Identification Acinetobacter (such as Carbapenemresistant Acinetobacter spp.) (CRA) Positive culture for Acinetobacter spp. that is intermediate or resistant to doripenem, imipenem, or meropenem Amebiasis (Entamoeba Histolytica/Dispar) Reportable: When and How? CDC Reportable Condition Notes for Reporting Laboratories No Automated Reporting MDH Reportable Diseases Mapping Table for ELR If positive and Report within one available, report antibiotic susceptibility working day results MDH would like to Positive specimen for entamoeba have test Report within one histolytica manufacturer/method working day included in ELR Request for B. anthracis testing, Bacillus anthracis positive specimen (positive culture) Report immediately by telephone x For any of these: Positive IgG and/or IgM antibody test results If LP was performed: (EIA or IFA); PCR, IHC, or culture CSF values (WBC, positive from CSF or serum/blood RBC, prot, gluc) OR ICD-9 Codes: 066.40, 066.41, 066.42, 066.49 Report within one working day x IgG, IgM, or total antibody test results for Babesia sp., including titer and species; Blood smear positive for Babesia sp. (might be listed as "inclusions in erythrocytes" or "parasites in red blood cells"; PCR, IHC, or culture positive for Babesia OR ICD-9 Code 088.82 If available, following results of complete Report within one blood count: RBC working day (lowest), Hgb (lowest), and platelets (lowest) x Bronchoaolvelar lavage (BAL), skin or sputum culture positive for Blastomycosis Blastomyces; urine antigen (Blastomyces Dermatitidis) postive for Blastomyces, serology (IgG) positive for Blastomyces, or Blastomyces visualized on smear Report within one working day Anthrax (Bacillus anthracis) (a) Arboviral Disease (Endemic) such as West Nile Virus (WNV); LaCrosse Encephalitis Virus and other California Serogroup Viruses; Western Equine Encephalitis (WEE) Virus; Eastern Equine Encephalitis (EEE) Virus; St. Louiis Encephalitis (SLE) Virus; Powassan (POW) Virus; Jamestown Canyon Virus (JCV) Babesiosis (Babesia spp.) Botulism (Clostridium Botulinum) Brucellosis (Brucella spp.) (a) No automated reporting Positive culture or serology for Brucella sp Report immediately by telephone Report immediately by telephone x x MDH would like to Report within one have test manufacturer/method working day included in ELR Campylobacteriosis (Campylobacter spp.) (a) Positive specimen for Campylobacter Cat Scratch Disease (infection caused by Bartonella spp.) Chancroid (Haemophilus Ducreyi) (c) Serology (IgG and/or IgM) positive for Bartonella spp. or positive culture or PCR Report within one working day Positive culture for H. ducreyi Report within one working day x Positive culture for C. trachomatis, NAAT, DNA probe, EIA, DFA, direct immunofluorescence, or nucleic acid hybridization positive Report within one working day x Chlamydia Trachomatis Infection (c) Cholera (Vibrio Cholerae) (a) Positive specimen for Vibrio cholera Coccidioidomycosis Immunodiffusion IgG, complement fixation, or antibody positive for coccidioimycoses or culture positive MDH would like to Report Immediately by have test manufacturer/method Telephone included in ELR Report within one working day MDH would like to have test manufacturer/method included in ELR MDH would like to Cryptosporidiosis Specimen positive for have test (Cryptosporidium spp.) (a) cryptosporidium spp manufacturer/method included in ELR MDH would like to Cyclosporiasis have test Specimen positive for cyclospora (Cyclospora spp.) (a) manufacturer/method included in ELR If available, following IgG and/or IgM antibody test results of complete Dengue Virus Infection results from serum/blood or CSF; blood count: (Dengue Fever) PCR, antigen, culture, or IHC hematocrit, platelets positive OR ICD-9 code 061 (lowest), WBC (lowest) Positive culture for C. diphtheriae, Diphtheria (Corynebacterium request for a culture for C. Diphtheriae) (a) diphtheriae MDH would like to Diphyllobothrium Latum Specimen positive for have test Infection diphyllobothrium manufacturer/method included in ELR Coronobacter Positive culture for enterobacter (infants under 1 year of age) sakazakii in pt <1 yr (a) Encephalitis (caused by viral agents) Positive viral CSF culture or ICD-9 code 062.0, 062.1, 062.2, 062.3, 062.4, 062.5, 062.8, 062.9, 063.0, 063.1, 063.2, 063.8, 063.9, 064 Positive for E. coli O157:H7 by Enteric E. coli Infection (a) culture or any other method; or (such as E. coli O157:H7) positive for Shiga toxin by any method x x Previously Enterobacter sakazakii Report within one working day x Report within