Nebraska Reportable Disease Surveillance GUIDE TO REPORTABLE DISEASES, POISONINGS, ORGANISMS, AND EVENTS Acinetobacter spp., ‡ Acquired Immunodeficiency Syndrome (AIDS) Adenovirus infection (conjunctivitis, respiratory) Amebae-associated infection (Acanthamoeba spp., Entamoeba histolytica, and Naegleria fowleri Anthrax (Bacillus anthracis^)* ‡ Arboviral infections (including but not limited West Nile virus, St. Louis encephalitis virus, Western Equine Encephalitis virus, and Dengue virus)* Babesiosis (Babesia species) Botulism (Clostridium botulinum^)* Brucellosis (Brucella abortus^, B. melitensis^, and B. suis^*‡ Campylobacteriosis (Campylobacter^ species) ‡ Carbon monoxide poisoning (use breakpoint for non-smokers) Chancroid (Haemophilus ducreyi ) ‡± Chlamydia trachomatis infections ‡± Cholera (Vibrio cholerae^) ‡ Clostridium difficile Clusters, Outbreaks, or Unusual Events, Including Possible Bioterroristic Attacks* Coccidiodomycosis (Coccidioides immitis/posodasiI^)* Creutzfeldt-Jakob Disease (subacute spongiform encephalopathy Cryptosporidiosis (Cryptosporidium parvum) Cyclosporiasis (Cyclospora cayetanensis) Diphtheria (Corynebacterium diphtheriae) ‡ Eastern equine encephalitis (EEE virus^)* Ehrlichiosis, human granulocytic (Ehrlichia phagocytophila) Ehrlichiosis, human monocytic (Ehrlichia chaffeenis) ‡ Encephalitis (caused by viral agents) Enterococcus spp. ‡ Escherichia coli gastroenteritis (E. coli O157-H7^ and other Shigatoxin-positive E. coli from gastrointestinal infection^) Food poisoning, outbreak-associated Giardiasis (Giardia lamblia) Glanders [Burkholderia (Pseudomonas) mallei^]* ‡ Gonorrhea (Neisseria gonorrhoeae): venereal infection and ophthalmia neonatorum ‡± Haemophilus influenzae infection (invasive disease only)^ ‡ Hansen’s Disease (Leprosy [Mycobacterium leprae]) ‡ Hantavirus pulmonary syndrome (Sin Nombre virus) Hemolytic uremic syndrome (post-diarrheal illness) Hepatitis A (IgM antibody-positive or clinically diagnosed during an outbreak) Hepatitis B infection (positive surface antigen tests and all IgM core antibody tests, both positive and negative) ± Hepatitis C infection (all positive screening tests to include signal-to-cutoff ratio [S:CO] are reportable; all confirmatory tests are reportable regardless of result) Hepatitis D and E infection Herpes simplex, primary genital infection ± Histoplasmosis (Histoplasma capsulatum) Human immunodeficiency virus infection Influenza (Antigen or PCR positive or culture confirmed) Influenza deaths, pediatric (< 18 years of age) Influenza due to novel or pandemic strains (includes highly pathogenic avian influenza virus^)* Influenza, all tests (applies only to laboratories performing electronic lab reporting as specified in 173 NAC 1-005.02C) Influenza, rapid tests summary report only (laboratories only) Kawasaki disease (mucocutaneous lymph node syndrome) Klebsiella sp., ‡ Lead poisoning (all analytical values for blood lead analysis) Malaria (Plasmodium species) Measles (Rubeola) Melioidosis [Burkholderia (Pseudomonas) pseudomallei]* ‡ Meningitis (Haemophilus influenzae^ or Neisseria meningitidis^) Meningitis, viral, bacterial, and fungal Meningococcal disease, invasive (Neisseria meningitidis^) Methemoglobinemia / nitrate poisoning (methemoglobin greater