| A |
|
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| AIDS |
Within 1 week to 304.558.6460 or 304.558.6461 |
|
|
Adult HIV/AIDS Confidential Case Report |
| Amebiasis (Entamoeba histolytica) |
Within 72 hours to local health department |
WVEDSS Foodborne Disease Report |
Copy of lab report or DIDE Yellow Card |
WVEDSS |
| Animal Bites |
Within 24 hours to local health department |
WVEDSS Animal Bite Report |
|
WVEDSS |
| Anthrax |
Suspect or confirmed cases immediately to local health department by phone and follow up with written report. |
WVEDSS Anthrax Case Report |
Copy of lab report or DIDE Yellow Card A |
|
| Any unusual condition or emerging infectious disease |
Within 24 hours to local health department |
WVEDSS General Case Report |
Copy of lab report or DIDE Yellow Card C |
WVEDSS |
| Arboviral Infection |
Within 1 week to local health department |
WVEDSS Arboviral Case Report |
Copy of lab report or DIDE Yellow Card B |
WVEDSS |
| B |
|
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| Bioterrorist Event |
Suspect or confirmed cases immediately to local health department by phone and follow up with written report. |
See Specific Agent (i.e., anthrax, botulism, plague, smallpox, etc) |
Copy of lab report or DIDE Yellow Card A |
See Specific Agent (i.e., anthrax, botulism, plague, smallpox, etc) |
| Botulism (Clostridium botulinum) |
Suspect or confirmed cases immediately to local health department by phone and follow up with written report. |
WVEDSS Botulism Foodborne -Wound Case Report
WVEDSS Botulism Infant Case Report |
Copy of lab report or DIDE Yellow Card C |
|
| Brucellosis (Brucella abortus, B. melitensis,B. suis, B. canis) |
Within 24 hours to local health department |
WVEDDS General Case Investigation Report |
Copy of lab report or DIDE Yellow Card A, B |
WVEDSS |
| C |
|
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| Campylobacteriosis (Campylobacter jejuni, C coli) |
Within 72 hours to local health department |
WVEDDS Foodborne Disease Case Report |
Copy of lab report or DIDE Yellow Card A |
WVEDSS |
| Chancroid (Haemophilus ducreyi) |
Within 1 Week to the State Health Department at 1.800.642.8244. |
CDC Form VD-91 |
Copy of lab report or DIDE Yellow Card |
CDC Form VD-91 |
Chickenpox (Varicella)
(Numerical totals only) |
Within 1 week to local health department |
Influenza-Like Illness & Chickenpox Report Card (used for reporting weekly totals only) |
|
Influenza-Like Illness & Chickenpox Report Card (used for reporting weekly totals only)
Phone: (304) 558-5358 or (800) 423-1271
Fax: (304) 558-8736
|
| Chlamydia trachomatis |
Within 1 Week to the State Health Department at 1.800.642.8244. |
CDC Form VD-91 |
Copy of lab report or DIDE Yellow Card |
CDC Form VD-91 |
| Cholera (Vibrio cholerae) |
Within 24 hours to local health department |
WVEDSS Foodborne Disease Case Report |
Copy of lab report or DIDE Yellow Card A, B |
WVEDSS |
| Community-aquired, methicillin-resistant, Staphylococcus aureus, invasive4. |
Within 1 week to local health department |
WVEDSS Antibiotic Resistant Staphylococcus aureus Report |
Copy of lab report or DIDE Yellow Card 1, A |
WVEDSS |
| Cryptosporidiosis (Cryptosporidium parvum) |
Within 72 hours to local health department |
WVEDSS Foodborne Disease Case Report |
Copy of lab report or DIDE Yellow Card |
WVEDSS |
| Cyclospora infection |
Within 72 hours to local health department |
WVEDSS Foodborne Disease Case Report |
Copy of lab report or DIDE Yellow Card |
WVEDSS |
| D |
|
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| Dengue Fever |
Within 24 hours to local health department |
WVEDSS General Case Investigation Report |
Copy of lab report or DIDE Yellow Card B |
WVEDSS |
| Diphtheria (Corynebacterium diphtheriae) |
Within 24 hours to local health department |
WVEDSS Diphtheria Case Report |
Copy of lab report or DIDE Yellow Card A |
