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Disease Reporting Information and Forms

Download printable PDF of Reportable Diseases grid

REPORT IMMEDIATELY BY PHONE
During Business hours: (831) 454-4114
After hours: (831) 471-1170
  • Anthrax, human or animal
  • Botulism (Infant, Foodborne, Wound, Other)
  • Brucellosis, human
  • Cholera
  • Ciguatera Fish Poisoning
  • Dengue Virus Infection
  • Diphtheria
  • Domoic Acid Poisoning (Amnesic Shellfish Poisoning)
  • Flavivirus infection of undermined species
  • Foodborne Disease (when two or more cases or suspected cases of foodborne disease from separate households are suspected to have the same source of illness)
  • Hemolytic Uremic Syndrome
  • Influenza due to novel strains (human)
  • Measles (Rubeola)
  • Meningococcal Infections
  • Middle East Respiratory Syndrome (MERS)
  • Novel Virus with Pandemic Potential
  • Paralytic Shellfish Poisoning
  • Plague, Human or Animal
  • Rabies, Human or Animal
  • Scombroid Fish Poisoning
  • Shiga Toxin (detected in feces)
  • Smallpox (Variola)
  • Tularemia, human
  • Viral Hemorrhagic Fevers, human or animal (Crimean-Congo, Ebola, Lassa, and Marburg viruses)
  • Occurrence of any unusual disease
  • Outbreak of any disease (including diseases not listed in §2500)

 

REPORT WITHIN ONE WORKING DAY
PHONE: (831) 454-4114 
FAX: (831) 454-5049

  • Babesiosis
  • Campylobacteriosis
  • Carbapenem-Resistant Enterobacteriaceae (CRE)
  • Chickenpox (Varicella) (outbreaks, hospitalizations, and deaths)
  • Chikungunya Virus Infection
  • Cryptosporidiosis
  • Dengue Virus Infection
  • Encephalitis, specify etiology (Viral, Bacterial, Fungal, Parasitic)
  • Escherichia coli: Shiga toxin-producing (STEC), including E. coli 0157:H7
  • Foodborne Disease
  • Haemophilus influenzae, invasive disease (only in persons less than 5 years of age)
  • Hantavirus Infections
  • Hepatitis A, acute infection
  • Listeriosis
  • Malaria
  • Meningitis, specify etiology (Viral, Bacterial, Fungal, Parasitic)
  • Paratyphoid Fever
  • Pertussis (whooping cough)
  • Poliovirus Infection
  • Psittacosis
  • Q Fever
  • Relapsing Fever
  • Salmonellosis (other than Typhoid Fever)
  • Shigellosis
  • Syphilis (all stages, including congenital)
  • Trichinosis
  • Tuberculosis (TB)
  • Typhoid Fever, Cases and Carriers
  • Vibrio Infections
  • West Nile Virus Infection
  • Yellow Fever
  • Yersiniosis
  • Zika Virus Infection

 

REPORT BY PHONE, FAX OR MAIL WITHIN 7 CALENDAR DAYS
PHONE: (831) 454-4114 
FAX: (831) 454-5049
MAIL: Attn: Communicable Disease 1060 Emeline Ave, Santa Cruz, CA 95060

  • Anaplasmosis
  • Brucellosis, animal (except infections due to Brucella canis)
  • Chancroid
  • Coccidioidomycosis
  • Creutzfeldt-Jacob Disease (CJD) and other Transmissible spongiform
  • Cyclosporiasis
  • Cysticercosis or Taeniasis
  • Ehrlichiosis
  • Giardiasis
  • Gonococcal Infections
  • Hepatitis B (specify acute, chronic, or perinatal)
  • Hepatitis C (specify acute, chronic, or perinatal)
  • Hepatitis D (Delta) (specify acute case or chronic)
  • Hepatitis E, acute infection
  • Influenza, deaths in laboratory-confirmed cases for persons less than 18 years old
  • Legionelllosis
  • Leprosy (Hansen’s Disease)
  • Leptospirosis
  • Lyme Disease
  • Mumps
  • Respiratory Syncytial Virus-associated deaths in laboratory-confirmed cases less than five years of age
  • Rickettsial Diseases (non-Rocky Mountain Spotted Fever), including Typhus and Typhus-like illnesses
  • Rocky Mountain Spotted Fever
  • Rubella (German Measles)
  • Rubella Syndrome, congenital
  • Tetanus
  • Toxoplasmosis
  • Tularemia, animal

 

REPORT BY PHONE, FAX OR TRACEABLE MAIL WITHIN 7 CALENDAR DAYS
PHONE:
 (831) 291-7031 
FAX: (831) 454-5220

  • Human Immunodeficiency Virus (HIV), any stage
  • HIV infection, progression to stage 3 (AIDS)

Case reports or laboratory reports must be placed in a sealed envelope and sent via
traceable mail (USPS Certified, FedEx, or UPS) marked "Confidential", with attention to:

Santa Cruz County Health Services Agency
ATTN: Troy Toumat, HIV Surveillance Coordinator
1060 Emeline Ave, Santa Cruz, CA 95060

 

REPORTABLE NONCOMMUNICABLE DISEASES AND CONDITIONS §2800–2812 and §2593 (b)
PHONE: (831) 454 - 4114
FAX: (831) 454 - 5049
MAIL: Attn: Communicable Disease 1060 Emeline Ave, Santa Cruz, CA 95060
  • Disorders Characterized by Lapses of Consciousness (§2800-2812)
  • Pesticide-related illness or injury (known or suspected cases) **
  • Cancer, including benign and borderline brain tumors (except (1) basal and squamous skin cancer unless occurring on genitalia, and (2) carcinoma in-situ and CIN III of the Cervix) (§2593) ***
* This form is designed for health care providers to report those diseases mandated by Title 17, California Code of Regulations (CCR). Failure to report is a misdemeanor (Health & Safety Code §120295) and is a citable offense under the Medical Board of California Citation and Fine Program (Title 16, CCR, §1364.10 and 1364.11).
** Failure to report is a citable offense and subject to civil penalty ($250) (Health and Safety Code §105200).
*** The Confidential Physician Cancer Reporting Form may also be used. See Physician Reporting Requirements for Cancer Reporting in CA at: www.ccrcal.org.

 

Confidential Morbidity Report (CMR)

For STD's or TB, use the forms under those categories below. In the absence of a condition-specific form, please use the General Confidential Morbidity Report form.

Outbreaks and Foodborne Illness

Sexually Transmitted Diseases (STD)

Tuberculosis (TB)

Human Immunodeficiency Virus (HIV) and Acquired Immunodeficiency Syndrome (AIDS)
      

Rabies And Animal Bites 

Pesticide Illness Report
      
Vaccine Adverse Event Reporting System (VAERS)

Medical Professionals
Report a Disease or Contact
Public Health

Monday - Friday
8am - 5pm
(831) 454-4114
FAX: (831) 454-5049
HIV FAX: (831) 454-5220

After Hours/Weekends
(831) 471-1170

Communicable Disease Control
Information

COVID-19 Information


SPECIAL FORMS

THINK MEASLES
Report ALL suspect measles cases immediately