ND STATE PUBLIC
HEALTH LAWS
Tracy K. Miller, MPH
State Epidemiologist
tkmiller@nd.gov
Century Code
CHAPTER 23-07
REPORTABLE DISEASES
Administrative Rule
ARTICLE 33-06
REPORTABLE CONDITIONS
Laws
Century Code:
CHAPTER 23-07
REPORTABLE DISEASES
23-07-01
 State department of health - Collection of public health
information.
 The state department of health shall designate the diseases or
conditions that must be reported. Such diseases or conditions may
include contagious, infectious, sexually transmitted, or chronic
diseases or any illness or injury which may have a significant impact
on public health.
 The state department of health shall maintain a uniform statewide
population-based registry system for the collection of data pertaining
to the incidence, prevalence, risk factors, management, survival,
mortality, and geographic distribution of cancer and reportable
benign tumors.
23-07-02.
 Who to report reportable diseases.
 Except as otherwise provided by section 23-07-02.1, the following
persons or their designees shall report to the state department of health
any reportable disease coming to their knowledge:
1. All health care providers, including physicians, physician assistants, nurse
practitioners, nurses, dentists, medical examiners or coroners, pharmacists,
emergency medical service providers, and local health officers.
2. The director, principal manager, or chief executive officer of:
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Health care institutions, including hospitals, medical centers, clinics, long-term care facilities,
assisted living facilities, or other institutional facilities;
Medical or diagnostic laboratories;
Blood bank collection or storage centers;
Public and private elementary and secondary schools;
Public and private universities and colleges;
Health or correctional institutions operated or regulated by municipal, county or multicounty, state,
or federal governments;
Funeral establishments and mortuaries; and
Child care facilities or camps.
23-07-02. (CONT)
 The state veterinarian, if the disease may be transmitted
directly or indirectly to or between humans and animals.
 A person having knowledge that a person or persons are
suspected of having a reportable disease may notify the
department and provide all information known to the person
reporting concerning the reportable disease or condition of
the person or persons.
If the person reporting is the attending physician or the physician's designee, the
physician or the physician's designee shall report not less than twice a week, in the
form and manner directed by the state department of health, the condition of the
person afflicted and the state of the disease. A person making a report in good faith is
immune from liability for any damages which may be caused by that act.
23-07-02.2.
 Confidentiality of repor ts.
 A repor t required by section 23 -07-02.1 and held by the state
depar tment of health is confidential information. The information may
not be disclosed, shared with any agency or institution , or made public,
upon subpoena, search warrant, discover y proceedings, or other wise,
except that:
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Disclosure may be made of medical or epidemiological information for
statistical purposes in a manner such that no individual person can be
identified;
Disclosure may be made of medical or epidemiological information to the
extent necessary to enforce section 23-07-02.1 and this section and related
rules concerning the treatment, control, and investigation of human
immunodeficiency virus infection by public health officials; or
Disclosure may be made of medical or epidemiological information to medical
personnel to the extent necessary to protect the health or life of any individual.
No officer or employee of the state department of health may be examined in
any judicial, executive, legislative, or other proceeding regarding the existence
or content of any individual's report retained by the department under section
23-07-02.1.
CENTURY CODE
 Many sections and sub-section to this code.
For a complete view of this code, go to:
www.ndhealth.gov/Disease/Disease%20Reporting/Report.htm
 For a complete view of the
centur y code, go to:
w w w. l eg i s .n d . g ov / c e n c o d e / t 2 3 . h t m l
Administrative Rule
ARTICLE 33-06
REPORTABLE CONDITIONS
33-06-01-01.
 Reportable conditions .
 All reports and information concerning reportable conditions
are confidential and not open to inspection. The following
designated reportable conditions must be reported to the
state department of health by the persons designated in
chapter 33-06-02. If any reportable condition is designated by
an asterisk, an appropriate sample or isolate must be
submitted to the division of microbiology (public health
laboratory) in addition to the required report.
REPORTABLE CONDITIONS
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Anthrax*.
A r b o v i r al i n fe c t i o n .
Botulism*.
