Connecticut Epidemiologist Newsletter • January 2021 • Volume 41, No.1
Reportable Diseases, Emergency Illnesses and Health Conditions - 2021
Physicians and other professionals are required to report using the Reportable Disease Confidential Case Report form (PD-23), or other disease specific form or approved method. Forms can be found on the DPH ”Forms” webpage or by calling 860-509-7994. Mailed reports must be sent in envelopes marked “CONFIDENTIAL.” Please review Changes to the Reportable Diseases, Emergency Illnesses and Health Conditions for additional information about this list.
Category 1 Diseases: Report any of the following conditions listed in bold to the DPH immediately by telephone at 860-509-7994 on the day of recognition or strong suspicion of disease. For public health emergencies on evenings, weekends, and holidays call 860-509-8000. These diseases must also be reported by mail within 12 hours.
Acute HIV infection
▪ Foodborne (involving ≥ 2 persons)
▪ Unusual disease or illness (8)
Staphylococcal enterotoxin B pulmonary poisoning
Staphylococcus aureus disease, reduced or resistant susceptibility to vancomycin (1)
Venezuelan equine encephalitis virus infection
Viral hemorrhagic fever
Category 2 Diseases: All other diseases listed below must be reported by mail within 12 hours of recognition or strong suspicion of disease using the appropriate reporting form or method.
Acute flaccid myelitis
Borrelia miyamotoi disease
California group arbovirus infection
Chlamydia (C. trachomatis) (all sites)
Coronavirus disease 2019 (COVID-19)
E-cigarette or vaping product use associated lung injury (EVALI)
Eastern equine encephalitis virus infection
Ehrlichia chaffeensis infection
Escherichia coli O157:H7 gastroenteritis
Group A Streptococcal disease, invasive (3)
Group B Streptococcal disease, invasive (3)
Haemophilus influenzae disease, invasive (3)
Hansen’s disease (Leprosy)
Healthcare-associated Infections (4)
Hemolytic-uremic syndrome (5)
Hepatitis B (Acute) (2)
Hepatitis B (Chronic) (2)
Hepatitis C (Acute) (2)
Hepatitis C (Chronic) (2)
HIV-1 infection (1,2)
HIV-2 infection (1,2)
HPV: biopsy proven CIN 2, CIN 3 or AIS or their equivalent (1)
Influenza-associated death (6)
Influenza-associated hospitalization (6)
Multisystem inflammatory syndrome in children (MIS-C)
Neonatal bacterial sepsis (7)
Neonatal herpes (≤ 60 days of age)
Pneumococcal disease, invasive (3)
Powassan virus infection
Rocky Mountain spotted fever
Rubella (including congenital)
Shiga toxin-related disease (gastroenteritis)
St. Louis encephalitis virus infection
Staphylococcus aureus methicillin- resistant disease, invasive, community acquired (3,9)
Staphylococcus epidermidis disease, reduced or resistant susceptibility to vancomycin (1)
Vibrio infection (parahaemolyticus, vulnificus, other)
West Nile virus infection
Zika virus infection
- Report only to State.
- As described in the CDC case definition.
- Invasive disease: from sterile fluid (blood, CSF, pericardial, pleural, peritoneal, joint, or vitreous) bone, internal body sites, or other normally sterile site including muscle.
- Report HAIs according to current CMS pay-for-reporting or pay-for-performance requirements. Detailed instructions on the types of HAIs, facility types and locations, and methods of reporting are available on the DPH website: https://portal.ct.gov/DPH/Infectious-Diseases/HAI/Healthcare-Associated-Infections-and-Antimicrobial-Resistance.
- On request from the DPH and if adequate serum is available, send serum from patients with HUS to the DPH Laboratory for antibody testing.
- Submit the Hospitalized and Fatal Cases of Influenza form as specified. For influenza Hospitalizations, Electronic Medical Record access is required.
- Clinical sepsis and blood or CSF isolate obtained from an infant ≤ 72 hours of age.
