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Report a Disease or Outbreak


Why Report?

We rely on medical providers, school officials and other community partners to notify us when they encounter cases or suspected cases of certain diseases or conditions. Reporting allows local health departments to keep track of the diseases in the community and to take action to prevent diseases from spreading.

Who is required to report?

  • Healthcare Providers (Title 17 CCR §2500)
  • Laboratorians (Title 17 CCR §2505) must report to the state electronic reporting system (CalREDIE)* or to a system that is linked to CalREDIE.
  • Veterinarians (Title 3 CCR § 797) must report animal cases of anthrax, brucellosis (except Brucella canis), plague, rabies, tularemia, and viral hemorrhagic fever
  • Schools (Title 17 CCR §2508)
  • Healthcare Facilities Licensed by CA Department of Public Health (CDPH):
    1. Healthcare Facilities (Title 22 CCR §70737)
    2. Home Health Agencies (Title 22 CCR §70737)
    3. Clinics (Title 22 CCR §70737)
    4. Referral Agencies (Title 22 CCR §70737)
  • Congregate Facilities Licensed by CA Department of Social Services (CDSS):
    1. Child Care Facilities, such as:
    2. Residential Community Care Facilities, such as:
      • Adult Day Programs (22 CCR §82061)
      • Small Family Homes (22 CCR §83061)
      • Group Homes (22 CCR §84061
      • Adult Residential Facilities (22 CCR §85061)
      • Residential Care Facilities for the Elderly (RCFE) (22 CCR §87211)
      • Residential Care Facilities for the Chronically Ill (22 CCR §87861)

What is reportable to Public Health?


How do I report?

To report a suspect or confirmed disease, condition or outbreak complete the following to have information routed to the correct Contra Costa Public Health program as indicated in table below:

  • Online CalREDIE* Form in the Provider Portal (PP) or Manual Lab Reporting Module (MLRM),
  • Electronic Laboratory Reporting (ELR) Feed via CalREDIE,
  • Electronic Case Reporting (eCR) Feed via CalREDIE,
  • Confidential Morbidity Report (CMR),
  • Microsoft Form/Workbook (Outbreaks ONLY), and/or
  • Fax

Disease or Condition
Form
Public Health Program
Submission Methods & Contact Information
Outbreaks (everything non-COVID-19)

IMPORTANT NOTES:
If a group of people are acutely ill and COVID-19 negative this is still considered reportable!
NEW – Report an Outbreak [non-COVID] to Public Health

IMPORTANT NOTES:
  • When persons suspected to be part of an outbreak seek healthcare, they should mention the situation to the healthcare provider
  • For Healthcare Providers: additional resources and disease specific information can be found here: cchealth.org/providers/

GUIDANCE Quick links:
Communicable Disease Programs-Acute Communicable Disease Electronically via:

Online Contra Costa Health Services Form

Phone: 925-313-6740
Outbreaks (COVID-19 only) Case & Suspected Oubreak Reporting Coronavirus (COVID-19) Unit Electronically via:
SPOT Portal*
COVID-19

IMPORTANT NOTE: COVID-19 Public Health Reporting Waiver in Contra Costa
Case & Suspected Oubreak Reporting Coronavirus (COVID-19) Electronically via:
SPOT (for case reports)

CalREDIE (for lab results)
Any Communicable Disease (other than COVID-19, TB, or any STD) Communicable Diseases other than TB and HIV/AIDS (110a) Communicable Disease Programs - Acute Communicable Electronically via:
CalREDIE*
Phone: 925-313-6740
FAX: 925-313-6465
Tuberculosis (TB) Tuberculosis (110b) Communicable Disease Programs – Tuberculosis Client Services
Disorder Characterized by Loss of Consciousness Conditions Reportable to Department of Motor Vehicles [DMV] (110c) Communicable Disease Programs & CA Department of Motor Vehicles (DMV)
Animal Diseases Animal Patients Communicable Disease Programs - Acute Communicable Disease - Disease Investigation & Control
Sexually Transmitted Diseases (except HIV) Sexually Transmitted Diseases (110a) HIV/AIDS & STD Program Electronically via:
CalREDIE*
Phone: 925-313-6750
FAX: 925-313-6758
HIV/AIDS HIV/AIDS Case Report Form (CDPH 8641A) HIV/AIDS & STD Program Phone: 925-313-6771
FAX: 925-313-6798
Pesticide-Related Illness Confidential Report of Known or Suspected Pesticide-Related Illness (OEH 700) Contra Costa Public Health or CA Poison Control System (CPCS) Electronically via:
CalREDIE*
Phone: 925-313-6740
FAX: 925-313-6465

California Poison Control System (CPCS): 1-800-411-8080
Acute Flaccid Myelitis (AFM) CDPH Acute Flaccid Myelitis: Patient Summary Form

Clinicians should report any person with onset of acute flaccid* limb weakness to patient's local health department (LHD)(PDF) regardless of laboratory testing or MRI results.

*Low muscle tone, limp, hanging loosely, not spastic or contracted.
Communicable Disease Programs Electronically via:
CalREDIE*
Phone: 925-313-6740
FAX: 925-313-6465
Multisystem Inflammatory Syndrome in Children (MIS-C) CDC MIS-C Case Report Form Communicable Disease Programs Electronically via:
CalREDIE*
Phone: 925-313-6740
FAX: 925-313-6465

* 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

CalREDIE (California Reportable Disease Information Exchange) Registration and Onboarding

  • I. Laboratories must report to the state electronic reporting system (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 with licensing received via California Department of Public Health (CDPH) Laboratory Field Services.

    HOW TO REGISTER for CalREDIE Laboratory Reporting:
  • II. Provider 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.
  • III. Healthcare Systems and Provider Networks can more easily comply with provider disease reporting requirements as outlined in Title 17 CCR § 2500 via Electronic Case Reporting (eCR). Electronic Case Reporting (eCR) is the process of automatically generating and transmitting case reports from a healthcare organization's electronic health record (EHR) system to public health agencies for review and action.

What is permitted in the law as disclosures to Public Health?

The Privacy Rule of the Health Insurance Portability and Accountability Act (HIPAA) of 1996 sets standards for the use and disclosure of private health information. The Privacy Rule does allow communicable disease reporting as part of permitted disclosures for public health activities (CFR Title 14 §164.512). No consent or authorization is required.



Physicians who need to report a suspected public health emergency should contact the Public Health division immediately at 925-313-6740; or after hours, call the sheriff's dispatch at 925-646-2441 and ask for the Communicable Disease on call.
Examples of public health emergencies include a suspected or confirmed case of measles, suspected or confirmed meningococcal disease, suspected botulism, suspected illness due to a bioterrorism agent, a severe outbreak or any unusual illness that requires immediate containment.




See more information designed specifically for health care providers.