Disease Reporting
All external hyperlinks are provided for your
information and for the benefit of the general public. The Department of
Health Services does not testify to, sponsor, or endorse the accuracy of
the information provided on externally linked pages. The diseases and conditions listed on this page are
considered to have significant public health impact, and any confirmed or
suspected cases must be reported promptly.
Requirements for the timing of reporting, once the
disease or condition is recognized or suspected, vary by disease. In
addition to the information listed below, general reporting requirements are described in Wisconsin
Statute
Chapter 252 Communicable Diseases. The specific reporting requirements
are described in
Chapter DHS 145
Control of Communicable Diseases. A list of reportable
conditions is provided in
Chapter DHS 145 - Appendix A.
Questions concerning this information may directed to: Bureau of Communicable
Diseases and Emergency Response - 608-267-9003
Case
Reporting Methods and Contact Information
Category I diseases must be reported IMMEDIATELY by
telephone (preferred) or fax to the patient's local health officer.
Category II diseases must be reported within 72 hours either
electronically through the Wisconsin Electronic Disease Surveillance
System (WEDSS), by mail or fax using an Acute and Communicable Disease
Case Report (F-44151) or STD Case Report Form (F-44243), or by other means. HIV/AIDS should be reported
directly to the Wisconsin AIDS/HIV Program.
-
Listing of Wisconsin Local Health Officers
-
Register to report electronically through WEDSS
(Note: 75% of disease reports are now received through WEDSS)
-
Wisconsin Bureau of Communicable Diseases and Emergency Response
| Phone: 608-267-9003 |
Secure Fax Numbers:
AIDS/HIV
Program |
608-266-1288 |
|
Epidemiology Program |
608-261-4976 |
|
Immunization Program |
608-267-9493 |
|
STD
Program |
608-261-9301 |
|
TB Program |
608-266-0049 |
Mail copy to:
Wisconsin State Epidemiologist
Bureau of Communicable Diseases and Emergency Response
Specify Disease or Program
1 West Wilson Street - Room 272
Madison WI 53703 |
-
Paper report forms
(F-44151 and F-44243)
COMMUNICABLE DISEASES AND OTHER NOTIFIABLE CONDITIONS
Category I | Category
II | Category III
CATEGORY I:
The following diseases are of urgent public health
importance and shall be reported IMMEDIATELY by telephone or fax to the patient’s
local
health officer upon identification of a case or suspected case. In
addition to the immediate report, within 24 hours, complete and submit a
case report electronically through the Wisconsin Electronic Disease
Surveillance System (WEDSS), by mail or fax using an Acute and
Communicable Disease Case Report
F-44151
(Word fillable, 166 KB)
or
F-44151
(PDF fillable, 129 KB)
or by other means. Public health intervention is expected as indicated. See
Chapter
DHS 145.04 (3) (a) and Chapter 252.05.
Case reporting methods
|
Category I Disease/Outbreak
|
Notes
|
| Anthrax |
1, 4, 5 |
| Botulism |
1, 4 |
| Botulism,
infant |
1, 2, 4 |
| Cholera |
1, 3, 4 |
| Diphtheria |
1, 3, 4, 5 |
| Foodborne
or waterborne outbreaks |
1, 2, 3, 4 |
|
Haemophilus influenzae invasive
disease (including epiglottitis) |
1, 2, 3, 5 |
| Hantavirus
infection |
1, 2, 4, 5 |
| Hepatitis
A |
1, 2, 3, 4, 5 |
| Hepatitis
E |
3, 4 |
| Measles |
1, 2, 3, 4, 5 |
| Meningococcal
disease |
1, 2, 3, 4, 5 |
| Pertussis
(whooping cough) |
1, 2, 3, 4, 5 |
| Plague |
1, 4, 5 |
| Poliovirus
infection (paralytic or nonparalytic) |
1, 4, 5 |
|
Rabies (human) |
1, 4, 5 |
| Ricin
toxin |
4, 5 |
| Rubella |
1, 2, 4, 5 |
| Rubella
(congenital syndrome) |
1, 2, 5 |
| Severe
acute respiratory syndrome-associated coronavirus (SARS-CoV) |
1, 2, 3, 4, 5 |
| Smallpox |
4, 5 |
| Tuberculosis |
1, 2, 3, 4, 5 |
Vancomycin-intermediate
Staphylococcus aureus (VISA) and
Vancomycin-resistant Staphylococcus
aureus (VRSA) infection |
1, 4, 5 |
| Yellow
fever |
1, 4 |
| Any
illness caused by an agent that is foreign, exotic or unusual to Wisconsin and that has public health implications |
4 |
Notes Key:
-
Infectious diseases designated as notifiable at the
national level.