one working day x Report within one working day x Report immediately by telephone x Report within one working day x Report within one working day x MDH would like to Report within one have test manufacturer/method working day included in ELR x Enteric E. coli Infection (a) Positive for Shiga toxin by any (such as other enterohemorrhagic (Shiga method toxin-producing) E. coli) Positive for EPEC or EPEC Enteric E. coli Infection (a) virulence factors (e.g., bfp/bundle (such as enteropathogenic forming pilus and eae/intimin) by E. coli) any method positive for EIEC or EIEC Enteric E. coli Infection (a) virulence factors (e.g., (such as enteroinvasive E. ipaH/invasion plasmid antigen) by coli) any method MDH would like to have test manufacturer/method included in ELR MDH would like to have test manufacturer/method included in ELR MDH would like to have test manufacturer/method included in ELR Report within one working day x Report within one working day x Report within one working day x Positive for ETEC or ETEC Enteric E. coli Infection (a) virulence factors (e.g., estA/heat (such as enterotoxigenic E. stable enterotoxin or estB/heatcoli) labile enterotoxin) by any method MDH would like to have test Report within one manufacturer/method working day included in ELR x Positive culture for Enterobacteriaceae spp that is Enterobacteriaceae intermediate or resistant to (such as Carbapenemdoripenem, imipenem, or resistant Enterobacteriaceae meropenem and resistant to spp.) (CRE) ceftazidime, ceftriaxone, and cefotaxime based on current CLSI breakpoints If positive and available, report antibiotic susceptibility Report within one results and modified working day Hodge test (MHT) results Giardiasis (Giardia Lamblia) Specimen positive for Giardia Positive culture for or detection of Glanders (a) burkholderia mallei, positive serology or PCR Positive N. gonorrhoeae cultures, Gonorrhea NAAT, DNA probe, EIA or DFA (Neisseria Gonorrhoeae) (c) positive Postive culture for H. influenzae from a normally sterile site (blood, Haemophilus Influenzae CSF, joint fluid, pleural fluid, Disease peritoneal fluid, bone, internal (all invasive diseases) body or tissue site) or other normally sterile site Serology positive (IgG/IgM) or Hantavirus Infection PCR positive for hantavirus, any positive specimen Hemolytic Uremic Syndrome ICD-9 = 283.11; physician (HUS) (a) diagnosis or ICD-10 = D59.3 Hepatitis A IgM positive (HAV Hepatitis: Hepatitis A IgM) Hepatitis: Hepatitis B MDH would like to Report within one have test manufacturer/method working day included in ELR x Report immediately by telephone Report within one working day x Report within one working day x Report within one working day x Report immediately by telephone Report within one working day If positive then report: HBsAg,anti-HBs, Positive HBsAg, HBeAg, anti-HBc HBeAg, anti-Hbe, anti- Report within one IgM, HBV DNA, HBV genotype all HBc IgM, anti-HBc working day results except "not detectable" total, HBV DNA, and HBV genotype x x x Hepatitis: Hepatitis C If any positive then report: anti-HCV Positive anti-HCV (EIA, CIA, etc.), (EIA,CIA,etc._, antianti-HCV RIBA, HCV RNA HCV RIBA, HCV RNA Report within one qualitative, HCV RNA quantitative, qualitative, HCV RNA working day HCV genotype all results except quantitative, HCV "not detectable" genotype all results except "not detectable" x Positive total anti-HDV, anti-HDV IgM, and anti-HDV IgG Positive total anti-HEV, anti-HEV IgM, and anti-HEV IgG Report within one working day Report within one working day Sputum or BAL positive for Histoplasma by culture or DNA Histoplasmosis (Histoplasma probe; Urine antigen, serology, Capsulatum) immunodiffusion, ELISA, or blood smear positive for Histoplasma Report within one working day Human Anaplasmosis IgM, IgG, or total antibody results for anaplasma phagocytophilum, Blood smear positive for inclusions or morulae or anaplasma; PCR, IHC, or blood culture positive for anaplasma or ICD-9 codes 082.40, or 082.49 If available, additional labs needed include: Report within one WBCs (lowest), platelets (lowest), ALT working day (highest), AST (highest) x Human Ehrlichiosis (HE) IgG, IgM, or total antibody test results positive for Ehrlichia chaffeensis or any other Ehrlichia species; blood smear positive for Ehrlichia ("inclusions in monocytes" or "morulae"); PCR, IHC, or culture positive for Ehrlichia or ICD-9 code 082.40, 082.41, 082.49 If available, additional labs needed include: Report within one WBCs (lowest), platelets (lowest), ALT working day (highest), AST (highest) x Human Immunodeficiency