Brucellosis*.
C a m p y l o b a cte r e n te r i t i s * .
C a n c e r, a l l m a l i gn a n t a n d i n s i t u c a r c i n o m a s ; i n a d d i t i o n , a l l b e n i g n c a n c e r s o f t h e
c e n t r a l n e r v o u s s y s te m , p i t u i t a r y g l a n d, p i n e al g l a n d , a n d c r a n i o p h a r y n ge a l d u c t .
C a r c i n om a i n s i t u o f t h e c e r v i x i s n o t c o l l e c te d . B a s a l o r s q u a m o u s c e l l c a r c i n o m a i s
n o t c o l l e c te d u n l e s s d i a g n o s e d i n t h e l a bi a , c l i to r i s , v u l va , p r e p u c e , p e n i s , o r s c r o t u m .
A l l C D 4 te s t r e s u l t s .
C h i c ke n p ox ( v a r i ce l l a ) .
C h l a my di a l i n fe c t i o n s .
Cholera*.
C l o s t r i di u m p e r f r i n g e n s i n tox i ca t i o n* .
C o c c i di o i d omyc os i s * .
C r e u t z f e l d t - J a ko b d i s e a s e .
C r y p to s p o r i di o s i s .
Diphtheria*.
E . c o l i , s h i g a to x i n - p r o d u ci n g * .
E n te r o c o cc u s , v a n c o myc i n r e s i s t a n t ( V R E ) * .
Fo o d b o r n e o r w a te r b o r n e o u t b r e a k s .
REPORTABLE CONDITIONS
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G i a r di a s i s .
Glanders*.
Gonorrhea.
H a n t av i r u s * .
H a e m o p h i l u s i n fl u e n z a e i n fe c t i o n ( i nva s i v e i n fe c t i o n w i t h h a e m o p h i l u s i n fl u e n z a e
i s o l ate d f r o m b l o o d , c e r e b r a l s p i n a l f l u i d , o r o t h e r n o r m a l s te r i l e s i te ) * .
Hemolytic uremic syndrome.
Hepatitis (specify type ).
H u m a n i m m u n o d e fi ci e n cy v i r u s ( H I V ) i n fe c t i o n , i n cl u d i ng a c q u i r e d i m m u n od e fi ci e n c y
s y n d r o m e ( A I D S ) * . ( A ny p o s i t i v e H I V te s t r e s u l t . ) H u m a n i m m u no d e fi ci e n cy v i r u s ( H I V )
n u c l e i c a c i d te s t r e s u l t ( d e te c t a bl e o r n o n - d e te c t a b l e ) . H u m a n i m m u n o de fi ci e n c y v i r u s
( H I V ) r a p i d s c r e e n s ( p o s i t i ve o n l y ) .
I n fl u e n z a .
L a b o r a to r y i n c i d e n c e s i nvo l v i n g t h e p o s s i b l e r e l e a s e o f c a te g o r y A b i ote r r o r i s m a g e n t s
o r n o v e l i n fl u e n z a v i r u s e s i n to t h e l a b o r a to r y e n v i r o n m e n t .
L e a d b l o o d l e ve l g r e a te r t h a n o r e q u a l to 1 0 u g / d l .
Legionellosis.
L i s te r i o s i s * .
Ly m e d i s e a s e
REPORTABLE CONDITIONS
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M a l ar i a * .
Measles (rubeola)*.
M e l i o i do s i s * .
M e n i n g i t i s , b a c te r i a l ( a l l b a c te r i a l s p e c i e s i s o l ate d f r o m c e r e b r o s p i n al f l ui d ) * .
M e n i n g o c o cc al d i s e a s e ( i nva s i ve i n fe c t i o n w i t h n e i s s e r i a m e n i n gi t i di s i s o l a te d f r o m
b l o o d , c e r e b r a l s p i n al f l ui d , o r o t h e r n o r m al s te r i l e s i te ) * .
Mumps.
N i p a h v i r a l i n fe c t i o n s * .
Nosocomial outbreaks in institutions.