WVEDSS |
| E |
|
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| Eastern Equine Encephalitis |
Within 1 week to local health department |
WVEDSS Arboviral Encephalitis Case Report |
Copy of lab report or DIDE Yellow Card B |
WVEDSS |
| Ehrlichiosis |
Within 1 week to local health department |
WVEDSS Tick-borne Disease Case Report |
Copy of lab report or DIDE Yellow Card |
WVEDSS |
| Enterovirus (from laboratories) |
Within 1 Week to the State Health Department. |
|
|
|
| Encephalitis, Arboviral |
Within 1 week to local health department |
WVEDSS Arboviral Encephalitis Case Report |
Copy of lab report or DIDE Yellow Card B |
WVEDSS |
| F |
|
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| Foodborne Outbreak |
Suspect or confirmed cases
immediately
to local health department by phone and follow up with written report. |
Immediately
contact local health department by phone |
Immediately
contact local health department by phone |
Immediately
contact DIDE by phone at 1.800.423.1271 or 304.558.5358 |
| G |
|
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| Giardiasis (Giardia lamblia) |
Within 72 hours to local health department |
WVEDSS Foodborne Disease Case Report |
Copy of lab report or DIDE Yellow Card |
WVEDSS |
| Gonococcal Conjunctivitis of the newborn (within 24 hours) |
Within 1 Week to the State Health Department. |
CDC Form VD-91 |
|
CDC Form VD-91 |
| Gonococcal Disease (all other) |
Within 1 Week to the State Health Department. |
CDC Form VD-91 |
|
CDC Form VD-91 |
| H |
|
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| Haemophilus Influenzae, Invasive Disease4 |
Within 24 hours to local health department |
WVEDSS Invasive Bacterial Disease (Neisseria Meningitidis, Haemophilus Influenzae, Group B Streptococcus) Case Report |
Copy of lab report or DIDE Yellow Card 1, A |
WVEDSS |
| Hantavirus Pulmonary Syndrome |
Within 1 week to local health department |
WVEDSS Hantavirus Disease Case Report |
Copy of lab report or DIDE Yellow Card B |
WVEDSS |
| Hemolytic Uremic Syndrome, postdiarrheal |
Within 24 hours to local health department |
WVEDSS Foodborne Disease Report |
Copy of lab report or DIDE Yellow Card |
WVEDSS |
| Hepatitis A3, acute |
Within 24 hours to local health department |
WVEDSS Hepatitis Case Report |
Positive IgM2 by copy of lab report or DIDE Yellow Card |
WVEDSS |
| Hepatitis B3, acute or perinatal |
Within 24 hours to local health department |
Hepatitis Acute and Chronic Case Report
Hepatitis Perinatal Virus Infection Case Report m |
Positive anti-HBc IgM or HBsAg2 by copy of lab report or DIDE Yellow Card |
WVEDSS |
| Hepatitis C, acute |
Within 1 week to DIDE
(304)558-5358 or (800)423-1271; fax: (304)-558-8736 |
WVEDSS Hepatitis Case Report |
Copy of lab report or DIDE Yellow Card |
WVEDSS |
| Hepatitis C, chronic |
1 week to DIDE
(304)558-5358 or (800)423-1271; fax: (304)-558-8736 |
Not applicable |
Copy of lab report or DIDE Yellow Card |
Copy of lab report or DIDE Yellow Card |
| Hepatitis Delta3 |
Within 24 hours to local health department |
Hepatitis Case Report |
Copy of lab report or DIDE Yellow Card 2 |
WVEDSS |
| HIV (within 30 days) |
Within 1 Week to the State Health Department to 304.558.6460 or 304.558.6461. |
CDC Adult HIV/AIDS Confidential Case Report |
|
CDC Adult HIV/AIDS Confidential Case Report |
| I |
|
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| Influenza (positive laboratory results by immunofluorescence,culture or PCR, only ) |
Within 1 Week
to DIDE
(304)-558-5358 or (800)423-1271
fax: (304)558-8736
|
Not applicable |
Within 1 week to DIDE
(304)558-5358 or (800)423-1271
fax: (304)558-8736
|
Not applicable |
Influenza-Like Illness
(Numerical totals only) |
Within 1 week to local health department |
Influenza-Like Illness & Chickenpox Report Card (used for reporting weekly totals only) |
|
