Disease Reporting Requirements
Disease reporting is the foundation of public health surveillance. The reporting of specific diseases is critical to public health and required by law. Title 17, California Code of Regulation, Section 2500 (Division 1, Chapter 4, Article 1) requires all heath care providers knowing of or in attendance on a case or suspected case of any of the mandated reportable diseases or conditions to report the case to the local health department where the patient resides. ‘Health care provider’ is defined as a physician, surgeon, veterinarian, podiatrist, nurse practitioner, physician assistant, registered nurse, nurse midwife, school nurse, infection control practitioner, medical examiner, or dentist.
Additionally, Section 2505 requires laboratories to report laboratory-testing results and Section 2508 requires anyone in charge of a public or private school, kindergarten, boarding school, or day nursery to report the presence or suspected presence of any of the reportable diseases to the local health department.
All reports remain confidential.
Reportable Disease (PDF)
Lab Reporting Disease (PDF)
Diseases Requiring Immediate or Urgent Provider Reporting
REPORT IMMEDIATELY BY PHONE
During Business hours: (559) 600-3200 After hours: (559) 600-3111
Be prepared to provide Patient Name, DOB, and Symptoms of confirmed or suspected cases
A CMR is still required to be submitted (via Provider Portal or fax at 559-600-7607) after report is made by phone.
- Anthrax, human or animal
- Botulism (Infant, Foodborne, Wound, Other)
- Brucellosis, human
- Ciguatera Fish Poisoning
- 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 Virus 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)
REPORT WITHIN ONE WORKING DAY
BY FAX: CMR to (559) 600-7607 Provider Portal (electronic CMR), fill out completely
TUBERCULOSIS PHONE:(559) 600-3413 TUBERCULOSIS FAX:(559) 600-7602
- Candida auris, colonization or infection
- Carbapenem-Resistant Enterobacteriaceae (CRE)
- Chickenpox (Varicella) (outbreaks, hospitalizations, and deaths)
- Chikungunya Virus Infection
- Dengue Virus Infection
- Encephalitis, specify etiology (Viral, Bacterial, Fungal, Parasitic)
- Escherichia coli: Shiga toxin-producing (STEC), including E. coli0157:H7
- Foodborne Disease
- Haemophilus influenzae, invasive disease (only in persons less than 5 years of age)
- Hantavirus Infections
- Hepatitis A, acute infection
- Meningitis, specify etiology (Viral, Bacterial, Fungal, Parasitic)
- Monkey Pox or orthopox virus infection
- Paratyphoid Fever
- Pertussis (whooping cough)
- Poliovirus Infection
- Q Fever
- Relapsing Fever
- Salmonellosis (other than Typhoid Fever)
- Syphilis (all stages, including congenital)
- Tuberculosis (TB)
- Typhoid Fever, Cases and Carriers
- Vibrio Infections
- West Nile Virus Infection
- Yellow Fever
- Zika Virus Infection
- Pediatric Acute Hep of Unknown Etiology
||This form is designed for health care providers to report those diseases mandated by Title 17, California Code of Regulations (CCR). Failure to report is a misdemeanor (Health & Safety Code §120295) and is a citable offense under the Medical Board of California Citation and Fine Program (Title 16, CCR, §1364.10 and 1364.11).
||Failure to report is a citable offense and subject to civil penalty/fine (Health and Safety Code §105200).
Pediatric Acute Hep of Unknown Etiology
CDPH requests that clinicians report cases of children meeting the following working case definition to their LHD’s communicable disease control program within one business day. Report to Fresno County Public Health via phone (559) 600-3200, or fax (559) 600-7607 within one business day
Health Advisory: Recommendations for Adenovirus Testing and Reporting of Children with Acute Hepatitis of Unknown Etiology April 21, 2022 (PDF, 1MB)
How to Report
A CMR must be submitted. There are 2 ways to do this: Provider Portal (electronic CMR) Case Reporting and Confidential Morbidity Reporting Forms (CMR, to be faxed)
Provider Portal. *preferred method
CMRs may be submitted using the appropriate form below and faxed (please do not email) to the number listed on the form.
- CMR Form(PDF, 2MB) (used to report all diseases and conditions excluding COVID-19, TB, DMV related conditions, Bite Reports/Rabies, and HIV/AIDS. See below for more information on reporting these conditions)
- DMV CMR Form(PDF, 1MB) (use only to report conditions which may impair a person’s ability to operate a motor vehicle to the Department of Motor Vehicles)
Please go to the TB Reporting page for information on reporting TB
MDRO, CP-CRPA, CP-CRAB, and CP-CRE
- Any case or suspected case of meningitis should be reported by CMR.
- Meningitis should be reported even if no organism has been identified as the etiology.
- Organisms that are not normally reportable (Enterovirus, Herpes, etc.) should still be reported as meningitis when detected in CSF or otherwise identified as the etiology of meningitis.
- Any suspicion or detection of a meningococcal infection (neisseria meningitidis) should be immediately reported by telephone.
- If after hours, please contact our on-call staff at (559) 600-3111 to report as soon as possible.
Please go to the COVID-19 Medical Providers Webpage for information on reporting COVID-19
Multisystem Inflammatory Syndrome in Children (MIS-C)
Report cases that meet the Centers for Disease Control and Prevention (CDC) case definition of Multisystem Inflammatory Syndrome in Children (MIS-C) within 1 working day.
HIV/AIDS reporting is different from methods used to report other diseases. Please go to the HIV-AIDS Page for more information.
- Per Title 17 California Code of Regulations - code 2606 paragraph (a) Reporting, the Local Health Department shall also be notified when any person is bitten by an animal of a species subject to rabies, whether or not the animal is suspected of having rabies.
- ALL ANIMAL BITES to people are legally reportable and should be reported immediately upon discovery.
- Note that bat bites can be too small to detect. All bat-human or bat-domestic animal interactions should be reported immediately.
- AVOID any contact with dead bats. Use the bite report form linked below to report a bat for collection and do not touch the bat
- To Report an animal bite or contact with a bat, please use the following electronic bite report form: Electronic Rabies Bite Report Form
- Any known or suspected pesticide-related illness or injury must be reported within 24 hours. For more information on reporting please refer to the guidance letter from the Office of Environmental Health Hazard Assessment (OEHHA).
- The Fresno County Department of Public Health prefers that health-care providers submit a Pesticide Illness Report (PIR) or a Confidential Morbidity Report (CMR) via fax to (559) 600-7607. PIR forms are available for download on the OEHHA webpage.
Immunization Data Reporting
Assembly Bill 1797 requires all healthcare providers to submit immunization data to California’s Immunization Registry. Click here to view the associated advisory(PDF, 195KB) and additional information.