than 5% of total hemoglobin) Monkeypox virus infection* Mumps Mycobacteria spp. (M. tuberculosis complex organisms^ and all “atypical” species indicative of tuberculosis infection or disease) ‡ Necrotizing fasciitis Norovirus infection (laboratories only) Pertussis [whooping cough] (Bordetella pertussis^) ‡ Plague (Yersinia pestis^)* ‡ Poisoning or illness due to exposure to agricultural chemicals, industrial chemicals, mercury, or radiologic exposures Poliomyelitis, paralytic Q fever (Coxiella burnetii^)* ‡ Rabies (human and animal cases and suspects) Respiratory syncytial virus infection (laboratories only) Retrovirus infections (other than HIV) Rheumatic fever, acute (cases meeting the Jones criteria only) Ricin poisoning* Rift Valley fever* Rocky Mountain Spotted Fever (Rickettsia rickettsii^)* Rotavirus infection ([all positive and negative tests] applies only to laboratories performing electronic lab reporting as described in 173 NAC 1-005.02C Rubella and congenital rubella syndrome Salmonellosis, including typhoid fever (Salmonella serogroup^) ‡ Severe Acute Respiratory Syndrome [SARS] (SARS-associated coronavirus) Shiga toxin-positive gastroenteritis (enterohemorrhagic E. coli and other shiga toxin-producing bacteria^) Shigellosis (Shigella species^) ‡ Smallpox* Staphylococcal enterotoxin B intoxication* ‡ Staphylococcus aureus (applies only to laboratories performing electronic lab reporting as specified in 1-005.02C) Staphylococcus aureus, vancomycin-intermediate/resistant (MIC > 4 µg/mL) ‡ Streptococcal disease (all invasive disease caused by Groups A and B streptococci) ‡ Streptococcus pneumoniae, all isolates ‡ Syphilis (Treponema pallidum) RPR and FTA reactive ± Syphilis, congenital Tetanus (Clostridium tetani) ‡ Tick-borne encephalitis, virus complexes (Central European Tick-borne encephalitis virus, Far Eastern Tick-borne encephalitis virus, Kyasanur Forest disease virus, Omsk Hemorrhagic Fever virus, Russian Spring and Summer encephalitis virus)* Toxic shock syndrome Toxoplasmosis, acute (Toxoplasma gondii) Transmissible spongiform encephalopathies Trichinosis (Trichinella spiralis) Tuberculosis (see Mycobacteria) Tularemia (Francisella tularensis^)*‡ Typhus Fever, louse-borne (Rickettsia prowazekii^)* and flea-borne / endemic murine (Rickettsia typhi) Varicella death (all ages) Varicella primary infections (chicken pox) Legionellosis (Legionella species) ‡ Leptospirosis (Leptospira interrogans) Listeriosis (Listeria monocytogenes^) ‡ Lyme disease (Borrelia burgdorferi) Lymphocytic choriomeningitis virus infection Lymphogranuloma venereum (LGV [Chlamydia trachomatis]) ± Venezuelan equine encephalitis* Viral hemorrhagic fever (including but not limited to Ebola virus, Marburg virus, and Lassa fever virus)* Yellow Fever Yersiniosis (Yersinia species not Y. pestis) ‡ Bold Type: Report immediately | Plain Type: Report within seven days * Potential agents of bioterrorism (designated as select agents by CDC) ^ Laboratories must submit the isolate and/or specimen to the Nebraska Public Health Laboratory as specified in 173 NAC 1-007.03. ‡ Laboratories performing electronic lab reporting as specified in 173 NAC 1-005.02C must report any antibiotic susceptibility test results ± STD in accordance with Neb. Rev. Stat. § 71-502.01. Nebraska Department of Health and Human Services, Office of Epidemiology, PO Box 95026, NE 68509, Phone 402-471-2937 Fax 402-471-3601. 