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REPORT (Rules for Every Provider and Organization to Report on Time) Notifiable Diseases is one component of the DETECT, TEST, and REPORT Notifiable Disease Awareness Campaign. The awareness campaign emphasizes different disease control actions needed to reduce the impact of Alabama's reportable diseases and create a robust notifiable disease system. REPORT Notifiable Disease is a reminder for all reporting entities to report notifiable diseases in a timely manner. REPORT is vital to ensure Alabama's Notifiable Diseases are investigated quickly to reduce further possible exposure and to treat those infected.

Notifiable Disease Reporters

All physicians, dentists, nurses, medical examiners, hospital administrators, nursing home administrators, lab directors, school principals, and day care directors are responsible for reporting Notifiable Diseases in Alabama.

REPORT Notifiable Diseases

  • As of 12/31/14, laboratories are required to report electronically to ID&O and must include test method and results reference range. Labs can no longer use the online REPORT Card to report notifiable diseases. Please call the Infectious Diseases & Outbreaks Division at 1-800-338-8374 for further reporting instructions.
  • Reporters cannot assume or delegate laboratories to report for them.
  • To report an Immediate, Urgent, or Standard Notification Notifiable Disease, please submit a Communicable Disease REPORT Card.
  • Plasma Centers and Blood Banks Hepatitis Reporting Requirements.

Time Frame and Method

  • Immediate, Extremely Urgent Diseases/Conditions must be reported to ADPH within 4 hours of presumptive diagnosis by telephone (800-338-8374).
  • Immediate, Urgent Diseases/Conditions must be reported to ADPH within 24 hours of presumptive diagnosis either electronically, telephone (800-338-8374), or fax.
  • Standard Notification Diseases/Conditions must be reported to ADPH within 5 days of diagnosis (unless otherwise specified in the Rules) electronically or in writing.

Public Health Authority

  • Effective 8/4/2018, the Alabama Notifiable Disease Rules, Chapter 420-4-1 was updated and specifies the diseases and conditions requiring notification, and the time frame and methods for notification.
  • ADPH is a public health authority as defined by the Health Insurance Portability and Accountability Act (HIPAA), Standards for Privacy of Individually Identifiable Health Information; Final Rule (Privacy Rule) [45 CFR §164.501] to collect or receive protected health information (PHI) for the purpose of surveillance, investigations, and interventions of notifiable diseases, without authorization of the patient. For more information, please see ADPH General Counsel HIPPA Letter and CDC's MMWR HIPAA Privacy Rule and Public Health.

Immediate, Extremely Urgent Diseases/Conditions

(Notify ADPH within 4 hours of presumptive diagnosis)

  • Anthrax
  • Botulism
  • Plague
  • Poliomyelitis, paralytic
  • SARS-associated Coronavirus (SARS-CoV)
  • Smallpox
  • Tularemia
  • Viral hemorrhagic fever
  • Cases related to nuclear, biological, or chemical terrorist agents*

Immediate, Urgent Diseases/Conditions

(Notify ADPH within 24 hours of presumptive diagnosis)

  • Brucellosis
  • Cholera
  • Coronavirus Disease (COVID-19) from providers and all Severe Acute Respiratory Syndrome-associated Coronavirus (SARS-CoV2) test results from laboratories
  • Diphtheria
  • E. coli, shiga-toxin producing (STEC)
  • Haemophilus influenzae, invasive disease1
  • Hemolytic uremic syndrome (HUS), post-diarrheal
  • Hepatitis A , including ALT
  • Legionellosis
  • Measles
  • Meningococcal disease1
  • Novel influenza A virus (i.e., potential new strain)
  • Pertussis
  • Poliovirus infection, nonparalytic
  • Rabies, human and animal
  • Rubella
  • Tuberculosis
  • Typhoid fever
  • Yellow fever
  • Outbreaks of any kind2
  • Cases of potential public health importance3

Standard Notification Diseases/Conditions

(Notify ADPH within 5 days, unless otherwise noted)

  • Acute flaccid myelitis
  • Anaplasmosis
  • Arboviral diseases (in addition to those listed)
  • Babesiosis
  • California encephalitis
  • Campylobacteriosis
  • Chancroid
  • Chikungunya
  • Chlamydia trachomatis
  • Coccidioidomycosis
  • Cryptosporidiosis
  • Cyclosporiasis
  • Dengue
  • Eastern equine encephalitis
  • Ehrlichiosis
  • Giardiasis
  • Gonorrhea
  • Hansen's disease (Leprosy)
  • Hantavirus Pulmonary Syndorme
  • Hepatitis B, C, and other viral (all lab results, including associated ALTs)
  • HIV (including asymptomatic infection, AIDS, CD4 counts and viral load), pediatric and adult
  • Influenza-associated deaths
  • Jamestown Canyon virus
  • Keystone virus
  • La Crosse virus
  • Lead, screening test results
  • Leptospirosis
  • Listeriosis1
  • Lyme disease
  • Malaria
  • Mumps
  • Perinatal hepatitis B
  • Perinatal HIV exposure (<18 months of age)
  • Powassan virus
  • Psittacosis
  • Q Fever
  • Salmonellosis
  • Shigellosis
  • Snowshoe Hare virus
  • Spotted Fever Rickettsiosis
  • Staphylococcus aureus, Vancomycin-intermediate (VISA) and Vancomycin-resistant (VRSA)
  • St. Louis encephalitis
  • Streptococcus pneumoniae, invasive disease1
  • Syphilis
  • Tetanus
  • Toxic shock syndrome (non-streptococcal)
  • Trichinellosis (Trichinosis)
  • Trivittatus virus
  • Varicella
  • Vibriosis
  • West Nile
  • Western equine encephalitis
  • Zika virus

* Terroristic Agent = Select Agent and Toxins List

1 detection of organism from a normally sterile site, please see Alabama Notifiable Disease Rules, Chapter 420-4-1 for complete details

2 defined as 2 or more similarly ill persons who live in different households and have a common exposure

3 as determined by the reporting provider

Page last updated: March 3, 2022