Virus (HIV) Infection (including Acquired Immunodeficiency Syndrome) (AIDS) (a), (d), (g) HIV positive EIA, positive Western Blot or IFA, positive HIV p24 antigen, all HIV RNA PCR (qualitative or quantitative), all HIV RNA bDNA, all CD4 counts, all CD4 percents, If tests in column H are positive include all results (positive and Report within one negative) for: HIV working day Proviral DNA, HIV RNA NASBA, HIV1/HIV2 culture results x Influenza rapid test positive (including when possible the test name), positive influenza culture, serology, PCR If possible would prefer to have only hospitalized or deaths with influenza reported. If influenza Report within one can not be filtered by working day hospitalization or death then report all labotory confirmed cases x Hepatitis: Hepatitis D Hepatitis: Hepatitis E Influenza (unusual case incidence, critical illness, or laboratory confirmed cases) Avian Influenza (Bird Flu) No automated reporting x ICD-9=446.1 Report within one working day Kingella spp. (invasive only) (a), (b) Positive culture for kingella spp from a normally sterile site (blood, CSF, joint fluid, pleural fluid, peritoneal fluid, bone, internal body or tissue site) Report within one working day Legionellosis (Legionella spp.) (a) Postive urine antigen, positive DFA or culuture, positive serology, positive PCR, positive IHC Report within one working day x Leprosy (Hansen's Disease) (Mycobacterium Leprae) Skin biospy AFB positive, PCR positive for M leprae Report within one working day x Leptospirosis (Leptospira Interrogans) Serology positive, BAL or urine culture positive for leptospira, any positive specimen Report within one working day Kawasaki Disease MDH would like to Report within one have test manufacturer/method working day included in ELR x Lyme Disease (Borrelia Burgdorferi) Western blot IgM or IgG antibody test results positive for B. burgdorferi (if Western blot positive, please provide results of the preceding ELISA/EIA or IFA, if available); PCR or culture positive for Borrelia or ICD-9 code 088.81 Report within one working day x Malaria (Plasmodium spp.) Positive blood smear or PCR for Plasmodium spp (provide species); positive Rapid Diagnositic Antigen (RDT) results for malaria or ICD-9 code 084.0, 084.1, 084.2, 084.3, 084.4, 084.5, 084.6, 084.7, 084.8, 084.9 Report within one working day x Report immediately by telephone x Listeriosis Positive specimen for Listeria (Listeria Monocytogenes) (a) monocytogenes Measles (Rubeola) (a) Melioidosis (a) Meningitis (caused by viral agents or aseptic) Measles IgM or PCR positive, ICD9 Code 055.9 Positive culture for or detection of burkholderia pseudomallei, positive serology or PCR, melioidosis total antibody titer, any non-negative Positive viral culture from CSF, or CSF positive for any Virus by PCR. ICD9=047.; 047.0, 047.1, 047.8 , 047.9, 047.9; 049; 049.0, 049.1, 049.8, 049.9. arboviral disease-other viral causes of encephalitis, meningitis-covered elsewhere Report immediately by telephone Report within one working day Positive culture for N. meningitidis or gram-negative diplococcus Meningococcal Disease from a normally sterile site (blood, (Neisseria Meningitidis) (a), CSF, joint fluid, pleural fluid, (b) (all invasive diseases) peritoneal fluid, bone, internal body site) or other normally sterile site Mumps Mumps IGM or PCR positive Bacteria isolated from the blood or CSF less than 7 days after birth: (Also see Notes, No. 3.) Bacteroides fragilis, Other Bacteroides, Campylobacter, Other Citrobacter, Enterobacter cloacae, Other Enterobacter, Other Enterococcus, Eschericia coli, Haemophilus influenzae, Klebsiella oxytoca, Klebsiella pneumoniae, Other Klebsiella, Listeria monocytogenes, Neisseria meningitidis, Peptostreptococcus, Proteus mirabilis, Other Proteus, Pseudomonas aeruginosa, Other Neonatal Sepsis (less than 7 days after birth) Pseudomonas, Salmonella, (bacteria isolated from a Serratia marcescens, Shigella, Staphylococcus sterile site, excluding aureusStreptococcus Group A, contaminants) (a), (b) Streptococcus Group B, Streptococcus Group D, Streptococcus Group G, Streptococcus pneumoniae, Streptococcus viridans,Other Streptococcus,Vibrio, Yersinia enterocolitica OR Other BACTERIA excluding contaminants: excluding the following contaminants: Bacillus, Brachybacterium, Capnocytophago, Coagulase negative Staphylococcus (S. auricularis S capitis S cohnii S Occupational Injuries Orthopox Virus (a) Pertussis (Bordetella Pertussis) (a) Plague (Yersina pestis) (a) Poliomyelitis (a) Positive PCR Positive PCR, culture, DFA, serology for