Reporting

Last content update: 3/19/24

Health care providers and other individuals and organizations are required to report certain illnesses to the local health department. Health care providers must report diseases even if the laboratory has already reported.

Complete and timely reporting is essential for initiating disease investigation and response activities that protect the health of the public and prevent future disease transmission and outbreaks. Data from these reporting forms are used for statistics on mortality, morbidity, health behavior, and health outcomes which aid our communities and leaders in developing effective public health policies and programs. Visit the Health data and statistics webpage to see the latest health data reports. 

If you have questions regarding reporting or need to report a disease urgently, please call (408) 885-4214. Thank you for your assistance in caring for our community through monitoring and investigating communicable diseases.​​​

What is reportable to Public Health?

Please note: Providers should refer to the lists above for information on urgency of reporting. Some diseases must be reported immediately by phone or electronic transmission. Other diseases must be reported within one working day of identification or within seven calendar days of identification.

For additional information on disease reporting, visit the California Department of Health (CDPH) Reportable Diseases and Conditions webpage.

For a list of reportable diseases for animal patients, refer to the California Department of Food & Agriculture’s List of Reportable Conditions for Animals and Animal Products.
 

Who is required to report a communicable disease?

  • Medical doctors, osteopaths, podiatrists, nurse practitioners, physician assistants, nurses, nurse midwives, infection control practitioners, medical examiners, coroners, dentists, and administrators of health facilities and clinics with two or more health care providers (17 Cal. Code Regs. §2500)
  • General acute care hospitals, acute psychiatric hospitals, skilled nursing facilities, intermediate care facilities, and home health agencies (22 Cal. Code Regs. §§ 70737, 71535, 72537, 73533, and 74725)
  • Laboratories (17 Cal. Code Regs. §2505)
  • Veterinarians (17 Cal. Code Regs. §2500; 3 Cal. Code Regs. §797)
  • Anyone in charge of a public or private school, kindergarten, boarding school, preschool, or child care facility licensed by CDSS (17 Cal. Code Regs. §2508; 22 Cal. Code Regs. §101212)
  • Most licensed facilities subject to Title 22 of the California Code of Regulations must, at minimum, report outbreaks or unusual occurrences of disease (22 Cal. Code Regs.)

Please note: All groups are required to report independent of one another. For example, if a provider knows that a lab has already reported a disease, the provider is still required to report the disease.

The Privacy Rule of the Health Insurance Portability and Accountability Act (HIPAA) allows for communicable disease reporting as part of permitted disclosures for public health activities (45 CFS 164.512 (b)). No consent or authorization is required.

How to report

Most cases of reportable disease can be reported to the Public Health Department via fillable forms submitted by electronic transmission (CalREDIE), phone, or fax. Certain diseases must be reported by phone. For a complete list of reportable diseases and acceptable reporting methods and timeframes, please refer to the What is reportable to Public Health? section.

For information on COVID-19 reporting, see the COVID-19 Reporting section.

Please note: Information in this section is not exhaustive. For a complete list of reportable diseases and acceptable reporting methods and timeframes, please refer to the What is reportable to Public Health? section. Entities should also consult their respective state or federal regulatory or licensing agencies or governing bodies for additional guidance or requirements that may be applicable.

Disease or condition

Form

Submission methods

All reportable diseases except HIV and AIDS, tuberculosis, perinatal hepatitis B, or conditions that may impair ability to operate a motor vehicle safely

Electronically via CalREDIE*

Phone: (408) 885-4214

Fax: (408) 885-3709

HIV and AIDS

For more information on HIV/AIDS reporting, visit the CDPH HIV Surveillance Case Reporting Resources webpage.

Electronically via CalREDIE*

Phone: (408) 792-3720

Fax: (408) 792-​3721

Tuberculosis

For more information on TB reporting, visit the Reporting cases of suspected or confirmed tuberculosis webpage.

Electronically via CalREDIE*

Email: [email protected]

TB Provider Line: (408) 885-2440

Fax: (408) 885-​2331

Perinatal Hepatitis B

Electronically via CalREDIE*

Phone: (408) 970-2830

Fax: (408) 885-3709

Lapses of Consciousness or Control, Alzheimer's Disease, or Other Condition Which May Impair the Ability to Operate a Motor Vehicle Safely

 

Electronically via CalREDIE*

Phone: (408) 885-4214

Fax: (408) 885-3709

Animal patients - All reportable diseases in animal patients (e.g. rabies virus, brucellosis)

Electronically via CalREDIE*

Phone: (408) 885-4214

Fax: (408) 885-3709

*CalREDIE (California Reportable Disease Information Exchange) can be used by health care providers, administrators and/or laboratories to securely submit reports to Public Health and comply with statewide regulatory requirements. Providers and Administrators can report electronically via CalREDIE (California Reportable Disease Information Exchange) Provider Portal (PP) to comply with provider disease reporting requirements as outlined in Title 17 CCR §2500. Laboratories must report to CalREDIE or to a system that is linked to CalREDIE via Electronic Lab Reporting (ELR) to comply with laboratory reporting requirements as outlined in Title 17 CCR § 2505.