O r g a n i s m s w i t h r e d u c e d s u s c e p t i b i li t y to c a r b a p e n e m * . ( e x . k l e b s i e l l a p n e u m o ni a
c a r b a p e n e m a s e [ K P C ] , c a r b a p e n e m - r e s i s t a n t e n te r o b a cte r i a c e a e [ C R E ] , e t c . ) .
Pe r t u s s i s * .
P l a g ue * .
Po l i o mye l i t i s * .
P r e g n a n cy i n a p e r s o n i n fe c te d w i t h h e p a t i t i s B o r H I V.
Psittacosis.
Q fever*.
Rabies (animal or human*).
R o c k y M o u n t ai n s p o t te d f e v e r.
Rubella*.
REPORTABLE CONDITIONS
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Salmonellosis*.
S c a b i e s o u t b r e a ks i n i n s t i t u t i o n s .
S e v e r e a c u te r e s p i r a to r y s y n d r o m e ( S A R S ) * .
Shigellosis*.
S m a l l pox * .
S t a p hy l o co c cu s a u r e u s , m e t h i ci l li n r e s i s t a n t ( M R S A ) , i nva s i ve s i te s o n l y - e x c l u di n g
urine*.
S t a p hy l o co c cu s a u r e u s , v a n c o myc i n r e s i s t a n t a n d i n te r m e di a te r e s i s t a nt ( V R S A a n d
VISA)*.
S t a p hy l o co c cu s e n te r o to x i n B i n tox i ca t i o n * .
S t r e p to c o cc al i n fe c t i o n s ( i nva s i v e i n fe c t i o n o f s t r e p to c o c cu s g r o u p A o r B o r
s t r e p to c o cc u s p n e u m o ni a e i s ol a te d f r o m b l o o d , c e r e b r a l s p i n al f l ui d , o r o t h e r n o r m al
s te r i l e s i te ) * .
S y p h i l is .
Te t a n u s .
Tickborne diseases*.
Tickborne hemorrhagic fevers.
To x i c s h o c k s y n d r o m e * .
Tr i c h i n o s i s .
REPORTABLE CONDITIONS
 Tu b e r c u l o s i s ( t u b e r c u l o s i s d i s e a s e c a u s e d b y myc o b a c te r i u m t u b e r c u l os i s o r
myc o b a cte r i u m b o v i s ) * .
 Tu l a r e m i a * .
 Tu m o r s o f t h e c e n t r a l n e r v o u s s y s te m .
 Ty p h oi d f e v e r * .
 U n e x p l ai n e d c r i t i c al i l l n e s s o r d e a t h i n a n o t h e r w i s e h e a l t hy p e r s o n .
 U n u s u a l c l u s te r o f s e v e r e o r u n e x pl a i n e d i l l n e s s e s o r d e a t h s .
 V i r a l h e m o r r h a gi c f e v e r s .
 We a p o n s o f m a s s d e s t r u c t i o n s u s p e c te d e v e n t .
 Ye l l ow f e v e r * .
 Vibriosis*.
77 reportable conditions
33-06-02
 Reporting.
Morbidity reports.
Printed forms.
Telephonic reports.
Teacher must report suspected cases.
All medical diagnostic laboratories are required to report any laboratory
test result (serological, culture, etc.) which may be interpreted as
indicative of any of the reportable conditions to the state department of
health. Test results from specimens sent by in -state laboratories to outof-state laboratories are also required to be reported.
 In addition to reporting requirements specified under subsection 5,
mandatory reporters include:
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 All physicians and other health care providers administering screening,
diagnostic, or therapeutic services.
 Hospitals, including those providing inpatient or outpatient services, or both.
 Health care facilities, including basic care facilities and mobile units,
providing screening, diagnostic, or therapeutic services.
ADMINISTRATIVE RULE
As with the Century code: There are many chapters and sections to the
administrative rule. To find the reportable conditions go to:
www.ndhealth.gov/Disease/Disease%20Reporting/Report.htm
ADMINISTRATIVE RULE
 For a complete view of this article, go to:
www.legis.nd.gov/information/acdata/html/33-06.html
QUESTIONS??