Nebraska law requires clinical laboratory personnel and physicians to report evidence of actual communicable disease to the local health department or the State Health Department of Health. In such instances, Healthcare Epidemiology will complete a Disease Case Report and send it to the County Health Department. A copy will be sent to the attending physician of the patient. The relevant language in the Nebraska statute can be found in Nebraska Health and Human Services Title 173 – Control of Communicable Diseases or online at http://www.hhs.state.ne.us/reg/t173.htm. Please call Healthcare Epidemiology if you have concerns about the reporting. Diseases reportable to the health department include:

Acquired Immunodeficiency Syndrome (AIDS)

Amebiasis (Entamoeba histolytica)

Anthrax (Bacillus anthracis)*^Ŧ

Babesiosis (Babesia sp.)

Botulism (Clostridium botulinum)*^Ŧ

Brucellosis (Brucella species)*^Ŧ

Campylobacteriosis (Campylobacter species)

Chlamydia trachomatis infections (nonspecific urethritis, cervicitis, salpingitis, neonatal conjunctivitis, pneumonia)

Cholera (Vibrio cholera)^Ŧ

Clusters, outbreaks or unusual events, including possible bioterroristic attacks^Ŧ

Creutzfeldt-Jakob Disease (subacute spongiform encephalopathy)

Cryptosporidiosis (Cryptosporidium parvum)

Dengue virus infection

Diphtheria (Corynebacterium diphtheriae)^Ŧ

Ehrlichiosis, human monocytic (Ehrlichia chaffeenis)

Ehrlichiosis, human granulocytic (Ehrlichia phagocytphila)

Encephalitis (caused by viral agents)

Escherichia coli gastroenteritis (E. coli O157-H7 and other pathogenic E. coli from gastrointestinal infection)

Food poisoning, outbreak-associated^Ŧ

Giardiasis (Giardia lamblia)

Glanders [Burkholderia (Pseudomonas) mallei]*^Ŧ

Gonorrhea (Neisseria gonorrhoeae) venereal infection and ophthalmia neonatorum

Haemophilus influenzae infection (invasive disease only)^Ŧ

Hantavirus infection

Hemolytic uremic syndrome (post-diarrheal illness)^Ŧ

Hepatitis A (IgM antibody-positive or clinically diagnosed during an outbreak)^Ŧ

Hepatitis B [surface antigen or IgM core antibody positive; for labs doing confirmatory tests (e.g., blood banks), results of confirmatory tests for surface antigen or core antibody supersede results of screening tests]

Hepatitis C (requires a positive serologic test; when a confirmatory test is done, the

results of the confirmatory test supersede results of the screening test)

Hepatitis D and E

Herpes simplex, primary genital infection and neonatal, less than 30 days of age

Human Immunodeficiency Virus infection (confirmatory test positive)

Immunosuppression documented by a total CD4 count of less than 800 per micro liter (per Douglas County Health Department Reporting and Control of Communicable Diseases, Regulatory and Licensure)

Influenza (DFA positive or culture confirmed)

Kawasaki disease (mucocutaneous lymph node syndrome)

Lead poisoning (all analytical values for blood lead analysis shall be reported)

Legionellosis (Legionella species)

Leprosy (Mycobacterium leprae)

Leptospirosis (Leptospira interrogans)

Listeriosis (Listeria monocytogenes)

Lyme disease (Borrelia burgdorferi)

Maarburg virus*^Ŧ

Malaria (Plasmodium species)

Measles (Rubeola)^Ŧ

Melioidosis [Burkholderia (Pseudomonas) pseudomallei]*^Ŧ

Meningitis (Haemophilus influenzae or Neisseria meningitidis)^Ŧ

Meningitis, viral or caused by Streptococcus pneumoniae

Meningococcemia (Neisseria meningitidis)^Ŧ

Methemoglobinemia/nitrate poisoning (methemoglobin greater than 5% of total hemoglobin)

Monkey pox^Ŧ

Mumps

Pertussis/whooping cough (Bordetella pertussis)^Ŧ

Plague (Yersinia pestis)*^Ŧ

Poisoning or illness due to exposure to agricultural chemicals (herbicides, pesticides, and fertilizers), industrial chemicals or mercury

Poliomyelitis^Ŧ

Psittacosis (Chlamydia psittaci)

Qfever (Coxiella burnetii)*^Ŧ

Rabies, (human and animal cases and suspects)^Ŧ

Retrovirus infection (other than HIV)

Rheumatic fever, acute (cases meeting the Jones criteria only)

Rocky Mountain Spotted Fever (Rickettsia rickettsii)

Rubella and congenital rubella syndrome^Ŧ

Salmonellosis including typhoid (Salmonella species)

SARS^Ŧ

Shiga toxin, resulting in gastroenteritis

Shigellosis (Shigella species)

Smallpox*^Ŧ

Staphylococcal enterotoxin B intoxication^Ŧ

Staphylococcus aureus, vancomycin-intermediate and resistant (MIC>4µg/mL)^Ŧ

Streptococcal disease, invasive only (all invasive disease caused by Groups A and B

streptococci and Streptococcus pneumoniae)

Syphilis (Treponema pallidum)

Syphilis, congenital

Tetanus (Clostridium tetani)

Toxic Shock Syndrome

Trichinosis (Trichinella spiralis)

Tuberculosis (Mycobacterium tuberculosis and human cases of Mycobacterium bovis)

Tularemia (Francisella tularensis)*^Ŧ

Typhus Fever, louse-borne (Rickettsia prowazekii) and flea-borne/endemic murine (Rickettsia typhi)Ŧ

Venezuelan equine encephalitis*^Ŧ

West Nile Virus

Yellow Fever^Ŧ

Yersiniosis (Yersinia species)

Regular type: Report within seven days

*Potential agents of bioterrorism

^ŦReport immediately