Bordetella pertussis, Bordetella parapertussis, Bordetella holmesii, and Bordetella bronchiseptica Postive culuture, positive smear form blood, throat, sputum, positive PCR, positive FA or positive serology, any positive specimen Positive for poliovirus (P1, P2, or P3) Reportable immediately by phone. Report immediately by ELR should not be telephone relied upon for reporting. Report within one working day x x Report within one working day Report within one working day Report immediately by telephone Report within one working day x Report immediately by telephone x Report immediately by telephone x Psittacosis (Chlamydophila Psittaci) Q Fever (Coxiella Burnetii) (a) Rabies (animal and human cases and suspected cases) Retrovirus Infection Reye Syndrome Rheumatic Fever (cases meeting the Jones criteria only) Rubella and Congenital Rubella Syndrome (a) Postive antibody test, positive PCR or culture, any positive specimen Serology or PCR positive for Q Fever, positive culture, any positive specimen Report within one working day x Report immediately by telephone x No automated reporting Report immediately by x telephone x Positive viral culture from a normally sterile site (blood, CSF, joint fluid, pleural fluid, peritoneal fluid, bone, internal body or tissue site) Report within one working day No automated reporting Report within one working day ICD-9=391, 390 Report within one working day Rubella IgM positive, ICD-9=771.0 Report immediately by telephone IgG, IgM, or total antibody test results positive for Rickettsia spp., or "Spotted Fever Group"; PCR, Spotted Fever Rickettsiosis culture, or IHC positive for (Rickettsia spp.) Rickettsia or "Spotted Fever Group" or ICD-9 code 082.0, 082.8, 082.9 Salmonellosis (including Typhoid) (Salmonella spp.) (a) positive specimen for Salmonella spp. Servere Acute Respiratory No automated reporting Syndrome (SARS) (a), (f) Shigellosis (Shigella spp.) (a) Smallpox (Variola) (a) Positive specimen for Shigella spp. No automated reporting x If available, additional labs needed include: WBCs (lowest), platelets (lowest); and Report within one Liver Function Tests: working day ALT (highest), AST (highest), ALP (highest) x If positive and available, report antibiotic susceptibility Report within one results; would also like working day test manufacturer/method included in ELR x If positive and Report Immediately by available, report x antibiotic susceptibility Telephone results Report within one working day Report immediately by x telephone x x x Staphylococcus aureus (a) Positive S. aureus culture that has (such as Vancomycinintermediate resistance to Intermediate Staphylococcus vancomycin Aureus) (VISA) If positive and Report within one available, report antibiotic susceptibility working day results x Staphylococcus Aureus (a) (such as VancomycinPositive S. aureus culture that is resistant Staphylococcus resistant to vancomycin aureus) (VRSA) If positive and Report within one available, report antibiotic susceptibility working day results x Staphylococcus Aureus (a) (such as Death or critical illness due to communityNo automated reporting associated Staphylococcus aureus in a previously healthy individual) If positive and Report within one available, report antibiotic susceptibility working day results x Positive culture for S. aureus from a normally sterile site (blood, CSF, Staphylococcus Aureus (a) joint fluid, pleural fluid, peritoneal (such as MRSA invasive - fluid, bone, internal body or tissue metro area only) site) that is resistant to oxacillin in a resident from Hennepin or Ramsey County Report within one working day x Positive culture for group A streptococci from a normally sterile site: blood , CSF, joint, pleural fluid, peritoneal fluid, Streptoccoccal Disease (a), pericardial fluid, bone OR internal (b) body or tissue site: brain, heart, (such as all invasive disease kidney, liver, lymph node, ovary, caused by Groups A pancreas, spleen, vitreous fluid, streptococci) vascular tissue OR other normally (Streptocococcus pyogenes) sterile site OR surgically obtained muscle biopsy/tissue OR wound when accompanied with necrotizing fasciitis or STSS Necrotizing fasciitis (ICD-9= 728.6+041.01) or streptococcal toxic shock syndrom (STSS) (040.82+041.01) must Report within one be present for GAS working day isolated from a wound to count as a case; ELR should not include all instances where isolatation was from a wounds. x Positive culture for group B streptococci from a normally sterile site: blood, CSF, joint, Streptoccoccal disease (a), pleural fluid, peritoneal