Influenza-Like Illness & Chickenpox Report Card (used for reporting weekly totals only) fax: (304)-558-8736 |
| Influenza-related death in an individual less than 18 years of age |
Within 1 week to local health department |
WVEDSS Influenza-Related Death Report |
|
WVEDSS |
| Novel influenza infection, animal or human |
Suspect or confirmed cases immediately to local health department by phone and follow up with additional information as requested |
WVEDSS Novel Influenza infection animal or human |
Suspect or confirmed cases immediately to local health department by phone and follow up with additional information as requested |
WVEDSS |
| Intentional exposure to an infectious agent or biological toxin |
Suspect or confirmed cases immediately to local health department by phone and follow up with additional information as requested |
Suspect or confirmed cases immediately to local health department by phone and follow up with additional information as requested |
Suspect or confirmed cases immediately to local health department by phone and follow up with additional information as requested |
Suspect or confirmed cases immediately to DIDE by phone (304)558-5358 or (800)423-1271 and follow up with additional information as requested |
| L |
|
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| LaCrosse Encephalitis (California Group) |
Within 1 week to local health department |
WVEDSS Arboviral Encephalitis Case Report |
Copy of lab report or DIDE Yellow Card B |
WVEDSS |
| Legionellosis |
Within 1 week to local health department |
WVEDSS Legionellosis Case Report |
Copy of lab report or DIDE Yellow Card |
WVEDSS |
| Leptospirosis |
Within 1 week to local health department |
WVEDSS Investigation Report |
Copy of lab report or DIDE Yellow Card |
WVEDSS |
| Listeriosis (Listeria monocytogenes) |
Within 72 hours to local health department |
WVEDSS Foodborne Disease Case Report |
Copy of lab report or DIDE Yellow Card A |
WVEDSS |
| Lyme Disease (Borrelia burgdorferi) |
Within 1 week to local health department |
Lyme Disease Case Report |
Copy of lab report or DIDE Yellow Card |
WVEDSS |
| M |
|
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| Malaria |
Within 1 week to local health department |
WVEDSS Malaria Case Report |
Copy of lab report or DIDE Yellow Card |
WVEDSS |
| Meningococcal Disease, Invasive (Neisseria meningitidis) |
Within 24 hours to local health department |
WVEDSS Invasive Bacterial Disease (Neisseria Meningitidis, Haemophilus Influenzae, Group B Streptococcus) Case Report |
Copy of lab report or DIDE Yellow Card |
WVEDSS |
| Monkeypox |
Suspect or confirmed cases immediately to local health department by phone and follow up with written report. |
WVEDSS General Case Investigation Report |
Copy of lab report or DIDE Yellow Card A |
WVEDSS |
| Mumps |
Within 1 week to local health department |
WVEDSS Mumps Case Report |
Copy of lab report or DIDE Yellow Card C |
WVEDSS |
| O |
|
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|
Orthopox Infection
Smallpox
Monkeypox
|
See specific agent |
See specific agent |
See specific agent |
See specific agent |
| Outbreaks or cluster of any illness or condition, suspect or confirmed |
Suspect or confirmed cases immediately to local health department by phone and follow up with additional information as requested |
Suspect or confirmed cases immediately to local health department by phone and follow up with additional information as requested |
Suspect or confirmed cases immediately to local health department by phone and follow up with additional information as requested |
Suspect or confirmed cases immediately to DIDE by phone (304)558-5358 or (800)423-1271 and follow up with additional information as requested |
| P |
|
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| Pelvic Inflammatory Disease |
Within 1 Week to the State Health Department. |