- Individual cases of “significant unusual illness” are also reportable.
- Community-acquired: infection present on admission to hospital, and person has no previous hospitalizations or regular contact with the health-care setting.
How to Report
The PD-23 is the primary disease reporting form and should be used if other specialized forms or approved methods are not available. A fillable PDF of the PD-23 can be found on the DPH “Forms” webpage (https://portal.ct.gov/DPH/Communications/Forms/Forms). It can also be ordered by calling the Epidemiology and Emerging Infections Program at 860-509-7994. Specialized reporting forms are available on the DPH “Forms” webpage or by calling the following programs: Epidemiology and Emerging Infections Program (860-509-7994) - Hospitalized and Fatal Cases of Influenza, Healthcare Associated Infections (860-509-7995) - National Healthcare Safety Network, HIV/AIDS Surveillance (860-509-7900) - Adult HIV Confidential Case Report form, Immunizations Program (860-509-7929) - Chickenpox Case Report (Varicella) form, Occupational Health Surveillance Program (860-509-7740) - Physician’s Report of Occupational Disease, Sexually Transmitted Disease Program (860-509-7920), and Tuberculosis Control Program (860-509-7722). National notifiable disease case definitions are found on the CDC website.
Telephone reports of Category 1 disease should be made to the local Director of Health for the town in which the patient resides, and to the Epidemiology and Emerging Infections Program (860-509-7994). Tuberculosis cases should be directly reported to the Tuberculosis Control Program (860-509-7722). For the name, address, or telephone number of a specific local Director of Health visit the Local Health Administration website or call the Office of Local Health Administration at 860-509-7660.
Persons Required to Report Reportable Diseases, Emergency Illnesses and Health Conditions
- Every health care provider who treats or examines any person who has or is suspected to have a reportable disease, emergency illness or health condition shall report the case to the local director of health or other health authority within whose jurisdiction the patient resides and to the Department of Public Health.
- If the case or suspected case of reportable disease, emergency illness or health condition is in a health care facility, the person in charge of such facility shall ensure that reports are made to the local director of health and Department of Public Health. The person in charge shall designate appropriate infection control or record keeping personnel for this purpose.
- If the case or suspected case of reportable disease, emergency illness or health condition is not in a health care facility, and if a health care provider is not in attendance or is not known to have made a report within the appropriate time, such report of reportable disease, emergency illness or health condition shall be made to the local director of health or other health authority within whose jurisdiction the patient lives and the Department of Public Health by:
- the administrator serving a public or private school or day care center attended by any person affected or apparently affected with such disease, emergency illness or health condition;
- the person in charge of any camp;
- the master or any other person in charge of any vessel lying within the jurisdiction of the state;
- the master or any other person in charge of any aircraft landing within the jurisdiction of the state;
- the owner or person in charge of any establishment producing, handling, or processing dairy products, other food or non-alcoholic beverages for sale or distribution;
- morticians and funeral directors
The Reportable Disease Confidential Case Report Form PD-23 can be used to report conditions on the current list, unless there is a specialized form or other approved method. Reporting forms can be found at: https://portal.ct.gov/DPH/Communications/Forms/Forms or by calling 860-509-7994. Please follow these guidelines when submitting written reports:
- Forms must be complete and include name, address, and phone number of person reporting and healthcare provider, infectious agent, test method, date of onset of illness, and name, address, date of birth, race, ethnicity, gender, and occupation of patient.
- Send the white copy of completed form to DPH via fax (860-509-7910), or mail to: Connecticut Department of Public Health, 410 Capitol Ave., MS#11FDS, P.O. Box 340308, Hartford, CT 06134-0308. Mark envelope with “CONFIDENTIAL”.
- Unless otherwise noted, send the yellow copy of the completed report to the Director of Health of the patient’s town of residence.
- Keep the pink copy in the patient’s medical record.
This page last updated on 5/28/2021.