CMR form Instructions

    The following instructions apply to all CMR Forms for human patients:

    • On first line of form, write the disease. Complete the patient's name, address, date of birth, phone number, and gender. Social security numbers are not necessary. 
    • Identify the whether the patient is pregnant, and if so, the estimated delivery date.
    • On the far right, enter the patient's ethnicity and race, if known.
    • On the center left, enter the date of onset and date of diagnosis. Enter the date of death if applicable.
    • In the center of the form, complete the Reporting Health Care Provider section. Please include phone and fax numbers.
    • The lower half of the page asks for additional information about sexually transmitted diseases, viral hepatitis, and tuberculosis.
      • ​For hepatitis B or C, note whether the infection is chronic or acute.
      • For syphilis, include signs and symptoms to support syphilis staging and doses and dates of treatment administered.
    • In the Remarks section, enter the site of infection and medical record number, if applicable.
    • If pertinent lab reports are available, please send them along with the CMR.
    • Please be as complete as possible when entering information. ​

    COVID-19 reporting

    Please note: This section outlines requirements to report COVID-19 to the County of Santa Clara Public Health Department. Entities should consult their respective state or federal regulatory or licensing agencies or governing bodies for additional guidance or requirements that may be applicable. 

    Setting

    Local reporting requirement

    Reporting method

    Health care providers, including acute care hospitals

    Hospitalizations or deaths: Providers are not required to report individual cases unless they are related to a hospitalization or death. Submit the COVID-19 Confidential Morbidity Report (CMR) Form for all hospitalizations or deaths.

    MIS-C: Providers must submit the Multisystem Inflammatory Syndrome Associated with COVID-19 Case Report Form for all MIS-C cases. Please see instructions on the CDPH MIS-C webpage.

    Outbreaks: Report all outbreaks of COVID-19 (as defined by CDPH). Providers may also contact the PHD’s Communicable Disease Prevention and Control Program at (408) 885-4214 to request outbreak response guidance.

    Electronically via CalREDIE*

    Phone: (408) 885-4214

    Fax: (408) 885-3709

    For outbreaks (as defined by CDPH) - Report to the Shared Portal for Outbreak Tracking (SPOT)

    Laboratories

    Laboratories shall report all positive COVID-19 tests.

    Electronically via CalREDIE*

    Non-health care businesses

    There is no local public health requirement for reporting COVID-19 cases or outbreaks in non-health care businesses. However, non-health care businesses may contact the Public Health Department's Communicable Disease Prevention and Control Program at (408) 885-4214 to request outbreak response guidance.

    N/A

    Schools and child care

    Schools and child care providers shall promptly notify the Public Health Department when at least 5% of their school population - with a minimum of 5 ill among students and staff - have reported a suspected or confirmed COVID-19 infection over a 14-day period.

    Child care providers must report outbreaks to their Regional Licensing Office.

    For more information, visit the COVID-19 Guidelines for Schools and Childcare webpage.

    Shared Portal for Outbreak Tracking (SPOT)

    Shelters

    Shelters shall promptly notify the Public Health Department when they have ≥3 suspected or confirmed COVID-19 cases among staff and residents combined within a 7-day period.

    Shared Portal for Outbreak Tracking (SPOT)

    Skilled Nursing Facility (SNF) or Long-Term Care Facility (LTCF)

    All Long-Term Care Facilities should report ≥1 confirmed COVID-19 case in a resident or HCP to Public Health.

    All COVID-19-related hospitalizations and deaths associated with a Long-Term Care Facility should be reported to Public Health per CDPH

    For more information, visit the Information for Long-Term Care Facilities webpage.

    Shared Portal for Outbreak Tracking (SPOT)

    *CalREDIE (California Reportable Disease Exchange) can be used by health care providers, administrators and/or laboratories to securely submit reports to Public Health and comply with statewide regulatory requirements. Providers and Administrators can report electronically via CalREDIE (California Reportable Disease Information Exchange) Provider Portal (PP) to comply with provider disease reporting requirements as outlined in Title 17 CCR §2500. Laboratories must report to CalREDIE or to a system that is linked to CalREDIE via Electronic Lab Reporting (ELR) to comply with laboratory reporting requirements as outlined in Title 17 CCR § 2505. 

    SPOT Reporting Instructions

      How to report cases

      • If you do NOT have an existing SPOT account linked to the location you are reporting for, submit a SPOT Intake Form to report case information.  
      • If you have an existing SPOT account linked to the location you are reporting for, you may report case information by logging into SPOT and reporting cases directly to the Location Account. Please click “Existing Users” to log in and navigate to the “Report Cases and Contacts” section of SPOT to submit new case information for the appropriate location from the drop-down list. 
      • County reporting requirements will not be fully met until you submit case information for all positive individuals involved in the suspected outbreak.  