1-004.04 Reporting of Antibiotic Susceptibility: All laboratories reporting via automated electronic laboratory reporting (ELR) must report all antimicrobial susceptibility results, if performed for bacterial isolates listed in 173 NAC 1-004.01 and 1-004.02 (indicated by a ‡). Laboratories not reporting via automated ELR are exempt from this requirement. Reportable Diseases – Nebraska 2014 Confirmed and Probable Cases by Condition and Year, Nebraska CONDITION Amebiasis Anaplasma phagocytophilum Animal Exposure (bite or nonbite) Aseptic meningitis Babesiosis Bacterial meningitis, other Botulism (infant) Brucellosis Campylobacteriosis Chlamydia trachomatis infection Coccidioidomycosis Cryptosporidiosis Cyclosporiasis Dengue Fever Ehrlichiosis, Human, other & unspecified Ehrlichiosis, chaffeensis Encephalitis primary, other Giardiasis Group A Streptococcus, invasive Group B Streptococcus, invasive Haemophilus influenzae, invasive Hansen disease (Leprosy) Hemolytic uremic syndrome, post-diarrheal Hepatitis A, acute Hepatitis B virus infection, chronic Hepatitis B, acute 2014 YTD 1 0 113 11 0 3 0 0 69 2 1 17 0 0 0 0 3 34 22 34 6 0 0 2 62 2 2013 YTD 1 0 70 8 0 1 1 1 81 0 0 21 0 0 0 0 0 47 10 17 9 0 0 5 72 5 2013 Total 15 2 722 108 1 7 1 3 482 0 1 155 91 1 1 6 1 177 33 92 31 1 3 15 238 16 2012 Total 7 2 452 133 1 8 0 0 467 0 1 163 0 3 0 0 1 200 29 73 31 0 1 17 197 7 CONDITION Hepatitis C Virus Infection, chronic or resolved Hepatitis C, acute Hepatitis Delta co- or super-infection, acute Histoplasmosis Influenza Outbreak Influenza, human isolates Kawasaki disease Lead poisoning (Adult) Lead poisoning (Child) Legionellosis Listeriosis Lyme disease Malaria Mumps Mycobacterium Avium Mycobacterium, non-TB (organism) Necrotizing fasciitis Neisseria meningitidis, invasive (Mening. disease) Noroviruses Pertussis Psittacosis (Ornithosis) Q fever, Acute Q fever, Chronic RSV Rabies, animal Rheumatic fever (Acute) Rotavirus S. aureus, coag+, meth- or oxi- resistant (MRSA) Salmonella Salmonellosis Shiga toxin-producing Escherichia coli (STEC) Shigellosis Spotted Fever Rickettsiosis Strep pneumoniae, invasive Strep, other, invasive, beta-hem (non-A nonB) Streptococcal toxic-shock syndrome Streptococcus pneumoniae, invasive disease (IPD) Trichinosis (Trichinellosis) Tuberculosis Tuberculosis LTBI - Latent Infection Tularemia Vancomycin-Resistant Enterococcus Varicella (Chickenpox) Vibrio parahaemolyticus (non-Cholera) Vibrio sp., non-toxigenic, other/unspecified Vibriosis (non-cholera Vibrio species infections) West Nile Fever West Nile, Encephalitis/meningitis Yersiniosis (not Plague) 2014 YTD 285 1 1 3 0 20 2 79 5 1 0 3 0 0 9 13 0 0 106 64 0 0 0 80 4 0 0 0 0 29 9 11 0 0 2 0 53 0 6 0 0 1 4 0 0 0 2 0 1 2013 YTD 360 1 0 8 1 503 0 0 1 11 0 0 1 0 7 14 0 3 58 45 0 0 1 239 10 1 0 2 0 55 8 15 0 1 1 0 63 0 4 0 1 0 6 0 0 0 4 2 2 2013 Total 1,093 2 1 20 1 532 4 6 30 22 2 10 7 0 14 34 1 5 113 244 1 4 5 250 34 1 0 4 0 309 81 71 17 3 3 0 169 1 23 6 17 1 25 3 0 0 179 55 7 2012 Total 942 2 0 72 0 587 9 0 3 13 4 12 4 1 24 35 0 3 68 242 0 3 3 86 60 1 30 2 2 358 109 279 8 1 3 1 147 1 23 0 6 0 40 0 1 1 146 43 3