|
|
|
| Pertussis (Whooping Cough Bordatella pertussis) |
Within 24 hours to local health department |
WVEDSS Pertussis Case Report |
Copy of lab report or DIDE Yellow Card |
WVEDSS |
| Plague (Yersinia pestis) |
Suspect or confirmed cases immediately to local health department by phone and follow up with written report. |
WVEDSS Plague Case Report |
Copy of lab report or DIDE Yellow Card |
|
| Poliomyelitis |
Within 24 hours to local health department |
WVEDSS Polio Case Report |
Copy of lab report or DIDE Yellow Card A, B |
WVEDSS |
| Psittacosis (Chlamydophila psittaci) |
Within 1 week to local health department |
WVEDSS General Case Investigation Report |
Copy of lab report or DIDE Yellow Card |
WVEDSS |
| Q |
|
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| Q-Fever(Coxiells burnetii) |
Within 24 hours to local health department |
WVEDSS General Case Investigation Report |
Copy of lab report or DIDE Yellow Card |
WVEDSS |
| R |
|
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| Rabies, human |
Within 24 hours to local health department by phone and follow up with written report. |
WVEDSS General Case Investigation Report |
Copy of lab report or DIDE Yellow Card |
WVEDSS |
| Rabies, animal |
Within 24 hours to local health department |
WV Office of Laboratory Services Rabies Test Submission |
Copy of lab report or DIDE Yellow Card |
WV Office of Laboratory Services Rabies Test Submission |
| Rocky Mountain Spotted Fever |
Within 1 week to local health department |
WVEDSS Tick-borne Disease Case Report |
Copy of lab report or DIDE Yellow Card |
WVEDSS |
| Rubella (German measles) |
Within 24 hours to local health department |
WVEDSS Rubella Case Report |
Copy of lab report or DIDE Yellow Card B |
WVEDSS |
| Rubella Congenital Syndrome |
Within 24 hours to local health department |
WVEDSS Rubella Congenital Case Report |
Copy of lab report or DIDE Yellow Card B |
WVEDSS |
| Rubeola (Measles) |
Suspect or confirmed cases immediately to local health department by phone and follow up with written report. |
WVEDSS Measles Case Report |
Copy of lab report or DIDE Yellow Card B |
WVEDSS |
| S |
|
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Salmonellosis4
(except Typhoid Fever) |
Within 72 hours to local health department |
WVEDSS Foodborne Disease Case Report |
Copy of lab report or DIDE Yellow Card 1, A |
WVEDSS |
| SARS coronavirus infection |
Suspect or confirmed cases immediately to local health department by phone and follow up with written report. |
WVEDSS General Case Investigation Report
|
Copy of lab report or DIDE Yellow Card A, B |
WVEDSS
|
| Shiga toxin-producing Escherichia coli2 Including but not limited to E. Coli 0157:H7 |
Within 24 hours to local health department |
WVEDSS Foodborne Disease Case Report |
Copy of lab report or DIDE Yellow Card A |
WVEDSS |
Shigellosis4
(Shigella dysenteriae, S. boydii, S. flexneri, S. sonnei) |
Within 72 hours to local health department |
WVEDSS Foodborne Disease Case Report |
Copy of lab report or DIDE Yellow Card 1, A |
WVEDSS |
| Smallpox |
Suspect or confirmed cases immediately to local health department by phone and follow up with written report. |
WVEDSS Smallpox Case Report |
Copy of lab report or DIDE Yellow Card A |
|
| Staphylococcus aureus4 with glycopeptide-intermediate (GISA/VISA) or glycopeptide-resistant (GRSA/VRSA) susceptibilities |
Within 24 hours to local health department |
WVEDSS Antibiotic Resistant Staphylococcus aureus Case Report |
Copy of lab report or DIDE Yellow Card 1, A |
WVEDSS |
| St. Louis Encephalitis |
Within 1 week to local health department |
WVEDSS Arboviral Encephalitis Case Report |
Copy of lab report or DIDE Yellow Card B |
WVEDSS |
| Streptococcal Disease, Invasive Group A4 and/or Streptococcal Toxic Shock Syndrome (S. pyogenes) |
Within 1 week to local health department |