      Resources for reporting to SPOT 

      List of reportable diseases

        Report immediately by phone

        • Anthrax, human or animal
        • Botulism (Infant, Foodborne, Wound, Other)
        • Brucellosis, human
        • Cholera
        • Ciguatera Fish Poisoning
        • Dengue Virus Infection
        • Diphtheria
        • Domoic Acid Poisoning (Amnesic Shellfish Poisoning)
        • Flavivirus infection of undermined species
        • Foodborne disease (when two or more cases or suspected cases of foodborne disease from separate households are suspected to have the same source of illness)
        • Hemolytic Uremic Syndrome
        • Influenza due to novel strains (human)
        • Measles (Rubeola)
        • Meningococcal Infections
        • Middle East Respiratory Syndrome (MERS)
        • Novel Coronavirus Infection
        • Novel Virus Infection with Pandemic Potential
        • Paralytic Shellfish Poisoning
        • Plague, Human or Animal
        • Rabies, human or animal
        • Scombroid Fish Poisoning
        • Shiga toxin (detected in feces)
        • Smallpox (Variola)
        • Tularemia, human
        • Viral Hemorrhagic Fevers, human or animal (Crimean-Congo, Ebola, Lassa, and Marburg viruses)
        • Occurrence of any unusual disease
        • Outbreak of any disease (including diseases not listed in §2500). Specify if institutional and/or open community.

        Report by phone within one working day

        • Candida auris, colonization of infection
        • Human Immunodeficiency Virus (HIV), acute infection
        • Monkeypox or orthopox virus infection

        Report by phone, mail or electronic transmission within one working day

        • Babesiosis
        • Campylobacteriosis
        • Coronavirus Disease 2019 (COVID-19) (Outbreaks, hospitalizations, deaths, MIS-C)
        • Enterobacteriaceae (CRE)
        • Chickenpox (Varicella) (Outbreaks, hospitalizations and deaths)
        • Chikungunya Virus Infection
        • Cryptosporidiosis
        • Dengue Virus Infection
        • Encephalitis, Specify Etiology: Viral, Bacterial, Fungal, Parasitic
        • Escherichia coli: shiga toxin producing (STEC) including E. coli O157
        • Foodborne Disease
        • Haemophilus influenzae, invasive disease, all serotypes (report an incident less than 5 years of age)
        • Hantavirus Infections
        • Hepatitis A, acute infection
        • Listeriosis
        • Malaria
        • Meningitis, Specify Etiology: Viral, Bacterial, Fungal, Parasitic
        • Paratyphoid Fever
        • Pertussis (Whooping Cough)
        • Poliovirus Infection
        • Psittacosis
        • Q Fever
        • Relapsing Fever
        • Salmonellosis (Other Than Typhoid Fever)
        • Shigellosis
        • Syphilis (all stages, including congenital)
        • Trichinosis
        • Tuberculosis
        • Typhoid Fever, Cases and Carriers
        • Vibrio infections
        • West Nile Virus (WNV) Infection
        • Yellow Fever
        • Yersiniosis
        • Zika Virus Infection

        Report by phone, mail, or electronic transmission within 7 calendar days

        • Anaplasmosis
        • Brucellosis, animal (except infections due to Brucella canis)
        • Chancroid
        • Coccidioidomycosis
        • Creutzfeldt-Jacob Disease (CJD) and other Transmissible Spongiform Encephalopathies (TSE)
        • Cyclosporiasis
        • Cysticercosis or Taeniasis
        • Ehrlichiosis
        • Giardiasis
        • Gonococcal Infections
        • Hepatitis B (specify acute, chronic, or perinatal)
        • Hepatisis C (specify acute, chronic, or perinatal)
        • Hepatitis D (Delta) (specify acute case or chronic)
        • Hepatitis E, acute infection
        • HIV and Immunodeficiency Virus (HIV), any stage (traceable mail only)
        • HIV infection, progression to stage 3 (AIDS) (traceable mail only)
        • Influenza- associated deaths in laboratory-confirmed cases less than 18 years of age
        • Legionellosis
        • Leprosy (Hansen's Disease)
        • Leptospirosis
        • Lyme Disease
        • Mumps
        • Respiratory Syncytial Virus-associated deaths in laboratory-confirmed cases less than five years of age
        • Rickettsial Diseases (non-Rocky Mountain Spotted Fever), including Typhus and Typhus-like illnesses
        • Rocky Mountain Spotted Fever
        • Rubella (German Measles)
        • Rubella Syndrome, Congenital
        • Tetanus
        • Toxoplasmosis
        • Tularemia, animal

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