fluid, (b) pericardial fluid, bone OR internal (such as all invasive disease body or tissue site: brain, heart, caused by Groups B kidney, liver, lymph node, ovary, streptococci) (Streptococcus pancreas, spleen, vitreous fluid, Agalactiae) vascular tissue OR other normally sterile site OR from a placenta or amniotic fluid when accompanied by a fetal death Report within one working day x Positive culture for S. pneumoniae from a normally sterile site: blood, Streptoccoccal disease (a), CSF, joint, pleural fluid, peritoneal (b) fluid, pericardial fluid, bone OR (such as all invasive disease internal body or tissue site: brain, caused by Streptoccoccus heart, kidney, liver, lymph node, Pneumoniae) ovary, pancreas, spleen, vitreous (Pneumococcus) fluid, vascular tissue OR other normally sterile site Report within one working day x Syphilis (Treponema Pallidum) (c) Tetanus (Clostridium Tetani) Positive or reactive USR, RPR, VDLR, FTA, TPPA, IGG, IGM or EIA ICD-9=978.4 Toxic Shock Syndrome (a) ICD-9=040.82 If reportable include Report within one all results for: CSF, working day MHA-TP, PK-TP, STS x Report within one working day Report within one working day x x IgG and/or IgM positive for Toxoplasmosis (Toxoplasma Toxoplasma or identification of Gondii) Toxoplasmosis gondii Report within one working day x Transmissible Spongiform Encephalopathy (such as Human Prion Disease) (Classic CreutzfeldtJakob Disease) (CJD); No automated reporting (Variant CJD) (vCJD); (Gerstmann-StrausslerScheinker Syndrome); (Fatal Familial Insomnia) Report within one working day x Report within one working day x If positive and Report within one available, report antibiotic susceptibility working day results x Trichinosis (Trichinella Spiralis) Serology (IgG/IgM) positive for Trichinella, any positive specimen Tuberculosis AFB positive, M. tuberculosis or (Mycobacterium M.tuberculosis complex positive Tuberculosis Complex) (a) culture, PCR or NAA Serology (IgG/IgM) or culture Tularemia positive for Francisella tularensis, (Francisella Tularensis) (a) any positive specimen Typhus (Rickettsia spp.) IgG, IgM, or total antibody test results positive for Rickettsia typhi, R. prowazekii, Orientia tsutsugamushi, or "Typhus Group"; PCR, IHC, or culture positive for those or ICD-9 code 080, 081.0, 081.1, 081.2, 081.9 Unexplained Deaths and Unexplained Critical No automated reporting Illnesses (possibly due to infectious cause) (a) Unusual or Increased Case Incidence of Any Suspect Incidence No automated reporting (applies to all diseases reported to CDC through each disease) Vaccinia (a) PCR positive Report immediately by telephone x If available, additional labs needed include: WBCs (lowest), platelets (lowest); and Report within one Liver Function Tests: working day ALT (highest), AST (highest), ALP (highest) Report within one working day x Report immediately by x telephone Report immediately by telephone Varicella-zoster Disease (a) (such as Primary Positive PCR for varicella zoster, (Chickenpox): unusual case IgM positive for varicella zoster incidence, critical illness, or laboratory-confirmed cases). Report within one working day Varicella-zoster Disease (a) (such as cases reported by No automated reporting sentinel schools and childcares) Report within one working day x Varicella-zoster Disease (a) (such as Recurrent No automated reporting (Shingles): unusual case incidennce, or critical illness) Report within one working day x VHF (Viral Hemo Fever) (such as No automated reporting Dengue hemorrhagic fever) Report immediately by x telephone x VHF IgG and/or IgM postive for Dengue (Viral Hemo Fever) (such as from blood or CSF Dengue hemorrhagic fever) Report immediately by telephone x Vibrio spp. (a) Yellow Fever Postive specimen for Vibrio spp IgG and/or IgM positive for Yellow Fever; PCR, IHC, or culture positive for Yellow Fever virus or ICD-9 code 060.0, 060.1, 060.9 x MDH would like to Report within one have test manufacturer/method working day included in ELR x Report within one working day x MDH would like to Report within one Yersiniosis, enteric (Yersinia have test Postive specimen for Yersinia spp spp.) (a) manufacturer/method working day included in ELR Infectious Disease Epidemiology, Prevention and Control Division 651-201-5414 - TDD/TTY 651-201-5797 - www.health.state.mn.us Note: Do not consider the above list provided to be the complete list of all diseases and conditions that should be reported to MDH. It is a working list which the trading partners can use for reference for communicable disease reporting through the MDH ELR program.