-
Wisconsin or CDC follow-up form is required. Local
health departments have templates of specific forms in the Wisconsin
case reporting and public health follow-up guidelines (EpiNet).
-
High-risk assessment by local health department is
needed to determine if patient or member of patient's household is
employed in food handling, daycare or health care.
-
Source investigation by local health department is
needed.
-
Immediate treatment is recommended, i.e., antibiotic
or biologic for the patient or contact or both.
CATEGORY II:
The following diseases shall be reported to the local
health officer either electronically through the Wisconsin
Electronic Disease Surveillance System (WEDSS), by mail or fax using an
Acute and Communicable Disease Case Report
F-44151
(Word fillable, 166 KB)
or
F-44151
(PDF fillable, 129 KB)
or by other means
within 72 hours upon recognition of a case or suspected case. Public health intervention is expected as
indicated. See
Chapter
DHS 145.04 (3) (b) and Chapter 252.05.
The sexually transmitted diseases shall be reported to
the local
health officer within 72 hours on a Sexually Transmitted Diseases
Laboratory and Morbidity Epidemiologic Case Report
F-44243
(Word fillable, 138 KB) or by
entering the data into the Wisconsin Electronic Disease Surveillance
System or by other means within 72 hours of the identification of a case or suspected
case. Public health intervention is expected as indicated. See
Chapter
DHS 145.15 and Chapter
252.11 (7)(b).
Case reporting methods
|
Category II Disease/Outbreak
|
Notes
|
|
Arboviral infection
(encephalitis/meningitis) |
1, 2, 4 |
|
Babesiosis
|
4, 5 |
|
Blastomycosis
|
5 |
|
Brucellosis
|
1, 4 |
|
Campylobacteriosis
(campylobacter infection)
|
3, 4 |
|
Chancroid
|
1, 2, 4,
5 |
|
Chlamydia trachomatis
infection
|
1, 2, 4,
5 |
|
Cryptosporidiosis
|
1, 2, 3,
4 |
|
Cyclosporiasis
|
1, 4, 5 |
|
Ehrlichiosis /
Anaplasmosis
|
1, 5 |
|
E. coli 0157:H7
other enterohemorrhagic E. coli
enteropathogenic E. coli
enteroinvasive E. coli
enterotoxigenic E. coli |
1, 2, 3,
4 |
|
Giardiasis
|
3, 4 |
|
Gonorrhea
|
1, 2, 4,
5 |
|
Hemolytic uremic syndrome
|
1, 2, 4 |
|
Hepatitis B
|
1, 2, 3,
4, 5 |
|
Hepatitis C
|
1, 2 |
|
Hepatitis D
|
2, 3, 4,
5 |
|
Histoplasmosis
|
5 |
|
Influenza-associated
hospitalizations
|
*,
2 |
|
Influenza-associated
pediatric death
|
1, 2 |
|
Influenza A virus
infection, novel subtypes
|
1, 2 |
|
Kawasaki disease
|
2 |
|
Legionellosis
|
1, 2, 4 |
|
Leprosy (Hansen disease)
|
1, 2, 3,
4, 5 |
|
Leptospirosis
|
4 |
|
Listeriosis
|
2, 4 |
|
Lyme disease
|
1, 2 |
|
Lymphocytic
choriomeningitis virus (LCMV) infection
|
4 |
|
Malaria
|
1, 2, 4 |
|
Meningitis, bacterial (other than
Haemophilus influenzae or meningococcal) |
2 |
|
Mumps
|
1, 2, 4,
5 |
|
Mycobacterial disease
(nontuberculous)
|
|
|
Pelvic inflammatory
disease
|
1, 2,
5 |
|
Psittacosis
|
1, 2, 4 |
|
Q Fever
|
4, 5 |
|
Rheumatic fever (newly diagnosed and
meeting the Jones criteria) |
5 |
|
Rocky Mountain spotted
fever
|
1, 2, 4,
5 |
|
Salmonellosis
|
1, 3, 4 |
|
Shigellosis
|
1, 3, 4 |
|
Streptococcal disease
(all invasive disease caused by Groups A and B Streptococci) |
1 |
|
Streptococcus pneumoniae
invasive disease (invasive pneumococcal)
|
1,2 |
|
Syphilis
|
1, 2, 4,
5 |
|
Tetanus
|
1, 2, 5 |
|
Toxic shock syndrome
|
1, 2 |
|
Toxic substance related
diseases:
Infant methemoglobinemia