WVEDSS Invasive Bacterial Disease Group A & Toxic Shock Syndrom Case Report |
Copy of lab report or DIDE Yellow Card 1 |
WVEDSS |
| Streptococcal Disease, Invasive Group B |
Within 1 week to local health department |
WVEDSS Invasive Bacterial Disease (Neisseria Meningitidis, Haemophilus Influenzae, Group B Streptococcus) Case Report |
Copy of lab report or DIDE Yellow Card |
WVEDSS |
| Streptococcal Toxic Shock Syndrome |
Within 1 week to local health department |
WVEDSS Invasive Bacterial Disease Group A & Toxic Shock Syndrom Case Report |
Copy of lab report or DIDE Yellow Card 1 |
WVEDSS |
| Streptococcus pneumoniae4, invasive disease |
Within 1 week to local health department |
WVEDSS Invasive Bacterial Disease All Streptococcus pneumoniae Case Report |
Copy of lab report or DIDE Yellow Card 1, A |
WVEDSS |
| Syphilis -- primary, secondary, early latent, congenital (within 24 hours) |
Within 1 Week to the State Health Department at 1.800.642.8244. |
CDC Form VD-91 |
|
CDC Form VD-91 |
Syphilis
(late latent, late symptomatic, or neurosyphilis) |
Within 1 Week to the State Health Department at 1.800.642.8244. |
CDC Form VD-91 |
|
CDC Form VD-91 |
| T |
|
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| Tetanus (Clostridium tetani) |
Within 1 week to local health department |
WVEDSS Tetanus Case Report |
Copy of lab report or DIDE Yellow Card |
WVEDSS |
| Toxic Shock Syndrome |
Within 1 week to local health department |
WVEDSS Toxic Shock Syndrome Case Report |
Copy of lab report or DIDE Yellow Card |
WVEDSS |
| Trichinosis |
Within 72 hours to local health department |
WVEDSS Foodborne Disease Case Report |
Copy of lab report or DIDE Yellow Card |
WVEDSS |
| Tuberculosis4, all forms |
Within 24 hours to local health department |
Individual Tuberculosis Report |
Copy of Lab Report |
Individual Tuberculosis Report |
Tuberculosis Latent Infection5
(In the last 2 years or any positive in a child < 5 years old) |
Within 1 week to local health department |
Tuberculosis Record (LTBI-Reporting Form) |
|
Tuberculosis Record (LTBI-Reporting Form) |
| Tularemia (Francisella tularensis) |
Suspect or confirmed cases immediately to local health department by phone and follow up with written report. |
Tularemia Case Report |
Copy of lab report or DIDE Yellow Card |
|
| Typhoid Fever (Salmonella typhi) |
Within 24 hours to local health department |
WVEDSS Foodborne Disease Case Report |
Copy of lab report or DIDE Yellow Card |
WVEDSS |
| V |
|
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| Viral Hemorrhagic Fevers1 |
Suspect or confirmed cases immediately to local health department by phone and follow up with written report. |
WVEDSS General Case Investigation Report |
Copy of lab report or DIDE Yellow Card B |
|
| W |
|
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| Waterborne Outbreak |
Suspect or confirmed cases immediately to local health department by phone and follow up with written report. |
Immediately contact local health department by phone |
Immediately contact local health department by phone |
Immediately contact DIDE by phone at 1.800.423.1271 or 304.558.5358 |
| West Nile Virus |
Within 1 week to local health department |
WVEDSS Arboviral Encephalitis Case Report |
Copy of lab report or DIDE Yellow Card B |
WVEDSS |
| Western Equine Encephalitis |
Within 1 week to local health department |
WVEDSS Arboviral Encephalitis Case Report |
Copy of lab report or DIDE Yellow Card B |
WVEDSS |
| Y |
|
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| Yellow Fever |
Within 24 hours to local health department |
WVEDSS General Case Investigation Report |
Copy of lab report or DIDE Yellow Card A, B |
WVEDSS |
| Yersinia Enterocolitica (Yersinia pestis) |
Within 72 hours to local health department |
WVEDSS Foodborne Disease Case Report |
Copy of lab report or DIDE Yellow Card A |
WVEDSS |