Connecticut Epidemiologist Newsletter   •   January 2023   •   Volume 43, No.1

Reportable Diseases, Emergency Illnesses and Health Conditions - 2023

Physicians and other professionals are required to report using the Reportable Disease Confidential Case Report form (PD-23), or other disease specific form or authorized method. All such specialized forms as well as the PD-23 can be found on the DPH “Forms” webpage. Please review Changes to the Reportable Diseases, Emergency Illnesses and Health Conditions for additional information about this list. 

Category 1 Diseases
Category 2 Diseases
Footnotes
How to Report
Persons Required to Report

Category 1 Diseases: Report any of the following conditions listed in bold to DPH at 860-509-7994 on the day of recognition or strong suspicion of disease. On evenings, weekends, and holidays call 860-509-8000. A PD-23 must be submitted within 12 hours.                                                                                       

HIV infection (Acute)                                                                                                                                              Anthrax                                                                                                                                                                Botulism                                                                                                                                                              Brucellosis
Cholera
Congenital Syphilis
Diphtheria
Measles
Melioidosis
Meningococcal disease
Outbreaks:
▪ Foodborne (involving ≥ 2 persons)
▪ Institutional
▪ Unusual disease or illness (8)
Plague
Poliomyelitis
Q fever
Rabies
Ricin poisoning
Severe Acute Respiratory Syndrome (SARS)
Smallpox
Staphylococcal enterotoxin B pulmonary poisoning
Staphylococcus aureus disease, reduced or resistant susceptibility to vancomycin (1)
Tuberculosis
Tularemia
Venezuelan equine encephalitis virus infection
Viral hemorrhagic fever
Yellow fever    

Category 2 Diseases: All other diseases listed below must be reported electronically or by fax within 12 hours. A Hospital IP entering a case in CTEDSS (where applicable) satisfies the reporting requirement.

Acquired Immunodeficiency Syndrome (1,2)
Acute flaccid myelitis
Babesiosis
Borrelia miyamotoi disease
California group arbovirus infection
Campylobacteriosis
Candida auris
Chancroid
Chickenpox
Chickenpox-related death
Chikungunya
Chlamydia (C. trachomatis) (all sites)
COVID-19 (SARS-CoV-2 Coronavirus)
COVID-19 Hospitalizations
Cryptosporidiosis
Cyclosporiasis
Dengue
E-cigarette or vaping product use associated lung injury (EVALI)
Eastern equine encephalitis virus infection
Ehrlichia chaffeensis infection
Escherichia coli O157:H7 infection
Gonorrhea
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 A
Hepatitis B:
▪ acute infection (2)
▪ HBsAg positive pregnant women
Hepatitis C:
▪ acute infection (2)
▪ perinatal infection
▪ positive rapid antibody test result HIV-1 / HIV-2 infection in: (1)
▪ persons with active tuberculosis disease
▪ persons with a latent tuberculous infection (history or tuberculin skin test >5mm induration by Mantoux technique)
▪ persons of any age
▪ pregnant women
HPV: biopsy proven CIN 2, CIN 3 or AIS or their equivalent (1)
Influenza-associated death (6)
Influenza-associated hospitalization (6)
Legionellosis
Listeriosis
Lyme disease
Malaria
Mercury poisoning
Mpox disease
Multisystem inflammatory syndrome in children (MIS-C)
Mumps
Neonatal bacterial sepsis (7)
Occupational asthma
Pertussis
Pneumococcal disease, invasive (3)
Powassan virus infection
Rocky Mountain spotted fever
Rubella (including congenital)
Salmonellosis
Shiga toxin-related disease (gastroenteritis)
Shigellosis
Silicosis
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)
Syphilis
Tetanus
Trichinosis
Typhoid fever
Vaccinia disease
Vibrio infection (parahaemolyticus, vulnificus, other)
West Nile virus infection
Zika virus infection  

Footnotes

1. Report only to DPH.
2. As described in the CDC case definition (https://ndc.services.cdc.gov/).
3. Invasive disease: from sterile fluid (blood, CSF, pericardial, pleural, peritoneal, joint, or vitreous), bone, internal body sites, or other normally sterile site including muscle.
4. 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.
   
5. On request from the DPH and if adequate serum is available, send serum from patients with HUS to the DPH Laboratory for antibody testing.
   
6. Submit the Hospitalized and Fatal Cases of Influenza form as specified. For influenza Hospitalizations, Electronic Medical Record access is required.
   
7. Clinical sepsis and blood or CSF isolate obtained from an infant ≤ 72 hours of age.
   
8. Individual cases of “significant unusual illness” are also reportable.
9. 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 general disease reporting form and should be used if other specialized forms are not available. The PD-23 can be found on the DPH “Forms” webpage. Specialized reporting forms are also available on the DPH “Forms” webpage and should be used for the following: Hospitalized and Fatal Cases of Influenza, National Healthcare Safety Network, Adult HIV Confidential Case Report, Chickenpox (Varicella) Case Report, Physician's Report of Occupational Disease, Sexually Transmitted Diseases (STD-23), Tuberculosis Surveillance Report, and the E-cigarette or Vaping Product Associated Lung Injury Case Report.

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). Information for directors of health for all cities and towns in CT is available on the DPH Local Health Administration - Connecticut Local Health webpage.

Persons Required to Report Reportable Diseases, Emergency Illnesses and Health Conditions

1. 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.
2. 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.
3. 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:
   1. 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;
   2. the person in charge of any camp;
   3. the master or any other person in charge of any vessel lying within the jurisdiction of the state;
   4. the master or any other person in charge of any aircraft landing within the jurisdiction of the state;
   5. 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;
   6. morticians and funeral directors.

IMPORTANT NOTICE

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 authorized method. Please follow these guidelines when submitting written reports:

• Forms must 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 completed form to DPH via fax (860-920-3131)

This page last updated on 01/11/2023.