Lead intoxication (specify Pb levels)
Other metal and pesticide poisonings
|
|
|
Toxoplasmosis
|
|
|
Transmissible spongiform
encephalopathy (TSE, human)
|
|
|
Trichinosis
|
1, 2, 4 |
|
Tularemia
|
4 |
|
Typhoid fever
|
1, 2, 3,
4 |
|
*Varicella (chickenpox)
|
1, 3, 5 |
|
Varicella (chicken pox)
– report by number of cases only
|
|
|
Vibriosis
|
1, 2, 4 |
|
Yersiniosis
|
3, 4 |
|
Suspected outbreaks of other acute
or occupationally–related diseases |
|
Case reporting methods
Notes Key:
-
Infectious diseases designated as notifiable at the
national level.
-
Wisconsin or CDC follow-up form is required. Local
health departments have templates of specific forms in the Wisconsin
case reporting and public health follow-up guidelines (EpiNet).
-
High-risk assessment by local health department is
needed to determine if patient or member of patient's household is
employed in food handling, daycare, or health care.
-
Source investigation by local health department is
needed.
-
Immediate treatment is recommended, i.e., antibiotic
or biologic for the patient or contact or both.
* Effective November 29, 2010 Influenza associated
hospitalizations are reportable in Wisconsin within 72 hours of
identification to local public health agencies.
CATEGORY III:
The following diseases shall be
reported to the state epidemiologist on an AIDS Case Report (F-44264) or
a Wisconsin Human Immunodeficiency Virus (HIV) Infection Confidential
Case Report (F-44338) or by other means within 72 hours after
identification of a case or suspected case. See Chapter
252.15
(7) (b) and
Chapter
DHS 145.04 (3) (b)
Case
reporting methods and Contact information
-
Send the
case report form in and envelope marked "Confidential" To:
James Vergeront, MD
Wisconsin Bureau of Communicable Diseases and Emergency Response
1 W Wilson Street - Room 265
Madison WI 53703
-
To obtain case reporting forms, contact the AIDS/HIV
Program - 608-267-5287
|
Category III HIV/AIDS
|
Notes
|
| Acquired
immune deficiency syndrome (AIDS) |
1, 2, 4 |
| Human
immunodeficiency virus (HIV) infection |
2, 4 |
| Results
of all CD4+ T-lymphocyte counts (counts and percentages) performed
on persons with HIV infection
Results of all HIV viral load tests (including undetectable,
detected and specific values) |
2
|
Notes Key:
-
Infectious diseases designated as notifiable at the
national level.
-
Wisconsin or CDC follow-up form is required. Local
health departments have templates of specific forms in the EpiNet
manual.
-
High-risk assessment by local health department is
needed to determine if patient or member of patient's household is
employed in food handling, daycare or health care.
-
Source investigation by local health department is
needed.
-
Immediate treatment is recommended, i.e., antibiotic
or biologic for the patient or contact or both.
Paper forms and ordering instructions
-
Acute and Communicable Disease Case Report form
F-44151
(Word fillable, 166 KB)
or
F-44151
(PDF fillable, 129 KB)
-
Sexually Transmitted Diseases Laboratory and
Morbidity Epidemiologic Case Report form
F-44243
(Word fillable, 138 KB)
-
Electronically order
forms. Follow the
instructions at the top of the page and email the order form to
dhsfmdphpph@wisconsin.gov
Questions concerning ordering of forms can be addressed to
Cris Caputo, 608-267-9054
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Last Revised:
May 14, 2013 |