rubeola) (DHS 8345)
Meningococcal Infections (DHS 8469)
Outbreak of Disease Report (DHS 262-501)
Pelvic Inflammatory Disease (PID)
Pertussis (Whooping Cough) (DHS 8258)
Plague (CDC 56.37)
Poliovirus Infection (DHS 8421)
Psittacosis (8023-005)
Q Fever (262-101)
Rabies, Human or Animal (Humans 262-105, Animals PM 102)
Relapsing Fever (262-107)
Rocky Mountain Spotted Fever (CDC 55.1)
Rubella (German Measles) (PM 358; for Congenital Rubella, CDC
71.17)
Severe Acute Respiratory Infection (SARS) (pending)
Shiga toxin (detected in feces)
Smallpox (pending)
Staphylococcus aureus infection (only a case resulting in death or admission to an intensive care unit 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.)
Streptococcal Outbreaks and Individual Cases in Food Handlers and Dairy Workers Only
Syphilis (for Congenital Syphilis, CDC 73.126)
Tetanus (CDC 71.15)
Toxic Shock Syndrome (CDC 52.3)
Trichinosis (CDC 54.7)
Tuberculosis (CDC 72.9 A, B, and C)
Tularemia (262-101)
Typhoid Fever, Cases and Carriers (Cases, CDC 52.5; Carriers, CDC
4.383)
Typhus Fever (262-107)
Unusual Disease Report (DHS 262-501)
Vibrio Infections (CDC 52.79)
Viral Hemorrhagic Fevers (pending)
Waterborne Disease Outbreak (CDC 52.12)
West Nile virus infection (pending)
Yellow Fever
(c) Immediate Reports: Cases and suspect cases of anthrax, botulism, brucellosis, cholera, dengue, diarrhea of the newborn (outbreaks), diphtheria, plague, rabies (human only), smallpox (varoila), tularemia, varicella deaths, viral hemorrhagic fevers, yellow fever, occurrence of any unusual diseases, and outbreaks of any disease are to be reported by the local health officer to the Director immediately by telephone.
(d) Upon request of the Department, the local health officer shall submit an individual case report for any disease not listed in subsection (b) above.
(e) During any special morbidity and mortality study requested under Section 2501, the local health officer shall be the Director's agent for purposes of carrying out the powers conferred under Government Code Section 11181.
(f) Confidentiality. Information reported pursuant to this section is acquired in confidence and shall not be disclosed by the local health officer except as authorized by these regulations, as required by state or federal law, or with the written consent of the individual to whom the information pertains or to the legal representative of that individual.
(1) A health officer shall disclose any information, including personal information, contained in an individual case report to state, federal or local public health officials in order to determine the existence of a disease, its likely cause or the measures necessary to stop its spread.
(2) A health officer may for purposes of his or her investigation disclose any information contained in an individual case report, including personal information, as may be necessary to prevent the spread of disease or occurrence of additional cases.
(3) A health officer may disclose any information contained in an individual case report to any person or entity if the disclosure may occur without linking the information disclosed to the individual to whom it pertains, and the purpose of the disclosure is to increase understanding of disease patterns, to develop prevention and control programs, to communicate new knowledge about a disease to the community, or for research.
(4) Notwithstanding subsections (1), (2), and (3) above, no information that would directly or indirectly identify an individual as one who has applied for or been given services for alcohol or other drug abuse by a federally assisted drug or alcohol abuse treatment program (as defined in 42 C.F.R. § 2.11) shall be included in an individual case report or otherwise disclosed absent the individual's written consent.
(g) Whenever the health officer collects personal information in order to prepare an individual case report required by subsection (b), the health officer shall notify the individual from whom the information is collected that: (1) supplying personal information related to the individual's disease is mandatory; (2) the only disclosure of personal information will be pursuant to subsections 2502(f(1) and 2502(f)(2); and (3) non-personal information may be disclosed pursuant to subsection 2502(f)(3).
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